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LOGISTICS FACT SHEETS: ARV DRUGS JULY 2008 This publication was produced for review by the United States Agency for International Development. It was prepared by the USAID | DELIVER PROJECT, Task Order 1.

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Page 1: LOGISTICS FACT SHEETS:

LOGISTICS FACT SHEETS ARV DRUGS

JULY 2008 This publication was produced for review by the United States Agency for International Development It was prepared by the USAID | DELIVER PROJECT Task Order 1

LOGISTICS FACT SHEETS ARV DRUGS

The authors views expressed in this publication do not necessarily reflect the views of the US Agency for International Development or the United States Government

USAID | DELIVER PROJECT Task Order 1 The USAID | DELIVER PROJECT Task Order 1 is funded by the US Agency for International Development under contract no GPO-I-01-06-00007-00 beginning September 29 2006 HIV-related activities of Task Order 1 are supported by the Presidents Emergency Plan for AIDS Relief Task Order 1 is implemented by John Snow Inc in collaboration with PATH Crown Agents Consultancy Inc Abt Associates Fuel Logistics Group (Pty) Ltd UPS Supply Chain Solutions Family Health International The Manoff Group and 3i Infotech The project improves essential health commodity supply chains by strengthening logistics management information systems streamlining distribution systems identifying financial resources for procurement and supply chain operations and enhancing forecasting and procurement planning The project also encourages policymakers and donors to support logistics as a critical factor in the overall success of their health care mandates

Recommended Citation USAID | DELIVER PROJECT Task Order 1 2008 Logistics Fact Sheets ARV Drugs Arlington Va USAID | DELIVER PROJECT Task Order 1

Abstract The antiretroviral (ARV) fact sheets include information critical for informing supply chain management functions for 18 ARV drugs they can be used at all levels of the health system

The sheets list all FDA-approved and WHO-prequalified versions of the drug including the manufacturer strengthform packagingshipping information shelf life recommended storage conditions price and dosage information

Cover photo Used by permission of the Massachusetts HIV Drug Assistance ProgramAIDS Bureau of the Massachusetts Department of Public Health

USAID | DELIVER PROJECT John Snow Inc 1616 Fort Myer Drive 11th Floor Arlington VA 22209 USA Phone 703-528-7474 Fax 703-528-7480 E-mail deliver_projectjsicom Internet deliverjsicom

CONTENTS

Abacavir Sulphate (ABC)1

AbacavirLamivudine (ABC3TC)3

AbacavirLamivudineZidovudine (ABC3TCZDV)4

AbacavirLamivudineZidovudine (ABC3TCZDV)4

Didanosine (ddl)5

Efavirenz (EFV) 8

Efavirenz (EFV) 8

Emtricitbine + Tenofovir (FTC + TDF) 11

Emtricitbine + Tenofovir (FTC + TDF) 11

Emtricitabine (FTC)12

Indinavir (IDV)13

Lamivudine (3TC) 14

LamivudineStavudine (3TCd4T)18

LamivudineStavudineNevirapine (3TCD4TNVP) 20

LamivudineStavudine+Efavirenz (3TCd4T+EFV) 22

LamivudineZidovudine (3TCZDV) 23

LamivudineZidovudine+Efavirenz (3TCZDV+EFV)26

LamivudineZidovudineNevirapine (3TCZDVNVP) 28

LopinavirRitonavir (LPVr) 29

Nelfinavir Mesylate (NFV)31

Nevirapine (NVP)32

Ritonavir35

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS v

Saquinavir Mesylate (SQV) 37

Stavudine (d4T) 38

Tenofovir Disoproxil Fumarate (TDF) 43

Zidovudine (ZDV) (AZT) 44

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 vi

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS vii

ABACAVIR SULPHATE (ABC) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Ziagen

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Research Triangle Park NC 27709

Tel 1-888-825-5249 wwwgskcom

300 mg tablets 60 tablets per bottle

60 blister packs

Each pack contains blister cards of 10 tablets each

3 years Store at room temperature of 20ndash25degC

$0600 per tablet

$438 per patient per year

20 mgmL oral solution

Bottles of 240 mL 2 years discard 2 months after opening

Store at room temperature of 20degC to 25degC May be refrigerated Do not freeze

$0063 per mL

$229 per patient per year

Generic Products

Aurobindo

PEPFAR qualified (Tentatively approved 17 May 2006 for tablets and 27 June 06 for oral solution)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

300 mg tablets 60 tablets per bottle

Blisters 10 PVCplain aluminum foil

24 months Store below 25˚C $0542 per tablet

$395 per patient per year

20 mgmL oral solution

Bottles of 240 mL 24 months Store below 25˚C $0085 per mL

$310 per patient per year

Cipla

PEPFAR qualified (Tentatively approved 6 November 2006)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India

(Bangalore site approved by US FDA for bulk drugs)

600 mg tablets (Abamune)

60 tablets per bottle pack

96 packs per shipper

Box dimensions 475 x 375 x 230 mm

24 months Store at 20ndash25˚C $0550 per tablet

$402 per patient per year

300 mg tablets 60 tablets per bottle pack

96 packs per shipper

24 months Store at 20ndash25˚C $0625 per tablet

$456 per patient per year

Box dimensions 475 x 375 x 230 mm

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 1

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Matrix Laboratories Inc

Corporate Office Matrix Laboratories Limited 1ndash1-1511 4th Floor Sai Ram Towers

300 mg 60 tablets per bottle

Blister packs 10rsquos

24 months Store below 30˚C $0602 per tablet

$439 per person per year PEPFAR qualified (Tentatively approved 5 April 2007)

Alexander Road Secunderabad ndash 500 003 Phone +91-40-27700363 +91-40-66327722 Fax +91-40-27700343 Email matrixmatrixlabsindiacom

All facilities are USFDA approved

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 600 mg daily or 300 mg twice daily 8 mgkg twice daily (up to maximum of 300 mg twice daily) for Adults ABC + NVP or EFV + PIr adolescent and pediatric patients of 3 months to 16 years of

ABC + ddI or TDF+ PIr age

Children ABC + ddI + PIr

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 2

ABACAVIRLAMIVUDINE (ABC3TC) NRTI

Brand Name Manufacturer

Originator Product

Epzicomreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Research Triangle Park NC 27709 Tel 1-888-825-5249 wwwgskcom

Lamivudine is manufactured under agreement from Shire Pharmaceutical Group plc Basingstoke UK

StrengthForm

Tablet containing

abacavir sulfate 600 mg tablets

lamivudine 300 mg tablets

Packaging amp Shipping Information

30 tablets per bottle

Shelf Life Storage Conditions Price

Store at 25degC (77degF) excursions permitted to 15degndash 30degC (59degndash86degF)

$1858 per tablet

$678 per patient per year

World Health Organization recommended first line regimens Adult Daily Dosage 1 tablet daily Pediatric Daily Dosageusing this ARV

Adults ABC3TC + NVP or EFV

Alternate regimen ABC3TC + AZT or d4T

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 3

ABACAVIRLAMIVUDINEZIDOVUDINE (ABC3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Trizivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Ware Hertfordshire UK

Stockley Park West Uxbridge Middlesex UB11 1BT United Kingdom General Enquiries Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

Tablet containing

150 mg lamivudine

300 mg zidovudine

300 mg abacavir

60 tablets per HDPE bottle 24 months Store at 25degC (77degF)

Excursions to 15ndash30degC (59ndash 86degF) permitted

$0895 per tablet

$653 per patient per year

Generic Products

Aurobindo

PEPFAR qualified (Tentatively approved 26 July 2006)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Co-pack containing 60 + 60 tablets 24 months Store below 25˚C 1417 per tablet

150 mg lamivudine Contains blister card 10 + $517 per patient per year

300 mg zidovudine 10

With PVCPVdCaluminum foil

300 mg abacavir

World Health Organization recommended first line regimens using this ARV

This FDC is recommended as an alternate regimen when a triple NRTI approach because an NNRTI cannot be used

Adult Daily Dosage 1 tablet twice daily Do not administere to adolescents who weigh less than 40 kg

Pediatric Daily Dosage This FDC is not recommended for pediatric patients

Adults ABC + 3TC + ZDV

4 LOGISTICS FACT SHEETS ARV DRUGS JULY 2008

DIDANOSINE (ddl) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Videx Videx ECreg

(WHO prequalified)

(FDA approved)

Manufacturer

Bristol-Myers Squibb 3 Rue Joseph Monier BP 325 92506 Reil-Malmaison Cedex France

Tel +33 158 83 60 00 Fax +33 158 83 6565 94 wwwbmscom

125 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

200 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

note Production of 100 mg 150 mg and 200 mg Videx DDI tablets will continue for

250 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0677 per capsule

$247 per patient per year

ACCESS 400 mg delayedshy 30 capsules per HDPE bottle 24 Store capsules in tightly closed $0874 per countries for the release capsule months containers at 25degC (77degF) capsule next 9 to 12 months

Excursions to 15ndash30degC (59 ndash86degF) permitted

$319 per patient per year

Bristol-Myers Squibb PO Box 4500 Princeton NJ 08543-4500

2 g powder 4 ounce bottles Store between 15ndash30degC $315 per gram

$138 per patient per year

25 mg chewable 60 tablets per HDPE bottle 2 years Store between 15ndash30degC $0235 per tablet tablet $429 per patient

per year

50 mg chewable tablet

60 tablets per HDPE bottle Store between 15ndash30degC $0235 per tablet

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 5

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Generic Product

Didanosine

(FDA approved)

Barr Laboratories Inc Corporate Headquarters 223 Quaker Road Pomona NY 10970

Tel 845-362-1100 -or-

800-222-0190

200 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs

Fax 845-362-2774 250 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs

400 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs Didanosine

PEPFAR qualified (Tentatively approved 10 July 2006)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

100 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0150 per tablet

$219 per patient per year

150 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0225 per tablet

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 6

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

200 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0308 per tablet

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 400 mg for patients ge 60 kg in combination with other gt 3 months 50 mgm2 twice daily

antiretroviral agents Adults 3 to 13 years 90ndash120 mgm2 twice daily

Second line ddI + ABC or 3TC (plusmn AZT) + PIr Alternate second line regimen ddI + EFV or NVP + PIr

250 mg for patients le 60 kg in combination with other antiretroviral agents

Maximum dose 200 mgdose twice daily

Children Videx EC should not be used by pediatric Second line ddI + ABC or AZT or EFV or NVP + PIr patients

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 7

EFAVIRENZ (EFV) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Sustivacopy

(FDA approved)

Bristol-Myers Squibb Princeton NJ 08543 USA

50 mg capsule 30 capsules per bottle 36 months Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0116 per capsule

$169 per patient per year

Internationally marketed as Stocrin licensed by Merck

Tel +1 800 426 7644 +1 800 631 5244

wwwbmscom

200 mg capsule 90 capsules per bottle 3 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0457 per capsule

$500 per patient per year

600 mg film-coated tablet

30 tablets per bottle 2 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$095 per tablet

$347 per patient per year

100 mg capsule 30 tablets per bottle Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

Generic Product

Efavir Cipla 600 mg capsule 600 mg bottle 24 months Store between 20ndash25˚C $0467 per capsule

96 packs per shipper

30rsquos bottle pack

$170 per patient per year

500rsquos bottle pack

Ranbax Labs 600 mg tablets 60rsquos HDPE bottle 24 months Store below 25˚C $02083 per tablet

Sahib India 10rsquos cold form blister pack

Tel +91(1704)222834 222720 10rsquos PVdCPEPVC blister 222719 pack

60rsquos HDPE bottle

10rsquos cold form blister pack

24 months Store below 25˚C in original package

$02500 per tablet200 mg tablets

10rsquos PVdCPEPVC blister pack

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 8

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Stocrin Merck Sharp amp Dohme (Australia) Pty Limited ABN 14 000 173 508 54-68 Ferndell Street SOUTH GRANVILLE NSW

50 mg tablet 30 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

2142 200 mg tablet 90 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

Strides S-No 367 Suragajkkanahalli Indlavadi Cross Anekal Taluk Banglore-562106 India

600 mg tablets 20 tablets per bottle 24 months Store below 30˚C

Protect from light and keep in closed container

$0500 per pill

$18000 per patient per year

Matrix 600 mg tablets 30 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $13 per bottle

Viranzcopy

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

600 mg capsules 30 capsules per bottle

30 capsules per bottle

90 capsules per bottle

30 capsules per bottle

24 months

24 months

24 months

24 months

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

$55 per tablet

$201 per patient per year

$0175 per capsule

$0206 per capsule

$226 per patient per year

$0093 per capsule

100 mg capsules

200 mg capsules

50 mg capsules

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 9

World Health Organization recommended first and Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 600 mg daily in combination with a protease inhibitor andor nucleoside 10 to lt 14 kg 200 mg

analogue reverse transcriptase inhibitors 14 to lt 20 kg 250 mg Adults 20 to lt 25 kg 300 mg First line EFV + 3TC o r FTC + AZT or d4T or TDF or 25 to lt 30 kg 350 mg

ABC 30 to lt 40 kg 400 mg Alternate second line EFV + PIr + ddI gt40 kg 600 mg

Children First line EFV + 3TC + AZT or d4T or ABC Second line EFV + ddI + PIr

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 10

EMTRICITBINE + TENOFOVIR (FTC + TDF) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Truvada Gilead Sciences Inc Tablet contains HDPE bottle with 30 tablets Store below 25degC (77degF) $0875 per tablet 333 Lakeside Drive Foster City California 94404 USA

200 mg emtricitabine

300 mg tenofivir $319 per patient per year

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV One tablet of 3TC AZT twice a daily and one Formulation is not designed for children Adults FTC+ AZT or d4T + EFV or NVP tablet of EFV daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 11

EMTRICITABINE (FTC) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Emtriva

(FDA approved)

Gilead Sciences Inc 333 Lakeside Drive Foster City California 94404 USA

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccess gileadcom wwwgileadcom

200 mg capsule 30 capsules per bottle

30 capsules per blister pack

2 years Store at room temperature between 39ndash 86degF (15ndash30degC)

10 mgmL oral solution

170 mL bottles including a marked dosing cup

3 years 45 days after first opening the bottle

Store in refrigerator between 36ndash46degF (2ndash 8degC) Alternatively can be stored at room temperature (25degC) for three months Discard any remaining solution after 3 months

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV One 200 mg capsule once daily in combination gt4 months 6 mgkg up to a maximum of 240 mg Adults FTC + AZT or d4T or TDF or ABC + EFV or with other antiretrovirals once daily in combination with other antiretrovirals NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 12

INDINAVIR (IDV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Crixivan Merck and Co Inc 400 mg capsule Bottles of 18 42 90 120 3 years Store at room $274 per capsule One Merck Drive 180 capsules with dessicant temperature 15ndash30degC

(FDA approved) Whitehouse Station NJ 08889 (59ndash86degF) $400 per patient per year

Tel 908-423-1000 Protect from moisture wwwmerckcom

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 800 mg (or two 400 mg capsules) every 8 hours Optimal dosing for pediatric patients has not been Adults IDV r + ddI or TDF + ABC or 3TC (plusmnAZT) in combination with other antiretrovirals established

Alternate second line IDV r + ddI + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 13

LAMIVUDINE (3TC) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Epivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328 wwwgskcom

150 mg tablet 60 tablets per HDPE bottle

60 tablets per blister pack

600 tablets per inner carton

Shipping carton Volume 06 ft3

24 months Store at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0087 per tablet

$64 per patient per year

GlaxoSmithKline 10 mgmL syrup 240 mL per HDPE bottle 24 months Do not store above 25degC $0023 per mL Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328

12 bottles per inner carton

10 mL oral dosing syringe and polyethylene adapter included

Discard oral solution one month after opening

$84 per patient per year

wwwgskcom Shipping carton Volume 37 ft3

Generic Products

Heptavir Hetero Drugs Ltd 150 mg tablet 60 tablets per HDPE bottle Do not store above 30degC $0073 per tablet Jeedimetla AP India

$53 per patient per year 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

+91 40 2371 4250 wwwheterodrugscom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 14

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Lamivirreg

(WHO prequalified)

Cipla Ltd Vikhroli India

Mumbai Central Mumbaindash400 008

50 mg5 mL solution 100 mL per PET bottle with syringe

240 mL bottle

35 bottles per shipper

24 months Store between 20ndash25˚C

Discard oral solution one month after opening

$0018 per mL

$66 per patient per year

India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

100 mg tablet 10 tablets per blister pack

60 tablets per inner carton

24 months Do not store above 30degC

+91 22 2307 0393 wwwciplacom

150 mg tablet 10 tablets per blister pack

60 tablets per inner carton

168 packs per shipping carton

Shipping carton Dimensions 455 x 280 x 250 mm Weight 151 kg

24 months Do not store above 30degC $0065 per tablet

$47 per patient per year

Lamivudine

(WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

150 mg tablet 60 tablets per HDPE bottle

10 tablets per blister pack

Do not store above 30degC $0071 per tablet

$5112 per patient per year

Lamivox

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal

150 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0059 tablet

$43 per patient per year

(FDA tentatively approved)

Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$155 per tablet

$56 per patient per year

10 mgmL 240 mL HDPE container

Pack contains a 20 mL measuring cup

18 months Do not store above 25degC $0009 per mL

$34 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 15

continued LAMIVUDINE

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Aspen Lamivudine

(WHO prequalified)

Aspen Pharmacare Aspen Park 98 Armstrong Avenue La Lucia Ridge Durban 4019 South Africa

150 mg tablet 60 tablets per plastic container securitainer metalised lay flat pack glass bottle

24 months Store below 25˚C $450

Tel +27 31 5808600 wwwaspenpharmacom

Matrix 150 mg tablet 60 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $320 per bottle

Anolam Virolam Avolam

(FDA tentatively approved)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

150 mg tablet 60 tablets per bottle

1440 tablets per inner carton (24 packs per inner carton)

14400 tablets per shipping carton (600 packs or 10 inner carton)

Shipping carton Dimensions 49 x 36 x 23 m Volume 0406 Weight 785

24 months Store below 25degC

Protect from moisture

$00517 per tablet

$43 per patient per year

World Health Organization recommended first and Adult Daily Dosage 300 mg daily or 150 mg twice daily in Pediatric Daily Dosage second line regimens combination with other antiretroviral agents lt 30 days 2 mgkg twice daily regimens using this ARV

gt 30 days to 12 years 4 mgkg twice daily up to a Adults Per Cipla adults weighing less than 50 kg 150 mg once daily maximum of 150 mg twice daily First line 3TC + AZT or d4T or TDF or ABC + EFV or NVP

Alternate first line 3TC + AZT or d4T + TDF or ABC Second line 3TC + ddI or TDF + PIr

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 16

Children First line 3TC + AZT or d4T or ABC + NVP or EFV Alternate first line 3TC + AZT or d4T + ABC

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 17

LAMIVUDINESTAVUDINE (3TCd4T) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

Virolis 30

Coviro - LS 30

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle

10 blister pack

24 months Store below 25degC

Protect from moisture

$00750 per tablet $124 per patient per year

Cipla Tablet containing 30rsquos bottle pack 24 months Store between 15ndash25˚C $0075 per capsule

150 mg lamivudine 1000rsquos bottle pack $5500 per patient per year

30 mg stavudine 96 pack per shipper

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C $425 per bottle

150 mg lamivudine 168 bottles per shipper

30 mg stavudine

Lamivudine Stavudine (WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle 24 months Store below 30degC

Protect from sunlight

$0075 per tablet $54 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 18

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV Patients ge 60 kg one 3TCd4T (40 mg) Patients ge 37 kg one 3TCd4T (30 mg) tablet twice Adults tablet twice daily in combination with other daily

First line d4T3TC + NVP or EFV antiretroviral agents

Alternate first line d4T3TC + TDF or ABC Patients lt 60 kg one 3TCd4T (30 mg) tablet twice daily in combination with other

Children antiretroviral agents d4T3TC + NVP or EFV

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 19

LAMIVUDINESTAVUDINENEVIRAPINE (3TCD4TNVP) NRTI amp NNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Originator Product

Generic Product

Triomune 30

(WHO prequalified)

Cipla Ltd Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Tablet containing 200 mg nevirapine

150 mg lamivudine

30 mg stavudine

30 tablets per bottle

60rsquos bottle pack

1000rsquos bottle pack

Container of 60 tablets

60 bottle pack

24 months

18 months

24 months

Store between 15ndash25˚C Protect from moisture

Store below 25˚C

Store between 15ndash25˚C

$0142 per tablet

$103 per patient per year

Each tablet contains stavudine 6 mg lamivudine 30 mg nevirapine 50 mg Tablet containing

lamivudine 60 mg 1000 bottle pack

stavudine 12 mg

nevirapine 100 mg

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

lamivudine 150 mg

stavudine 40 mg

nevirapine 200 mg

30 tablets 24 months Store below 30˚C

Protect from light

$014 per tablet

$10200 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 20

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Virolans 30 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryana) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

60 tablets per bottle 240 tablets per case 2400 tablets per shipping carton

Shipping carton Dimensions 45 x 03 x 025 m

12 months Store below 25degC Protect from moisture

$01283 per tablet

$219 per patient per year

wwwranbaxycom Volume 00338 m3

Weight 485

Virolans 40 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryan a) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 40 mg stavudine

60 tablets per bottle

240 tablets per case

2400 tablets per shipping carton

12 months Store below 25degC Protect from moisture

$01333 per tablet

$234 per patient per year

wwwranbaxycom Shipping carton Dimensions 45 x 03 x 025 m Volume 00338 Weight 485

Nevilast 30

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500 018 (AP) India q Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

10 tablets per blister pack

60 tablets per HDPE bottle $201 per tablet

$147 per patient per year

23714250 wwwheterodrugscom

World Health Organization recommended first line regimens using this ARV

Adults d4T3TCNVP

Children d4T3TCNVP

Adult Daily Dosage 1 tablet twice daily of 40 mg for patients gt 60 kg and 1 tablet twice daily of 30 mg for patients lt 60 kg in combination with other antiretroviral agents

Pediatric Daily Dosage The FDC is not recommended for pediatric patients or patients lt 50 kg

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 21

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT 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 ESP 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 FRA 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 ITA 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 JPN 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 SUO 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Page 2: LOGISTICS FACT SHEETS:

LOGISTICS FACT SHEETS ARV DRUGS

The authors views expressed in this publication do not necessarily reflect the views of the US Agency for International Development or the United States Government

USAID | DELIVER PROJECT Task Order 1 The USAID | DELIVER PROJECT Task Order 1 is funded by the US Agency for International Development under contract no GPO-I-01-06-00007-00 beginning September 29 2006 HIV-related activities of Task Order 1 are supported by the Presidents Emergency Plan for AIDS Relief Task Order 1 is implemented by John Snow Inc in collaboration with PATH Crown Agents Consultancy Inc Abt Associates Fuel Logistics Group (Pty) Ltd UPS Supply Chain Solutions Family Health International The Manoff Group and 3i Infotech The project improves essential health commodity supply chains by strengthening logistics management information systems streamlining distribution systems identifying financial resources for procurement and supply chain operations and enhancing forecasting and procurement planning The project also encourages policymakers and donors to support logistics as a critical factor in the overall success of their health care mandates

Recommended Citation USAID | DELIVER PROJECT Task Order 1 2008 Logistics Fact Sheets ARV Drugs Arlington Va USAID | DELIVER PROJECT Task Order 1

Abstract The antiretroviral (ARV) fact sheets include information critical for informing supply chain management functions for 18 ARV drugs they can be used at all levels of the health system

The sheets list all FDA-approved and WHO-prequalified versions of the drug including the manufacturer strengthform packagingshipping information shelf life recommended storage conditions price and dosage information

Cover photo Used by permission of the Massachusetts HIV Drug Assistance ProgramAIDS Bureau of the Massachusetts Department of Public Health

USAID | DELIVER PROJECT John Snow Inc 1616 Fort Myer Drive 11th Floor Arlington VA 22209 USA Phone 703-528-7474 Fax 703-528-7480 E-mail deliver_projectjsicom Internet deliverjsicom

CONTENTS

Abacavir Sulphate (ABC)1

AbacavirLamivudine (ABC3TC)3

AbacavirLamivudineZidovudine (ABC3TCZDV)4

AbacavirLamivudineZidovudine (ABC3TCZDV)4

Didanosine (ddl)5

Efavirenz (EFV) 8

Efavirenz (EFV) 8

Emtricitbine + Tenofovir (FTC + TDF) 11

Emtricitbine + Tenofovir (FTC + TDF) 11

Emtricitabine (FTC)12

Indinavir (IDV)13

Lamivudine (3TC) 14

LamivudineStavudine (3TCd4T)18

LamivudineStavudineNevirapine (3TCD4TNVP) 20

LamivudineStavudine+Efavirenz (3TCd4T+EFV) 22

LamivudineZidovudine (3TCZDV) 23

LamivudineZidovudine+Efavirenz (3TCZDV+EFV)26

LamivudineZidovudineNevirapine (3TCZDVNVP) 28

LopinavirRitonavir (LPVr) 29

Nelfinavir Mesylate (NFV)31

Nevirapine (NVP)32

Ritonavir35

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS v

Saquinavir Mesylate (SQV) 37

Stavudine (d4T) 38

Tenofovir Disoproxil Fumarate (TDF) 43

Zidovudine (ZDV) (AZT) 44

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 vi

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS vii

ABACAVIR SULPHATE (ABC) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Ziagen

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Research Triangle Park NC 27709

Tel 1-888-825-5249 wwwgskcom

300 mg tablets 60 tablets per bottle

60 blister packs

Each pack contains blister cards of 10 tablets each

3 years Store at room temperature of 20ndash25degC

$0600 per tablet

$438 per patient per year

20 mgmL oral solution

Bottles of 240 mL 2 years discard 2 months after opening

Store at room temperature of 20degC to 25degC May be refrigerated Do not freeze

$0063 per mL

$229 per patient per year

Generic Products

Aurobindo

PEPFAR qualified (Tentatively approved 17 May 2006 for tablets and 27 June 06 for oral solution)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

300 mg tablets 60 tablets per bottle

Blisters 10 PVCplain aluminum foil

24 months Store below 25˚C $0542 per tablet

$395 per patient per year

20 mgmL oral solution

Bottles of 240 mL 24 months Store below 25˚C $0085 per mL

$310 per patient per year

Cipla

PEPFAR qualified (Tentatively approved 6 November 2006)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India

(Bangalore site approved by US FDA for bulk drugs)

600 mg tablets (Abamune)

60 tablets per bottle pack

96 packs per shipper

Box dimensions 475 x 375 x 230 mm

24 months Store at 20ndash25˚C $0550 per tablet

$402 per patient per year

300 mg tablets 60 tablets per bottle pack

96 packs per shipper

24 months Store at 20ndash25˚C $0625 per tablet

$456 per patient per year

Box dimensions 475 x 375 x 230 mm

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 1

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Matrix Laboratories Inc

Corporate Office Matrix Laboratories Limited 1ndash1-1511 4th Floor Sai Ram Towers

300 mg 60 tablets per bottle

Blister packs 10rsquos

24 months Store below 30˚C $0602 per tablet

$439 per person per year PEPFAR qualified (Tentatively approved 5 April 2007)

Alexander Road Secunderabad ndash 500 003 Phone +91-40-27700363 +91-40-66327722 Fax +91-40-27700343 Email matrixmatrixlabsindiacom

All facilities are USFDA approved

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 600 mg daily or 300 mg twice daily 8 mgkg twice daily (up to maximum of 300 mg twice daily) for Adults ABC + NVP or EFV + PIr adolescent and pediatric patients of 3 months to 16 years of

ABC + ddI or TDF+ PIr age

Children ABC + ddI + PIr

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 2

ABACAVIRLAMIVUDINE (ABC3TC) NRTI

Brand Name Manufacturer

Originator Product

Epzicomreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Research Triangle Park NC 27709 Tel 1-888-825-5249 wwwgskcom

Lamivudine is manufactured under agreement from Shire Pharmaceutical Group plc Basingstoke UK

StrengthForm

Tablet containing

abacavir sulfate 600 mg tablets

lamivudine 300 mg tablets

Packaging amp Shipping Information

30 tablets per bottle

Shelf Life Storage Conditions Price

Store at 25degC (77degF) excursions permitted to 15degndash 30degC (59degndash86degF)

$1858 per tablet

$678 per patient per year

World Health Organization recommended first line regimens Adult Daily Dosage 1 tablet daily Pediatric Daily Dosageusing this ARV

Adults ABC3TC + NVP or EFV

Alternate regimen ABC3TC + AZT or d4T

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 3

ABACAVIRLAMIVUDINEZIDOVUDINE (ABC3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Trizivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Ware Hertfordshire UK

Stockley Park West Uxbridge Middlesex UB11 1BT United Kingdom General Enquiries Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

Tablet containing

150 mg lamivudine

300 mg zidovudine

300 mg abacavir

60 tablets per HDPE bottle 24 months Store at 25degC (77degF)

Excursions to 15ndash30degC (59ndash 86degF) permitted

$0895 per tablet

$653 per patient per year

Generic Products

Aurobindo

PEPFAR qualified (Tentatively approved 26 July 2006)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Co-pack containing 60 + 60 tablets 24 months Store below 25˚C 1417 per tablet

150 mg lamivudine Contains blister card 10 + $517 per patient per year

300 mg zidovudine 10

With PVCPVdCaluminum foil

300 mg abacavir

World Health Organization recommended first line regimens using this ARV

This FDC is recommended as an alternate regimen when a triple NRTI approach because an NNRTI cannot be used

Adult Daily Dosage 1 tablet twice daily Do not administere to adolescents who weigh less than 40 kg

Pediatric Daily Dosage This FDC is not recommended for pediatric patients

Adults ABC + 3TC + ZDV

4 LOGISTICS FACT SHEETS ARV DRUGS JULY 2008

DIDANOSINE (ddl) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Videx Videx ECreg

(WHO prequalified)

(FDA approved)

Manufacturer

Bristol-Myers Squibb 3 Rue Joseph Monier BP 325 92506 Reil-Malmaison Cedex France

Tel +33 158 83 60 00 Fax +33 158 83 6565 94 wwwbmscom

125 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

200 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

note Production of 100 mg 150 mg and 200 mg Videx DDI tablets will continue for

250 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0677 per capsule

$247 per patient per year

ACCESS 400 mg delayedshy 30 capsules per HDPE bottle 24 Store capsules in tightly closed $0874 per countries for the release capsule months containers at 25degC (77degF) capsule next 9 to 12 months

Excursions to 15ndash30degC (59 ndash86degF) permitted

$319 per patient per year

Bristol-Myers Squibb PO Box 4500 Princeton NJ 08543-4500

2 g powder 4 ounce bottles Store between 15ndash30degC $315 per gram

$138 per patient per year

25 mg chewable 60 tablets per HDPE bottle 2 years Store between 15ndash30degC $0235 per tablet tablet $429 per patient

per year

50 mg chewable tablet

60 tablets per HDPE bottle Store between 15ndash30degC $0235 per tablet

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 5

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Generic Product

Didanosine

(FDA approved)

Barr Laboratories Inc Corporate Headquarters 223 Quaker Road Pomona NY 10970

Tel 845-362-1100 -or-

800-222-0190

200 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs

Fax 845-362-2774 250 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs

400 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs Didanosine

PEPFAR qualified (Tentatively approved 10 July 2006)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

100 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0150 per tablet

$219 per patient per year

150 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0225 per tablet

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 6

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

200 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0308 per tablet

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 400 mg for patients ge 60 kg in combination with other gt 3 months 50 mgm2 twice daily

antiretroviral agents Adults 3 to 13 years 90ndash120 mgm2 twice daily

Second line ddI + ABC or 3TC (plusmn AZT) + PIr Alternate second line regimen ddI + EFV or NVP + PIr

250 mg for patients le 60 kg in combination with other antiretroviral agents

Maximum dose 200 mgdose twice daily

Children Videx EC should not be used by pediatric Second line ddI + ABC or AZT or EFV or NVP + PIr patients

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 7

EFAVIRENZ (EFV) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Sustivacopy

(FDA approved)

Bristol-Myers Squibb Princeton NJ 08543 USA

50 mg capsule 30 capsules per bottle 36 months Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0116 per capsule

$169 per patient per year

Internationally marketed as Stocrin licensed by Merck

Tel +1 800 426 7644 +1 800 631 5244

wwwbmscom

200 mg capsule 90 capsules per bottle 3 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0457 per capsule

$500 per patient per year

600 mg film-coated tablet

30 tablets per bottle 2 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$095 per tablet

$347 per patient per year

100 mg capsule 30 tablets per bottle Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

Generic Product

Efavir Cipla 600 mg capsule 600 mg bottle 24 months Store between 20ndash25˚C $0467 per capsule

96 packs per shipper

30rsquos bottle pack

$170 per patient per year

500rsquos bottle pack

Ranbax Labs 600 mg tablets 60rsquos HDPE bottle 24 months Store below 25˚C $02083 per tablet

Sahib India 10rsquos cold form blister pack

Tel +91(1704)222834 222720 10rsquos PVdCPEPVC blister 222719 pack

60rsquos HDPE bottle

10rsquos cold form blister pack

24 months Store below 25˚C in original package

$02500 per tablet200 mg tablets

10rsquos PVdCPEPVC blister pack

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 8

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Stocrin Merck Sharp amp Dohme (Australia) Pty Limited ABN 14 000 173 508 54-68 Ferndell Street SOUTH GRANVILLE NSW

50 mg tablet 30 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

2142 200 mg tablet 90 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

Strides S-No 367 Suragajkkanahalli Indlavadi Cross Anekal Taluk Banglore-562106 India

600 mg tablets 20 tablets per bottle 24 months Store below 30˚C

Protect from light and keep in closed container

$0500 per pill

$18000 per patient per year

Matrix 600 mg tablets 30 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $13 per bottle

Viranzcopy

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

600 mg capsules 30 capsules per bottle

30 capsules per bottle

90 capsules per bottle

30 capsules per bottle

24 months

24 months

24 months

24 months

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

$55 per tablet

$201 per patient per year

$0175 per capsule

$0206 per capsule

$226 per patient per year

$0093 per capsule

100 mg capsules

200 mg capsules

50 mg capsules

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 9

World Health Organization recommended first and Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 600 mg daily in combination with a protease inhibitor andor nucleoside 10 to lt 14 kg 200 mg

analogue reverse transcriptase inhibitors 14 to lt 20 kg 250 mg Adults 20 to lt 25 kg 300 mg First line EFV + 3TC o r FTC + AZT or d4T or TDF or 25 to lt 30 kg 350 mg

ABC 30 to lt 40 kg 400 mg Alternate second line EFV + PIr + ddI gt40 kg 600 mg

Children First line EFV + 3TC + AZT or d4T or ABC Second line EFV + ddI + PIr

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 10

EMTRICITBINE + TENOFOVIR (FTC + TDF) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Truvada Gilead Sciences Inc Tablet contains HDPE bottle with 30 tablets Store below 25degC (77degF) $0875 per tablet 333 Lakeside Drive Foster City California 94404 USA

200 mg emtricitabine

300 mg tenofivir $319 per patient per year

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV One tablet of 3TC AZT twice a daily and one Formulation is not designed for children Adults FTC+ AZT or d4T + EFV or NVP tablet of EFV daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 11

EMTRICITABINE (FTC) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Emtriva

(FDA approved)

Gilead Sciences Inc 333 Lakeside Drive Foster City California 94404 USA

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccess gileadcom wwwgileadcom

200 mg capsule 30 capsules per bottle

30 capsules per blister pack

2 years Store at room temperature between 39ndash 86degF (15ndash30degC)

10 mgmL oral solution

170 mL bottles including a marked dosing cup

3 years 45 days after first opening the bottle

Store in refrigerator between 36ndash46degF (2ndash 8degC) Alternatively can be stored at room temperature (25degC) for three months Discard any remaining solution after 3 months

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV One 200 mg capsule once daily in combination gt4 months 6 mgkg up to a maximum of 240 mg Adults FTC + AZT or d4T or TDF or ABC + EFV or with other antiretrovirals once daily in combination with other antiretrovirals NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 12

INDINAVIR (IDV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Crixivan Merck and Co Inc 400 mg capsule Bottles of 18 42 90 120 3 years Store at room $274 per capsule One Merck Drive 180 capsules with dessicant temperature 15ndash30degC

(FDA approved) Whitehouse Station NJ 08889 (59ndash86degF) $400 per patient per year

Tel 908-423-1000 Protect from moisture wwwmerckcom

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 800 mg (or two 400 mg capsules) every 8 hours Optimal dosing for pediatric patients has not been Adults IDV r + ddI or TDF + ABC or 3TC (plusmnAZT) in combination with other antiretrovirals established

Alternate second line IDV r + ddI + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 13

LAMIVUDINE (3TC) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Epivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328 wwwgskcom

150 mg tablet 60 tablets per HDPE bottle

60 tablets per blister pack

600 tablets per inner carton

Shipping carton Volume 06 ft3

24 months Store at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0087 per tablet

$64 per patient per year

GlaxoSmithKline 10 mgmL syrup 240 mL per HDPE bottle 24 months Do not store above 25degC $0023 per mL Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328

12 bottles per inner carton

10 mL oral dosing syringe and polyethylene adapter included

Discard oral solution one month after opening

$84 per patient per year

wwwgskcom Shipping carton Volume 37 ft3

Generic Products

Heptavir Hetero Drugs Ltd 150 mg tablet 60 tablets per HDPE bottle Do not store above 30degC $0073 per tablet Jeedimetla AP India

$53 per patient per year 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

+91 40 2371 4250 wwwheterodrugscom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 14

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Lamivirreg

(WHO prequalified)

Cipla Ltd Vikhroli India

Mumbai Central Mumbaindash400 008

50 mg5 mL solution 100 mL per PET bottle with syringe

240 mL bottle

35 bottles per shipper

24 months Store between 20ndash25˚C

Discard oral solution one month after opening

$0018 per mL

$66 per patient per year

India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

100 mg tablet 10 tablets per blister pack

60 tablets per inner carton

24 months Do not store above 30degC

+91 22 2307 0393 wwwciplacom

150 mg tablet 10 tablets per blister pack

60 tablets per inner carton

168 packs per shipping carton

Shipping carton Dimensions 455 x 280 x 250 mm Weight 151 kg

24 months Do not store above 30degC $0065 per tablet

$47 per patient per year

Lamivudine

(WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

150 mg tablet 60 tablets per HDPE bottle

10 tablets per blister pack

Do not store above 30degC $0071 per tablet

$5112 per patient per year

Lamivox

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal

150 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0059 tablet

$43 per patient per year

(FDA tentatively approved)

Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$155 per tablet

$56 per patient per year

10 mgmL 240 mL HDPE container

Pack contains a 20 mL measuring cup

18 months Do not store above 25degC $0009 per mL

$34 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 15

continued LAMIVUDINE

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Aspen Lamivudine

(WHO prequalified)

Aspen Pharmacare Aspen Park 98 Armstrong Avenue La Lucia Ridge Durban 4019 South Africa

150 mg tablet 60 tablets per plastic container securitainer metalised lay flat pack glass bottle

24 months Store below 25˚C $450

Tel +27 31 5808600 wwwaspenpharmacom

Matrix 150 mg tablet 60 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $320 per bottle

Anolam Virolam Avolam

(FDA tentatively approved)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

150 mg tablet 60 tablets per bottle

1440 tablets per inner carton (24 packs per inner carton)

14400 tablets per shipping carton (600 packs or 10 inner carton)

Shipping carton Dimensions 49 x 36 x 23 m Volume 0406 Weight 785

24 months Store below 25degC

Protect from moisture

$00517 per tablet

$43 per patient per year

World Health Organization recommended first and Adult Daily Dosage 300 mg daily or 150 mg twice daily in Pediatric Daily Dosage second line regimens combination with other antiretroviral agents lt 30 days 2 mgkg twice daily regimens using this ARV

gt 30 days to 12 years 4 mgkg twice daily up to a Adults Per Cipla adults weighing less than 50 kg 150 mg once daily maximum of 150 mg twice daily First line 3TC + AZT or d4T or TDF or ABC + EFV or NVP

Alternate first line 3TC + AZT or d4T + TDF or ABC Second line 3TC + ddI or TDF + PIr

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 16

Children First line 3TC + AZT or d4T or ABC + NVP or EFV Alternate first line 3TC + AZT or d4T + ABC

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 17

LAMIVUDINESTAVUDINE (3TCd4T) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

Virolis 30

Coviro - LS 30

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle

10 blister pack

24 months Store below 25degC

Protect from moisture

$00750 per tablet $124 per patient per year

Cipla Tablet containing 30rsquos bottle pack 24 months Store between 15ndash25˚C $0075 per capsule

150 mg lamivudine 1000rsquos bottle pack $5500 per patient per year

30 mg stavudine 96 pack per shipper

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C $425 per bottle

150 mg lamivudine 168 bottles per shipper

30 mg stavudine

Lamivudine Stavudine (WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle 24 months Store below 30degC

Protect from sunlight

$0075 per tablet $54 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 18

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV Patients ge 60 kg one 3TCd4T (40 mg) Patients ge 37 kg one 3TCd4T (30 mg) tablet twice Adults tablet twice daily in combination with other daily

First line d4T3TC + NVP or EFV antiretroviral agents

Alternate first line d4T3TC + TDF or ABC Patients lt 60 kg one 3TCd4T (30 mg) tablet twice daily in combination with other

Children antiretroviral agents d4T3TC + NVP or EFV

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 19

LAMIVUDINESTAVUDINENEVIRAPINE (3TCD4TNVP) NRTI amp NNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Originator Product

Generic Product

Triomune 30

(WHO prequalified)

Cipla Ltd Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Tablet containing 200 mg nevirapine

150 mg lamivudine

30 mg stavudine

30 tablets per bottle

60rsquos bottle pack

1000rsquos bottle pack

Container of 60 tablets

60 bottle pack

24 months

18 months

24 months

Store between 15ndash25˚C Protect from moisture

Store below 25˚C

Store between 15ndash25˚C

$0142 per tablet

$103 per patient per year

Each tablet contains stavudine 6 mg lamivudine 30 mg nevirapine 50 mg Tablet containing

lamivudine 60 mg 1000 bottle pack

stavudine 12 mg

nevirapine 100 mg

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

lamivudine 150 mg

stavudine 40 mg

nevirapine 200 mg

30 tablets 24 months Store below 30˚C

Protect from light

$014 per tablet

$10200 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 20

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Virolans 30 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryana) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

60 tablets per bottle 240 tablets per case 2400 tablets per shipping carton

Shipping carton Dimensions 45 x 03 x 025 m

12 months Store below 25degC Protect from moisture

$01283 per tablet

$219 per patient per year

wwwranbaxycom Volume 00338 m3

Weight 485

Virolans 40 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryan a) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 40 mg stavudine

60 tablets per bottle

240 tablets per case

2400 tablets per shipping carton

12 months Store below 25degC Protect from moisture

$01333 per tablet

$234 per patient per year

wwwranbaxycom Shipping carton Dimensions 45 x 03 x 025 m Volume 00338 Weight 485

Nevilast 30

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500 018 (AP) India q Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

10 tablets per blister pack

60 tablets per HDPE bottle $201 per tablet

$147 per patient per year

23714250 wwwheterodrugscom

World Health Organization recommended first line regimens using this ARV

Adults d4T3TCNVP

Children d4T3TCNVP

Adult Daily Dosage 1 tablet twice daily of 40 mg for patients gt 60 kg and 1 tablet twice daily of 30 mg for patients lt 60 kg in combination with other antiretroviral agents

Pediatric Daily Dosage The FDC is not recommended for pediatric patients or patients lt 50 kg

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 21

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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ltFEFF00560065007200770065006e00640065006e0020005300690065002000640069006500730065002000450069006e007300740065006c006c0075006e00670065006e0020007a0075006d002000450072007300740065006c006c0065006e00200076006f006e002000410064006f006200650020005000440046002d0044006f006b0075006d0065006e00740065006e002c00200076006f006e002000640065006e0065006e002000530069006500200068006f00630068007700650072007400690067006500200044007200750063006b006500200061007500660020004400650073006b0074006f0070002d0044007200750063006b00650072006e00200075006e0064002000500072006f006f0066002d00470065007200e400740065006e002000650072007a0065007500670065006e0020006d00f60063006800740065006e002e002000450072007300740065006c006c007400650020005000440046002d0044006f006b0075006d0065006e007400650020006b00f6006e006e0065006e0020006d006900740020004100630072006f00620061007400200075006e0064002000410064006f00620065002000520065006100640065007200200035002e00300020006f0064006500720020006800f600680065007200200067006500f600660066006e00650074002000770065007200640065006e002egt ESP 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 FRA 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Page 3: LOGISTICS FACT SHEETS:

USAID | DELIVER PROJECT Task Order 1 The USAID | DELIVER PROJECT Task Order 1 is funded by the US Agency for International Development under contract no GPO-I-01-06-00007-00 beginning September 29 2006 HIV-related activities of Task Order 1 are supported by the Presidents Emergency Plan for AIDS Relief Task Order 1 is implemented by John Snow Inc in collaboration with PATH Crown Agents Consultancy Inc Abt Associates Fuel Logistics Group (Pty) Ltd UPS Supply Chain Solutions Family Health International The Manoff Group and 3i Infotech The project improves essential health commodity supply chains by strengthening logistics management information systems streamlining distribution systems identifying financial resources for procurement and supply chain operations and enhancing forecasting and procurement planning The project also encourages policymakers and donors to support logistics as a critical factor in the overall success of their health care mandates

Recommended Citation USAID | DELIVER PROJECT Task Order 1 2008 Logistics Fact Sheets ARV Drugs Arlington Va USAID | DELIVER PROJECT Task Order 1

Abstract The antiretroviral (ARV) fact sheets include information critical for informing supply chain management functions for 18 ARV drugs they can be used at all levels of the health system

The sheets list all FDA-approved and WHO-prequalified versions of the drug including the manufacturer strengthform packagingshipping information shelf life recommended storage conditions price and dosage information

Cover photo Used by permission of the Massachusetts HIV Drug Assistance ProgramAIDS Bureau of the Massachusetts Department of Public Health

USAID | DELIVER PROJECT John Snow Inc 1616 Fort Myer Drive 11th Floor Arlington VA 22209 USA Phone 703-528-7474 Fax 703-528-7480 E-mail deliver_projectjsicom Internet deliverjsicom

CONTENTS

Abacavir Sulphate (ABC)1

AbacavirLamivudine (ABC3TC)3

AbacavirLamivudineZidovudine (ABC3TCZDV)4

AbacavirLamivudineZidovudine (ABC3TCZDV)4

Didanosine (ddl)5

Efavirenz (EFV) 8

Efavirenz (EFV) 8

Emtricitbine + Tenofovir (FTC + TDF) 11

Emtricitbine + Tenofovir (FTC + TDF) 11

Emtricitabine (FTC)12

Indinavir (IDV)13

Lamivudine (3TC) 14

LamivudineStavudine (3TCd4T)18

LamivudineStavudineNevirapine (3TCD4TNVP) 20

LamivudineStavudine+Efavirenz (3TCd4T+EFV) 22

LamivudineZidovudine (3TCZDV) 23

LamivudineZidovudine+Efavirenz (3TCZDV+EFV)26

LamivudineZidovudineNevirapine (3TCZDVNVP) 28

LopinavirRitonavir (LPVr) 29

Nelfinavir Mesylate (NFV)31

Nevirapine (NVP)32

Ritonavir35

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS v

Saquinavir Mesylate (SQV) 37

Stavudine (d4T) 38

Tenofovir Disoproxil Fumarate (TDF) 43

Zidovudine (ZDV) (AZT) 44

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 vi

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS vii

ABACAVIR SULPHATE (ABC) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Ziagen

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Research Triangle Park NC 27709

Tel 1-888-825-5249 wwwgskcom

300 mg tablets 60 tablets per bottle

60 blister packs

Each pack contains blister cards of 10 tablets each

3 years Store at room temperature of 20ndash25degC

$0600 per tablet

$438 per patient per year

20 mgmL oral solution

Bottles of 240 mL 2 years discard 2 months after opening

Store at room temperature of 20degC to 25degC May be refrigerated Do not freeze

$0063 per mL

$229 per patient per year

Generic Products

Aurobindo

PEPFAR qualified (Tentatively approved 17 May 2006 for tablets and 27 June 06 for oral solution)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

300 mg tablets 60 tablets per bottle

Blisters 10 PVCplain aluminum foil

24 months Store below 25˚C $0542 per tablet

$395 per patient per year

20 mgmL oral solution

Bottles of 240 mL 24 months Store below 25˚C $0085 per mL

$310 per patient per year

Cipla

PEPFAR qualified (Tentatively approved 6 November 2006)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India

(Bangalore site approved by US FDA for bulk drugs)

600 mg tablets (Abamune)

60 tablets per bottle pack

96 packs per shipper

Box dimensions 475 x 375 x 230 mm

24 months Store at 20ndash25˚C $0550 per tablet

$402 per patient per year

300 mg tablets 60 tablets per bottle pack

96 packs per shipper

24 months Store at 20ndash25˚C $0625 per tablet

$456 per patient per year

Box dimensions 475 x 375 x 230 mm

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 1

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Matrix Laboratories Inc

Corporate Office Matrix Laboratories Limited 1ndash1-1511 4th Floor Sai Ram Towers

300 mg 60 tablets per bottle

Blister packs 10rsquos

24 months Store below 30˚C $0602 per tablet

$439 per person per year PEPFAR qualified (Tentatively approved 5 April 2007)

Alexander Road Secunderabad ndash 500 003 Phone +91-40-27700363 +91-40-66327722 Fax +91-40-27700343 Email matrixmatrixlabsindiacom

All facilities are USFDA approved

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 600 mg daily or 300 mg twice daily 8 mgkg twice daily (up to maximum of 300 mg twice daily) for Adults ABC + NVP or EFV + PIr adolescent and pediatric patients of 3 months to 16 years of

ABC + ddI or TDF+ PIr age

Children ABC + ddI + PIr

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 2

ABACAVIRLAMIVUDINE (ABC3TC) NRTI

Brand Name Manufacturer

Originator Product

Epzicomreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Research Triangle Park NC 27709 Tel 1-888-825-5249 wwwgskcom

Lamivudine is manufactured under agreement from Shire Pharmaceutical Group plc Basingstoke UK

StrengthForm

Tablet containing

abacavir sulfate 600 mg tablets

lamivudine 300 mg tablets

Packaging amp Shipping Information

30 tablets per bottle

Shelf Life Storage Conditions Price

Store at 25degC (77degF) excursions permitted to 15degndash 30degC (59degndash86degF)

$1858 per tablet

$678 per patient per year

World Health Organization recommended first line regimens Adult Daily Dosage 1 tablet daily Pediatric Daily Dosageusing this ARV

Adults ABC3TC + NVP or EFV

Alternate regimen ABC3TC + AZT or d4T

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 3

ABACAVIRLAMIVUDINEZIDOVUDINE (ABC3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Trizivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Ware Hertfordshire UK

Stockley Park West Uxbridge Middlesex UB11 1BT United Kingdom General Enquiries Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

Tablet containing

150 mg lamivudine

300 mg zidovudine

300 mg abacavir

60 tablets per HDPE bottle 24 months Store at 25degC (77degF)

Excursions to 15ndash30degC (59ndash 86degF) permitted

$0895 per tablet

$653 per patient per year

Generic Products

Aurobindo

PEPFAR qualified (Tentatively approved 26 July 2006)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Co-pack containing 60 + 60 tablets 24 months Store below 25˚C 1417 per tablet

150 mg lamivudine Contains blister card 10 + $517 per patient per year

300 mg zidovudine 10

With PVCPVdCaluminum foil

300 mg abacavir

World Health Organization recommended first line regimens using this ARV

This FDC is recommended as an alternate regimen when a triple NRTI approach because an NNRTI cannot be used

Adult Daily Dosage 1 tablet twice daily Do not administere to adolescents who weigh less than 40 kg

Pediatric Daily Dosage This FDC is not recommended for pediatric patients

Adults ABC + 3TC + ZDV

4 LOGISTICS FACT SHEETS ARV DRUGS JULY 2008

DIDANOSINE (ddl) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Videx Videx ECreg

(WHO prequalified)

(FDA approved)

Manufacturer

Bristol-Myers Squibb 3 Rue Joseph Monier BP 325 92506 Reil-Malmaison Cedex France

Tel +33 158 83 60 00 Fax +33 158 83 6565 94 wwwbmscom

125 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

200 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

note Production of 100 mg 150 mg and 200 mg Videx DDI tablets will continue for

250 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0677 per capsule

$247 per patient per year

ACCESS 400 mg delayedshy 30 capsules per HDPE bottle 24 Store capsules in tightly closed $0874 per countries for the release capsule months containers at 25degC (77degF) capsule next 9 to 12 months

Excursions to 15ndash30degC (59 ndash86degF) permitted

$319 per patient per year

Bristol-Myers Squibb PO Box 4500 Princeton NJ 08543-4500

2 g powder 4 ounce bottles Store between 15ndash30degC $315 per gram

$138 per patient per year

25 mg chewable 60 tablets per HDPE bottle 2 years Store between 15ndash30degC $0235 per tablet tablet $429 per patient

per year

50 mg chewable tablet

60 tablets per HDPE bottle Store between 15ndash30degC $0235 per tablet

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 5

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Generic Product

Didanosine

(FDA approved)

Barr Laboratories Inc Corporate Headquarters 223 Quaker Road Pomona NY 10970

Tel 845-362-1100 -or-

800-222-0190

200 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs

Fax 845-362-2774 250 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs

400 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs Didanosine

PEPFAR qualified (Tentatively approved 10 July 2006)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

100 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0150 per tablet

$219 per patient per year

150 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0225 per tablet

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 6

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

200 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0308 per tablet

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 400 mg for patients ge 60 kg in combination with other gt 3 months 50 mgm2 twice daily

antiretroviral agents Adults 3 to 13 years 90ndash120 mgm2 twice daily

Second line ddI + ABC or 3TC (plusmn AZT) + PIr Alternate second line regimen ddI + EFV or NVP + PIr

250 mg for patients le 60 kg in combination with other antiretroviral agents

Maximum dose 200 mgdose twice daily

Children Videx EC should not be used by pediatric Second line ddI + ABC or AZT or EFV or NVP + PIr patients

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 7

EFAVIRENZ (EFV) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Sustivacopy

(FDA approved)

Bristol-Myers Squibb Princeton NJ 08543 USA

50 mg capsule 30 capsules per bottle 36 months Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0116 per capsule

$169 per patient per year

Internationally marketed as Stocrin licensed by Merck

Tel +1 800 426 7644 +1 800 631 5244

wwwbmscom

200 mg capsule 90 capsules per bottle 3 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0457 per capsule

$500 per patient per year

600 mg film-coated tablet

30 tablets per bottle 2 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$095 per tablet

$347 per patient per year

100 mg capsule 30 tablets per bottle Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

Generic Product

Efavir Cipla 600 mg capsule 600 mg bottle 24 months Store between 20ndash25˚C $0467 per capsule

96 packs per shipper

30rsquos bottle pack

$170 per patient per year

500rsquos bottle pack

Ranbax Labs 600 mg tablets 60rsquos HDPE bottle 24 months Store below 25˚C $02083 per tablet

Sahib India 10rsquos cold form blister pack

Tel +91(1704)222834 222720 10rsquos PVdCPEPVC blister 222719 pack

60rsquos HDPE bottle

10rsquos cold form blister pack

24 months Store below 25˚C in original package

$02500 per tablet200 mg tablets

10rsquos PVdCPEPVC blister pack

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 8

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Stocrin Merck Sharp amp Dohme (Australia) Pty Limited ABN 14 000 173 508 54-68 Ferndell Street SOUTH GRANVILLE NSW

50 mg tablet 30 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

2142 200 mg tablet 90 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

Strides S-No 367 Suragajkkanahalli Indlavadi Cross Anekal Taluk Banglore-562106 India

600 mg tablets 20 tablets per bottle 24 months Store below 30˚C

Protect from light and keep in closed container

$0500 per pill

$18000 per patient per year

Matrix 600 mg tablets 30 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $13 per bottle

Viranzcopy

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

600 mg capsules 30 capsules per bottle

30 capsules per bottle

90 capsules per bottle

30 capsules per bottle

24 months

24 months

24 months

24 months

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

$55 per tablet

$201 per patient per year

$0175 per capsule

$0206 per capsule

$226 per patient per year

$0093 per capsule

100 mg capsules

200 mg capsules

50 mg capsules

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 9

World Health Organization recommended first and Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 600 mg daily in combination with a protease inhibitor andor nucleoside 10 to lt 14 kg 200 mg

analogue reverse transcriptase inhibitors 14 to lt 20 kg 250 mg Adults 20 to lt 25 kg 300 mg First line EFV + 3TC o r FTC + AZT or d4T or TDF or 25 to lt 30 kg 350 mg

ABC 30 to lt 40 kg 400 mg Alternate second line EFV + PIr + ddI gt40 kg 600 mg

Children First line EFV + 3TC + AZT or d4T or ABC Second line EFV + ddI + PIr

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 10

EMTRICITBINE + TENOFOVIR (FTC + TDF) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Truvada Gilead Sciences Inc Tablet contains HDPE bottle with 30 tablets Store below 25degC (77degF) $0875 per tablet 333 Lakeside Drive Foster City California 94404 USA

200 mg emtricitabine

300 mg tenofivir $319 per patient per year

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV One tablet of 3TC AZT twice a daily and one Formulation is not designed for children Adults FTC+ AZT or d4T + EFV or NVP tablet of EFV daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 11

EMTRICITABINE (FTC) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Emtriva

(FDA approved)

Gilead Sciences Inc 333 Lakeside Drive Foster City California 94404 USA

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccess gileadcom wwwgileadcom

200 mg capsule 30 capsules per bottle

30 capsules per blister pack

2 years Store at room temperature between 39ndash 86degF (15ndash30degC)

10 mgmL oral solution

170 mL bottles including a marked dosing cup

3 years 45 days after first opening the bottle

Store in refrigerator between 36ndash46degF (2ndash 8degC) Alternatively can be stored at room temperature (25degC) for three months Discard any remaining solution after 3 months

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV One 200 mg capsule once daily in combination gt4 months 6 mgkg up to a maximum of 240 mg Adults FTC + AZT or d4T or TDF or ABC + EFV or with other antiretrovirals once daily in combination with other antiretrovirals NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 12

INDINAVIR (IDV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Crixivan Merck and Co Inc 400 mg capsule Bottles of 18 42 90 120 3 years Store at room $274 per capsule One Merck Drive 180 capsules with dessicant temperature 15ndash30degC

(FDA approved) Whitehouse Station NJ 08889 (59ndash86degF) $400 per patient per year

Tel 908-423-1000 Protect from moisture wwwmerckcom

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 800 mg (or two 400 mg capsules) every 8 hours Optimal dosing for pediatric patients has not been Adults IDV r + ddI or TDF + ABC or 3TC (plusmnAZT) in combination with other antiretrovirals established

Alternate second line IDV r + ddI + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 13

LAMIVUDINE (3TC) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Epivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328 wwwgskcom

150 mg tablet 60 tablets per HDPE bottle

60 tablets per blister pack

600 tablets per inner carton

Shipping carton Volume 06 ft3

24 months Store at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0087 per tablet

$64 per patient per year

GlaxoSmithKline 10 mgmL syrup 240 mL per HDPE bottle 24 months Do not store above 25degC $0023 per mL Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328

12 bottles per inner carton

10 mL oral dosing syringe and polyethylene adapter included

Discard oral solution one month after opening

$84 per patient per year

wwwgskcom Shipping carton Volume 37 ft3

Generic Products

Heptavir Hetero Drugs Ltd 150 mg tablet 60 tablets per HDPE bottle Do not store above 30degC $0073 per tablet Jeedimetla AP India

$53 per patient per year 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

+91 40 2371 4250 wwwheterodrugscom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 14

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Lamivirreg

(WHO prequalified)

Cipla Ltd Vikhroli India

Mumbai Central Mumbaindash400 008

50 mg5 mL solution 100 mL per PET bottle with syringe

240 mL bottle

35 bottles per shipper

24 months Store between 20ndash25˚C

Discard oral solution one month after opening

$0018 per mL

$66 per patient per year

India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

100 mg tablet 10 tablets per blister pack

60 tablets per inner carton

24 months Do not store above 30degC

+91 22 2307 0393 wwwciplacom

150 mg tablet 10 tablets per blister pack

60 tablets per inner carton

168 packs per shipping carton

Shipping carton Dimensions 455 x 280 x 250 mm Weight 151 kg

24 months Do not store above 30degC $0065 per tablet

$47 per patient per year

Lamivudine

(WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

150 mg tablet 60 tablets per HDPE bottle

10 tablets per blister pack

Do not store above 30degC $0071 per tablet

$5112 per patient per year

Lamivox

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal

150 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0059 tablet

$43 per patient per year

(FDA tentatively approved)

Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$155 per tablet

$56 per patient per year

10 mgmL 240 mL HDPE container

Pack contains a 20 mL measuring cup

18 months Do not store above 25degC $0009 per mL

$34 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 15

continued LAMIVUDINE

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Aspen Lamivudine

(WHO prequalified)

Aspen Pharmacare Aspen Park 98 Armstrong Avenue La Lucia Ridge Durban 4019 South Africa

150 mg tablet 60 tablets per plastic container securitainer metalised lay flat pack glass bottle

24 months Store below 25˚C $450

Tel +27 31 5808600 wwwaspenpharmacom

Matrix 150 mg tablet 60 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $320 per bottle

Anolam Virolam Avolam

(FDA tentatively approved)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

150 mg tablet 60 tablets per bottle

1440 tablets per inner carton (24 packs per inner carton)

14400 tablets per shipping carton (600 packs or 10 inner carton)

Shipping carton Dimensions 49 x 36 x 23 m Volume 0406 Weight 785

24 months Store below 25degC

Protect from moisture

$00517 per tablet

$43 per patient per year

World Health Organization recommended first and Adult Daily Dosage 300 mg daily or 150 mg twice daily in Pediatric Daily Dosage second line regimens combination with other antiretroviral agents lt 30 days 2 mgkg twice daily regimens using this ARV

gt 30 days to 12 years 4 mgkg twice daily up to a Adults Per Cipla adults weighing less than 50 kg 150 mg once daily maximum of 150 mg twice daily First line 3TC + AZT or d4T or TDF or ABC + EFV or NVP

Alternate first line 3TC + AZT or d4T + TDF or ABC Second line 3TC + ddI or TDF + PIr

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 16

Children First line 3TC + AZT or d4T or ABC + NVP or EFV Alternate first line 3TC + AZT or d4T + ABC

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 17

LAMIVUDINESTAVUDINE (3TCd4T) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

Virolis 30

Coviro - LS 30

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle

10 blister pack

24 months Store below 25degC

Protect from moisture

$00750 per tablet $124 per patient per year

Cipla Tablet containing 30rsquos bottle pack 24 months Store between 15ndash25˚C $0075 per capsule

150 mg lamivudine 1000rsquos bottle pack $5500 per patient per year

30 mg stavudine 96 pack per shipper

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C $425 per bottle

150 mg lamivudine 168 bottles per shipper

30 mg stavudine

Lamivudine Stavudine (WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle 24 months Store below 30degC

Protect from sunlight

$0075 per tablet $54 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 18

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV Patients ge 60 kg one 3TCd4T (40 mg) Patients ge 37 kg one 3TCd4T (30 mg) tablet twice Adults tablet twice daily in combination with other daily

First line d4T3TC + NVP or EFV antiretroviral agents

Alternate first line d4T3TC + TDF or ABC Patients lt 60 kg one 3TCd4T (30 mg) tablet twice daily in combination with other

Children antiretroviral agents d4T3TC + NVP or EFV

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 19

LAMIVUDINESTAVUDINENEVIRAPINE (3TCD4TNVP) NRTI amp NNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Originator Product

Generic Product

Triomune 30

(WHO prequalified)

Cipla Ltd Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Tablet containing 200 mg nevirapine

150 mg lamivudine

30 mg stavudine

30 tablets per bottle

60rsquos bottle pack

1000rsquos bottle pack

Container of 60 tablets

60 bottle pack

24 months

18 months

24 months

Store between 15ndash25˚C Protect from moisture

Store below 25˚C

Store between 15ndash25˚C

$0142 per tablet

$103 per patient per year

Each tablet contains stavudine 6 mg lamivudine 30 mg nevirapine 50 mg Tablet containing

lamivudine 60 mg 1000 bottle pack

stavudine 12 mg

nevirapine 100 mg

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

lamivudine 150 mg

stavudine 40 mg

nevirapine 200 mg

30 tablets 24 months Store below 30˚C

Protect from light

$014 per tablet

$10200 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 20

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Virolans 30 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryana) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

60 tablets per bottle 240 tablets per case 2400 tablets per shipping carton

Shipping carton Dimensions 45 x 03 x 025 m

12 months Store below 25degC Protect from moisture

$01283 per tablet

$219 per patient per year

wwwranbaxycom Volume 00338 m3

Weight 485

Virolans 40 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryan a) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 40 mg stavudine

60 tablets per bottle

240 tablets per case

2400 tablets per shipping carton

12 months Store below 25degC Protect from moisture

$01333 per tablet

$234 per patient per year

wwwranbaxycom Shipping carton Dimensions 45 x 03 x 025 m Volume 00338 Weight 485

Nevilast 30

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500 018 (AP) India q Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

10 tablets per blister pack

60 tablets per HDPE bottle $201 per tablet

$147 per patient per year

23714250 wwwheterodrugscom

World Health Organization recommended first line regimens using this ARV

Adults d4T3TCNVP

Children d4T3TCNVP

Adult Daily Dosage 1 tablet twice daily of 40 mg for patients gt 60 kg and 1 tablet twice daily of 30 mg for patients lt 60 kg in combination with other antiretroviral agents

Pediatric Daily Dosage The FDC is not recommended for pediatric patients or patients lt 50 kg

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 21

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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ESP 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FRA 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 4: LOGISTICS FACT SHEETS:

CONTENTS

Abacavir Sulphate (ABC)1

AbacavirLamivudine (ABC3TC)3

AbacavirLamivudineZidovudine (ABC3TCZDV)4

AbacavirLamivudineZidovudine (ABC3TCZDV)4

Didanosine (ddl)5

Efavirenz (EFV) 8

Efavirenz (EFV) 8

Emtricitbine + Tenofovir (FTC + TDF) 11

Emtricitbine + Tenofovir (FTC + TDF) 11

Emtricitabine (FTC)12

Indinavir (IDV)13

Lamivudine (3TC) 14

LamivudineStavudine (3TCd4T)18

LamivudineStavudineNevirapine (3TCD4TNVP) 20

LamivudineStavudine+Efavirenz (3TCd4T+EFV) 22

LamivudineZidovudine (3TCZDV) 23

LamivudineZidovudine+Efavirenz (3TCZDV+EFV)26

LamivudineZidovudineNevirapine (3TCZDVNVP) 28

LopinavirRitonavir (LPVr) 29

Nelfinavir Mesylate (NFV)31

Nevirapine (NVP)32

Ritonavir35

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS v

Saquinavir Mesylate (SQV) 37

Stavudine (d4T) 38

Tenofovir Disoproxil Fumarate (TDF) 43

Zidovudine (ZDV) (AZT) 44

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 vi

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS vii

ABACAVIR SULPHATE (ABC) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Ziagen

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Research Triangle Park NC 27709

Tel 1-888-825-5249 wwwgskcom

300 mg tablets 60 tablets per bottle

60 blister packs

Each pack contains blister cards of 10 tablets each

3 years Store at room temperature of 20ndash25degC

$0600 per tablet

$438 per patient per year

20 mgmL oral solution

Bottles of 240 mL 2 years discard 2 months after opening

Store at room temperature of 20degC to 25degC May be refrigerated Do not freeze

$0063 per mL

$229 per patient per year

Generic Products

Aurobindo

PEPFAR qualified (Tentatively approved 17 May 2006 for tablets and 27 June 06 for oral solution)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

300 mg tablets 60 tablets per bottle

Blisters 10 PVCplain aluminum foil

24 months Store below 25˚C $0542 per tablet

$395 per patient per year

20 mgmL oral solution

Bottles of 240 mL 24 months Store below 25˚C $0085 per mL

$310 per patient per year

Cipla

PEPFAR qualified (Tentatively approved 6 November 2006)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India

(Bangalore site approved by US FDA for bulk drugs)

600 mg tablets (Abamune)

60 tablets per bottle pack

96 packs per shipper

Box dimensions 475 x 375 x 230 mm

24 months Store at 20ndash25˚C $0550 per tablet

$402 per patient per year

300 mg tablets 60 tablets per bottle pack

96 packs per shipper

24 months Store at 20ndash25˚C $0625 per tablet

$456 per patient per year

Box dimensions 475 x 375 x 230 mm

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 1

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Matrix Laboratories Inc

Corporate Office Matrix Laboratories Limited 1ndash1-1511 4th Floor Sai Ram Towers

300 mg 60 tablets per bottle

Blister packs 10rsquos

24 months Store below 30˚C $0602 per tablet

$439 per person per year PEPFAR qualified (Tentatively approved 5 April 2007)

Alexander Road Secunderabad ndash 500 003 Phone +91-40-27700363 +91-40-66327722 Fax +91-40-27700343 Email matrixmatrixlabsindiacom

All facilities are USFDA approved

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 600 mg daily or 300 mg twice daily 8 mgkg twice daily (up to maximum of 300 mg twice daily) for Adults ABC + NVP or EFV + PIr adolescent and pediatric patients of 3 months to 16 years of

ABC + ddI or TDF+ PIr age

Children ABC + ddI + PIr

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 2

ABACAVIRLAMIVUDINE (ABC3TC) NRTI

Brand Name Manufacturer

Originator Product

Epzicomreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Research Triangle Park NC 27709 Tel 1-888-825-5249 wwwgskcom

Lamivudine is manufactured under agreement from Shire Pharmaceutical Group plc Basingstoke UK

StrengthForm

Tablet containing

abacavir sulfate 600 mg tablets

lamivudine 300 mg tablets

Packaging amp Shipping Information

30 tablets per bottle

Shelf Life Storage Conditions Price

Store at 25degC (77degF) excursions permitted to 15degndash 30degC (59degndash86degF)

$1858 per tablet

$678 per patient per year

World Health Organization recommended first line regimens Adult Daily Dosage 1 tablet daily Pediatric Daily Dosageusing this ARV

Adults ABC3TC + NVP or EFV

Alternate regimen ABC3TC + AZT or d4T

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 3

ABACAVIRLAMIVUDINEZIDOVUDINE (ABC3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Trizivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Ware Hertfordshire UK

Stockley Park West Uxbridge Middlesex UB11 1BT United Kingdom General Enquiries Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

Tablet containing

150 mg lamivudine

300 mg zidovudine

300 mg abacavir

60 tablets per HDPE bottle 24 months Store at 25degC (77degF)

Excursions to 15ndash30degC (59ndash 86degF) permitted

$0895 per tablet

$653 per patient per year

Generic Products

Aurobindo

PEPFAR qualified (Tentatively approved 26 July 2006)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Co-pack containing 60 + 60 tablets 24 months Store below 25˚C 1417 per tablet

150 mg lamivudine Contains blister card 10 + $517 per patient per year

300 mg zidovudine 10

With PVCPVdCaluminum foil

300 mg abacavir

World Health Organization recommended first line regimens using this ARV

This FDC is recommended as an alternate regimen when a triple NRTI approach because an NNRTI cannot be used

Adult Daily Dosage 1 tablet twice daily Do not administere to adolescents who weigh less than 40 kg

Pediatric Daily Dosage This FDC is not recommended for pediatric patients

Adults ABC + 3TC + ZDV

4 LOGISTICS FACT SHEETS ARV DRUGS JULY 2008

DIDANOSINE (ddl) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Videx Videx ECreg

(WHO prequalified)

(FDA approved)

Manufacturer

Bristol-Myers Squibb 3 Rue Joseph Monier BP 325 92506 Reil-Malmaison Cedex France

Tel +33 158 83 60 00 Fax +33 158 83 6565 94 wwwbmscom

125 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

200 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

note Production of 100 mg 150 mg and 200 mg Videx DDI tablets will continue for

250 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0677 per capsule

$247 per patient per year

ACCESS 400 mg delayedshy 30 capsules per HDPE bottle 24 Store capsules in tightly closed $0874 per countries for the release capsule months containers at 25degC (77degF) capsule next 9 to 12 months

Excursions to 15ndash30degC (59 ndash86degF) permitted

$319 per patient per year

Bristol-Myers Squibb PO Box 4500 Princeton NJ 08543-4500

2 g powder 4 ounce bottles Store between 15ndash30degC $315 per gram

$138 per patient per year

25 mg chewable 60 tablets per HDPE bottle 2 years Store between 15ndash30degC $0235 per tablet tablet $429 per patient

per year

50 mg chewable tablet

60 tablets per HDPE bottle Store between 15ndash30degC $0235 per tablet

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 5

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Generic Product

Didanosine

(FDA approved)

Barr Laboratories Inc Corporate Headquarters 223 Quaker Road Pomona NY 10970

Tel 845-362-1100 -or-

800-222-0190

200 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs

Fax 845-362-2774 250 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs

400 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs Didanosine

PEPFAR qualified (Tentatively approved 10 July 2006)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

100 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0150 per tablet

$219 per patient per year

150 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0225 per tablet

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 6

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

200 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0308 per tablet

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 400 mg for patients ge 60 kg in combination with other gt 3 months 50 mgm2 twice daily

antiretroviral agents Adults 3 to 13 years 90ndash120 mgm2 twice daily

Second line ddI + ABC or 3TC (plusmn AZT) + PIr Alternate second line regimen ddI + EFV or NVP + PIr

250 mg for patients le 60 kg in combination with other antiretroviral agents

Maximum dose 200 mgdose twice daily

Children Videx EC should not be used by pediatric Second line ddI + ABC or AZT or EFV or NVP + PIr patients

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 7

EFAVIRENZ (EFV) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Sustivacopy

(FDA approved)

Bristol-Myers Squibb Princeton NJ 08543 USA

50 mg capsule 30 capsules per bottle 36 months Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0116 per capsule

$169 per patient per year

Internationally marketed as Stocrin licensed by Merck

Tel +1 800 426 7644 +1 800 631 5244

wwwbmscom

200 mg capsule 90 capsules per bottle 3 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0457 per capsule

$500 per patient per year

600 mg film-coated tablet

30 tablets per bottle 2 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$095 per tablet

$347 per patient per year

100 mg capsule 30 tablets per bottle Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

Generic Product

Efavir Cipla 600 mg capsule 600 mg bottle 24 months Store between 20ndash25˚C $0467 per capsule

96 packs per shipper

30rsquos bottle pack

$170 per patient per year

500rsquos bottle pack

Ranbax Labs 600 mg tablets 60rsquos HDPE bottle 24 months Store below 25˚C $02083 per tablet

Sahib India 10rsquos cold form blister pack

Tel +91(1704)222834 222720 10rsquos PVdCPEPVC blister 222719 pack

60rsquos HDPE bottle

10rsquos cold form blister pack

24 months Store below 25˚C in original package

$02500 per tablet200 mg tablets

10rsquos PVdCPEPVC blister pack

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 8

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Stocrin Merck Sharp amp Dohme (Australia) Pty Limited ABN 14 000 173 508 54-68 Ferndell Street SOUTH GRANVILLE NSW

50 mg tablet 30 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

2142 200 mg tablet 90 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

Strides S-No 367 Suragajkkanahalli Indlavadi Cross Anekal Taluk Banglore-562106 India

600 mg tablets 20 tablets per bottle 24 months Store below 30˚C

Protect from light and keep in closed container

$0500 per pill

$18000 per patient per year

Matrix 600 mg tablets 30 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $13 per bottle

Viranzcopy

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

600 mg capsules 30 capsules per bottle

30 capsules per bottle

90 capsules per bottle

30 capsules per bottle

24 months

24 months

24 months

24 months

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

$55 per tablet

$201 per patient per year

$0175 per capsule

$0206 per capsule

$226 per patient per year

$0093 per capsule

100 mg capsules

200 mg capsules

50 mg capsules

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 9

World Health Organization recommended first and Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 600 mg daily in combination with a protease inhibitor andor nucleoside 10 to lt 14 kg 200 mg

analogue reverse transcriptase inhibitors 14 to lt 20 kg 250 mg Adults 20 to lt 25 kg 300 mg First line EFV + 3TC o r FTC + AZT or d4T or TDF or 25 to lt 30 kg 350 mg

ABC 30 to lt 40 kg 400 mg Alternate second line EFV + PIr + ddI gt40 kg 600 mg

Children First line EFV + 3TC + AZT or d4T or ABC Second line EFV + ddI + PIr

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 10

EMTRICITBINE + TENOFOVIR (FTC + TDF) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Truvada Gilead Sciences Inc Tablet contains HDPE bottle with 30 tablets Store below 25degC (77degF) $0875 per tablet 333 Lakeside Drive Foster City California 94404 USA

200 mg emtricitabine

300 mg tenofivir $319 per patient per year

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV One tablet of 3TC AZT twice a daily and one Formulation is not designed for children Adults FTC+ AZT or d4T + EFV or NVP tablet of EFV daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 11

EMTRICITABINE (FTC) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Emtriva

(FDA approved)

Gilead Sciences Inc 333 Lakeside Drive Foster City California 94404 USA

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccess gileadcom wwwgileadcom

200 mg capsule 30 capsules per bottle

30 capsules per blister pack

2 years Store at room temperature between 39ndash 86degF (15ndash30degC)

10 mgmL oral solution

170 mL bottles including a marked dosing cup

3 years 45 days after first opening the bottle

Store in refrigerator between 36ndash46degF (2ndash 8degC) Alternatively can be stored at room temperature (25degC) for three months Discard any remaining solution after 3 months

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV One 200 mg capsule once daily in combination gt4 months 6 mgkg up to a maximum of 240 mg Adults FTC + AZT or d4T or TDF or ABC + EFV or with other antiretrovirals once daily in combination with other antiretrovirals NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 12

INDINAVIR (IDV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Crixivan Merck and Co Inc 400 mg capsule Bottles of 18 42 90 120 3 years Store at room $274 per capsule One Merck Drive 180 capsules with dessicant temperature 15ndash30degC

(FDA approved) Whitehouse Station NJ 08889 (59ndash86degF) $400 per patient per year

Tel 908-423-1000 Protect from moisture wwwmerckcom

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 800 mg (or two 400 mg capsules) every 8 hours Optimal dosing for pediatric patients has not been Adults IDV r + ddI or TDF + ABC or 3TC (plusmnAZT) in combination with other antiretrovirals established

Alternate second line IDV r + ddI + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 13

LAMIVUDINE (3TC) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Epivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328 wwwgskcom

150 mg tablet 60 tablets per HDPE bottle

60 tablets per blister pack

600 tablets per inner carton

Shipping carton Volume 06 ft3

24 months Store at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0087 per tablet

$64 per patient per year

GlaxoSmithKline 10 mgmL syrup 240 mL per HDPE bottle 24 months Do not store above 25degC $0023 per mL Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328

12 bottles per inner carton

10 mL oral dosing syringe and polyethylene adapter included

Discard oral solution one month after opening

$84 per patient per year

wwwgskcom Shipping carton Volume 37 ft3

Generic Products

Heptavir Hetero Drugs Ltd 150 mg tablet 60 tablets per HDPE bottle Do not store above 30degC $0073 per tablet Jeedimetla AP India

$53 per patient per year 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

+91 40 2371 4250 wwwheterodrugscom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 14

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Lamivirreg

(WHO prequalified)

Cipla Ltd Vikhroli India

Mumbai Central Mumbaindash400 008

50 mg5 mL solution 100 mL per PET bottle with syringe

240 mL bottle

35 bottles per shipper

24 months Store between 20ndash25˚C

Discard oral solution one month after opening

$0018 per mL

$66 per patient per year

India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

100 mg tablet 10 tablets per blister pack

60 tablets per inner carton

24 months Do not store above 30degC

+91 22 2307 0393 wwwciplacom

150 mg tablet 10 tablets per blister pack

60 tablets per inner carton

168 packs per shipping carton

Shipping carton Dimensions 455 x 280 x 250 mm Weight 151 kg

24 months Do not store above 30degC $0065 per tablet

$47 per patient per year

Lamivudine

(WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

150 mg tablet 60 tablets per HDPE bottle

10 tablets per blister pack

Do not store above 30degC $0071 per tablet

$5112 per patient per year

Lamivox

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal

150 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0059 tablet

$43 per patient per year

(FDA tentatively approved)

Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$155 per tablet

$56 per patient per year

10 mgmL 240 mL HDPE container

Pack contains a 20 mL measuring cup

18 months Do not store above 25degC $0009 per mL

$34 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 15

continued LAMIVUDINE

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Aspen Lamivudine

(WHO prequalified)

Aspen Pharmacare Aspen Park 98 Armstrong Avenue La Lucia Ridge Durban 4019 South Africa

150 mg tablet 60 tablets per plastic container securitainer metalised lay flat pack glass bottle

24 months Store below 25˚C $450

Tel +27 31 5808600 wwwaspenpharmacom

Matrix 150 mg tablet 60 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $320 per bottle

Anolam Virolam Avolam

(FDA tentatively approved)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

150 mg tablet 60 tablets per bottle

1440 tablets per inner carton (24 packs per inner carton)

14400 tablets per shipping carton (600 packs or 10 inner carton)

Shipping carton Dimensions 49 x 36 x 23 m Volume 0406 Weight 785

24 months Store below 25degC

Protect from moisture

$00517 per tablet

$43 per patient per year

World Health Organization recommended first and Adult Daily Dosage 300 mg daily or 150 mg twice daily in Pediatric Daily Dosage second line regimens combination with other antiretroviral agents lt 30 days 2 mgkg twice daily regimens using this ARV

gt 30 days to 12 years 4 mgkg twice daily up to a Adults Per Cipla adults weighing less than 50 kg 150 mg once daily maximum of 150 mg twice daily First line 3TC + AZT or d4T or TDF or ABC + EFV or NVP

Alternate first line 3TC + AZT or d4T + TDF or ABC Second line 3TC + ddI or TDF + PIr

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 16

Children First line 3TC + AZT or d4T or ABC + NVP or EFV Alternate first line 3TC + AZT or d4T + ABC

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 17

LAMIVUDINESTAVUDINE (3TCd4T) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

Virolis 30

Coviro - LS 30

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle

10 blister pack

24 months Store below 25degC

Protect from moisture

$00750 per tablet $124 per patient per year

Cipla Tablet containing 30rsquos bottle pack 24 months Store between 15ndash25˚C $0075 per capsule

150 mg lamivudine 1000rsquos bottle pack $5500 per patient per year

30 mg stavudine 96 pack per shipper

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C $425 per bottle

150 mg lamivudine 168 bottles per shipper

30 mg stavudine

Lamivudine Stavudine (WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle 24 months Store below 30degC

Protect from sunlight

$0075 per tablet $54 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 18

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV Patients ge 60 kg one 3TCd4T (40 mg) Patients ge 37 kg one 3TCd4T (30 mg) tablet twice Adults tablet twice daily in combination with other daily

First line d4T3TC + NVP or EFV antiretroviral agents

Alternate first line d4T3TC + TDF or ABC Patients lt 60 kg one 3TCd4T (30 mg) tablet twice daily in combination with other

Children antiretroviral agents d4T3TC + NVP or EFV

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 19

LAMIVUDINESTAVUDINENEVIRAPINE (3TCD4TNVP) NRTI amp NNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Originator Product

Generic Product

Triomune 30

(WHO prequalified)

Cipla Ltd Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Tablet containing 200 mg nevirapine

150 mg lamivudine

30 mg stavudine

30 tablets per bottle

60rsquos bottle pack

1000rsquos bottle pack

Container of 60 tablets

60 bottle pack

24 months

18 months

24 months

Store between 15ndash25˚C Protect from moisture

Store below 25˚C

Store between 15ndash25˚C

$0142 per tablet

$103 per patient per year

Each tablet contains stavudine 6 mg lamivudine 30 mg nevirapine 50 mg Tablet containing

lamivudine 60 mg 1000 bottle pack

stavudine 12 mg

nevirapine 100 mg

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

lamivudine 150 mg

stavudine 40 mg

nevirapine 200 mg

30 tablets 24 months Store below 30˚C

Protect from light

$014 per tablet

$10200 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 20

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Virolans 30 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryana) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

60 tablets per bottle 240 tablets per case 2400 tablets per shipping carton

Shipping carton Dimensions 45 x 03 x 025 m

12 months Store below 25degC Protect from moisture

$01283 per tablet

$219 per patient per year

wwwranbaxycom Volume 00338 m3

Weight 485

Virolans 40 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryan a) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 40 mg stavudine

60 tablets per bottle

240 tablets per case

2400 tablets per shipping carton

12 months Store below 25degC Protect from moisture

$01333 per tablet

$234 per patient per year

wwwranbaxycom Shipping carton Dimensions 45 x 03 x 025 m Volume 00338 Weight 485

Nevilast 30

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500 018 (AP) India q Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

10 tablets per blister pack

60 tablets per HDPE bottle $201 per tablet

$147 per patient per year

23714250 wwwheterodrugscom

World Health Organization recommended first line regimens using this ARV

Adults d4T3TCNVP

Children d4T3TCNVP

Adult Daily Dosage 1 tablet twice daily of 40 mg for patients gt 60 kg and 1 tablet twice daily of 30 mg for patients lt 60 kg in combination with other antiretroviral agents

Pediatric Daily Dosage The FDC is not recommended for pediatric patients or patients lt 50 kg

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 21

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT 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 ESP 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 FRA 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ITA 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 JPN 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 KOR 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 PTB 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 SVE ltFEFF0041006e007600e4006e00640020006400650020006800e4007200200069006e0073007400e4006c006c006e0069006e006700610072006e00610020006f006d002000640075002000760069006c006c00200073006b006100700061002000410064006f006200650020005000440046002d0064006f006b0075006d0065006e00740020006600f600720020006b00760061006c00690074006500740073007500740073006b0072006900660074006500720020007000e5002000760061006e006c00690067006100200073006b0072006900760061007200650020006f006300680020006600f600720020006b006f007200720065006b007400750072002e002000200053006b006100700061006400650020005000440046002d0064006f006b0075006d0065006e00740020006b0061006e002000f600700070006e00610073002000690020004100630072006f0062006100740020006f00630068002000410064006f00620065002000520065006100640065007200200035002e00300020006f00630068002000730065006e006100720065002egt ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 5: LOGISTICS FACT SHEETS:

Saquinavir Mesylate (SQV) 37

Stavudine (d4T) 38

Tenofovir Disoproxil Fumarate (TDF) 43

Zidovudine (ZDV) (AZT) 44

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 vi

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS vii

ABACAVIR SULPHATE (ABC) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Ziagen

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Research Triangle Park NC 27709

Tel 1-888-825-5249 wwwgskcom

300 mg tablets 60 tablets per bottle

60 blister packs

Each pack contains blister cards of 10 tablets each

3 years Store at room temperature of 20ndash25degC

$0600 per tablet

$438 per patient per year

20 mgmL oral solution

Bottles of 240 mL 2 years discard 2 months after opening

Store at room temperature of 20degC to 25degC May be refrigerated Do not freeze

$0063 per mL

$229 per patient per year

Generic Products

Aurobindo

PEPFAR qualified (Tentatively approved 17 May 2006 for tablets and 27 June 06 for oral solution)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

300 mg tablets 60 tablets per bottle

Blisters 10 PVCplain aluminum foil

24 months Store below 25˚C $0542 per tablet

$395 per patient per year

20 mgmL oral solution

Bottles of 240 mL 24 months Store below 25˚C $0085 per mL

$310 per patient per year

Cipla

PEPFAR qualified (Tentatively approved 6 November 2006)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India

(Bangalore site approved by US FDA for bulk drugs)

600 mg tablets (Abamune)

60 tablets per bottle pack

96 packs per shipper

Box dimensions 475 x 375 x 230 mm

24 months Store at 20ndash25˚C $0550 per tablet

$402 per patient per year

300 mg tablets 60 tablets per bottle pack

96 packs per shipper

24 months Store at 20ndash25˚C $0625 per tablet

$456 per patient per year

Box dimensions 475 x 375 x 230 mm

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 1

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Matrix Laboratories Inc

Corporate Office Matrix Laboratories Limited 1ndash1-1511 4th Floor Sai Ram Towers

300 mg 60 tablets per bottle

Blister packs 10rsquos

24 months Store below 30˚C $0602 per tablet

$439 per person per year PEPFAR qualified (Tentatively approved 5 April 2007)

Alexander Road Secunderabad ndash 500 003 Phone +91-40-27700363 +91-40-66327722 Fax +91-40-27700343 Email matrixmatrixlabsindiacom

All facilities are USFDA approved

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 600 mg daily or 300 mg twice daily 8 mgkg twice daily (up to maximum of 300 mg twice daily) for Adults ABC + NVP or EFV + PIr adolescent and pediatric patients of 3 months to 16 years of

ABC + ddI or TDF+ PIr age

Children ABC + ddI + PIr

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 2

ABACAVIRLAMIVUDINE (ABC3TC) NRTI

Brand Name Manufacturer

Originator Product

Epzicomreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Research Triangle Park NC 27709 Tel 1-888-825-5249 wwwgskcom

Lamivudine is manufactured under agreement from Shire Pharmaceutical Group plc Basingstoke UK

StrengthForm

Tablet containing

abacavir sulfate 600 mg tablets

lamivudine 300 mg tablets

Packaging amp Shipping Information

30 tablets per bottle

Shelf Life Storage Conditions Price

Store at 25degC (77degF) excursions permitted to 15degndash 30degC (59degndash86degF)

$1858 per tablet

$678 per patient per year

World Health Organization recommended first line regimens Adult Daily Dosage 1 tablet daily Pediatric Daily Dosageusing this ARV

Adults ABC3TC + NVP or EFV

Alternate regimen ABC3TC + AZT or d4T

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 3

ABACAVIRLAMIVUDINEZIDOVUDINE (ABC3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Trizivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Ware Hertfordshire UK

Stockley Park West Uxbridge Middlesex UB11 1BT United Kingdom General Enquiries Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

Tablet containing

150 mg lamivudine

300 mg zidovudine

300 mg abacavir

60 tablets per HDPE bottle 24 months Store at 25degC (77degF)

Excursions to 15ndash30degC (59ndash 86degF) permitted

$0895 per tablet

$653 per patient per year

Generic Products

Aurobindo

PEPFAR qualified (Tentatively approved 26 July 2006)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Co-pack containing 60 + 60 tablets 24 months Store below 25˚C 1417 per tablet

150 mg lamivudine Contains blister card 10 + $517 per patient per year

300 mg zidovudine 10

With PVCPVdCaluminum foil

300 mg abacavir

World Health Organization recommended first line regimens using this ARV

This FDC is recommended as an alternate regimen when a triple NRTI approach because an NNRTI cannot be used

Adult Daily Dosage 1 tablet twice daily Do not administere to adolescents who weigh less than 40 kg

Pediatric Daily Dosage This FDC is not recommended for pediatric patients

Adults ABC + 3TC + ZDV

4 LOGISTICS FACT SHEETS ARV DRUGS JULY 2008

DIDANOSINE (ddl) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Videx Videx ECreg

(WHO prequalified)

(FDA approved)

Manufacturer

Bristol-Myers Squibb 3 Rue Joseph Monier BP 325 92506 Reil-Malmaison Cedex France

Tel +33 158 83 60 00 Fax +33 158 83 6565 94 wwwbmscom

125 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

200 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

note Production of 100 mg 150 mg and 200 mg Videx DDI tablets will continue for

250 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0677 per capsule

$247 per patient per year

ACCESS 400 mg delayedshy 30 capsules per HDPE bottle 24 Store capsules in tightly closed $0874 per countries for the release capsule months containers at 25degC (77degF) capsule next 9 to 12 months

Excursions to 15ndash30degC (59 ndash86degF) permitted

$319 per patient per year

Bristol-Myers Squibb PO Box 4500 Princeton NJ 08543-4500

2 g powder 4 ounce bottles Store between 15ndash30degC $315 per gram

$138 per patient per year

25 mg chewable 60 tablets per HDPE bottle 2 years Store between 15ndash30degC $0235 per tablet tablet $429 per patient

per year

50 mg chewable tablet

60 tablets per HDPE bottle Store between 15ndash30degC $0235 per tablet

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 5

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Generic Product

Didanosine

(FDA approved)

Barr Laboratories Inc Corporate Headquarters 223 Quaker Road Pomona NY 10970

Tel 845-362-1100 -or-

800-222-0190

200 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs

Fax 845-362-2774 250 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs

400 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs Didanosine

PEPFAR qualified (Tentatively approved 10 July 2006)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

100 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0150 per tablet

$219 per patient per year

150 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0225 per tablet

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 6

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

200 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0308 per tablet

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 400 mg for patients ge 60 kg in combination with other gt 3 months 50 mgm2 twice daily

antiretroviral agents Adults 3 to 13 years 90ndash120 mgm2 twice daily

Second line ddI + ABC or 3TC (plusmn AZT) + PIr Alternate second line regimen ddI + EFV or NVP + PIr

250 mg for patients le 60 kg in combination with other antiretroviral agents

Maximum dose 200 mgdose twice daily

Children Videx EC should not be used by pediatric Second line ddI + ABC or AZT or EFV or NVP + PIr patients

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 7

EFAVIRENZ (EFV) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Sustivacopy

(FDA approved)

Bristol-Myers Squibb Princeton NJ 08543 USA

50 mg capsule 30 capsules per bottle 36 months Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0116 per capsule

$169 per patient per year

Internationally marketed as Stocrin licensed by Merck

Tel +1 800 426 7644 +1 800 631 5244

wwwbmscom

200 mg capsule 90 capsules per bottle 3 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0457 per capsule

$500 per patient per year

600 mg film-coated tablet

30 tablets per bottle 2 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$095 per tablet

$347 per patient per year

100 mg capsule 30 tablets per bottle Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

Generic Product

Efavir Cipla 600 mg capsule 600 mg bottle 24 months Store between 20ndash25˚C $0467 per capsule

96 packs per shipper

30rsquos bottle pack

$170 per patient per year

500rsquos bottle pack

Ranbax Labs 600 mg tablets 60rsquos HDPE bottle 24 months Store below 25˚C $02083 per tablet

Sahib India 10rsquos cold form blister pack

Tel +91(1704)222834 222720 10rsquos PVdCPEPVC blister 222719 pack

60rsquos HDPE bottle

10rsquos cold form blister pack

24 months Store below 25˚C in original package

$02500 per tablet200 mg tablets

10rsquos PVdCPEPVC blister pack

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 8

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Stocrin Merck Sharp amp Dohme (Australia) Pty Limited ABN 14 000 173 508 54-68 Ferndell Street SOUTH GRANVILLE NSW

50 mg tablet 30 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

2142 200 mg tablet 90 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

Strides S-No 367 Suragajkkanahalli Indlavadi Cross Anekal Taluk Banglore-562106 India

600 mg tablets 20 tablets per bottle 24 months Store below 30˚C

Protect from light and keep in closed container

$0500 per pill

$18000 per patient per year

Matrix 600 mg tablets 30 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $13 per bottle

Viranzcopy

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

600 mg capsules 30 capsules per bottle

30 capsules per bottle

90 capsules per bottle

30 capsules per bottle

24 months

24 months

24 months

24 months

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

$55 per tablet

$201 per patient per year

$0175 per capsule

$0206 per capsule

$226 per patient per year

$0093 per capsule

100 mg capsules

200 mg capsules

50 mg capsules

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 9

World Health Organization recommended first and Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 600 mg daily in combination with a protease inhibitor andor nucleoside 10 to lt 14 kg 200 mg

analogue reverse transcriptase inhibitors 14 to lt 20 kg 250 mg Adults 20 to lt 25 kg 300 mg First line EFV + 3TC o r FTC + AZT or d4T or TDF or 25 to lt 30 kg 350 mg

ABC 30 to lt 40 kg 400 mg Alternate second line EFV + PIr + ddI gt40 kg 600 mg

Children First line EFV + 3TC + AZT or d4T or ABC Second line EFV + ddI + PIr

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 10

EMTRICITBINE + TENOFOVIR (FTC + TDF) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Truvada Gilead Sciences Inc Tablet contains HDPE bottle with 30 tablets Store below 25degC (77degF) $0875 per tablet 333 Lakeside Drive Foster City California 94404 USA

200 mg emtricitabine

300 mg tenofivir $319 per patient per year

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV One tablet of 3TC AZT twice a daily and one Formulation is not designed for children Adults FTC+ AZT or d4T + EFV or NVP tablet of EFV daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 11

EMTRICITABINE (FTC) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Emtriva

(FDA approved)

Gilead Sciences Inc 333 Lakeside Drive Foster City California 94404 USA

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccess gileadcom wwwgileadcom

200 mg capsule 30 capsules per bottle

30 capsules per blister pack

2 years Store at room temperature between 39ndash 86degF (15ndash30degC)

10 mgmL oral solution

170 mL bottles including a marked dosing cup

3 years 45 days after first opening the bottle

Store in refrigerator between 36ndash46degF (2ndash 8degC) Alternatively can be stored at room temperature (25degC) for three months Discard any remaining solution after 3 months

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV One 200 mg capsule once daily in combination gt4 months 6 mgkg up to a maximum of 240 mg Adults FTC + AZT or d4T or TDF or ABC + EFV or with other antiretrovirals once daily in combination with other antiretrovirals NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 12

INDINAVIR (IDV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Crixivan Merck and Co Inc 400 mg capsule Bottles of 18 42 90 120 3 years Store at room $274 per capsule One Merck Drive 180 capsules with dessicant temperature 15ndash30degC

(FDA approved) Whitehouse Station NJ 08889 (59ndash86degF) $400 per patient per year

Tel 908-423-1000 Protect from moisture wwwmerckcom

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 800 mg (or two 400 mg capsules) every 8 hours Optimal dosing for pediatric patients has not been Adults IDV r + ddI or TDF + ABC or 3TC (plusmnAZT) in combination with other antiretrovirals established

Alternate second line IDV r + ddI + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 13

LAMIVUDINE (3TC) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Epivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328 wwwgskcom

150 mg tablet 60 tablets per HDPE bottle

60 tablets per blister pack

600 tablets per inner carton

Shipping carton Volume 06 ft3

24 months Store at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0087 per tablet

$64 per patient per year

GlaxoSmithKline 10 mgmL syrup 240 mL per HDPE bottle 24 months Do not store above 25degC $0023 per mL Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328

12 bottles per inner carton

10 mL oral dosing syringe and polyethylene adapter included

Discard oral solution one month after opening

$84 per patient per year

wwwgskcom Shipping carton Volume 37 ft3

Generic Products

Heptavir Hetero Drugs Ltd 150 mg tablet 60 tablets per HDPE bottle Do not store above 30degC $0073 per tablet Jeedimetla AP India

$53 per patient per year 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

+91 40 2371 4250 wwwheterodrugscom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 14

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Lamivirreg

(WHO prequalified)

Cipla Ltd Vikhroli India

Mumbai Central Mumbaindash400 008

50 mg5 mL solution 100 mL per PET bottle with syringe

240 mL bottle

35 bottles per shipper

24 months Store between 20ndash25˚C

Discard oral solution one month after opening

$0018 per mL

$66 per patient per year

India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

100 mg tablet 10 tablets per blister pack

60 tablets per inner carton

24 months Do not store above 30degC

+91 22 2307 0393 wwwciplacom

150 mg tablet 10 tablets per blister pack

60 tablets per inner carton

168 packs per shipping carton

Shipping carton Dimensions 455 x 280 x 250 mm Weight 151 kg

24 months Do not store above 30degC $0065 per tablet

$47 per patient per year

Lamivudine

(WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

150 mg tablet 60 tablets per HDPE bottle

10 tablets per blister pack

Do not store above 30degC $0071 per tablet

$5112 per patient per year

Lamivox

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal

150 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0059 tablet

$43 per patient per year

(FDA tentatively approved)

Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$155 per tablet

$56 per patient per year

10 mgmL 240 mL HDPE container

Pack contains a 20 mL measuring cup

18 months Do not store above 25degC $0009 per mL

$34 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 15

continued LAMIVUDINE

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Aspen Lamivudine

(WHO prequalified)

Aspen Pharmacare Aspen Park 98 Armstrong Avenue La Lucia Ridge Durban 4019 South Africa

150 mg tablet 60 tablets per plastic container securitainer metalised lay flat pack glass bottle

24 months Store below 25˚C $450

Tel +27 31 5808600 wwwaspenpharmacom

Matrix 150 mg tablet 60 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $320 per bottle

Anolam Virolam Avolam

(FDA tentatively approved)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

150 mg tablet 60 tablets per bottle

1440 tablets per inner carton (24 packs per inner carton)

14400 tablets per shipping carton (600 packs or 10 inner carton)

Shipping carton Dimensions 49 x 36 x 23 m Volume 0406 Weight 785

24 months Store below 25degC

Protect from moisture

$00517 per tablet

$43 per patient per year

World Health Organization recommended first and Adult Daily Dosage 300 mg daily or 150 mg twice daily in Pediatric Daily Dosage second line regimens combination with other antiretroviral agents lt 30 days 2 mgkg twice daily regimens using this ARV

gt 30 days to 12 years 4 mgkg twice daily up to a Adults Per Cipla adults weighing less than 50 kg 150 mg once daily maximum of 150 mg twice daily First line 3TC + AZT or d4T or TDF or ABC + EFV or NVP

Alternate first line 3TC + AZT or d4T + TDF or ABC Second line 3TC + ddI or TDF + PIr

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 16

Children First line 3TC + AZT or d4T or ABC + NVP or EFV Alternate first line 3TC + AZT or d4T + ABC

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 17

LAMIVUDINESTAVUDINE (3TCd4T) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

Virolis 30

Coviro - LS 30

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle

10 blister pack

24 months Store below 25degC

Protect from moisture

$00750 per tablet $124 per patient per year

Cipla Tablet containing 30rsquos bottle pack 24 months Store between 15ndash25˚C $0075 per capsule

150 mg lamivudine 1000rsquos bottle pack $5500 per patient per year

30 mg stavudine 96 pack per shipper

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C $425 per bottle

150 mg lamivudine 168 bottles per shipper

30 mg stavudine

Lamivudine Stavudine (WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle 24 months Store below 30degC

Protect from sunlight

$0075 per tablet $54 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 18

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV Patients ge 60 kg one 3TCd4T (40 mg) Patients ge 37 kg one 3TCd4T (30 mg) tablet twice Adults tablet twice daily in combination with other daily

First line d4T3TC + NVP or EFV antiretroviral agents

Alternate first line d4T3TC + TDF or ABC Patients lt 60 kg one 3TCd4T (30 mg) tablet twice daily in combination with other

Children antiretroviral agents d4T3TC + NVP or EFV

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 19

LAMIVUDINESTAVUDINENEVIRAPINE (3TCD4TNVP) NRTI amp NNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Originator Product

Generic Product

Triomune 30

(WHO prequalified)

Cipla Ltd Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Tablet containing 200 mg nevirapine

150 mg lamivudine

30 mg stavudine

30 tablets per bottle

60rsquos bottle pack

1000rsquos bottle pack

Container of 60 tablets

60 bottle pack

24 months

18 months

24 months

Store between 15ndash25˚C Protect from moisture

Store below 25˚C

Store between 15ndash25˚C

$0142 per tablet

$103 per patient per year

Each tablet contains stavudine 6 mg lamivudine 30 mg nevirapine 50 mg Tablet containing

lamivudine 60 mg 1000 bottle pack

stavudine 12 mg

nevirapine 100 mg

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

lamivudine 150 mg

stavudine 40 mg

nevirapine 200 mg

30 tablets 24 months Store below 30˚C

Protect from light

$014 per tablet

$10200 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 20

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Virolans 30 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryana) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

60 tablets per bottle 240 tablets per case 2400 tablets per shipping carton

Shipping carton Dimensions 45 x 03 x 025 m

12 months Store below 25degC Protect from moisture

$01283 per tablet

$219 per patient per year

wwwranbaxycom Volume 00338 m3

Weight 485

Virolans 40 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryan a) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 40 mg stavudine

60 tablets per bottle

240 tablets per case

2400 tablets per shipping carton

12 months Store below 25degC Protect from moisture

$01333 per tablet

$234 per patient per year

wwwranbaxycom Shipping carton Dimensions 45 x 03 x 025 m Volume 00338 Weight 485

Nevilast 30

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500 018 (AP) India q Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

10 tablets per blister pack

60 tablets per HDPE bottle $201 per tablet

$147 per patient per year

23714250 wwwheterodrugscom

World Health Organization recommended first line regimens using this ARV

Adults d4T3TCNVP

Children d4T3TCNVP

Adult Daily Dosage 1 tablet twice daily of 40 mg for patients gt 60 kg and 1 tablet twice daily of 30 mg for patients lt 60 kg in combination with other antiretroviral agents

Pediatric Daily Dosage The FDC is not recommended for pediatric patients or patients lt 50 kg

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 21

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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ESP 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Page 6: LOGISTICS FACT SHEETS:

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS vii

ABACAVIR SULPHATE (ABC) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Ziagen

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Research Triangle Park NC 27709

Tel 1-888-825-5249 wwwgskcom

300 mg tablets 60 tablets per bottle

60 blister packs

Each pack contains blister cards of 10 tablets each

3 years Store at room temperature of 20ndash25degC

$0600 per tablet

$438 per patient per year

20 mgmL oral solution

Bottles of 240 mL 2 years discard 2 months after opening

Store at room temperature of 20degC to 25degC May be refrigerated Do not freeze

$0063 per mL

$229 per patient per year

Generic Products

Aurobindo

PEPFAR qualified (Tentatively approved 17 May 2006 for tablets and 27 June 06 for oral solution)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

300 mg tablets 60 tablets per bottle

Blisters 10 PVCplain aluminum foil

24 months Store below 25˚C $0542 per tablet

$395 per patient per year

20 mgmL oral solution

Bottles of 240 mL 24 months Store below 25˚C $0085 per mL

$310 per patient per year

Cipla

PEPFAR qualified (Tentatively approved 6 November 2006)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India

(Bangalore site approved by US FDA for bulk drugs)

600 mg tablets (Abamune)

60 tablets per bottle pack

96 packs per shipper

Box dimensions 475 x 375 x 230 mm

24 months Store at 20ndash25˚C $0550 per tablet

$402 per patient per year

300 mg tablets 60 tablets per bottle pack

96 packs per shipper

24 months Store at 20ndash25˚C $0625 per tablet

$456 per patient per year

Box dimensions 475 x 375 x 230 mm

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 1

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Matrix Laboratories Inc

Corporate Office Matrix Laboratories Limited 1ndash1-1511 4th Floor Sai Ram Towers

300 mg 60 tablets per bottle

Blister packs 10rsquos

24 months Store below 30˚C $0602 per tablet

$439 per person per year PEPFAR qualified (Tentatively approved 5 April 2007)

Alexander Road Secunderabad ndash 500 003 Phone +91-40-27700363 +91-40-66327722 Fax +91-40-27700343 Email matrixmatrixlabsindiacom

All facilities are USFDA approved

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 600 mg daily or 300 mg twice daily 8 mgkg twice daily (up to maximum of 300 mg twice daily) for Adults ABC + NVP or EFV + PIr adolescent and pediatric patients of 3 months to 16 years of

ABC + ddI or TDF+ PIr age

Children ABC + ddI + PIr

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 2

ABACAVIRLAMIVUDINE (ABC3TC) NRTI

Brand Name Manufacturer

Originator Product

Epzicomreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Research Triangle Park NC 27709 Tel 1-888-825-5249 wwwgskcom

Lamivudine is manufactured under agreement from Shire Pharmaceutical Group plc Basingstoke UK

StrengthForm

Tablet containing

abacavir sulfate 600 mg tablets

lamivudine 300 mg tablets

Packaging amp Shipping Information

30 tablets per bottle

Shelf Life Storage Conditions Price

Store at 25degC (77degF) excursions permitted to 15degndash 30degC (59degndash86degF)

$1858 per tablet

$678 per patient per year

World Health Organization recommended first line regimens Adult Daily Dosage 1 tablet daily Pediatric Daily Dosageusing this ARV

Adults ABC3TC + NVP or EFV

Alternate regimen ABC3TC + AZT or d4T

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 3

ABACAVIRLAMIVUDINEZIDOVUDINE (ABC3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Trizivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Ware Hertfordshire UK

Stockley Park West Uxbridge Middlesex UB11 1BT United Kingdom General Enquiries Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

Tablet containing

150 mg lamivudine

300 mg zidovudine

300 mg abacavir

60 tablets per HDPE bottle 24 months Store at 25degC (77degF)

Excursions to 15ndash30degC (59ndash 86degF) permitted

$0895 per tablet

$653 per patient per year

Generic Products

Aurobindo

PEPFAR qualified (Tentatively approved 26 July 2006)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Co-pack containing 60 + 60 tablets 24 months Store below 25˚C 1417 per tablet

150 mg lamivudine Contains blister card 10 + $517 per patient per year

300 mg zidovudine 10

With PVCPVdCaluminum foil

300 mg abacavir

World Health Organization recommended first line regimens using this ARV

This FDC is recommended as an alternate regimen when a triple NRTI approach because an NNRTI cannot be used

Adult Daily Dosage 1 tablet twice daily Do not administere to adolescents who weigh less than 40 kg

Pediatric Daily Dosage This FDC is not recommended for pediatric patients

Adults ABC + 3TC + ZDV

4 LOGISTICS FACT SHEETS ARV DRUGS JULY 2008

DIDANOSINE (ddl) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Videx Videx ECreg

(WHO prequalified)

(FDA approved)

Manufacturer

Bristol-Myers Squibb 3 Rue Joseph Monier BP 325 92506 Reil-Malmaison Cedex France

Tel +33 158 83 60 00 Fax +33 158 83 6565 94 wwwbmscom

125 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

200 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

note Production of 100 mg 150 mg and 200 mg Videx DDI tablets will continue for

250 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0677 per capsule

$247 per patient per year

ACCESS 400 mg delayedshy 30 capsules per HDPE bottle 24 Store capsules in tightly closed $0874 per countries for the release capsule months containers at 25degC (77degF) capsule next 9 to 12 months

Excursions to 15ndash30degC (59 ndash86degF) permitted

$319 per patient per year

Bristol-Myers Squibb PO Box 4500 Princeton NJ 08543-4500

2 g powder 4 ounce bottles Store between 15ndash30degC $315 per gram

$138 per patient per year

25 mg chewable 60 tablets per HDPE bottle 2 years Store between 15ndash30degC $0235 per tablet tablet $429 per patient

per year

50 mg chewable tablet

60 tablets per HDPE bottle Store between 15ndash30degC $0235 per tablet

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 5

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Generic Product

Didanosine

(FDA approved)

Barr Laboratories Inc Corporate Headquarters 223 Quaker Road Pomona NY 10970

Tel 845-362-1100 -or-

800-222-0190

200 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs

Fax 845-362-2774 250 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs

400 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs Didanosine

PEPFAR qualified (Tentatively approved 10 July 2006)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

100 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0150 per tablet

$219 per patient per year

150 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0225 per tablet

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 6

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

200 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0308 per tablet

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 400 mg for patients ge 60 kg in combination with other gt 3 months 50 mgm2 twice daily

antiretroviral agents Adults 3 to 13 years 90ndash120 mgm2 twice daily

Second line ddI + ABC or 3TC (plusmn AZT) + PIr Alternate second line regimen ddI + EFV or NVP + PIr

250 mg for patients le 60 kg in combination with other antiretroviral agents

Maximum dose 200 mgdose twice daily

Children Videx EC should not be used by pediatric Second line ddI + ABC or AZT or EFV or NVP + PIr patients

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 7

EFAVIRENZ (EFV) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Sustivacopy

(FDA approved)

Bristol-Myers Squibb Princeton NJ 08543 USA

50 mg capsule 30 capsules per bottle 36 months Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0116 per capsule

$169 per patient per year

Internationally marketed as Stocrin licensed by Merck

Tel +1 800 426 7644 +1 800 631 5244

wwwbmscom

200 mg capsule 90 capsules per bottle 3 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0457 per capsule

$500 per patient per year

600 mg film-coated tablet

30 tablets per bottle 2 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$095 per tablet

$347 per patient per year

100 mg capsule 30 tablets per bottle Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

Generic Product

Efavir Cipla 600 mg capsule 600 mg bottle 24 months Store between 20ndash25˚C $0467 per capsule

96 packs per shipper

30rsquos bottle pack

$170 per patient per year

500rsquos bottle pack

Ranbax Labs 600 mg tablets 60rsquos HDPE bottle 24 months Store below 25˚C $02083 per tablet

Sahib India 10rsquos cold form blister pack

Tel +91(1704)222834 222720 10rsquos PVdCPEPVC blister 222719 pack

60rsquos HDPE bottle

10rsquos cold form blister pack

24 months Store below 25˚C in original package

$02500 per tablet200 mg tablets

10rsquos PVdCPEPVC blister pack

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 8

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Stocrin Merck Sharp amp Dohme (Australia) Pty Limited ABN 14 000 173 508 54-68 Ferndell Street SOUTH GRANVILLE NSW

50 mg tablet 30 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

2142 200 mg tablet 90 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

Strides S-No 367 Suragajkkanahalli Indlavadi Cross Anekal Taluk Banglore-562106 India

600 mg tablets 20 tablets per bottle 24 months Store below 30˚C

Protect from light and keep in closed container

$0500 per pill

$18000 per patient per year

Matrix 600 mg tablets 30 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $13 per bottle

Viranzcopy

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

600 mg capsules 30 capsules per bottle

30 capsules per bottle

90 capsules per bottle

30 capsules per bottle

24 months

24 months

24 months

24 months

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

$55 per tablet

$201 per patient per year

$0175 per capsule

$0206 per capsule

$226 per patient per year

$0093 per capsule

100 mg capsules

200 mg capsules

50 mg capsules

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 9

World Health Organization recommended first and Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 600 mg daily in combination with a protease inhibitor andor nucleoside 10 to lt 14 kg 200 mg

analogue reverse transcriptase inhibitors 14 to lt 20 kg 250 mg Adults 20 to lt 25 kg 300 mg First line EFV + 3TC o r FTC + AZT or d4T or TDF or 25 to lt 30 kg 350 mg

ABC 30 to lt 40 kg 400 mg Alternate second line EFV + PIr + ddI gt40 kg 600 mg

Children First line EFV + 3TC + AZT or d4T or ABC Second line EFV + ddI + PIr

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 10

EMTRICITBINE + TENOFOVIR (FTC + TDF) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Truvada Gilead Sciences Inc Tablet contains HDPE bottle with 30 tablets Store below 25degC (77degF) $0875 per tablet 333 Lakeside Drive Foster City California 94404 USA

200 mg emtricitabine

300 mg tenofivir $319 per patient per year

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV One tablet of 3TC AZT twice a daily and one Formulation is not designed for children Adults FTC+ AZT or d4T + EFV or NVP tablet of EFV daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 11

EMTRICITABINE (FTC) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Emtriva

(FDA approved)

Gilead Sciences Inc 333 Lakeside Drive Foster City California 94404 USA

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccess gileadcom wwwgileadcom

200 mg capsule 30 capsules per bottle

30 capsules per blister pack

2 years Store at room temperature between 39ndash 86degF (15ndash30degC)

10 mgmL oral solution

170 mL bottles including a marked dosing cup

3 years 45 days after first opening the bottle

Store in refrigerator between 36ndash46degF (2ndash 8degC) Alternatively can be stored at room temperature (25degC) for three months Discard any remaining solution after 3 months

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV One 200 mg capsule once daily in combination gt4 months 6 mgkg up to a maximum of 240 mg Adults FTC + AZT or d4T or TDF or ABC + EFV or with other antiretrovirals once daily in combination with other antiretrovirals NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 12

INDINAVIR (IDV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Crixivan Merck and Co Inc 400 mg capsule Bottles of 18 42 90 120 3 years Store at room $274 per capsule One Merck Drive 180 capsules with dessicant temperature 15ndash30degC

(FDA approved) Whitehouse Station NJ 08889 (59ndash86degF) $400 per patient per year

Tel 908-423-1000 Protect from moisture wwwmerckcom

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 800 mg (or two 400 mg capsules) every 8 hours Optimal dosing for pediatric patients has not been Adults IDV r + ddI or TDF + ABC or 3TC (plusmnAZT) in combination with other antiretrovirals established

Alternate second line IDV r + ddI + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 13

LAMIVUDINE (3TC) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Epivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328 wwwgskcom

150 mg tablet 60 tablets per HDPE bottle

60 tablets per blister pack

600 tablets per inner carton

Shipping carton Volume 06 ft3

24 months Store at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0087 per tablet

$64 per patient per year

GlaxoSmithKline 10 mgmL syrup 240 mL per HDPE bottle 24 months Do not store above 25degC $0023 per mL Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328

12 bottles per inner carton

10 mL oral dosing syringe and polyethylene adapter included

Discard oral solution one month after opening

$84 per patient per year

wwwgskcom Shipping carton Volume 37 ft3

Generic Products

Heptavir Hetero Drugs Ltd 150 mg tablet 60 tablets per HDPE bottle Do not store above 30degC $0073 per tablet Jeedimetla AP India

$53 per patient per year 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

+91 40 2371 4250 wwwheterodrugscom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 14

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Lamivirreg

(WHO prequalified)

Cipla Ltd Vikhroli India

Mumbai Central Mumbaindash400 008

50 mg5 mL solution 100 mL per PET bottle with syringe

240 mL bottle

35 bottles per shipper

24 months Store between 20ndash25˚C

Discard oral solution one month after opening

$0018 per mL

$66 per patient per year

India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

100 mg tablet 10 tablets per blister pack

60 tablets per inner carton

24 months Do not store above 30degC

+91 22 2307 0393 wwwciplacom

150 mg tablet 10 tablets per blister pack

60 tablets per inner carton

168 packs per shipping carton

Shipping carton Dimensions 455 x 280 x 250 mm Weight 151 kg

24 months Do not store above 30degC $0065 per tablet

$47 per patient per year

Lamivudine

(WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

150 mg tablet 60 tablets per HDPE bottle

10 tablets per blister pack

Do not store above 30degC $0071 per tablet

$5112 per patient per year

Lamivox

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal

150 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0059 tablet

$43 per patient per year

(FDA tentatively approved)

Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$155 per tablet

$56 per patient per year

10 mgmL 240 mL HDPE container

Pack contains a 20 mL measuring cup

18 months Do not store above 25degC $0009 per mL

$34 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 15

continued LAMIVUDINE

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Aspen Lamivudine

(WHO prequalified)

Aspen Pharmacare Aspen Park 98 Armstrong Avenue La Lucia Ridge Durban 4019 South Africa

150 mg tablet 60 tablets per plastic container securitainer metalised lay flat pack glass bottle

24 months Store below 25˚C $450

Tel +27 31 5808600 wwwaspenpharmacom

Matrix 150 mg tablet 60 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $320 per bottle

Anolam Virolam Avolam

(FDA tentatively approved)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

150 mg tablet 60 tablets per bottle

1440 tablets per inner carton (24 packs per inner carton)

14400 tablets per shipping carton (600 packs or 10 inner carton)

Shipping carton Dimensions 49 x 36 x 23 m Volume 0406 Weight 785

24 months Store below 25degC

Protect from moisture

$00517 per tablet

$43 per patient per year

World Health Organization recommended first and Adult Daily Dosage 300 mg daily or 150 mg twice daily in Pediatric Daily Dosage second line regimens combination with other antiretroviral agents lt 30 days 2 mgkg twice daily regimens using this ARV

gt 30 days to 12 years 4 mgkg twice daily up to a Adults Per Cipla adults weighing less than 50 kg 150 mg once daily maximum of 150 mg twice daily First line 3TC + AZT or d4T or TDF or ABC + EFV or NVP

Alternate first line 3TC + AZT or d4T + TDF or ABC Second line 3TC + ddI or TDF + PIr

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 16

Children First line 3TC + AZT or d4T or ABC + NVP or EFV Alternate first line 3TC + AZT or d4T + ABC

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 17

LAMIVUDINESTAVUDINE (3TCd4T) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

Virolis 30

Coviro - LS 30

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle

10 blister pack

24 months Store below 25degC

Protect from moisture

$00750 per tablet $124 per patient per year

Cipla Tablet containing 30rsquos bottle pack 24 months Store between 15ndash25˚C $0075 per capsule

150 mg lamivudine 1000rsquos bottle pack $5500 per patient per year

30 mg stavudine 96 pack per shipper

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C $425 per bottle

150 mg lamivudine 168 bottles per shipper

30 mg stavudine

Lamivudine Stavudine (WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle 24 months Store below 30degC

Protect from sunlight

$0075 per tablet $54 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 18

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV Patients ge 60 kg one 3TCd4T (40 mg) Patients ge 37 kg one 3TCd4T (30 mg) tablet twice Adults tablet twice daily in combination with other daily

First line d4T3TC + NVP or EFV antiretroviral agents

Alternate first line d4T3TC + TDF or ABC Patients lt 60 kg one 3TCd4T (30 mg) tablet twice daily in combination with other

Children antiretroviral agents d4T3TC + NVP or EFV

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 19

LAMIVUDINESTAVUDINENEVIRAPINE (3TCD4TNVP) NRTI amp NNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Originator Product

Generic Product

Triomune 30

(WHO prequalified)

Cipla Ltd Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Tablet containing 200 mg nevirapine

150 mg lamivudine

30 mg stavudine

30 tablets per bottle

60rsquos bottle pack

1000rsquos bottle pack

Container of 60 tablets

60 bottle pack

24 months

18 months

24 months

Store between 15ndash25˚C Protect from moisture

Store below 25˚C

Store between 15ndash25˚C

$0142 per tablet

$103 per patient per year

Each tablet contains stavudine 6 mg lamivudine 30 mg nevirapine 50 mg Tablet containing

lamivudine 60 mg 1000 bottle pack

stavudine 12 mg

nevirapine 100 mg

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

lamivudine 150 mg

stavudine 40 mg

nevirapine 200 mg

30 tablets 24 months Store below 30˚C

Protect from light

$014 per tablet

$10200 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 20

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Virolans 30 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryana) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

60 tablets per bottle 240 tablets per case 2400 tablets per shipping carton

Shipping carton Dimensions 45 x 03 x 025 m

12 months Store below 25degC Protect from moisture

$01283 per tablet

$219 per patient per year

wwwranbaxycom Volume 00338 m3

Weight 485

Virolans 40 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryan a) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 40 mg stavudine

60 tablets per bottle

240 tablets per case

2400 tablets per shipping carton

12 months Store below 25degC Protect from moisture

$01333 per tablet

$234 per patient per year

wwwranbaxycom Shipping carton Dimensions 45 x 03 x 025 m Volume 00338 Weight 485

Nevilast 30

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500 018 (AP) India q Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

10 tablets per blister pack

60 tablets per HDPE bottle $201 per tablet

$147 per patient per year

23714250 wwwheterodrugscom

World Health Organization recommended first line regimens using this ARV

Adults d4T3TCNVP

Children d4T3TCNVP

Adult Daily Dosage 1 tablet twice daily of 40 mg for patients gt 60 kg and 1 tablet twice daily of 30 mg for patients lt 60 kg in combination with other antiretroviral agents

Pediatric Daily Dosage The FDC is not recommended for pediatric patients or patients lt 50 kg

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 21

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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ESP 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Page 7: LOGISTICS FACT SHEETS:

ABACAVIR SULPHATE (ABC) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Ziagen

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Research Triangle Park NC 27709

Tel 1-888-825-5249 wwwgskcom

300 mg tablets 60 tablets per bottle

60 blister packs

Each pack contains blister cards of 10 tablets each

3 years Store at room temperature of 20ndash25degC

$0600 per tablet

$438 per patient per year

20 mgmL oral solution

Bottles of 240 mL 2 years discard 2 months after opening

Store at room temperature of 20degC to 25degC May be refrigerated Do not freeze

$0063 per mL

$229 per patient per year

Generic Products

Aurobindo

PEPFAR qualified (Tentatively approved 17 May 2006 for tablets and 27 June 06 for oral solution)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

300 mg tablets 60 tablets per bottle

Blisters 10 PVCplain aluminum foil

24 months Store below 25˚C $0542 per tablet

$395 per patient per year

20 mgmL oral solution

Bottles of 240 mL 24 months Store below 25˚C $0085 per mL

$310 per patient per year

Cipla

PEPFAR qualified (Tentatively approved 6 November 2006)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India

(Bangalore site approved by US FDA for bulk drugs)

600 mg tablets (Abamune)

60 tablets per bottle pack

96 packs per shipper

Box dimensions 475 x 375 x 230 mm

24 months Store at 20ndash25˚C $0550 per tablet

$402 per patient per year

300 mg tablets 60 tablets per bottle pack

96 packs per shipper

24 months Store at 20ndash25˚C $0625 per tablet

$456 per patient per year

Box dimensions 475 x 375 x 230 mm

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 1

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Matrix Laboratories Inc

Corporate Office Matrix Laboratories Limited 1ndash1-1511 4th Floor Sai Ram Towers

300 mg 60 tablets per bottle

Blister packs 10rsquos

24 months Store below 30˚C $0602 per tablet

$439 per person per year PEPFAR qualified (Tentatively approved 5 April 2007)

Alexander Road Secunderabad ndash 500 003 Phone +91-40-27700363 +91-40-66327722 Fax +91-40-27700343 Email matrixmatrixlabsindiacom

All facilities are USFDA approved

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 600 mg daily or 300 mg twice daily 8 mgkg twice daily (up to maximum of 300 mg twice daily) for Adults ABC + NVP or EFV + PIr adolescent and pediatric patients of 3 months to 16 years of

ABC + ddI or TDF+ PIr age

Children ABC + ddI + PIr

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 2

ABACAVIRLAMIVUDINE (ABC3TC) NRTI

Brand Name Manufacturer

Originator Product

Epzicomreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Research Triangle Park NC 27709 Tel 1-888-825-5249 wwwgskcom

Lamivudine is manufactured under agreement from Shire Pharmaceutical Group plc Basingstoke UK

StrengthForm

Tablet containing

abacavir sulfate 600 mg tablets

lamivudine 300 mg tablets

Packaging amp Shipping Information

30 tablets per bottle

Shelf Life Storage Conditions Price

Store at 25degC (77degF) excursions permitted to 15degndash 30degC (59degndash86degF)

$1858 per tablet

$678 per patient per year

World Health Organization recommended first line regimens Adult Daily Dosage 1 tablet daily Pediatric Daily Dosageusing this ARV

Adults ABC3TC + NVP or EFV

Alternate regimen ABC3TC + AZT or d4T

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 3

ABACAVIRLAMIVUDINEZIDOVUDINE (ABC3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Trizivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Ware Hertfordshire UK

Stockley Park West Uxbridge Middlesex UB11 1BT United Kingdom General Enquiries Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

Tablet containing

150 mg lamivudine

300 mg zidovudine

300 mg abacavir

60 tablets per HDPE bottle 24 months Store at 25degC (77degF)

Excursions to 15ndash30degC (59ndash 86degF) permitted

$0895 per tablet

$653 per patient per year

Generic Products

Aurobindo

PEPFAR qualified (Tentatively approved 26 July 2006)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Co-pack containing 60 + 60 tablets 24 months Store below 25˚C 1417 per tablet

150 mg lamivudine Contains blister card 10 + $517 per patient per year

300 mg zidovudine 10

With PVCPVdCaluminum foil

300 mg abacavir

World Health Organization recommended first line regimens using this ARV

This FDC is recommended as an alternate regimen when a triple NRTI approach because an NNRTI cannot be used

Adult Daily Dosage 1 tablet twice daily Do not administere to adolescents who weigh less than 40 kg

Pediatric Daily Dosage This FDC is not recommended for pediatric patients

Adults ABC + 3TC + ZDV

4 LOGISTICS FACT SHEETS ARV DRUGS JULY 2008

DIDANOSINE (ddl) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Videx Videx ECreg

(WHO prequalified)

(FDA approved)

Manufacturer

Bristol-Myers Squibb 3 Rue Joseph Monier BP 325 92506 Reil-Malmaison Cedex France

Tel +33 158 83 60 00 Fax +33 158 83 6565 94 wwwbmscom

125 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

200 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

note Production of 100 mg 150 mg and 200 mg Videx DDI tablets will continue for

250 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0677 per capsule

$247 per patient per year

ACCESS 400 mg delayedshy 30 capsules per HDPE bottle 24 Store capsules in tightly closed $0874 per countries for the release capsule months containers at 25degC (77degF) capsule next 9 to 12 months

Excursions to 15ndash30degC (59 ndash86degF) permitted

$319 per patient per year

Bristol-Myers Squibb PO Box 4500 Princeton NJ 08543-4500

2 g powder 4 ounce bottles Store between 15ndash30degC $315 per gram

$138 per patient per year

25 mg chewable 60 tablets per HDPE bottle 2 years Store between 15ndash30degC $0235 per tablet tablet $429 per patient

per year

50 mg chewable tablet

60 tablets per HDPE bottle Store between 15ndash30degC $0235 per tablet

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 5

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Generic Product

Didanosine

(FDA approved)

Barr Laboratories Inc Corporate Headquarters 223 Quaker Road Pomona NY 10970

Tel 845-362-1100 -or-

800-222-0190

200 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs

Fax 845-362-2774 250 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs

400 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs Didanosine

PEPFAR qualified (Tentatively approved 10 July 2006)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

100 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0150 per tablet

$219 per patient per year

150 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0225 per tablet

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 6

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

200 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0308 per tablet

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 400 mg for patients ge 60 kg in combination with other gt 3 months 50 mgm2 twice daily

antiretroviral agents Adults 3 to 13 years 90ndash120 mgm2 twice daily

Second line ddI + ABC or 3TC (plusmn AZT) + PIr Alternate second line regimen ddI + EFV or NVP + PIr

250 mg for patients le 60 kg in combination with other antiretroviral agents

Maximum dose 200 mgdose twice daily

Children Videx EC should not be used by pediatric Second line ddI + ABC or AZT or EFV or NVP + PIr patients

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 7

EFAVIRENZ (EFV) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Sustivacopy

(FDA approved)

Bristol-Myers Squibb Princeton NJ 08543 USA

50 mg capsule 30 capsules per bottle 36 months Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0116 per capsule

$169 per patient per year

Internationally marketed as Stocrin licensed by Merck

Tel +1 800 426 7644 +1 800 631 5244

wwwbmscom

200 mg capsule 90 capsules per bottle 3 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0457 per capsule

$500 per patient per year

600 mg film-coated tablet

30 tablets per bottle 2 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$095 per tablet

$347 per patient per year

100 mg capsule 30 tablets per bottle Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

Generic Product

Efavir Cipla 600 mg capsule 600 mg bottle 24 months Store between 20ndash25˚C $0467 per capsule

96 packs per shipper

30rsquos bottle pack

$170 per patient per year

500rsquos bottle pack

Ranbax Labs 600 mg tablets 60rsquos HDPE bottle 24 months Store below 25˚C $02083 per tablet

Sahib India 10rsquos cold form blister pack

Tel +91(1704)222834 222720 10rsquos PVdCPEPVC blister 222719 pack

60rsquos HDPE bottle

10rsquos cold form blister pack

24 months Store below 25˚C in original package

$02500 per tablet200 mg tablets

10rsquos PVdCPEPVC blister pack

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 8

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Stocrin Merck Sharp amp Dohme (Australia) Pty Limited ABN 14 000 173 508 54-68 Ferndell Street SOUTH GRANVILLE NSW

50 mg tablet 30 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

2142 200 mg tablet 90 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

Strides S-No 367 Suragajkkanahalli Indlavadi Cross Anekal Taluk Banglore-562106 India

600 mg tablets 20 tablets per bottle 24 months Store below 30˚C

Protect from light and keep in closed container

$0500 per pill

$18000 per patient per year

Matrix 600 mg tablets 30 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $13 per bottle

Viranzcopy

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

600 mg capsules 30 capsules per bottle

30 capsules per bottle

90 capsules per bottle

30 capsules per bottle

24 months

24 months

24 months

24 months

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

$55 per tablet

$201 per patient per year

$0175 per capsule

$0206 per capsule

$226 per patient per year

$0093 per capsule

100 mg capsules

200 mg capsules

50 mg capsules

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 9

World Health Organization recommended first and Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 600 mg daily in combination with a protease inhibitor andor nucleoside 10 to lt 14 kg 200 mg

analogue reverse transcriptase inhibitors 14 to lt 20 kg 250 mg Adults 20 to lt 25 kg 300 mg First line EFV + 3TC o r FTC + AZT or d4T or TDF or 25 to lt 30 kg 350 mg

ABC 30 to lt 40 kg 400 mg Alternate second line EFV + PIr + ddI gt40 kg 600 mg

Children First line EFV + 3TC + AZT or d4T or ABC Second line EFV + ddI + PIr

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 10

EMTRICITBINE + TENOFOVIR (FTC + TDF) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Truvada Gilead Sciences Inc Tablet contains HDPE bottle with 30 tablets Store below 25degC (77degF) $0875 per tablet 333 Lakeside Drive Foster City California 94404 USA

200 mg emtricitabine

300 mg tenofivir $319 per patient per year

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV One tablet of 3TC AZT twice a daily and one Formulation is not designed for children Adults FTC+ AZT or d4T + EFV or NVP tablet of EFV daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 11

EMTRICITABINE (FTC) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Emtriva

(FDA approved)

Gilead Sciences Inc 333 Lakeside Drive Foster City California 94404 USA

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccess gileadcom wwwgileadcom

200 mg capsule 30 capsules per bottle

30 capsules per blister pack

2 years Store at room temperature between 39ndash 86degF (15ndash30degC)

10 mgmL oral solution

170 mL bottles including a marked dosing cup

3 years 45 days after first opening the bottle

Store in refrigerator between 36ndash46degF (2ndash 8degC) Alternatively can be stored at room temperature (25degC) for three months Discard any remaining solution after 3 months

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV One 200 mg capsule once daily in combination gt4 months 6 mgkg up to a maximum of 240 mg Adults FTC + AZT or d4T or TDF or ABC + EFV or with other antiretrovirals once daily in combination with other antiretrovirals NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 12

INDINAVIR (IDV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Crixivan Merck and Co Inc 400 mg capsule Bottles of 18 42 90 120 3 years Store at room $274 per capsule One Merck Drive 180 capsules with dessicant temperature 15ndash30degC

(FDA approved) Whitehouse Station NJ 08889 (59ndash86degF) $400 per patient per year

Tel 908-423-1000 Protect from moisture wwwmerckcom

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 800 mg (or two 400 mg capsules) every 8 hours Optimal dosing for pediatric patients has not been Adults IDV r + ddI or TDF + ABC or 3TC (plusmnAZT) in combination with other antiretrovirals established

Alternate second line IDV r + ddI + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 13

LAMIVUDINE (3TC) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Epivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328 wwwgskcom

150 mg tablet 60 tablets per HDPE bottle

60 tablets per blister pack

600 tablets per inner carton

Shipping carton Volume 06 ft3

24 months Store at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0087 per tablet

$64 per patient per year

GlaxoSmithKline 10 mgmL syrup 240 mL per HDPE bottle 24 months Do not store above 25degC $0023 per mL Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328

12 bottles per inner carton

10 mL oral dosing syringe and polyethylene adapter included

Discard oral solution one month after opening

$84 per patient per year

wwwgskcom Shipping carton Volume 37 ft3

Generic Products

Heptavir Hetero Drugs Ltd 150 mg tablet 60 tablets per HDPE bottle Do not store above 30degC $0073 per tablet Jeedimetla AP India

$53 per patient per year 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

+91 40 2371 4250 wwwheterodrugscom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 14

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Lamivirreg

(WHO prequalified)

Cipla Ltd Vikhroli India

Mumbai Central Mumbaindash400 008

50 mg5 mL solution 100 mL per PET bottle with syringe

240 mL bottle

35 bottles per shipper

24 months Store between 20ndash25˚C

Discard oral solution one month after opening

$0018 per mL

$66 per patient per year

India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

100 mg tablet 10 tablets per blister pack

60 tablets per inner carton

24 months Do not store above 30degC

+91 22 2307 0393 wwwciplacom

150 mg tablet 10 tablets per blister pack

60 tablets per inner carton

168 packs per shipping carton

Shipping carton Dimensions 455 x 280 x 250 mm Weight 151 kg

24 months Do not store above 30degC $0065 per tablet

$47 per patient per year

Lamivudine

(WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

150 mg tablet 60 tablets per HDPE bottle

10 tablets per blister pack

Do not store above 30degC $0071 per tablet

$5112 per patient per year

Lamivox

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal

150 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0059 tablet

$43 per patient per year

(FDA tentatively approved)

Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$155 per tablet

$56 per patient per year

10 mgmL 240 mL HDPE container

Pack contains a 20 mL measuring cup

18 months Do not store above 25degC $0009 per mL

$34 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 15

continued LAMIVUDINE

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Aspen Lamivudine

(WHO prequalified)

Aspen Pharmacare Aspen Park 98 Armstrong Avenue La Lucia Ridge Durban 4019 South Africa

150 mg tablet 60 tablets per plastic container securitainer metalised lay flat pack glass bottle

24 months Store below 25˚C $450

Tel +27 31 5808600 wwwaspenpharmacom

Matrix 150 mg tablet 60 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $320 per bottle

Anolam Virolam Avolam

(FDA tentatively approved)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

150 mg tablet 60 tablets per bottle

1440 tablets per inner carton (24 packs per inner carton)

14400 tablets per shipping carton (600 packs or 10 inner carton)

Shipping carton Dimensions 49 x 36 x 23 m Volume 0406 Weight 785

24 months Store below 25degC

Protect from moisture

$00517 per tablet

$43 per patient per year

World Health Organization recommended first and Adult Daily Dosage 300 mg daily or 150 mg twice daily in Pediatric Daily Dosage second line regimens combination with other antiretroviral agents lt 30 days 2 mgkg twice daily regimens using this ARV

gt 30 days to 12 years 4 mgkg twice daily up to a Adults Per Cipla adults weighing less than 50 kg 150 mg once daily maximum of 150 mg twice daily First line 3TC + AZT or d4T or TDF or ABC + EFV or NVP

Alternate first line 3TC + AZT or d4T + TDF or ABC Second line 3TC + ddI or TDF + PIr

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 16

Children First line 3TC + AZT or d4T or ABC + NVP or EFV Alternate first line 3TC + AZT or d4T + ABC

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 17

LAMIVUDINESTAVUDINE (3TCd4T) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

Virolis 30

Coviro - LS 30

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle

10 blister pack

24 months Store below 25degC

Protect from moisture

$00750 per tablet $124 per patient per year

Cipla Tablet containing 30rsquos bottle pack 24 months Store between 15ndash25˚C $0075 per capsule

150 mg lamivudine 1000rsquos bottle pack $5500 per patient per year

30 mg stavudine 96 pack per shipper

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C $425 per bottle

150 mg lamivudine 168 bottles per shipper

30 mg stavudine

Lamivudine Stavudine (WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle 24 months Store below 30degC

Protect from sunlight

$0075 per tablet $54 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 18

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV Patients ge 60 kg one 3TCd4T (40 mg) Patients ge 37 kg one 3TCd4T (30 mg) tablet twice Adults tablet twice daily in combination with other daily

First line d4T3TC + NVP or EFV antiretroviral agents

Alternate first line d4T3TC + TDF or ABC Patients lt 60 kg one 3TCd4T (30 mg) tablet twice daily in combination with other

Children antiretroviral agents d4T3TC + NVP or EFV

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 19

LAMIVUDINESTAVUDINENEVIRAPINE (3TCD4TNVP) NRTI amp NNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Originator Product

Generic Product

Triomune 30

(WHO prequalified)

Cipla Ltd Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Tablet containing 200 mg nevirapine

150 mg lamivudine

30 mg stavudine

30 tablets per bottle

60rsquos bottle pack

1000rsquos bottle pack

Container of 60 tablets

60 bottle pack

24 months

18 months

24 months

Store between 15ndash25˚C Protect from moisture

Store below 25˚C

Store between 15ndash25˚C

$0142 per tablet

$103 per patient per year

Each tablet contains stavudine 6 mg lamivudine 30 mg nevirapine 50 mg Tablet containing

lamivudine 60 mg 1000 bottle pack

stavudine 12 mg

nevirapine 100 mg

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

lamivudine 150 mg

stavudine 40 mg

nevirapine 200 mg

30 tablets 24 months Store below 30˚C

Protect from light

$014 per tablet

$10200 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 20

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Virolans 30 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryana) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

60 tablets per bottle 240 tablets per case 2400 tablets per shipping carton

Shipping carton Dimensions 45 x 03 x 025 m

12 months Store below 25degC Protect from moisture

$01283 per tablet

$219 per patient per year

wwwranbaxycom Volume 00338 m3

Weight 485

Virolans 40 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryan a) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 40 mg stavudine

60 tablets per bottle

240 tablets per case

2400 tablets per shipping carton

12 months Store below 25degC Protect from moisture

$01333 per tablet

$234 per patient per year

wwwranbaxycom Shipping carton Dimensions 45 x 03 x 025 m Volume 00338 Weight 485

Nevilast 30

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500 018 (AP) India q Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

10 tablets per blister pack

60 tablets per HDPE bottle $201 per tablet

$147 per patient per year

23714250 wwwheterodrugscom

World Health Organization recommended first line regimens using this ARV

Adults d4T3TCNVP

Children d4T3TCNVP

Adult Daily Dosage 1 tablet twice daily of 40 mg for patients gt 60 kg and 1 tablet twice daily of 30 mg for patients lt 60 kg in combination with other antiretroviral agents

Pediatric Daily Dosage The FDC is not recommended for pediatric patients or patients lt 50 kg

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 21

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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ESP 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Page 8: LOGISTICS FACT SHEETS:

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Matrix Laboratories Inc

Corporate Office Matrix Laboratories Limited 1ndash1-1511 4th Floor Sai Ram Towers

300 mg 60 tablets per bottle

Blister packs 10rsquos

24 months Store below 30˚C $0602 per tablet

$439 per person per year PEPFAR qualified (Tentatively approved 5 April 2007)

Alexander Road Secunderabad ndash 500 003 Phone +91-40-27700363 +91-40-66327722 Fax +91-40-27700343 Email matrixmatrixlabsindiacom

All facilities are USFDA approved

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 600 mg daily or 300 mg twice daily 8 mgkg twice daily (up to maximum of 300 mg twice daily) for Adults ABC + NVP or EFV + PIr adolescent and pediatric patients of 3 months to 16 years of

ABC + ddI or TDF+ PIr age

Children ABC + ddI + PIr

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 2

ABACAVIRLAMIVUDINE (ABC3TC) NRTI

Brand Name Manufacturer

Originator Product

Epzicomreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Research Triangle Park NC 27709 Tel 1-888-825-5249 wwwgskcom

Lamivudine is manufactured under agreement from Shire Pharmaceutical Group plc Basingstoke UK

StrengthForm

Tablet containing

abacavir sulfate 600 mg tablets

lamivudine 300 mg tablets

Packaging amp Shipping Information

30 tablets per bottle

Shelf Life Storage Conditions Price

Store at 25degC (77degF) excursions permitted to 15degndash 30degC (59degndash86degF)

$1858 per tablet

$678 per patient per year

World Health Organization recommended first line regimens Adult Daily Dosage 1 tablet daily Pediatric Daily Dosageusing this ARV

Adults ABC3TC + NVP or EFV

Alternate regimen ABC3TC + AZT or d4T

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 3

ABACAVIRLAMIVUDINEZIDOVUDINE (ABC3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Trizivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Ware Hertfordshire UK

Stockley Park West Uxbridge Middlesex UB11 1BT United Kingdom General Enquiries Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

Tablet containing

150 mg lamivudine

300 mg zidovudine

300 mg abacavir

60 tablets per HDPE bottle 24 months Store at 25degC (77degF)

Excursions to 15ndash30degC (59ndash 86degF) permitted

$0895 per tablet

$653 per patient per year

Generic Products

Aurobindo

PEPFAR qualified (Tentatively approved 26 July 2006)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Co-pack containing 60 + 60 tablets 24 months Store below 25˚C 1417 per tablet

150 mg lamivudine Contains blister card 10 + $517 per patient per year

300 mg zidovudine 10

With PVCPVdCaluminum foil

300 mg abacavir

World Health Organization recommended first line regimens using this ARV

This FDC is recommended as an alternate regimen when a triple NRTI approach because an NNRTI cannot be used

Adult Daily Dosage 1 tablet twice daily Do not administere to adolescents who weigh less than 40 kg

Pediatric Daily Dosage This FDC is not recommended for pediatric patients

Adults ABC + 3TC + ZDV

4 LOGISTICS FACT SHEETS ARV DRUGS JULY 2008

DIDANOSINE (ddl) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Videx Videx ECreg

(WHO prequalified)

(FDA approved)

Manufacturer

Bristol-Myers Squibb 3 Rue Joseph Monier BP 325 92506 Reil-Malmaison Cedex France

Tel +33 158 83 60 00 Fax +33 158 83 6565 94 wwwbmscom

125 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

200 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

note Production of 100 mg 150 mg and 200 mg Videx DDI tablets will continue for

250 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0677 per capsule

$247 per patient per year

ACCESS 400 mg delayedshy 30 capsules per HDPE bottle 24 Store capsules in tightly closed $0874 per countries for the release capsule months containers at 25degC (77degF) capsule next 9 to 12 months

Excursions to 15ndash30degC (59 ndash86degF) permitted

$319 per patient per year

Bristol-Myers Squibb PO Box 4500 Princeton NJ 08543-4500

2 g powder 4 ounce bottles Store between 15ndash30degC $315 per gram

$138 per patient per year

25 mg chewable 60 tablets per HDPE bottle 2 years Store between 15ndash30degC $0235 per tablet tablet $429 per patient

per year

50 mg chewable tablet

60 tablets per HDPE bottle Store between 15ndash30degC $0235 per tablet

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 5

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Generic Product

Didanosine

(FDA approved)

Barr Laboratories Inc Corporate Headquarters 223 Quaker Road Pomona NY 10970

Tel 845-362-1100 -or-

800-222-0190

200 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs

Fax 845-362-2774 250 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs

400 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs Didanosine

PEPFAR qualified (Tentatively approved 10 July 2006)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

100 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0150 per tablet

$219 per patient per year

150 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0225 per tablet

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 6

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

200 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0308 per tablet

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 400 mg for patients ge 60 kg in combination with other gt 3 months 50 mgm2 twice daily

antiretroviral agents Adults 3 to 13 years 90ndash120 mgm2 twice daily

Second line ddI + ABC or 3TC (plusmn AZT) + PIr Alternate second line regimen ddI + EFV or NVP + PIr

250 mg for patients le 60 kg in combination with other antiretroviral agents

Maximum dose 200 mgdose twice daily

Children Videx EC should not be used by pediatric Second line ddI + ABC or AZT or EFV or NVP + PIr patients

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 7

EFAVIRENZ (EFV) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Sustivacopy

(FDA approved)

Bristol-Myers Squibb Princeton NJ 08543 USA

50 mg capsule 30 capsules per bottle 36 months Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0116 per capsule

$169 per patient per year

Internationally marketed as Stocrin licensed by Merck

Tel +1 800 426 7644 +1 800 631 5244

wwwbmscom

200 mg capsule 90 capsules per bottle 3 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0457 per capsule

$500 per patient per year

600 mg film-coated tablet

30 tablets per bottle 2 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$095 per tablet

$347 per patient per year

100 mg capsule 30 tablets per bottle Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

Generic Product

Efavir Cipla 600 mg capsule 600 mg bottle 24 months Store between 20ndash25˚C $0467 per capsule

96 packs per shipper

30rsquos bottle pack

$170 per patient per year

500rsquos bottle pack

Ranbax Labs 600 mg tablets 60rsquos HDPE bottle 24 months Store below 25˚C $02083 per tablet

Sahib India 10rsquos cold form blister pack

Tel +91(1704)222834 222720 10rsquos PVdCPEPVC blister 222719 pack

60rsquos HDPE bottle

10rsquos cold form blister pack

24 months Store below 25˚C in original package

$02500 per tablet200 mg tablets

10rsquos PVdCPEPVC blister pack

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 8

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Stocrin Merck Sharp amp Dohme (Australia) Pty Limited ABN 14 000 173 508 54-68 Ferndell Street SOUTH GRANVILLE NSW

50 mg tablet 30 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

2142 200 mg tablet 90 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

Strides S-No 367 Suragajkkanahalli Indlavadi Cross Anekal Taluk Banglore-562106 India

600 mg tablets 20 tablets per bottle 24 months Store below 30˚C

Protect from light and keep in closed container

$0500 per pill

$18000 per patient per year

Matrix 600 mg tablets 30 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $13 per bottle

Viranzcopy

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

600 mg capsules 30 capsules per bottle

30 capsules per bottle

90 capsules per bottle

30 capsules per bottle

24 months

24 months

24 months

24 months

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

$55 per tablet

$201 per patient per year

$0175 per capsule

$0206 per capsule

$226 per patient per year

$0093 per capsule

100 mg capsules

200 mg capsules

50 mg capsules

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 9

World Health Organization recommended first and Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 600 mg daily in combination with a protease inhibitor andor nucleoside 10 to lt 14 kg 200 mg

analogue reverse transcriptase inhibitors 14 to lt 20 kg 250 mg Adults 20 to lt 25 kg 300 mg First line EFV + 3TC o r FTC + AZT or d4T or TDF or 25 to lt 30 kg 350 mg

ABC 30 to lt 40 kg 400 mg Alternate second line EFV + PIr + ddI gt40 kg 600 mg

Children First line EFV + 3TC + AZT or d4T or ABC Second line EFV + ddI + PIr

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 10

EMTRICITBINE + TENOFOVIR (FTC + TDF) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Truvada Gilead Sciences Inc Tablet contains HDPE bottle with 30 tablets Store below 25degC (77degF) $0875 per tablet 333 Lakeside Drive Foster City California 94404 USA

200 mg emtricitabine

300 mg tenofivir $319 per patient per year

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV One tablet of 3TC AZT twice a daily and one Formulation is not designed for children Adults FTC+ AZT or d4T + EFV or NVP tablet of EFV daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 11

EMTRICITABINE (FTC) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Emtriva

(FDA approved)

Gilead Sciences Inc 333 Lakeside Drive Foster City California 94404 USA

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccess gileadcom wwwgileadcom

200 mg capsule 30 capsules per bottle

30 capsules per blister pack

2 years Store at room temperature between 39ndash 86degF (15ndash30degC)

10 mgmL oral solution

170 mL bottles including a marked dosing cup

3 years 45 days after first opening the bottle

Store in refrigerator between 36ndash46degF (2ndash 8degC) Alternatively can be stored at room temperature (25degC) for three months Discard any remaining solution after 3 months

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV One 200 mg capsule once daily in combination gt4 months 6 mgkg up to a maximum of 240 mg Adults FTC + AZT or d4T or TDF or ABC + EFV or with other antiretrovirals once daily in combination with other antiretrovirals NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 12

INDINAVIR (IDV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Crixivan Merck and Co Inc 400 mg capsule Bottles of 18 42 90 120 3 years Store at room $274 per capsule One Merck Drive 180 capsules with dessicant temperature 15ndash30degC

(FDA approved) Whitehouse Station NJ 08889 (59ndash86degF) $400 per patient per year

Tel 908-423-1000 Protect from moisture wwwmerckcom

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 800 mg (or two 400 mg capsules) every 8 hours Optimal dosing for pediatric patients has not been Adults IDV r + ddI or TDF + ABC or 3TC (plusmnAZT) in combination with other antiretrovirals established

Alternate second line IDV r + ddI + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 13

LAMIVUDINE (3TC) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Epivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328 wwwgskcom

150 mg tablet 60 tablets per HDPE bottle

60 tablets per blister pack

600 tablets per inner carton

Shipping carton Volume 06 ft3

24 months Store at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0087 per tablet

$64 per patient per year

GlaxoSmithKline 10 mgmL syrup 240 mL per HDPE bottle 24 months Do not store above 25degC $0023 per mL Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328

12 bottles per inner carton

10 mL oral dosing syringe and polyethylene adapter included

Discard oral solution one month after opening

$84 per patient per year

wwwgskcom Shipping carton Volume 37 ft3

Generic Products

Heptavir Hetero Drugs Ltd 150 mg tablet 60 tablets per HDPE bottle Do not store above 30degC $0073 per tablet Jeedimetla AP India

$53 per patient per year 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

+91 40 2371 4250 wwwheterodrugscom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 14

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Lamivirreg

(WHO prequalified)

Cipla Ltd Vikhroli India

Mumbai Central Mumbaindash400 008

50 mg5 mL solution 100 mL per PET bottle with syringe

240 mL bottle

35 bottles per shipper

24 months Store between 20ndash25˚C

Discard oral solution one month after opening

$0018 per mL

$66 per patient per year

India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

100 mg tablet 10 tablets per blister pack

60 tablets per inner carton

24 months Do not store above 30degC

+91 22 2307 0393 wwwciplacom

150 mg tablet 10 tablets per blister pack

60 tablets per inner carton

168 packs per shipping carton

Shipping carton Dimensions 455 x 280 x 250 mm Weight 151 kg

24 months Do not store above 30degC $0065 per tablet

$47 per patient per year

Lamivudine

(WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

150 mg tablet 60 tablets per HDPE bottle

10 tablets per blister pack

Do not store above 30degC $0071 per tablet

$5112 per patient per year

Lamivox

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal

150 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0059 tablet

$43 per patient per year

(FDA tentatively approved)

Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$155 per tablet

$56 per patient per year

10 mgmL 240 mL HDPE container

Pack contains a 20 mL measuring cup

18 months Do not store above 25degC $0009 per mL

$34 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 15

continued LAMIVUDINE

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Aspen Lamivudine

(WHO prequalified)

Aspen Pharmacare Aspen Park 98 Armstrong Avenue La Lucia Ridge Durban 4019 South Africa

150 mg tablet 60 tablets per plastic container securitainer metalised lay flat pack glass bottle

24 months Store below 25˚C $450

Tel +27 31 5808600 wwwaspenpharmacom

Matrix 150 mg tablet 60 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $320 per bottle

Anolam Virolam Avolam

(FDA tentatively approved)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

150 mg tablet 60 tablets per bottle

1440 tablets per inner carton (24 packs per inner carton)

14400 tablets per shipping carton (600 packs or 10 inner carton)

Shipping carton Dimensions 49 x 36 x 23 m Volume 0406 Weight 785

24 months Store below 25degC

Protect from moisture

$00517 per tablet

$43 per patient per year

World Health Organization recommended first and Adult Daily Dosage 300 mg daily or 150 mg twice daily in Pediatric Daily Dosage second line regimens combination with other antiretroviral agents lt 30 days 2 mgkg twice daily regimens using this ARV

gt 30 days to 12 years 4 mgkg twice daily up to a Adults Per Cipla adults weighing less than 50 kg 150 mg once daily maximum of 150 mg twice daily First line 3TC + AZT or d4T or TDF or ABC + EFV or NVP

Alternate first line 3TC + AZT or d4T + TDF or ABC Second line 3TC + ddI or TDF + PIr

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 16

Children First line 3TC + AZT or d4T or ABC + NVP or EFV Alternate first line 3TC + AZT or d4T + ABC

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 17

LAMIVUDINESTAVUDINE (3TCd4T) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

Virolis 30

Coviro - LS 30

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle

10 blister pack

24 months Store below 25degC

Protect from moisture

$00750 per tablet $124 per patient per year

Cipla Tablet containing 30rsquos bottle pack 24 months Store between 15ndash25˚C $0075 per capsule

150 mg lamivudine 1000rsquos bottle pack $5500 per patient per year

30 mg stavudine 96 pack per shipper

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C $425 per bottle

150 mg lamivudine 168 bottles per shipper

30 mg stavudine

Lamivudine Stavudine (WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle 24 months Store below 30degC

Protect from sunlight

$0075 per tablet $54 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 18

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV Patients ge 60 kg one 3TCd4T (40 mg) Patients ge 37 kg one 3TCd4T (30 mg) tablet twice Adults tablet twice daily in combination with other daily

First line d4T3TC + NVP or EFV antiretroviral agents

Alternate first line d4T3TC + TDF or ABC Patients lt 60 kg one 3TCd4T (30 mg) tablet twice daily in combination with other

Children antiretroviral agents d4T3TC + NVP or EFV

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 19

LAMIVUDINESTAVUDINENEVIRAPINE (3TCD4TNVP) NRTI amp NNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Originator Product

Generic Product

Triomune 30

(WHO prequalified)

Cipla Ltd Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Tablet containing 200 mg nevirapine

150 mg lamivudine

30 mg stavudine

30 tablets per bottle

60rsquos bottle pack

1000rsquos bottle pack

Container of 60 tablets

60 bottle pack

24 months

18 months

24 months

Store between 15ndash25˚C Protect from moisture

Store below 25˚C

Store between 15ndash25˚C

$0142 per tablet

$103 per patient per year

Each tablet contains stavudine 6 mg lamivudine 30 mg nevirapine 50 mg Tablet containing

lamivudine 60 mg 1000 bottle pack

stavudine 12 mg

nevirapine 100 mg

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

lamivudine 150 mg

stavudine 40 mg

nevirapine 200 mg

30 tablets 24 months Store below 30˚C

Protect from light

$014 per tablet

$10200 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 20

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Virolans 30 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryana) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

60 tablets per bottle 240 tablets per case 2400 tablets per shipping carton

Shipping carton Dimensions 45 x 03 x 025 m

12 months Store below 25degC Protect from moisture

$01283 per tablet

$219 per patient per year

wwwranbaxycom Volume 00338 m3

Weight 485

Virolans 40 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryan a) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 40 mg stavudine

60 tablets per bottle

240 tablets per case

2400 tablets per shipping carton

12 months Store below 25degC Protect from moisture

$01333 per tablet

$234 per patient per year

wwwranbaxycom Shipping carton Dimensions 45 x 03 x 025 m Volume 00338 Weight 485

Nevilast 30

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500 018 (AP) India q Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

10 tablets per blister pack

60 tablets per HDPE bottle $201 per tablet

$147 per patient per year

23714250 wwwheterodrugscom

World Health Organization recommended first line regimens using this ARV

Adults d4T3TCNVP

Children d4T3TCNVP

Adult Daily Dosage 1 tablet twice daily of 40 mg for patients gt 60 kg and 1 tablet twice daily of 30 mg for patients lt 60 kg in combination with other antiretroviral agents

Pediatric Daily Dosage The FDC is not recommended for pediatric patients or patients lt 50 kg

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 21

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP 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 FRA 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ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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ltFEFF004b00e40079007400e40020006e00e40069007400e4002000610073006500740075006b007300690061002c0020006b0075006e0020006c0075006f0074002000410064006f0062006500200050004400460020002d0064006f006b0075006d0065006e007400740065006a00610020006c0061006100640075006b006100730074006100200074007900f6007000f60079007400e400740075006c006f0073007400750073007400610020006a00610020007600650064006f007300740075007300740061002000760061007200740065006e002e00200020004c0075006f0064007500740020005000440046002d0064006f006b0075006d0065006e00740069007400200076006f0069006400610061006e0020006100760061007400610020004100630072006f0062006100740069006c006c00610020006a0061002000410064006f00620065002000520065006100640065007200200035002e0030003a006c006c00610020006a006100200075007500640065006d006d0069006c006c0061002egt SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 9: LOGISTICS FACT SHEETS:

ABACAVIRLAMIVUDINE (ABC3TC) NRTI

Brand Name Manufacturer

Originator Product

Epzicomreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Research Triangle Park NC 27709 Tel 1-888-825-5249 wwwgskcom

Lamivudine is manufactured under agreement from Shire Pharmaceutical Group plc Basingstoke UK

StrengthForm

Tablet containing

abacavir sulfate 600 mg tablets

lamivudine 300 mg tablets

Packaging amp Shipping Information

30 tablets per bottle

Shelf Life Storage Conditions Price

Store at 25degC (77degF) excursions permitted to 15degndash 30degC (59degndash86degF)

$1858 per tablet

$678 per patient per year

World Health Organization recommended first line regimens Adult Daily Dosage 1 tablet daily Pediatric Daily Dosageusing this ARV

Adults ABC3TC + NVP or EFV

Alternate regimen ABC3TC + AZT or d4T

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 3

ABACAVIRLAMIVUDINEZIDOVUDINE (ABC3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Trizivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Ware Hertfordshire UK

Stockley Park West Uxbridge Middlesex UB11 1BT United Kingdom General Enquiries Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

Tablet containing

150 mg lamivudine

300 mg zidovudine

300 mg abacavir

60 tablets per HDPE bottle 24 months Store at 25degC (77degF)

Excursions to 15ndash30degC (59ndash 86degF) permitted

$0895 per tablet

$653 per patient per year

Generic Products

Aurobindo

PEPFAR qualified (Tentatively approved 26 July 2006)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Co-pack containing 60 + 60 tablets 24 months Store below 25˚C 1417 per tablet

150 mg lamivudine Contains blister card 10 + $517 per patient per year

300 mg zidovudine 10

With PVCPVdCaluminum foil

300 mg abacavir

World Health Organization recommended first line regimens using this ARV

This FDC is recommended as an alternate regimen when a triple NRTI approach because an NNRTI cannot be used

Adult Daily Dosage 1 tablet twice daily Do not administere to adolescents who weigh less than 40 kg

Pediatric Daily Dosage This FDC is not recommended for pediatric patients

Adults ABC + 3TC + ZDV

4 LOGISTICS FACT SHEETS ARV DRUGS JULY 2008

DIDANOSINE (ddl) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Videx Videx ECreg

(WHO prequalified)

(FDA approved)

Manufacturer

Bristol-Myers Squibb 3 Rue Joseph Monier BP 325 92506 Reil-Malmaison Cedex France

Tel +33 158 83 60 00 Fax +33 158 83 6565 94 wwwbmscom

125 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

200 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

note Production of 100 mg 150 mg and 200 mg Videx DDI tablets will continue for

250 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0677 per capsule

$247 per patient per year

ACCESS 400 mg delayedshy 30 capsules per HDPE bottle 24 Store capsules in tightly closed $0874 per countries for the release capsule months containers at 25degC (77degF) capsule next 9 to 12 months

Excursions to 15ndash30degC (59 ndash86degF) permitted

$319 per patient per year

Bristol-Myers Squibb PO Box 4500 Princeton NJ 08543-4500

2 g powder 4 ounce bottles Store between 15ndash30degC $315 per gram

$138 per patient per year

25 mg chewable 60 tablets per HDPE bottle 2 years Store between 15ndash30degC $0235 per tablet tablet $429 per patient

per year

50 mg chewable tablet

60 tablets per HDPE bottle Store between 15ndash30degC $0235 per tablet

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 5

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Generic Product

Didanosine

(FDA approved)

Barr Laboratories Inc Corporate Headquarters 223 Quaker Road Pomona NY 10970

Tel 845-362-1100 -or-

800-222-0190

200 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs

Fax 845-362-2774 250 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs

400 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs Didanosine

PEPFAR qualified (Tentatively approved 10 July 2006)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

100 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0150 per tablet

$219 per patient per year

150 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0225 per tablet

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 6

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

200 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0308 per tablet

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 400 mg for patients ge 60 kg in combination with other gt 3 months 50 mgm2 twice daily

antiretroviral agents Adults 3 to 13 years 90ndash120 mgm2 twice daily

Second line ddI + ABC or 3TC (plusmn AZT) + PIr Alternate second line regimen ddI + EFV or NVP + PIr

250 mg for patients le 60 kg in combination with other antiretroviral agents

Maximum dose 200 mgdose twice daily

Children Videx EC should not be used by pediatric Second line ddI + ABC or AZT or EFV or NVP + PIr patients

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 7

EFAVIRENZ (EFV) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Sustivacopy

(FDA approved)

Bristol-Myers Squibb Princeton NJ 08543 USA

50 mg capsule 30 capsules per bottle 36 months Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0116 per capsule

$169 per patient per year

Internationally marketed as Stocrin licensed by Merck

Tel +1 800 426 7644 +1 800 631 5244

wwwbmscom

200 mg capsule 90 capsules per bottle 3 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0457 per capsule

$500 per patient per year

600 mg film-coated tablet

30 tablets per bottle 2 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$095 per tablet

$347 per patient per year

100 mg capsule 30 tablets per bottle Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

Generic Product

Efavir Cipla 600 mg capsule 600 mg bottle 24 months Store between 20ndash25˚C $0467 per capsule

96 packs per shipper

30rsquos bottle pack

$170 per patient per year

500rsquos bottle pack

Ranbax Labs 600 mg tablets 60rsquos HDPE bottle 24 months Store below 25˚C $02083 per tablet

Sahib India 10rsquos cold form blister pack

Tel +91(1704)222834 222720 10rsquos PVdCPEPVC blister 222719 pack

60rsquos HDPE bottle

10rsquos cold form blister pack

24 months Store below 25˚C in original package

$02500 per tablet200 mg tablets

10rsquos PVdCPEPVC blister pack

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 8

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Stocrin Merck Sharp amp Dohme (Australia) Pty Limited ABN 14 000 173 508 54-68 Ferndell Street SOUTH GRANVILLE NSW

50 mg tablet 30 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

2142 200 mg tablet 90 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

Strides S-No 367 Suragajkkanahalli Indlavadi Cross Anekal Taluk Banglore-562106 India

600 mg tablets 20 tablets per bottle 24 months Store below 30˚C

Protect from light and keep in closed container

$0500 per pill

$18000 per patient per year

Matrix 600 mg tablets 30 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $13 per bottle

Viranzcopy

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

600 mg capsules 30 capsules per bottle

30 capsules per bottle

90 capsules per bottle

30 capsules per bottle

24 months

24 months

24 months

24 months

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

$55 per tablet

$201 per patient per year

$0175 per capsule

$0206 per capsule

$226 per patient per year

$0093 per capsule

100 mg capsules

200 mg capsules

50 mg capsules

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 9

World Health Organization recommended first and Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 600 mg daily in combination with a protease inhibitor andor nucleoside 10 to lt 14 kg 200 mg

analogue reverse transcriptase inhibitors 14 to lt 20 kg 250 mg Adults 20 to lt 25 kg 300 mg First line EFV + 3TC o r FTC + AZT or d4T or TDF or 25 to lt 30 kg 350 mg

ABC 30 to lt 40 kg 400 mg Alternate second line EFV + PIr + ddI gt40 kg 600 mg

Children First line EFV + 3TC + AZT or d4T or ABC Second line EFV + ddI + PIr

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 10

EMTRICITBINE + TENOFOVIR (FTC + TDF) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Truvada Gilead Sciences Inc Tablet contains HDPE bottle with 30 tablets Store below 25degC (77degF) $0875 per tablet 333 Lakeside Drive Foster City California 94404 USA

200 mg emtricitabine

300 mg tenofivir $319 per patient per year

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV One tablet of 3TC AZT twice a daily and one Formulation is not designed for children Adults FTC+ AZT or d4T + EFV or NVP tablet of EFV daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 11

EMTRICITABINE (FTC) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Emtriva

(FDA approved)

Gilead Sciences Inc 333 Lakeside Drive Foster City California 94404 USA

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccess gileadcom wwwgileadcom

200 mg capsule 30 capsules per bottle

30 capsules per blister pack

2 years Store at room temperature between 39ndash 86degF (15ndash30degC)

10 mgmL oral solution

170 mL bottles including a marked dosing cup

3 years 45 days after first opening the bottle

Store in refrigerator between 36ndash46degF (2ndash 8degC) Alternatively can be stored at room temperature (25degC) for three months Discard any remaining solution after 3 months

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV One 200 mg capsule once daily in combination gt4 months 6 mgkg up to a maximum of 240 mg Adults FTC + AZT or d4T or TDF or ABC + EFV or with other antiretrovirals once daily in combination with other antiretrovirals NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 12

INDINAVIR (IDV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Crixivan Merck and Co Inc 400 mg capsule Bottles of 18 42 90 120 3 years Store at room $274 per capsule One Merck Drive 180 capsules with dessicant temperature 15ndash30degC

(FDA approved) Whitehouse Station NJ 08889 (59ndash86degF) $400 per patient per year

Tel 908-423-1000 Protect from moisture wwwmerckcom

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 800 mg (or two 400 mg capsules) every 8 hours Optimal dosing for pediatric patients has not been Adults IDV r + ddI or TDF + ABC or 3TC (plusmnAZT) in combination with other antiretrovirals established

Alternate second line IDV r + ddI + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 13

LAMIVUDINE (3TC) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Epivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328 wwwgskcom

150 mg tablet 60 tablets per HDPE bottle

60 tablets per blister pack

600 tablets per inner carton

Shipping carton Volume 06 ft3

24 months Store at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0087 per tablet

$64 per patient per year

GlaxoSmithKline 10 mgmL syrup 240 mL per HDPE bottle 24 months Do not store above 25degC $0023 per mL Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328

12 bottles per inner carton

10 mL oral dosing syringe and polyethylene adapter included

Discard oral solution one month after opening

$84 per patient per year

wwwgskcom Shipping carton Volume 37 ft3

Generic Products

Heptavir Hetero Drugs Ltd 150 mg tablet 60 tablets per HDPE bottle Do not store above 30degC $0073 per tablet Jeedimetla AP India

$53 per patient per year 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

+91 40 2371 4250 wwwheterodrugscom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 14

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Lamivirreg

(WHO prequalified)

Cipla Ltd Vikhroli India

Mumbai Central Mumbaindash400 008

50 mg5 mL solution 100 mL per PET bottle with syringe

240 mL bottle

35 bottles per shipper

24 months Store between 20ndash25˚C

Discard oral solution one month after opening

$0018 per mL

$66 per patient per year

India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

100 mg tablet 10 tablets per blister pack

60 tablets per inner carton

24 months Do not store above 30degC

+91 22 2307 0393 wwwciplacom

150 mg tablet 10 tablets per blister pack

60 tablets per inner carton

168 packs per shipping carton

Shipping carton Dimensions 455 x 280 x 250 mm Weight 151 kg

24 months Do not store above 30degC $0065 per tablet

$47 per patient per year

Lamivudine

(WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

150 mg tablet 60 tablets per HDPE bottle

10 tablets per blister pack

Do not store above 30degC $0071 per tablet

$5112 per patient per year

Lamivox

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal

150 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0059 tablet

$43 per patient per year

(FDA tentatively approved)

Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$155 per tablet

$56 per patient per year

10 mgmL 240 mL HDPE container

Pack contains a 20 mL measuring cup

18 months Do not store above 25degC $0009 per mL

$34 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 15

continued LAMIVUDINE

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Aspen Lamivudine

(WHO prequalified)

Aspen Pharmacare Aspen Park 98 Armstrong Avenue La Lucia Ridge Durban 4019 South Africa

150 mg tablet 60 tablets per plastic container securitainer metalised lay flat pack glass bottle

24 months Store below 25˚C $450

Tel +27 31 5808600 wwwaspenpharmacom

Matrix 150 mg tablet 60 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $320 per bottle

Anolam Virolam Avolam

(FDA tentatively approved)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

150 mg tablet 60 tablets per bottle

1440 tablets per inner carton (24 packs per inner carton)

14400 tablets per shipping carton (600 packs or 10 inner carton)

Shipping carton Dimensions 49 x 36 x 23 m Volume 0406 Weight 785

24 months Store below 25degC

Protect from moisture

$00517 per tablet

$43 per patient per year

World Health Organization recommended first and Adult Daily Dosage 300 mg daily or 150 mg twice daily in Pediatric Daily Dosage second line regimens combination with other antiretroviral agents lt 30 days 2 mgkg twice daily regimens using this ARV

gt 30 days to 12 years 4 mgkg twice daily up to a Adults Per Cipla adults weighing less than 50 kg 150 mg once daily maximum of 150 mg twice daily First line 3TC + AZT or d4T or TDF or ABC + EFV or NVP

Alternate first line 3TC + AZT or d4T + TDF or ABC Second line 3TC + ddI or TDF + PIr

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 16

Children First line 3TC + AZT or d4T or ABC + NVP or EFV Alternate first line 3TC + AZT or d4T + ABC

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 17

LAMIVUDINESTAVUDINE (3TCd4T) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

Virolis 30

Coviro - LS 30

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle

10 blister pack

24 months Store below 25degC

Protect from moisture

$00750 per tablet $124 per patient per year

Cipla Tablet containing 30rsquos bottle pack 24 months Store between 15ndash25˚C $0075 per capsule

150 mg lamivudine 1000rsquos bottle pack $5500 per patient per year

30 mg stavudine 96 pack per shipper

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C $425 per bottle

150 mg lamivudine 168 bottles per shipper

30 mg stavudine

Lamivudine Stavudine (WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle 24 months Store below 30degC

Protect from sunlight

$0075 per tablet $54 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 18

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV Patients ge 60 kg one 3TCd4T (40 mg) Patients ge 37 kg one 3TCd4T (30 mg) tablet twice Adults tablet twice daily in combination with other daily

First line d4T3TC + NVP or EFV antiretroviral agents

Alternate first line d4T3TC + TDF or ABC Patients lt 60 kg one 3TCd4T (30 mg) tablet twice daily in combination with other

Children antiretroviral agents d4T3TC + NVP or EFV

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 19

LAMIVUDINESTAVUDINENEVIRAPINE (3TCD4TNVP) NRTI amp NNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Originator Product

Generic Product

Triomune 30

(WHO prequalified)

Cipla Ltd Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Tablet containing 200 mg nevirapine

150 mg lamivudine

30 mg stavudine

30 tablets per bottle

60rsquos bottle pack

1000rsquos bottle pack

Container of 60 tablets

60 bottle pack

24 months

18 months

24 months

Store between 15ndash25˚C Protect from moisture

Store below 25˚C

Store between 15ndash25˚C

$0142 per tablet

$103 per patient per year

Each tablet contains stavudine 6 mg lamivudine 30 mg nevirapine 50 mg Tablet containing

lamivudine 60 mg 1000 bottle pack

stavudine 12 mg

nevirapine 100 mg

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

lamivudine 150 mg

stavudine 40 mg

nevirapine 200 mg

30 tablets 24 months Store below 30˚C

Protect from light

$014 per tablet

$10200 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 20

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Virolans 30 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryana) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

60 tablets per bottle 240 tablets per case 2400 tablets per shipping carton

Shipping carton Dimensions 45 x 03 x 025 m

12 months Store below 25degC Protect from moisture

$01283 per tablet

$219 per patient per year

wwwranbaxycom Volume 00338 m3

Weight 485

Virolans 40 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryan a) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 40 mg stavudine

60 tablets per bottle

240 tablets per case

2400 tablets per shipping carton

12 months Store below 25degC Protect from moisture

$01333 per tablet

$234 per patient per year

wwwranbaxycom Shipping carton Dimensions 45 x 03 x 025 m Volume 00338 Weight 485

Nevilast 30

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500 018 (AP) India q Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

10 tablets per blister pack

60 tablets per HDPE bottle $201 per tablet

$147 per patient per year

23714250 wwwheterodrugscom

World Health Organization recommended first line regimens using this ARV

Adults d4T3TCNVP

Children d4T3TCNVP

Adult Daily Dosage 1 tablet twice daily of 40 mg for patients gt 60 kg and 1 tablet twice daily of 30 mg for patients lt 60 kg in combination with other antiretroviral agents

Pediatric Daily Dosage The FDC is not recommended for pediatric patients or patients lt 50 kg

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 21

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT 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 ESP 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 FRA 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ITA 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 JPN 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 KOR 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UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 10: LOGISTICS FACT SHEETS:

ABACAVIRLAMIVUDINEZIDOVUDINE (ABC3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Trizivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Ware Hertfordshire UK

Stockley Park West Uxbridge Middlesex UB11 1BT United Kingdom General Enquiries Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

Tablet containing

150 mg lamivudine

300 mg zidovudine

300 mg abacavir

60 tablets per HDPE bottle 24 months Store at 25degC (77degF)

Excursions to 15ndash30degC (59ndash 86degF) permitted

$0895 per tablet

$653 per patient per year

Generic Products

Aurobindo

PEPFAR qualified (Tentatively approved 26 July 2006)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Co-pack containing 60 + 60 tablets 24 months Store below 25˚C 1417 per tablet

150 mg lamivudine Contains blister card 10 + $517 per patient per year

300 mg zidovudine 10

With PVCPVdCaluminum foil

300 mg abacavir

World Health Organization recommended first line regimens using this ARV

This FDC is recommended as an alternate regimen when a triple NRTI approach because an NNRTI cannot be used

Adult Daily Dosage 1 tablet twice daily Do not administere to adolescents who weigh less than 40 kg

Pediatric Daily Dosage This FDC is not recommended for pediatric patients

Adults ABC + 3TC + ZDV

4 LOGISTICS FACT SHEETS ARV DRUGS JULY 2008

DIDANOSINE (ddl) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Videx Videx ECreg

(WHO prequalified)

(FDA approved)

Manufacturer

Bristol-Myers Squibb 3 Rue Joseph Monier BP 325 92506 Reil-Malmaison Cedex France

Tel +33 158 83 60 00 Fax +33 158 83 6565 94 wwwbmscom

125 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

200 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

note Production of 100 mg 150 mg and 200 mg Videx DDI tablets will continue for

250 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0677 per capsule

$247 per patient per year

ACCESS 400 mg delayedshy 30 capsules per HDPE bottle 24 Store capsules in tightly closed $0874 per countries for the release capsule months containers at 25degC (77degF) capsule next 9 to 12 months

Excursions to 15ndash30degC (59 ndash86degF) permitted

$319 per patient per year

Bristol-Myers Squibb PO Box 4500 Princeton NJ 08543-4500

2 g powder 4 ounce bottles Store between 15ndash30degC $315 per gram

$138 per patient per year

25 mg chewable 60 tablets per HDPE bottle 2 years Store between 15ndash30degC $0235 per tablet tablet $429 per patient

per year

50 mg chewable tablet

60 tablets per HDPE bottle Store between 15ndash30degC $0235 per tablet

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 5

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Generic Product

Didanosine

(FDA approved)

Barr Laboratories Inc Corporate Headquarters 223 Quaker Road Pomona NY 10970

Tel 845-362-1100 -or-

800-222-0190

200 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs

Fax 845-362-2774 250 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs

400 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs Didanosine

PEPFAR qualified (Tentatively approved 10 July 2006)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

100 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0150 per tablet

$219 per patient per year

150 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0225 per tablet

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 6

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

200 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0308 per tablet

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 400 mg for patients ge 60 kg in combination with other gt 3 months 50 mgm2 twice daily

antiretroviral agents Adults 3 to 13 years 90ndash120 mgm2 twice daily

Second line ddI + ABC or 3TC (plusmn AZT) + PIr Alternate second line regimen ddI + EFV or NVP + PIr

250 mg for patients le 60 kg in combination with other antiretroviral agents

Maximum dose 200 mgdose twice daily

Children Videx EC should not be used by pediatric Second line ddI + ABC or AZT or EFV or NVP + PIr patients

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 7

EFAVIRENZ (EFV) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Sustivacopy

(FDA approved)

Bristol-Myers Squibb Princeton NJ 08543 USA

50 mg capsule 30 capsules per bottle 36 months Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0116 per capsule

$169 per patient per year

Internationally marketed as Stocrin licensed by Merck

Tel +1 800 426 7644 +1 800 631 5244

wwwbmscom

200 mg capsule 90 capsules per bottle 3 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0457 per capsule

$500 per patient per year

600 mg film-coated tablet

30 tablets per bottle 2 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$095 per tablet

$347 per patient per year

100 mg capsule 30 tablets per bottle Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

Generic Product

Efavir Cipla 600 mg capsule 600 mg bottle 24 months Store between 20ndash25˚C $0467 per capsule

96 packs per shipper

30rsquos bottle pack

$170 per patient per year

500rsquos bottle pack

Ranbax Labs 600 mg tablets 60rsquos HDPE bottle 24 months Store below 25˚C $02083 per tablet

Sahib India 10rsquos cold form blister pack

Tel +91(1704)222834 222720 10rsquos PVdCPEPVC blister 222719 pack

60rsquos HDPE bottle

10rsquos cold form blister pack

24 months Store below 25˚C in original package

$02500 per tablet200 mg tablets

10rsquos PVdCPEPVC blister pack

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 8

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Stocrin Merck Sharp amp Dohme (Australia) Pty Limited ABN 14 000 173 508 54-68 Ferndell Street SOUTH GRANVILLE NSW

50 mg tablet 30 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

2142 200 mg tablet 90 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

Strides S-No 367 Suragajkkanahalli Indlavadi Cross Anekal Taluk Banglore-562106 India

600 mg tablets 20 tablets per bottle 24 months Store below 30˚C

Protect from light and keep in closed container

$0500 per pill

$18000 per patient per year

Matrix 600 mg tablets 30 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $13 per bottle

Viranzcopy

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

600 mg capsules 30 capsules per bottle

30 capsules per bottle

90 capsules per bottle

30 capsules per bottle

24 months

24 months

24 months

24 months

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

$55 per tablet

$201 per patient per year

$0175 per capsule

$0206 per capsule

$226 per patient per year

$0093 per capsule

100 mg capsules

200 mg capsules

50 mg capsules

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 9

World Health Organization recommended first and Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 600 mg daily in combination with a protease inhibitor andor nucleoside 10 to lt 14 kg 200 mg

analogue reverse transcriptase inhibitors 14 to lt 20 kg 250 mg Adults 20 to lt 25 kg 300 mg First line EFV + 3TC o r FTC + AZT or d4T or TDF or 25 to lt 30 kg 350 mg

ABC 30 to lt 40 kg 400 mg Alternate second line EFV + PIr + ddI gt40 kg 600 mg

Children First line EFV + 3TC + AZT or d4T or ABC Second line EFV + ddI + PIr

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 10

EMTRICITBINE + TENOFOVIR (FTC + TDF) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Truvada Gilead Sciences Inc Tablet contains HDPE bottle with 30 tablets Store below 25degC (77degF) $0875 per tablet 333 Lakeside Drive Foster City California 94404 USA

200 mg emtricitabine

300 mg tenofivir $319 per patient per year

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV One tablet of 3TC AZT twice a daily and one Formulation is not designed for children Adults FTC+ AZT or d4T + EFV or NVP tablet of EFV daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 11

EMTRICITABINE (FTC) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Emtriva

(FDA approved)

Gilead Sciences Inc 333 Lakeside Drive Foster City California 94404 USA

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccess gileadcom wwwgileadcom

200 mg capsule 30 capsules per bottle

30 capsules per blister pack

2 years Store at room temperature between 39ndash 86degF (15ndash30degC)

10 mgmL oral solution

170 mL bottles including a marked dosing cup

3 years 45 days after first opening the bottle

Store in refrigerator between 36ndash46degF (2ndash 8degC) Alternatively can be stored at room temperature (25degC) for three months Discard any remaining solution after 3 months

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV One 200 mg capsule once daily in combination gt4 months 6 mgkg up to a maximum of 240 mg Adults FTC + AZT or d4T or TDF or ABC + EFV or with other antiretrovirals once daily in combination with other antiretrovirals NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 12

INDINAVIR (IDV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Crixivan Merck and Co Inc 400 mg capsule Bottles of 18 42 90 120 3 years Store at room $274 per capsule One Merck Drive 180 capsules with dessicant temperature 15ndash30degC

(FDA approved) Whitehouse Station NJ 08889 (59ndash86degF) $400 per patient per year

Tel 908-423-1000 Protect from moisture wwwmerckcom

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 800 mg (or two 400 mg capsules) every 8 hours Optimal dosing for pediatric patients has not been Adults IDV r + ddI or TDF + ABC or 3TC (plusmnAZT) in combination with other antiretrovirals established

Alternate second line IDV r + ddI + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 13

LAMIVUDINE (3TC) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Epivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328 wwwgskcom

150 mg tablet 60 tablets per HDPE bottle

60 tablets per blister pack

600 tablets per inner carton

Shipping carton Volume 06 ft3

24 months Store at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0087 per tablet

$64 per patient per year

GlaxoSmithKline 10 mgmL syrup 240 mL per HDPE bottle 24 months Do not store above 25degC $0023 per mL Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328

12 bottles per inner carton

10 mL oral dosing syringe and polyethylene adapter included

Discard oral solution one month after opening

$84 per patient per year

wwwgskcom Shipping carton Volume 37 ft3

Generic Products

Heptavir Hetero Drugs Ltd 150 mg tablet 60 tablets per HDPE bottle Do not store above 30degC $0073 per tablet Jeedimetla AP India

$53 per patient per year 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

+91 40 2371 4250 wwwheterodrugscom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 14

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Lamivirreg

(WHO prequalified)

Cipla Ltd Vikhroli India

Mumbai Central Mumbaindash400 008

50 mg5 mL solution 100 mL per PET bottle with syringe

240 mL bottle

35 bottles per shipper

24 months Store between 20ndash25˚C

Discard oral solution one month after opening

$0018 per mL

$66 per patient per year

India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

100 mg tablet 10 tablets per blister pack

60 tablets per inner carton

24 months Do not store above 30degC

+91 22 2307 0393 wwwciplacom

150 mg tablet 10 tablets per blister pack

60 tablets per inner carton

168 packs per shipping carton

Shipping carton Dimensions 455 x 280 x 250 mm Weight 151 kg

24 months Do not store above 30degC $0065 per tablet

$47 per patient per year

Lamivudine

(WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

150 mg tablet 60 tablets per HDPE bottle

10 tablets per blister pack

Do not store above 30degC $0071 per tablet

$5112 per patient per year

Lamivox

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal

150 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0059 tablet

$43 per patient per year

(FDA tentatively approved)

Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$155 per tablet

$56 per patient per year

10 mgmL 240 mL HDPE container

Pack contains a 20 mL measuring cup

18 months Do not store above 25degC $0009 per mL

$34 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 15

continued LAMIVUDINE

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Aspen Lamivudine

(WHO prequalified)

Aspen Pharmacare Aspen Park 98 Armstrong Avenue La Lucia Ridge Durban 4019 South Africa

150 mg tablet 60 tablets per plastic container securitainer metalised lay flat pack glass bottle

24 months Store below 25˚C $450

Tel +27 31 5808600 wwwaspenpharmacom

Matrix 150 mg tablet 60 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $320 per bottle

Anolam Virolam Avolam

(FDA tentatively approved)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

150 mg tablet 60 tablets per bottle

1440 tablets per inner carton (24 packs per inner carton)

14400 tablets per shipping carton (600 packs or 10 inner carton)

Shipping carton Dimensions 49 x 36 x 23 m Volume 0406 Weight 785

24 months Store below 25degC

Protect from moisture

$00517 per tablet

$43 per patient per year

World Health Organization recommended first and Adult Daily Dosage 300 mg daily or 150 mg twice daily in Pediatric Daily Dosage second line regimens combination with other antiretroviral agents lt 30 days 2 mgkg twice daily regimens using this ARV

gt 30 days to 12 years 4 mgkg twice daily up to a Adults Per Cipla adults weighing less than 50 kg 150 mg once daily maximum of 150 mg twice daily First line 3TC + AZT or d4T or TDF or ABC + EFV or NVP

Alternate first line 3TC + AZT or d4T + TDF or ABC Second line 3TC + ddI or TDF + PIr

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 16

Children First line 3TC + AZT or d4T or ABC + NVP or EFV Alternate first line 3TC + AZT or d4T + ABC

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 17

LAMIVUDINESTAVUDINE (3TCd4T) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

Virolis 30

Coviro - LS 30

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle

10 blister pack

24 months Store below 25degC

Protect from moisture

$00750 per tablet $124 per patient per year

Cipla Tablet containing 30rsquos bottle pack 24 months Store between 15ndash25˚C $0075 per capsule

150 mg lamivudine 1000rsquos bottle pack $5500 per patient per year

30 mg stavudine 96 pack per shipper

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C $425 per bottle

150 mg lamivudine 168 bottles per shipper

30 mg stavudine

Lamivudine Stavudine (WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle 24 months Store below 30degC

Protect from sunlight

$0075 per tablet $54 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 18

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV Patients ge 60 kg one 3TCd4T (40 mg) Patients ge 37 kg one 3TCd4T (30 mg) tablet twice Adults tablet twice daily in combination with other daily

First line d4T3TC + NVP or EFV antiretroviral agents

Alternate first line d4T3TC + TDF or ABC Patients lt 60 kg one 3TCd4T (30 mg) tablet twice daily in combination with other

Children antiretroviral agents d4T3TC + NVP or EFV

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 19

LAMIVUDINESTAVUDINENEVIRAPINE (3TCD4TNVP) NRTI amp NNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Originator Product

Generic Product

Triomune 30

(WHO prequalified)

Cipla Ltd Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Tablet containing 200 mg nevirapine

150 mg lamivudine

30 mg stavudine

30 tablets per bottle

60rsquos bottle pack

1000rsquos bottle pack

Container of 60 tablets

60 bottle pack

24 months

18 months

24 months

Store between 15ndash25˚C Protect from moisture

Store below 25˚C

Store between 15ndash25˚C

$0142 per tablet

$103 per patient per year

Each tablet contains stavudine 6 mg lamivudine 30 mg nevirapine 50 mg Tablet containing

lamivudine 60 mg 1000 bottle pack

stavudine 12 mg

nevirapine 100 mg

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

lamivudine 150 mg

stavudine 40 mg

nevirapine 200 mg

30 tablets 24 months Store below 30˚C

Protect from light

$014 per tablet

$10200 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 20

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Virolans 30 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryana) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

60 tablets per bottle 240 tablets per case 2400 tablets per shipping carton

Shipping carton Dimensions 45 x 03 x 025 m

12 months Store below 25degC Protect from moisture

$01283 per tablet

$219 per patient per year

wwwranbaxycom Volume 00338 m3

Weight 485

Virolans 40 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryan a) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 40 mg stavudine

60 tablets per bottle

240 tablets per case

2400 tablets per shipping carton

12 months Store below 25degC Protect from moisture

$01333 per tablet

$234 per patient per year

wwwranbaxycom Shipping carton Dimensions 45 x 03 x 025 m Volume 00338 Weight 485

Nevilast 30

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500 018 (AP) India q Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

10 tablets per blister pack

60 tablets per HDPE bottle $201 per tablet

$147 per patient per year

23714250 wwwheterodrugscom

World Health Organization recommended first line regimens using this ARV

Adults d4T3TCNVP

Children d4T3TCNVP

Adult Daily Dosage 1 tablet twice daily of 40 mg for patients gt 60 kg and 1 tablet twice daily of 30 mg for patients lt 60 kg in combination with other antiretroviral agents

Pediatric Daily Dosage The FDC is not recommended for pediatric patients or patients lt 50 kg

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 21

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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Page 11: LOGISTICS FACT SHEETS:

DIDANOSINE (ddl) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Videx Videx ECreg

(WHO prequalified)

(FDA approved)

Manufacturer

Bristol-Myers Squibb 3 Rue Joseph Monier BP 325 92506 Reil-Malmaison Cedex France

Tel +33 158 83 60 00 Fax +33 158 83 6565 94 wwwbmscom

125 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

200 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

note Production of 100 mg 150 mg and 200 mg Videx DDI tablets will continue for

250 mg delayed-release capsule

30 capsules per HDPE bottle 24 months

Store capsules in tightly closed containers at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0677 per capsule

$247 per patient per year

ACCESS 400 mg delayedshy 30 capsules per HDPE bottle 24 Store capsules in tightly closed $0874 per countries for the release capsule months containers at 25degC (77degF) capsule next 9 to 12 months

Excursions to 15ndash30degC (59 ndash86degF) permitted

$319 per patient per year

Bristol-Myers Squibb PO Box 4500 Princeton NJ 08543-4500

2 g powder 4 ounce bottles Store between 15ndash30degC $315 per gram

$138 per patient per year

25 mg chewable 60 tablets per HDPE bottle 2 years Store between 15ndash30degC $0235 per tablet tablet $429 per patient

per year

50 mg chewable tablet

60 tablets per HDPE bottle Store between 15ndash30degC $0235 per tablet

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 5

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Generic Product

Didanosine

(FDA approved)

Barr Laboratories Inc Corporate Headquarters 223 Quaker Road Pomona NY 10970

Tel 845-362-1100 -or-

800-222-0190

200 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs

Fax 845-362-2774 250 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs

400 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs Didanosine

PEPFAR qualified (Tentatively approved 10 July 2006)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

100 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0150 per tablet

$219 per patient per year

150 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0225 per tablet

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 6

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

200 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0308 per tablet

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 400 mg for patients ge 60 kg in combination with other gt 3 months 50 mgm2 twice daily

antiretroviral agents Adults 3 to 13 years 90ndash120 mgm2 twice daily

Second line ddI + ABC or 3TC (plusmn AZT) + PIr Alternate second line regimen ddI + EFV or NVP + PIr

250 mg for patients le 60 kg in combination with other antiretroviral agents

Maximum dose 200 mgdose twice daily

Children Videx EC should not be used by pediatric Second line ddI + ABC or AZT or EFV or NVP + PIr patients

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 7

EFAVIRENZ (EFV) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Sustivacopy

(FDA approved)

Bristol-Myers Squibb Princeton NJ 08543 USA

50 mg capsule 30 capsules per bottle 36 months Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0116 per capsule

$169 per patient per year

Internationally marketed as Stocrin licensed by Merck

Tel +1 800 426 7644 +1 800 631 5244

wwwbmscom

200 mg capsule 90 capsules per bottle 3 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0457 per capsule

$500 per patient per year

600 mg film-coated tablet

30 tablets per bottle 2 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$095 per tablet

$347 per patient per year

100 mg capsule 30 tablets per bottle Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

Generic Product

Efavir Cipla 600 mg capsule 600 mg bottle 24 months Store between 20ndash25˚C $0467 per capsule

96 packs per shipper

30rsquos bottle pack

$170 per patient per year

500rsquos bottle pack

Ranbax Labs 600 mg tablets 60rsquos HDPE bottle 24 months Store below 25˚C $02083 per tablet

Sahib India 10rsquos cold form blister pack

Tel +91(1704)222834 222720 10rsquos PVdCPEPVC blister 222719 pack

60rsquos HDPE bottle

10rsquos cold form blister pack

24 months Store below 25˚C in original package

$02500 per tablet200 mg tablets

10rsquos PVdCPEPVC blister pack

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 8

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Stocrin Merck Sharp amp Dohme (Australia) Pty Limited ABN 14 000 173 508 54-68 Ferndell Street SOUTH GRANVILLE NSW

50 mg tablet 30 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

2142 200 mg tablet 90 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

Strides S-No 367 Suragajkkanahalli Indlavadi Cross Anekal Taluk Banglore-562106 India

600 mg tablets 20 tablets per bottle 24 months Store below 30˚C

Protect from light and keep in closed container

$0500 per pill

$18000 per patient per year

Matrix 600 mg tablets 30 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $13 per bottle

Viranzcopy

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

600 mg capsules 30 capsules per bottle

30 capsules per bottle

90 capsules per bottle

30 capsules per bottle

24 months

24 months

24 months

24 months

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

$55 per tablet

$201 per patient per year

$0175 per capsule

$0206 per capsule

$226 per patient per year

$0093 per capsule

100 mg capsules

200 mg capsules

50 mg capsules

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 9

World Health Organization recommended first and Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 600 mg daily in combination with a protease inhibitor andor nucleoside 10 to lt 14 kg 200 mg

analogue reverse transcriptase inhibitors 14 to lt 20 kg 250 mg Adults 20 to lt 25 kg 300 mg First line EFV + 3TC o r FTC + AZT or d4T or TDF or 25 to lt 30 kg 350 mg

ABC 30 to lt 40 kg 400 mg Alternate second line EFV + PIr + ddI gt40 kg 600 mg

Children First line EFV + 3TC + AZT or d4T or ABC Second line EFV + ddI + PIr

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 10

EMTRICITBINE + TENOFOVIR (FTC + TDF) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Truvada Gilead Sciences Inc Tablet contains HDPE bottle with 30 tablets Store below 25degC (77degF) $0875 per tablet 333 Lakeside Drive Foster City California 94404 USA

200 mg emtricitabine

300 mg tenofivir $319 per patient per year

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV One tablet of 3TC AZT twice a daily and one Formulation is not designed for children Adults FTC+ AZT or d4T + EFV or NVP tablet of EFV daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 11

EMTRICITABINE (FTC) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Emtriva

(FDA approved)

Gilead Sciences Inc 333 Lakeside Drive Foster City California 94404 USA

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccess gileadcom wwwgileadcom

200 mg capsule 30 capsules per bottle

30 capsules per blister pack

2 years Store at room temperature between 39ndash 86degF (15ndash30degC)

10 mgmL oral solution

170 mL bottles including a marked dosing cup

3 years 45 days after first opening the bottle

Store in refrigerator between 36ndash46degF (2ndash 8degC) Alternatively can be stored at room temperature (25degC) for three months Discard any remaining solution after 3 months

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV One 200 mg capsule once daily in combination gt4 months 6 mgkg up to a maximum of 240 mg Adults FTC + AZT or d4T or TDF or ABC + EFV or with other antiretrovirals once daily in combination with other antiretrovirals NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 12

INDINAVIR (IDV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Crixivan Merck and Co Inc 400 mg capsule Bottles of 18 42 90 120 3 years Store at room $274 per capsule One Merck Drive 180 capsules with dessicant temperature 15ndash30degC

(FDA approved) Whitehouse Station NJ 08889 (59ndash86degF) $400 per patient per year

Tel 908-423-1000 Protect from moisture wwwmerckcom

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 800 mg (or two 400 mg capsules) every 8 hours Optimal dosing for pediatric patients has not been Adults IDV r + ddI or TDF + ABC or 3TC (plusmnAZT) in combination with other antiretrovirals established

Alternate second line IDV r + ddI + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 13

LAMIVUDINE (3TC) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Epivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328 wwwgskcom

150 mg tablet 60 tablets per HDPE bottle

60 tablets per blister pack

600 tablets per inner carton

Shipping carton Volume 06 ft3

24 months Store at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0087 per tablet

$64 per patient per year

GlaxoSmithKline 10 mgmL syrup 240 mL per HDPE bottle 24 months Do not store above 25degC $0023 per mL Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328

12 bottles per inner carton

10 mL oral dosing syringe and polyethylene adapter included

Discard oral solution one month after opening

$84 per patient per year

wwwgskcom Shipping carton Volume 37 ft3

Generic Products

Heptavir Hetero Drugs Ltd 150 mg tablet 60 tablets per HDPE bottle Do not store above 30degC $0073 per tablet Jeedimetla AP India

$53 per patient per year 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

+91 40 2371 4250 wwwheterodrugscom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 14

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Lamivirreg

(WHO prequalified)

Cipla Ltd Vikhroli India

Mumbai Central Mumbaindash400 008

50 mg5 mL solution 100 mL per PET bottle with syringe

240 mL bottle

35 bottles per shipper

24 months Store between 20ndash25˚C

Discard oral solution one month after opening

$0018 per mL

$66 per patient per year

India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

100 mg tablet 10 tablets per blister pack

60 tablets per inner carton

24 months Do not store above 30degC

+91 22 2307 0393 wwwciplacom

150 mg tablet 10 tablets per blister pack

60 tablets per inner carton

168 packs per shipping carton

Shipping carton Dimensions 455 x 280 x 250 mm Weight 151 kg

24 months Do not store above 30degC $0065 per tablet

$47 per patient per year

Lamivudine

(WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

150 mg tablet 60 tablets per HDPE bottle

10 tablets per blister pack

Do not store above 30degC $0071 per tablet

$5112 per patient per year

Lamivox

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal

150 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0059 tablet

$43 per patient per year

(FDA tentatively approved)

Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$155 per tablet

$56 per patient per year

10 mgmL 240 mL HDPE container

Pack contains a 20 mL measuring cup

18 months Do not store above 25degC $0009 per mL

$34 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 15

continued LAMIVUDINE

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Aspen Lamivudine

(WHO prequalified)

Aspen Pharmacare Aspen Park 98 Armstrong Avenue La Lucia Ridge Durban 4019 South Africa

150 mg tablet 60 tablets per plastic container securitainer metalised lay flat pack glass bottle

24 months Store below 25˚C $450

Tel +27 31 5808600 wwwaspenpharmacom

Matrix 150 mg tablet 60 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $320 per bottle

Anolam Virolam Avolam

(FDA tentatively approved)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

150 mg tablet 60 tablets per bottle

1440 tablets per inner carton (24 packs per inner carton)

14400 tablets per shipping carton (600 packs or 10 inner carton)

Shipping carton Dimensions 49 x 36 x 23 m Volume 0406 Weight 785

24 months Store below 25degC

Protect from moisture

$00517 per tablet

$43 per patient per year

World Health Organization recommended first and Adult Daily Dosage 300 mg daily or 150 mg twice daily in Pediatric Daily Dosage second line regimens combination with other antiretroviral agents lt 30 days 2 mgkg twice daily regimens using this ARV

gt 30 days to 12 years 4 mgkg twice daily up to a Adults Per Cipla adults weighing less than 50 kg 150 mg once daily maximum of 150 mg twice daily First line 3TC + AZT or d4T or TDF or ABC + EFV or NVP

Alternate first line 3TC + AZT or d4T + TDF or ABC Second line 3TC + ddI or TDF + PIr

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 16

Children First line 3TC + AZT or d4T or ABC + NVP or EFV Alternate first line 3TC + AZT or d4T + ABC

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 17

LAMIVUDINESTAVUDINE (3TCd4T) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

Virolis 30

Coviro - LS 30

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle

10 blister pack

24 months Store below 25degC

Protect from moisture

$00750 per tablet $124 per patient per year

Cipla Tablet containing 30rsquos bottle pack 24 months Store between 15ndash25˚C $0075 per capsule

150 mg lamivudine 1000rsquos bottle pack $5500 per patient per year

30 mg stavudine 96 pack per shipper

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C $425 per bottle

150 mg lamivudine 168 bottles per shipper

30 mg stavudine

Lamivudine Stavudine (WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle 24 months Store below 30degC

Protect from sunlight

$0075 per tablet $54 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 18

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV Patients ge 60 kg one 3TCd4T (40 mg) Patients ge 37 kg one 3TCd4T (30 mg) tablet twice Adults tablet twice daily in combination with other daily

First line d4T3TC + NVP or EFV antiretroviral agents

Alternate first line d4T3TC + TDF or ABC Patients lt 60 kg one 3TCd4T (30 mg) tablet twice daily in combination with other

Children antiretroviral agents d4T3TC + NVP or EFV

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 19

LAMIVUDINESTAVUDINENEVIRAPINE (3TCD4TNVP) NRTI amp NNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Originator Product

Generic Product

Triomune 30

(WHO prequalified)

Cipla Ltd Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Tablet containing 200 mg nevirapine

150 mg lamivudine

30 mg stavudine

30 tablets per bottle

60rsquos bottle pack

1000rsquos bottle pack

Container of 60 tablets

60 bottle pack

24 months

18 months

24 months

Store between 15ndash25˚C Protect from moisture

Store below 25˚C

Store between 15ndash25˚C

$0142 per tablet

$103 per patient per year

Each tablet contains stavudine 6 mg lamivudine 30 mg nevirapine 50 mg Tablet containing

lamivudine 60 mg 1000 bottle pack

stavudine 12 mg

nevirapine 100 mg

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

lamivudine 150 mg

stavudine 40 mg

nevirapine 200 mg

30 tablets 24 months Store below 30˚C

Protect from light

$014 per tablet

$10200 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 20

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Virolans 30 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryana) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

60 tablets per bottle 240 tablets per case 2400 tablets per shipping carton

Shipping carton Dimensions 45 x 03 x 025 m

12 months Store below 25degC Protect from moisture

$01283 per tablet

$219 per patient per year

wwwranbaxycom Volume 00338 m3

Weight 485

Virolans 40 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryan a) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 40 mg stavudine

60 tablets per bottle

240 tablets per case

2400 tablets per shipping carton

12 months Store below 25degC Protect from moisture

$01333 per tablet

$234 per patient per year

wwwranbaxycom Shipping carton Dimensions 45 x 03 x 025 m Volume 00338 Weight 485

Nevilast 30

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500 018 (AP) India q Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

10 tablets per blister pack

60 tablets per HDPE bottle $201 per tablet

$147 per patient per year

23714250 wwwheterodrugscom

World Health Organization recommended first line regimens using this ARV

Adults d4T3TCNVP

Children d4T3TCNVP

Adult Daily Dosage 1 tablet twice daily of 40 mg for patients gt 60 kg and 1 tablet twice daily of 30 mg for patients lt 60 kg in combination with other antiretroviral agents

Pediatric Daily Dosage The FDC is not recommended for pediatric patients or patients lt 50 kg

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 21

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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ltFEFF00560065007200770065006e00640065006e0020005300690065002000640069006500730065002000450069006e007300740065006c006c0075006e00670065006e0020007a0075006d002000450072007300740065006c006c0065006e00200076006f006e002000410064006f006200650020005000440046002d0044006f006b0075006d0065006e00740065006e002c00200076006f006e002000640065006e0065006e002000530069006500200068006f00630068007700650072007400690067006500200044007200750063006b006500200061007500660020004400650073006b0074006f0070002d0044007200750063006b00650072006e00200075006e0064002000500072006f006f0066002d00470065007200e400740065006e002000650072007a0065007500670065006e0020006d00f60063006800740065006e002e002000450072007300740065006c006c007400650020005000440046002d0044006f006b0075006d0065006e007400650020006b00f6006e006e0065006e0020006d006900740020004100630072006f00620061007400200075006e0064002000410064006f00620065002000520065006100640065007200200035002e00300020006f0064006500720020006800f600680065007200200067006500f600660066006e00650074002000770065007200640065006e002egt ESP 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 FRA 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 ITA ltFEFF005500740069006c0069007a007a006100720065002000710075006500730074006500200069006d0070006f007300740061007a0069006f006e00690020007000650072002000630072006500610072006500200064006f00630075006d0065006e00740069002000410064006f006200650020005000440046002000700065007200200075006e00610020007300740061006d007000610020006400690020007100750061006c0069007400e00020007300750020007300740061006d00700061006e0074006900200065002000700072006f006f0066006500720020006400650073006b0074006f0070002e0020004900200064006f00630075006d0065006e007400690020005000440046002000630072006500610074006900200070006f00730073006f006e006f0020006500730073006500720065002000610070006500720074006900200063006f006e0020004100630072006f00620061007400200065002000410064006f00620065002000520065006100640065007200200035002e003000200065002000760065007200730069006f006e006900200073007500630063006500730073006900760065002egt JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 12: LOGISTICS FACT SHEETS:

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Generic Product

Didanosine

(FDA approved)

Barr Laboratories Inc Corporate Headquarters 223 Quaker Road Pomona NY 10970

Tel 845-362-1100 -or-

800-222-0190

200 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs

Fax 845-362-2774 250 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs

400 mg delayed-release capsule

30 capsules per bottle

12 bottles per case

Shipping carton Dimensions 825 x 65 x 5 in Volume 15 ft3

Weight 16 lbs Didanosine

PEPFAR qualified (Tentatively approved 10 July 2006)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

100 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0150 per tablet

$219 per patient per year

150 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0225 per tablet

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 6

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

200 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0308 per tablet

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 400 mg for patients ge 60 kg in combination with other gt 3 months 50 mgm2 twice daily

antiretroviral agents Adults 3 to 13 years 90ndash120 mgm2 twice daily

Second line ddI + ABC or 3TC (plusmn AZT) + PIr Alternate second line regimen ddI + EFV or NVP + PIr

250 mg for patients le 60 kg in combination with other antiretroviral agents

Maximum dose 200 mgdose twice daily

Children Videx EC should not be used by pediatric Second line ddI + ABC or AZT or EFV or NVP + PIr patients

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 7

EFAVIRENZ (EFV) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Sustivacopy

(FDA approved)

Bristol-Myers Squibb Princeton NJ 08543 USA

50 mg capsule 30 capsules per bottle 36 months Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0116 per capsule

$169 per patient per year

Internationally marketed as Stocrin licensed by Merck

Tel +1 800 426 7644 +1 800 631 5244

wwwbmscom

200 mg capsule 90 capsules per bottle 3 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0457 per capsule

$500 per patient per year

600 mg film-coated tablet

30 tablets per bottle 2 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$095 per tablet

$347 per patient per year

100 mg capsule 30 tablets per bottle Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

Generic Product

Efavir Cipla 600 mg capsule 600 mg bottle 24 months Store between 20ndash25˚C $0467 per capsule

96 packs per shipper

30rsquos bottle pack

$170 per patient per year

500rsquos bottle pack

Ranbax Labs 600 mg tablets 60rsquos HDPE bottle 24 months Store below 25˚C $02083 per tablet

Sahib India 10rsquos cold form blister pack

Tel +91(1704)222834 222720 10rsquos PVdCPEPVC blister 222719 pack

60rsquos HDPE bottle

10rsquos cold form blister pack

24 months Store below 25˚C in original package

$02500 per tablet200 mg tablets

10rsquos PVdCPEPVC blister pack

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 8

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Stocrin Merck Sharp amp Dohme (Australia) Pty Limited ABN 14 000 173 508 54-68 Ferndell Street SOUTH GRANVILLE NSW

50 mg tablet 30 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

2142 200 mg tablet 90 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

Strides S-No 367 Suragajkkanahalli Indlavadi Cross Anekal Taluk Banglore-562106 India

600 mg tablets 20 tablets per bottle 24 months Store below 30˚C

Protect from light and keep in closed container

$0500 per pill

$18000 per patient per year

Matrix 600 mg tablets 30 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $13 per bottle

Viranzcopy

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

600 mg capsules 30 capsules per bottle

30 capsules per bottle

90 capsules per bottle

30 capsules per bottle

24 months

24 months

24 months

24 months

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

$55 per tablet

$201 per patient per year

$0175 per capsule

$0206 per capsule

$226 per patient per year

$0093 per capsule

100 mg capsules

200 mg capsules

50 mg capsules

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 9

World Health Organization recommended first and Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 600 mg daily in combination with a protease inhibitor andor nucleoside 10 to lt 14 kg 200 mg

analogue reverse transcriptase inhibitors 14 to lt 20 kg 250 mg Adults 20 to lt 25 kg 300 mg First line EFV + 3TC o r FTC + AZT or d4T or TDF or 25 to lt 30 kg 350 mg

ABC 30 to lt 40 kg 400 mg Alternate second line EFV + PIr + ddI gt40 kg 600 mg

Children First line EFV + 3TC + AZT or d4T or ABC Second line EFV + ddI + PIr

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 10

EMTRICITBINE + TENOFOVIR (FTC + TDF) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Truvada Gilead Sciences Inc Tablet contains HDPE bottle with 30 tablets Store below 25degC (77degF) $0875 per tablet 333 Lakeside Drive Foster City California 94404 USA

200 mg emtricitabine

300 mg tenofivir $319 per patient per year

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV One tablet of 3TC AZT twice a daily and one Formulation is not designed for children Adults FTC+ AZT or d4T + EFV or NVP tablet of EFV daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 11

EMTRICITABINE (FTC) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Emtriva

(FDA approved)

Gilead Sciences Inc 333 Lakeside Drive Foster City California 94404 USA

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccess gileadcom wwwgileadcom

200 mg capsule 30 capsules per bottle

30 capsules per blister pack

2 years Store at room temperature between 39ndash 86degF (15ndash30degC)

10 mgmL oral solution

170 mL bottles including a marked dosing cup

3 years 45 days after first opening the bottle

Store in refrigerator between 36ndash46degF (2ndash 8degC) Alternatively can be stored at room temperature (25degC) for three months Discard any remaining solution after 3 months

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV One 200 mg capsule once daily in combination gt4 months 6 mgkg up to a maximum of 240 mg Adults FTC + AZT or d4T or TDF or ABC + EFV or with other antiretrovirals once daily in combination with other antiretrovirals NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 12

INDINAVIR (IDV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Crixivan Merck and Co Inc 400 mg capsule Bottles of 18 42 90 120 3 years Store at room $274 per capsule One Merck Drive 180 capsules with dessicant temperature 15ndash30degC

(FDA approved) Whitehouse Station NJ 08889 (59ndash86degF) $400 per patient per year

Tel 908-423-1000 Protect from moisture wwwmerckcom

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 800 mg (or two 400 mg capsules) every 8 hours Optimal dosing for pediatric patients has not been Adults IDV r + ddI or TDF + ABC or 3TC (plusmnAZT) in combination with other antiretrovirals established

Alternate second line IDV r + ddI + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 13

LAMIVUDINE (3TC) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Epivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328 wwwgskcom

150 mg tablet 60 tablets per HDPE bottle

60 tablets per blister pack

600 tablets per inner carton

Shipping carton Volume 06 ft3

24 months Store at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0087 per tablet

$64 per patient per year

GlaxoSmithKline 10 mgmL syrup 240 mL per HDPE bottle 24 months Do not store above 25degC $0023 per mL Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328

12 bottles per inner carton

10 mL oral dosing syringe and polyethylene adapter included

Discard oral solution one month after opening

$84 per patient per year

wwwgskcom Shipping carton Volume 37 ft3

Generic Products

Heptavir Hetero Drugs Ltd 150 mg tablet 60 tablets per HDPE bottle Do not store above 30degC $0073 per tablet Jeedimetla AP India

$53 per patient per year 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

+91 40 2371 4250 wwwheterodrugscom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 14

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Lamivirreg

(WHO prequalified)

Cipla Ltd Vikhroli India

Mumbai Central Mumbaindash400 008

50 mg5 mL solution 100 mL per PET bottle with syringe

240 mL bottle

35 bottles per shipper

24 months Store between 20ndash25˚C

Discard oral solution one month after opening

$0018 per mL

$66 per patient per year

India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

100 mg tablet 10 tablets per blister pack

60 tablets per inner carton

24 months Do not store above 30degC

+91 22 2307 0393 wwwciplacom

150 mg tablet 10 tablets per blister pack

60 tablets per inner carton

168 packs per shipping carton

Shipping carton Dimensions 455 x 280 x 250 mm Weight 151 kg

24 months Do not store above 30degC $0065 per tablet

$47 per patient per year

Lamivudine

(WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

150 mg tablet 60 tablets per HDPE bottle

10 tablets per blister pack

Do not store above 30degC $0071 per tablet

$5112 per patient per year

Lamivox

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal

150 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0059 tablet

$43 per patient per year

(FDA tentatively approved)

Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$155 per tablet

$56 per patient per year

10 mgmL 240 mL HDPE container

Pack contains a 20 mL measuring cup

18 months Do not store above 25degC $0009 per mL

$34 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 15

continued LAMIVUDINE

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Aspen Lamivudine

(WHO prequalified)

Aspen Pharmacare Aspen Park 98 Armstrong Avenue La Lucia Ridge Durban 4019 South Africa

150 mg tablet 60 tablets per plastic container securitainer metalised lay flat pack glass bottle

24 months Store below 25˚C $450

Tel +27 31 5808600 wwwaspenpharmacom

Matrix 150 mg tablet 60 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $320 per bottle

Anolam Virolam Avolam

(FDA tentatively approved)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

150 mg tablet 60 tablets per bottle

1440 tablets per inner carton (24 packs per inner carton)

14400 tablets per shipping carton (600 packs or 10 inner carton)

Shipping carton Dimensions 49 x 36 x 23 m Volume 0406 Weight 785

24 months Store below 25degC

Protect from moisture

$00517 per tablet

$43 per patient per year

World Health Organization recommended first and Adult Daily Dosage 300 mg daily or 150 mg twice daily in Pediatric Daily Dosage second line regimens combination with other antiretroviral agents lt 30 days 2 mgkg twice daily regimens using this ARV

gt 30 days to 12 years 4 mgkg twice daily up to a Adults Per Cipla adults weighing less than 50 kg 150 mg once daily maximum of 150 mg twice daily First line 3TC + AZT or d4T or TDF or ABC + EFV or NVP

Alternate first line 3TC + AZT or d4T + TDF or ABC Second line 3TC + ddI or TDF + PIr

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 16

Children First line 3TC + AZT or d4T or ABC + NVP or EFV Alternate first line 3TC + AZT or d4T + ABC

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 17

LAMIVUDINESTAVUDINE (3TCd4T) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

Virolis 30

Coviro - LS 30

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle

10 blister pack

24 months Store below 25degC

Protect from moisture

$00750 per tablet $124 per patient per year

Cipla Tablet containing 30rsquos bottle pack 24 months Store between 15ndash25˚C $0075 per capsule

150 mg lamivudine 1000rsquos bottle pack $5500 per patient per year

30 mg stavudine 96 pack per shipper

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C $425 per bottle

150 mg lamivudine 168 bottles per shipper

30 mg stavudine

Lamivudine Stavudine (WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle 24 months Store below 30degC

Protect from sunlight

$0075 per tablet $54 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 18

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV Patients ge 60 kg one 3TCd4T (40 mg) Patients ge 37 kg one 3TCd4T (30 mg) tablet twice Adults tablet twice daily in combination with other daily

First line d4T3TC + NVP or EFV antiretroviral agents

Alternate first line d4T3TC + TDF or ABC Patients lt 60 kg one 3TCd4T (30 mg) tablet twice daily in combination with other

Children antiretroviral agents d4T3TC + NVP or EFV

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 19

LAMIVUDINESTAVUDINENEVIRAPINE (3TCD4TNVP) NRTI amp NNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Originator Product

Generic Product

Triomune 30

(WHO prequalified)

Cipla Ltd Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Tablet containing 200 mg nevirapine

150 mg lamivudine

30 mg stavudine

30 tablets per bottle

60rsquos bottle pack

1000rsquos bottle pack

Container of 60 tablets

60 bottle pack

24 months

18 months

24 months

Store between 15ndash25˚C Protect from moisture

Store below 25˚C

Store between 15ndash25˚C

$0142 per tablet

$103 per patient per year

Each tablet contains stavudine 6 mg lamivudine 30 mg nevirapine 50 mg Tablet containing

lamivudine 60 mg 1000 bottle pack

stavudine 12 mg

nevirapine 100 mg

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

lamivudine 150 mg

stavudine 40 mg

nevirapine 200 mg

30 tablets 24 months Store below 30˚C

Protect from light

$014 per tablet

$10200 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 20

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Virolans 30 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryana) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

60 tablets per bottle 240 tablets per case 2400 tablets per shipping carton

Shipping carton Dimensions 45 x 03 x 025 m

12 months Store below 25degC Protect from moisture

$01283 per tablet

$219 per patient per year

wwwranbaxycom Volume 00338 m3

Weight 485

Virolans 40 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryan a) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 40 mg stavudine

60 tablets per bottle

240 tablets per case

2400 tablets per shipping carton

12 months Store below 25degC Protect from moisture

$01333 per tablet

$234 per patient per year

wwwranbaxycom Shipping carton Dimensions 45 x 03 x 025 m Volume 00338 Weight 485

Nevilast 30

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500 018 (AP) India q Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

10 tablets per blister pack

60 tablets per HDPE bottle $201 per tablet

$147 per patient per year

23714250 wwwheterodrugscom

World Health Organization recommended first line regimens using this ARV

Adults d4T3TCNVP

Children d4T3TCNVP

Adult Daily Dosage 1 tablet twice daily of 40 mg for patients gt 60 kg and 1 tablet twice daily of 30 mg for patients lt 60 kg in combination with other antiretroviral agents

Pediatric Daily Dosage The FDC is not recommended for pediatric patients or patients lt 50 kg

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 21

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 ESP ltFEFF005500740069006c0069006300650020006500730074006100200063006f006e0066006900670075007200610063006900f3006e0020007000610072006100200063007200650061007200200064006f00630075006d0065006e0074006f0073002000640065002000410064006f0062006500200050004400460020007000610072006100200063006f006e00730065006700750069007200200069006d0070007200650073006900f3006e002000640065002000630061006c006900640061006400200065006e00200069006d0070007200650073006f0072006100730020006400650020006500730063007200690074006f00720069006f00200079002000680065007200720061006d00690065006e00740061007300200064006500200063006f00720072006500630063006900f3006e002e002000530065002000700075006500640065006e00200061006200720069007200200064006f00630075006d0065006e0074006f00730020005000440046002000630072006500610064006f007300200063006f006e0020004100630072006f006200610074002c002000410064006f00620065002000520065006100640065007200200035002e003000200079002000760065007200730069006f006e0065007300200070006f00730074006500720069006f007200650073002egt FRA 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Page 13: LOGISTICS FACT SHEETS:

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

200 mg chewable tablet

60rsquos per HDPE container 24 months

Store below 25˚C $0308 per tablet

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 400 mg for patients ge 60 kg in combination with other gt 3 months 50 mgm2 twice daily

antiretroviral agents Adults 3 to 13 years 90ndash120 mgm2 twice daily

Second line ddI + ABC or 3TC (plusmn AZT) + PIr Alternate second line regimen ddI + EFV or NVP + PIr

250 mg for patients le 60 kg in combination with other antiretroviral agents

Maximum dose 200 mgdose twice daily

Children Videx EC should not be used by pediatric Second line ddI + ABC or AZT or EFV or NVP + PIr patients

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 7

EFAVIRENZ (EFV) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Sustivacopy

(FDA approved)

Bristol-Myers Squibb Princeton NJ 08543 USA

50 mg capsule 30 capsules per bottle 36 months Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0116 per capsule

$169 per patient per year

Internationally marketed as Stocrin licensed by Merck

Tel +1 800 426 7644 +1 800 631 5244

wwwbmscom

200 mg capsule 90 capsules per bottle 3 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0457 per capsule

$500 per patient per year

600 mg film-coated tablet

30 tablets per bottle 2 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$095 per tablet

$347 per patient per year

100 mg capsule 30 tablets per bottle Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

Generic Product

Efavir Cipla 600 mg capsule 600 mg bottle 24 months Store between 20ndash25˚C $0467 per capsule

96 packs per shipper

30rsquos bottle pack

$170 per patient per year

500rsquos bottle pack

Ranbax Labs 600 mg tablets 60rsquos HDPE bottle 24 months Store below 25˚C $02083 per tablet

Sahib India 10rsquos cold form blister pack

Tel +91(1704)222834 222720 10rsquos PVdCPEPVC blister 222719 pack

60rsquos HDPE bottle

10rsquos cold form blister pack

24 months Store below 25˚C in original package

$02500 per tablet200 mg tablets

10rsquos PVdCPEPVC blister pack

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 8

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Stocrin Merck Sharp amp Dohme (Australia) Pty Limited ABN 14 000 173 508 54-68 Ferndell Street SOUTH GRANVILLE NSW

50 mg tablet 30 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

2142 200 mg tablet 90 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

Strides S-No 367 Suragajkkanahalli Indlavadi Cross Anekal Taluk Banglore-562106 India

600 mg tablets 20 tablets per bottle 24 months Store below 30˚C

Protect from light and keep in closed container

$0500 per pill

$18000 per patient per year

Matrix 600 mg tablets 30 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $13 per bottle

Viranzcopy

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

600 mg capsules 30 capsules per bottle

30 capsules per bottle

90 capsules per bottle

30 capsules per bottle

24 months

24 months

24 months

24 months

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

$55 per tablet

$201 per patient per year

$0175 per capsule

$0206 per capsule

$226 per patient per year

$0093 per capsule

100 mg capsules

200 mg capsules

50 mg capsules

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 9

World Health Organization recommended first and Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 600 mg daily in combination with a protease inhibitor andor nucleoside 10 to lt 14 kg 200 mg

analogue reverse transcriptase inhibitors 14 to lt 20 kg 250 mg Adults 20 to lt 25 kg 300 mg First line EFV + 3TC o r FTC + AZT or d4T or TDF or 25 to lt 30 kg 350 mg

ABC 30 to lt 40 kg 400 mg Alternate second line EFV + PIr + ddI gt40 kg 600 mg

Children First line EFV + 3TC + AZT or d4T or ABC Second line EFV + ddI + PIr

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 10

EMTRICITBINE + TENOFOVIR (FTC + TDF) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Truvada Gilead Sciences Inc Tablet contains HDPE bottle with 30 tablets Store below 25degC (77degF) $0875 per tablet 333 Lakeside Drive Foster City California 94404 USA

200 mg emtricitabine

300 mg tenofivir $319 per patient per year

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV One tablet of 3TC AZT twice a daily and one Formulation is not designed for children Adults FTC+ AZT or d4T + EFV or NVP tablet of EFV daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 11

EMTRICITABINE (FTC) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Emtriva

(FDA approved)

Gilead Sciences Inc 333 Lakeside Drive Foster City California 94404 USA

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccess gileadcom wwwgileadcom

200 mg capsule 30 capsules per bottle

30 capsules per blister pack

2 years Store at room temperature between 39ndash 86degF (15ndash30degC)

10 mgmL oral solution

170 mL bottles including a marked dosing cup

3 years 45 days after first opening the bottle

Store in refrigerator between 36ndash46degF (2ndash 8degC) Alternatively can be stored at room temperature (25degC) for three months Discard any remaining solution after 3 months

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV One 200 mg capsule once daily in combination gt4 months 6 mgkg up to a maximum of 240 mg Adults FTC + AZT or d4T or TDF or ABC + EFV or with other antiretrovirals once daily in combination with other antiretrovirals NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 12

INDINAVIR (IDV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Crixivan Merck and Co Inc 400 mg capsule Bottles of 18 42 90 120 3 years Store at room $274 per capsule One Merck Drive 180 capsules with dessicant temperature 15ndash30degC

(FDA approved) Whitehouse Station NJ 08889 (59ndash86degF) $400 per patient per year

Tel 908-423-1000 Protect from moisture wwwmerckcom

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 800 mg (or two 400 mg capsules) every 8 hours Optimal dosing for pediatric patients has not been Adults IDV r + ddI or TDF + ABC or 3TC (plusmnAZT) in combination with other antiretrovirals established

Alternate second line IDV r + ddI + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 13

LAMIVUDINE (3TC) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Epivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328 wwwgskcom

150 mg tablet 60 tablets per HDPE bottle

60 tablets per blister pack

600 tablets per inner carton

Shipping carton Volume 06 ft3

24 months Store at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0087 per tablet

$64 per patient per year

GlaxoSmithKline 10 mgmL syrup 240 mL per HDPE bottle 24 months Do not store above 25degC $0023 per mL Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328

12 bottles per inner carton

10 mL oral dosing syringe and polyethylene adapter included

Discard oral solution one month after opening

$84 per patient per year

wwwgskcom Shipping carton Volume 37 ft3

Generic Products

Heptavir Hetero Drugs Ltd 150 mg tablet 60 tablets per HDPE bottle Do not store above 30degC $0073 per tablet Jeedimetla AP India

$53 per patient per year 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

+91 40 2371 4250 wwwheterodrugscom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 14

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Lamivirreg

(WHO prequalified)

Cipla Ltd Vikhroli India

Mumbai Central Mumbaindash400 008

50 mg5 mL solution 100 mL per PET bottle with syringe

240 mL bottle

35 bottles per shipper

24 months Store between 20ndash25˚C

Discard oral solution one month after opening

$0018 per mL

$66 per patient per year

India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

100 mg tablet 10 tablets per blister pack

60 tablets per inner carton

24 months Do not store above 30degC

+91 22 2307 0393 wwwciplacom

150 mg tablet 10 tablets per blister pack

60 tablets per inner carton

168 packs per shipping carton

Shipping carton Dimensions 455 x 280 x 250 mm Weight 151 kg

24 months Do not store above 30degC $0065 per tablet

$47 per patient per year

Lamivudine

(WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

150 mg tablet 60 tablets per HDPE bottle

10 tablets per blister pack

Do not store above 30degC $0071 per tablet

$5112 per patient per year

Lamivox

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal

150 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0059 tablet

$43 per patient per year

(FDA tentatively approved)

Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$155 per tablet

$56 per patient per year

10 mgmL 240 mL HDPE container

Pack contains a 20 mL measuring cup

18 months Do not store above 25degC $0009 per mL

$34 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 15

continued LAMIVUDINE

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Aspen Lamivudine

(WHO prequalified)

Aspen Pharmacare Aspen Park 98 Armstrong Avenue La Lucia Ridge Durban 4019 South Africa

150 mg tablet 60 tablets per plastic container securitainer metalised lay flat pack glass bottle

24 months Store below 25˚C $450

Tel +27 31 5808600 wwwaspenpharmacom

Matrix 150 mg tablet 60 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $320 per bottle

Anolam Virolam Avolam

(FDA tentatively approved)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

150 mg tablet 60 tablets per bottle

1440 tablets per inner carton (24 packs per inner carton)

14400 tablets per shipping carton (600 packs or 10 inner carton)

Shipping carton Dimensions 49 x 36 x 23 m Volume 0406 Weight 785

24 months Store below 25degC

Protect from moisture

$00517 per tablet

$43 per patient per year

World Health Organization recommended first and Adult Daily Dosage 300 mg daily or 150 mg twice daily in Pediatric Daily Dosage second line regimens combination with other antiretroviral agents lt 30 days 2 mgkg twice daily regimens using this ARV

gt 30 days to 12 years 4 mgkg twice daily up to a Adults Per Cipla adults weighing less than 50 kg 150 mg once daily maximum of 150 mg twice daily First line 3TC + AZT or d4T or TDF or ABC + EFV or NVP

Alternate first line 3TC + AZT or d4T + TDF or ABC Second line 3TC + ddI or TDF + PIr

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 16

Children First line 3TC + AZT or d4T or ABC + NVP or EFV Alternate first line 3TC + AZT or d4T + ABC

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 17

LAMIVUDINESTAVUDINE (3TCd4T) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

Virolis 30

Coviro - LS 30

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle

10 blister pack

24 months Store below 25degC

Protect from moisture

$00750 per tablet $124 per patient per year

Cipla Tablet containing 30rsquos bottle pack 24 months Store between 15ndash25˚C $0075 per capsule

150 mg lamivudine 1000rsquos bottle pack $5500 per patient per year

30 mg stavudine 96 pack per shipper

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C $425 per bottle

150 mg lamivudine 168 bottles per shipper

30 mg stavudine

Lamivudine Stavudine (WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle 24 months Store below 30degC

Protect from sunlight

$0075 per tablet $54 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 18

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV Patients ge 60 kg one 3TCd4T (40 mg) Patients ge 37 kg one 3TCd4T (30 mg) tablet twice Adults tablet twice daily in combination with other daily

First line d4T3TC + NVP or EFV antiretroviral agents

Alternate first line d4T3TC + TDF or ABC Patients lt 60 kg one 3TCd4T (30 mg) tablet twice daily in combination with other

Children antiretroviral agents d4T3TC + NVP or EFV

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 19

LAMIVUDINESTAVUDINENEVIRAPINE (3TCD4TNVP) NRTI amp NNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Originator Product

Generic Product

Triomune 30

(WHO prequalified)

Cipla Ltd Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Tablet containing 200 mg nevirapine

150 mg lamivudine

30 mg stavudine

30 tablets per bottle

60rsquos bottle pack

1000rsquos bottle pack

Container of 60 tablets

60 bottle pack

24 months

18 months

24 months

Store between 15ndash25˚C Protect from moisture

Store below 25˚C

Store between 15ndash25˚C

$0142 per tablet

$103 per patient per year

Each tablet contains stavudine 6 mg lamivudine 30 mg nevirapine 50 mg Tablet containing

lamivudine 60 mg 1000 bottle pack

stavudine 12 mg

nevirapine 100 mg

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

lamivudine 150 mg

stavudine 40 mg

nevirapine 200 mg

30 tablets 24 months Store below 30˚C

Protect from light

$014 per tablet

$10200 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 20

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Virolans 30 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryana) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

60 tablets per bottle 240 tablets per case 2400 tablets per shipping carton

Shipping carton Dimensions 45 x 03 x 025 m

12 months Store below 25degC Protect from moisture

$01283 per tablet

$219 per patient per year

wwwranbaxycom Volume 00338 m3

Weight 485

Virolans 40 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryan a) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 40 mg stavudine

60 tablets per bottle

240 tablets per case

2400 tablets per shipping carton

12 months Store below 25degC Protect from moisture

$01333 per tablet

$234 per patient per year

wwwranbaxycom Shipping carton Dimensions 45 x 03 x 025 m Volume 00338 Weight 485

Nevilast 30

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500 018 (AP) India q Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

10 tablets per blister pack

60 tablets per HDPE bottle $201 per tablet

$147 per patient per year

23714250 wwwheterodrugscom

World Health Organization recommended first line regimens using this ARV

Adults d4T3TCNVP

Children d4T3TCNVP

Adult Daily Dosage 1 tablet twice daily of 40 mg for patients gt 60 kg and 1 tablet twice daily of 30 mg for patients lt 60 kg in combination with other antiretroviral agents

Pediatric Daily Dosage The FDC is not recommended for pediatric patients or patients lt 50 kg

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 21

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT 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 ESP 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FRA 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 ITA ltFEFF005500740069006c0069007a007a006100720065002000710075006500730074006500200069006d0070006f007300740061007a0069006f006e00690020007000650072002000630072006500610072006500200064006f00630075006d0065006e00740069002000410064006f006200650020005000440046002000700065007200200075006e00610020007300740061006d007000610020006400690020007100750061006c0069007400e00020007300750020007300740061006d00700061006e0074006900200065002000700072006f006f0066006500720020006400650073006b0074006f0070002e0020004900200064006f00630075006d0065006e007400690020005000440046002000630072006500610074006900200070006f00730073006f006e006f0020006500730073006500720065002000610070006500720074006900200063006f006e0020004100630072006f00620061007400200065002000410064006f00620065002000520065006100640065007200200035002e003000200065002000760065007200730069006f006e006900200073007500630063006500730073006900760065002egt JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 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UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 14: LOGISTICS FACT SHEETS:

EFAVIRENZ (EFV) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Sustivacopy

(FDA approved)

Bristol-Myers Squibb Princeton NJ 08543 USA

50 mg capsule 30 capsules per bottle 36 months Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0116 per capsule

$169 per patient per year

Internationally marketed as Stocrin licensed by Merck

Tel +1 800 426 7644 +1 800 631 5244

wwwbmscom

200 mg capsule 90 capsules per bottle 3 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$0457 per capsule

$500 per patient per year

600 mg film-coated tablet

30 tablets per bottle 2 years Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

$095 per tablet

$347 per patient per year

100 mg capsule 30 tablets per bottle Store at 25degC (77degF) excursions to 15ndash30degC (59ndash 86degF) permitted

Generic Product

Efavir Cipla 600 mg capsule 600 mg bottle 24 months Store between 20ndash25˚C $0467 per capsule

96 packs per shipper

30rsquos bottle pack

$170 per patient per year

500rsquos bottle pack

Ranbax Labs 600 mg tablets 60rsquos HDPE bottle 24 months Store below 25˚C $02083 per tablet

Sahib India 10rsquos cold form blister pack

Tel +91(1704)222834 222720 10rsquos PVdCPEPVC blister 222719 pack

60rsquos HDPE bottle

10rsquos cold form blister pack

24 months Store below 25˚C in original package

$02500 per tablet200 mg tablets

10rsquos PVdCPEPVC blister pack

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 8

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Stocrin Merck Sharp amp Dohme (Australia) Pty Limited ABN 14 000 173 508 54-68 Ferndell Street SOUTH GRANVILLE NSW

50 mg tablet 30 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

2142 200 mg tablet 90 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

Strides S-No 367 Suragajkkanahalli Indlavadi Cross Anekal Taluk Banglore-562106 India

600 mg tablets 20 tablets per bottle 24 months Store below 30˚C

Protect from light and keep in closed container

$0500 per pill

$18000 per patient per year

Matrix 600 mg tablets 30 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $13 per bottle

Viranzcopy

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

600 mg capsules 30 capsules per bottle

30 capsules per bottle

90 capsules per bottle

30 capsules per bottle

24 months

24 months

24 months

24 months

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

$55 per tablet

$201 per patient per year

$0175 per capsule

$0206 per capsule

$226 per patient per year

$0093 per capsule

100 mg capsules

200 mg capsules

50 mg capsules

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 9

World Health Organization recommended first and Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 600 mg daily in combination with a protease inhibitor andor nucleoside 10 to lt 14 kg 200 mg

analogue reverse transcriptase inhibitors 14 to lt 20 kg 250 mg Adults 20 to lt 25 kg 300 mg First line EFV + 3TC o r FTC + AZT or d4T or TDF or 25 to lt 30 kg 350 mg

ABC 30 to lt 40 kg 400 mg Alternate second line EFV + PIr + ddI gt40 kg 600 mg

Children First line EFV + 3TC + AZT or d4T or ABC Second line EFV + ddI + PIr

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 10

EMTRICITBINE + TENOFOVIR (FTC + TDF) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Truvada Gilead Sciences Inc Tablet contains HDPE bottle with 30 tablets Store below 25degC (77degF) $0875 per tablet 333 Lakeside Drive Foster City California 94404 USA

200 mg emtricitabine

300 mg tenofivir $319 per patient per year

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV One tablet of 3TC AZT twice a daily and one Formulation is not designed for children Adults FTC+ AZT or d4T + EFV or NVP tablet of EFV daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 11

EMTRICITABINE (FTC) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Emtriva

(FDA approved)

Gilead Sciences Inc 333 Lakeside Drive Foster City California 94404 USA

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccess gileadcom wwwgileadcom

200 mg capsule 30 capsules per bottle

30 capsules per blister pack

2 years Store at room temperature between 39ndash 86degF (15ndash30degC)

10 mgmL oral solution

170 mL bottles including a marked dosing cup

3 years 45 days after first opening the bottle

Store in refrigerator between 36ndash46degF (2ndash 8degC) Alternatively can be stored at room temperature (25degC) for three months Discard any remaining solution after 3 months

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV One 200 mg capsule once daily in combination gt4 months 6 mgkg up to a maximum of 240 mg Adults FTC + AZT or d4T or TDF or ABC + EFV or with other antiretrovirals once daily in combination with other antiretrovirals NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 12

INDINAVIR (IDV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Crixivan Merck and Co Inc 400 mg capsule Bottles of 18 42 90 120 3 years Store at room $274 per capsule One Merck Drive 180 capsules with dessicant temperature 15ndash30degC

(FDA approved) Whitehouse Station NJ 08889 (59ndash86degF) $400 per patient per year

Tel 908-423-1000 Protect from moisture wwwmerckcom

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 800 mg (or two 400 mg capsules) every 8 hours Optimal dosing for pediatric patients has not been Adults IDV r + ddI or TDF + ABC or 3TC (plusmnAZT) in combination with other antiretrovirals established

Alternate second line IDV r + ddI + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 13

LAMIVUDINE (3TC) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Epivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328 wwwgskcom

150 mg tablet 60 tablets per HDPE bottle

60 tablets per blister pack

600 tablets per inner carton

Shipping carton Volume 06 ft3

24 months Store at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0087 per tablet

$64 per patient per year

GlaxoSmithKline 10 mgmL syrup 240 mL per HDPE bottle 24 months Do not store above 25degC $0023 per mL Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328

12 bottles per inner carton

10 mL oral dosing syringe and polyethylene adapter included

Discard oral solution one month after opening

$84 per patient per year

wwwgskcom Shipping carton Volume 37 ft3

Generic Products

Heptavir Hetero Drugs Ltd 150 mg tablet 60 tablets per HDPE bottle Do not store above 30degC $0073 per tablet Jeedimetla AP India

$53 per patient per year 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

+91 40 2371 4250 wwwheterodrugscom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 14

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Lamivirreg

(WHO prequalified)

Cipla Ltd Vikhroli India

Mumbai Central Mumbaindash400 008

50 mg5 mL solution 100 mL per PET bottle with syringe

240 mL bottle

35 bottles per shipper

24 months Store between 20ndash25˚C

Discard oral solution one month after opening

$0018 per mL

$66 per patient per year

India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

100 mg tablet 10 tablets per blister pack

60 tablets per inner carton

24 months Do not store above 30degC

+91 22 2307 0393 wwwciplacom

150 mg tablet 10 tablets per blister pack

60 tablets per inner carton

168 packs per shipping carton

Shipping carton Dimensions 455 x 280 x 250 mm Weight 151 kg

24 months Do not store above 30degC $0065 per tablet

$47 per patient per year

Lamivudine

(WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

150 mg tablet 60 tablets per HDPE bottle

10 tablets per blister pack

Do not store above 30degC $0071 per tablet

$5112 per patient per year

Lamivox

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal

150 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0059 tablet

$43 per patient per year

(FDA tentatively approved)

Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$155 per tablet

$56 per patient per year

10 mgmL 240 mL HDPE container

Pack contains a 20 mL measuring cup

18 months Do not store above 25degC $0009 per mL

$34 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 15

continued LAMIVUDINE

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Aspen Lamivudine

(WHO prequalified)

Aspen Pharmacare Aspen Park 98 Armstrong Avenue La Lucia Ridge Durban 4019 South Africa

150 mg tablet 60 tablets per plastic container securitainer metalised lay flat pack glass bottle

24 months Store below 25˚C $450

Tel +27 31 5808600 wwwaspenpharmacom

Matrix 150 mg tablet 60 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $320 per bottle

Anolam Virolam Avolam

(FDA tentatively approved)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

150 mg tablet 60 tablets per bottle

1440 tablets per inner carton (24 packs per inner carton)

14400 tablets per shipping carton (600 packs or 10 inner carton)

Shipping carton Dimensions 49 x 36 x 23 m Volume 0406 Weight 785

24 months Store below 25degC

Protect from moisture

$00517 per tablet

$43 per patient per year

World Health Organization recommended first and Adult Daily Dosage 300 mg daily or 150 mg twice daily in Pediatric Daily Dosage second line regimens combination with other antiretroviral agents lt 30 days 2 mgkg twice daily regimens using this ARV

gt 30 days to 12 years 4 mgkg twice daily up to a Adults Per Cipla adults weighing less than 50 kg 150 mg once daily maximum of 150 mg twice daily First line 3TC + AZT or d4T or TDF or ABC + EFV or NVP

Alternate first line 3TC + AZT or d4T + TDF or ABC Second line 3TC + ddI or TDF + PIr

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 16

Children First line 3TC + AZT or d4T or ABC + NVP or EFV Alternate first line 3TC + AZT or d4T + ABC

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 17

LAMIVUDINESTAVUDINE (3TCd4T) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

Virolis 30

Coviro - LS 30

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle

10 blister pack

24 months Store below 25degC

Protect from moisture

$00750 per tablet $124 per patient per year

Cipla Tablet containing 30rsquos bottle pack 24 months Store between 15ndash25˚C $0075 per capsule

150 mg lamivudine 1000rsquos bottle pack $5500 per patient per year

30 mg stavudine 96 pack per shipper

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C $425 per bottle

150 mg lamivudine 168 bottles per shipper

30 mg stavudine

Lamivudine Stavudine (WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle 24 months Store below 30degC

Protect from sunlight

$0075 per tablet $54 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 18

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV Patients ge 60 kg one 3TCd4T (40 mg) Patients ge 37 kg one 3TCd4T (30 mg) tablet twice Adults tablet twice daily in combination with other daily

First line d4T3TC + NVP or EFV antiretroviral agents

Alternate first line d4T3TC + TDF or ABC Patients lt 60 kg one 3TCd4T (30 mg) tablet twice daily in combination with other

Children antiretroviral agents d4T3TC + NVP or EFV

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 19

LAMIVUDINESTAVUDINENEVIRAPINE (3TCD4TNVP) NRTI amp NNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Originator Product

Generic Product

Triomune 30

(WHO prequalified)

Cipla Ltd Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Tablet containing 200 mg nevirapine

150 mg lamivudine

30 mg stavudine

30 tablets per bottle

60rsquos bottle pack

1000rsquos bottle pack

Container of 60 tablets

60 bottle pack

24 months

18 months

24 months

Store between 15ndash25˚C Protect from moisture

Store below 25˚C

Store between 15ndash25˚C

$0142 per tablet

$103 per patient per year

Each tablet contains stavudine 6 mg lamivudine 30 mg nevirapine 50 mg Tablet containing

lamivudine 60 mg 1000 bottle pack

stavudine 12 mg

nevirapine 100 mg

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

lamivudine 150 mg

stavudine 40 mg

nevirapine 200 mg

30 tablets 24 months Store below 30˚C

Protect from light

$014 per tablet

$10200 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 20

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Virolans 30 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryana) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

60 tablets per bottle 240 tablets per case 2400 tablets per shipping carton

Shipping carton Dimensions 45 x 03 x 025 m

12 months Store below 25degC Protect from moisture

$01283 per tablet

$219 per patient per year

wwwranbaxycom Volume 00338 m3

Weight 485

Virolans 40 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryan a) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 40 mg stavudine

60 tablets per bottle

240 tablets per case

2400 tablets per shipping carton

12 months Store below 25degC Protect from moisture

$01333 per tablet

$234 per patient per year

wwwranbaxycom Shipping carton Dimensions 45 x 03 x 025 m Volume 00338 Weight 485

Nevilast 30

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500 018 (AP) India q Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

10 tablets per blister pack

60 tablets per HDPE bottle $201 per tablet

$147 per patient per year

23714250 wwwheterodrugscom

World Health Organization recommended first line regimens using this ARV

Adults d4T3TCNVP

Children d4T3TCNVP

Adult Daily Dosage 1 tablet twice daily of 40 mg for patients gt 60 kg and 1 tablet twice daily of 30 mg for patients lt 60 kg in combination with other antiretroviral agents

Pediatric Daily Dosage The FDC is not recommended for pediatric patients or patients lt 50 kg

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 21

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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Page 15: LOGISTICS FACT SHEETS:

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Stocrin Merck Sharp amp Dohme (Australia) Pty Limited ABN 14 000 173 508 54-68 Ferndell Street SOUTH GRANVILLE NSW

50 mg tablet 30 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

2142 200 mg tablet 90 capsules per bottle 36 months

One month after opening bottle

Store in a cool dry place where the temperature stays below 30degC

Strides S-No 367 Suragajkkanahalli Indlavadi Cross Anekal Taluk Banglore-562106 India

600 mg tablets 20 tablets per bottle 24 months Store below 30˚C

Protect from light and keep in closed container

$0500 per pill

$18000 per patient per year

Matrix 600 mg tablets 30 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $13 per bottle

Viranzcopy

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

600 mg capsules 30 capsules per bottle

30 capsules per bottle

90 capsules per bottle

30 capsules per bottle

24 months

24 months

24 months

24 months

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

Do not store above 25degC Store in original package

$55 per tablet

$201 per patient per year

$0175 per capsule

$0206 per capsule

$226 per patient per year

$0093 per capsule

100 mg capsules

200 mg capsules

50 mg capsules

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 9

World Health Organization recommended first and Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 600 mg daily in combination with a protease inhibitor andor nucleoside 10 to lt 14 kg 200 mg

analogue reverse transcriptase inhibitors 14 to lt 20 kg 250 mg Adults 20 to lt 25 kg 300 mg First line EFV + 3TC o r FTC + AZT or d4T or TDF or 25 to lt 30 kg 350 mg

ABC 30 to lt 40 kg 400 mg Alternate second line EFV + PIr + ddI gt40 kg 600 mg

Children First line EFV + 3TC + AZT or d4T or ABC Second line EFV + ddI + PIr

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 10

EMTRICITBINE + TENOFOVIR (FTC + TDF) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Truvada Gilead Sciences Inc Tablet contains HDPE bottle with 30 tablets Store below 25degC (77degF) $0875 per tablet 333 Lakeside Drive Foster City California 94404 USA

200 mg emtricitabine

300 mg tenofivir $319 per patient per year

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV One tablet of 3TC AZT twice a daily and one Formulation is not designed for children Adults FTC+ AZT or d4T + EFV or NVP tablet of EFV daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 11

EMTRICITABINE (FTC) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Emtriva

(FDA approved)

Gilead Sciences Inc 333 Lakeside Drive Foster City California 94404 USA

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccess gileadcom wwwgileadcom

200 mg capsule 30 capsules per bottle

30 capsules per blister pack

2 years Store at room temperature between 39ndash 86degF (15ndash30degC)

10 mgmL oral solution

170 mL bottles including a marked dosing cup

3 years 45 days after first opening the bottle

Store in refrigerator between 36ndash46degF (2ndash 8degC) Alternatively can be stored at room temperature (25degC) for three months Discard any remaining solution after 3 months

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV One 200 mg capsule once daily in combination gt4 months 6 mgkg up to a maximum of 240 mg Adults FTC + AZT or d4T or TDF or ABC + EFV or with other antiretrovirals once daily in combination with other antiretrovirals NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 12

INDINAVIR (IDV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Crixivan Merck and Co Inc 400 mg capsule Bottles of 18 42 90 120 3 years Store at room $274 per capsule One Merck Drive 180 capsules with dessicant temperature 15ndash30degC

(FDA approved) Whitehouse Station NJ 08889 (59ndash86degF) $400 per patient per year

Tel 908-423-1000 Protect from moisture wwwmerckcom

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 800 mg (or two 400 mg capsules) every 8 hours Optimal dosing for pediatric patients has not been Adults IDV r + ddI or TDF + ABC or 3TC (plusmnAZT) in combination with other antiretrovirals established

Alternate second line IDV r + ddI + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 13

LAMIVUDINE (3TC) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Epivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328 wwwgskcom

150 mg tablet 60 tablets per HDPE bottle

60 tablets per blister pack

600 tablets per inner carton

Shipping carton Volume 06 ft3

24 months Store at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0087 per tablet

$64 per patient per year

GlaxoSmithKline 10 mgmL syrup 240 mL per HDPE bottle 24 months Do not store above 25degC $0023 per mL Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328

12 bottles per inner carton

10 mL oral dosing syringe and polyethylene adapter included

Discard oral solution one month after opening

$84 per patient per year

wwwgskcom Shipping carton Volume 37 ft3

Generic Products

Heptavir Hetero Drugs Ltd 150 mg tablet 60 tablets per HDPE bottle Do not store above 30degC $0073 per tablet Jeedimetla AP India

$53 per patient per year 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

+91 40 2371 4250 wwwheterodrugscom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 14

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Lamivirreg

(WHO prequalified)

Cipla Ltd Vikhroli India

Mumbai Central Mumbaindash400 008

50 mg5 mL solution 100 mL per PET bottle with syringe

240 mL bottle

35 bottles per shipper

24 months Store between 20ndash25˚C

Discard oral solution one month after opening

$0018 per mL

$66 per patient per year

India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

100 mg tablet 10 tablets per blister pack

60 tablets per inner carton

24 months Do not store above 30degC

+91 22 2307 0393 wwwciplacom

150 mg tablet 10 tablets per blister pack

60 tablets per inner carton

168 packs per shipping carton

Shipping carton Dimensions 455 x 280 x 250 mm Weight 151 kg

24 months Do not store above 30degC $0065 per tablet

$47 per patient per year

Lamivudine

(WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

150 mg tablet 60 tablets per HDPE bottle

10 tablets per blister pack

Do not store above 30degC $0071 per tablet

$5112 per patient per year

Lamivox

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal

150 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0059 tablet

$43 per patient per year

(FDA tentatively approved)

Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$155 per tablet

$56 per patient per year

10 mgmL 240 mL HDPE container

Pack contains a 20 mL measuring cup

18 months Do not store above 25degC $0009 per mL

$34 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 15

continued LAMIVUDINE

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Aspen Lamivudine

(WHO prequalified)

Aspen Pharmacare Aspen Park 98 Armstrong Avenue La Lucia Ridge Durban 4019 South Africa

150 mg tablet 60 tablets per plastic container securitainer metalised lay flat pack glass bottle

24 months Store below 25˚C $450

Tel +27 31 5808600 wwwaspenpharmacom

Matrix 150 mg tablet 60 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $320 per bottle

Anolam Virolam Avolam

(FDA tentatively approved)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

150 mg tablet 60 tablets per bottle

1440 tablets per inner carton (24 packs per inner carton)

14400 tablets per shipping carton (600 packs or 10 inner carton)

Shipping carton Dimensions 49 x 36 x 23 m Volume 0406 Weight 785

24 months Store below 25degC

Protect from moisture

$00517 per tablet

$43 per patient per year

World Health Organization recommended first and Adult Daily Dosage 300 mg daily or 150 mg twice daily in Pediatric Daily Dosage second line regimens combination with other antiretroviral agents lt 30 days 2 mgkg twice daily regimens using this ARV

gt 30 days to 12 years 4 mgkg twice daily up to a Adults Per Cipla adults weighing less than 50 kg 150 mg once daily maximum of 150 mg twice daily First line 3TC + AZT or d4T or TDF or ABC + EFV or NVP

Alternate first line 3TC + AZT or d4T + TDF or ABC Second line 3TC + ddI or TDF + PIr

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 16

Children First line 3TC + AZT or d4T or ABC + NVP or EFV Alternate first line 3TC + AZT or d4T + ABC

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 17

LAMIVUDINESTAVUDINE (3TCd4T) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

Virolis 30

Coviro - LS 30

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle

10 blister pack

24 months Store below 25degC

Protect from moisture

$00750 per tablet $124 per patient per year

Cipla Tablet containing 30rsquos bottle pack 24 months Store between 15ndash25˚C $0075 per capsule

150 mg lamivudine 1000rsquos bottle pack $5500 per patient per year

30 mg stavudine 96 pack per shipper

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C $425 per bottle

150 mg lamivudine 168 bottles per shipper

30 mg stavudine

Lamivudine Stavudine (WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle 24 months Store below 30degC

Protect from sunlight

$0075 per tablet $54 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 18

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV Patients ge 60 kg one 3TCd4T (40 mg) Patients ge 37 kg one 3TCd4T (30 mg) tablet twice Adults tablet twice daily in combination with other daily

First line d4T3TC + NVP or EFV antiretroviral agents

Alternate first line d4T3TC + TDF or ABC Patients lt 60 kg one 3TCd4T (30 mg) tablet twice daily in combination with other

Children antiretroviral agents d4T3TC + NVP or EFV

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 19

LAMIVUDINESTAVUDINENEVIRAPINE (3TCD4TNVP) NRTI amp NNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Originator Product

Generic Product

Triomune 30

(WHO prequalified)

Cipla Ltd Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Tablet containing 200 mg nevirapine

150 mg lamivudine

30 mg stavudine

30 tablets per bottle

60rsquos bottle pack

1000rsquos bottle pack

Container of 60 tablets

60 bottle pack

24 months

18 months

24 months

Store between 15ndash25˚C Protect from moisture

Store below 25˚C

Store between 15ndash25˚C

$0142 per tablet

$103 per patient per year

Each tablet contains stavudine 6 mg lamivudine 30 mg nevirapine 50 mg Tablet containing

lamivudine 60 mg 1000 bottle pack

stavudine 12 mg

nevirapine 100 mg

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

lamivudine 150 mg

stavudine 40 mg

nevirapine 200 mg

30 tablets 24 months Store below 30˚C

Protect from light

$014 per tablet

$10200 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 20

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Virolans 30 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryana) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

60 tablets per bottle 240 tablets per case 2400 tablets per shipping carton

Shipping carton Dimensions 45 x 03 x 025 m

12 months Store below 25degC Protect from moisture

$01283 per tablet

$219 per patient per year

wwwranbaxycom Volume 00338 m3

Weight 485

Virolans 40 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryan a) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 40 mg stavudine

60 tablets per bottle

240 tablets per case

2400 tablets per shipping carton

12 months Store below 25degC Protect from moisture

$01333 per tablet

$234 per patient per year

wwwranbaxycom Shipping carton Dimensions 45 x 03 x 025 m Volume 00338 Weight 485

Nevilast 30

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500 018 (AP) India q Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

10 tablets per blister pack

60 tablets per HDPE bottle $201 per tablet

$147 per patient per year

23714250 wwwheterodrugscom

World Health Organization recommended first line regimens using this ARV

Adults d4T3TCNVP

Children d4T3TCNVP

Adult Daily Dosage 1 tablet twice daily of 40 mg for patients gt 60 kg and 1 tablet twice daily of 30 mg for patients lt 60 kg in combination with other antiretroviral agents

Pediatric Daily Dosage The FDC is not recommended for pediatric patients or patients lt 50 kg

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 21

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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ESP 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 FRA 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Page 16: LOGISTICS FACT SHEETS:

World Health Organization recommended first and Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 600 mg daily in combination with a protease inhibitor andor nucleoside 10 to lt 14 kg 200 mg

analogue reverse transcriptase inhibitors 14 to lt 20 kg 250 mg Adults 20 to lt 25 kg 300 mg First line EFV + 3TC o r FTC + AZT or d4T or TDF or 25 to lt 30 kg 350 mg

ABC 30 to lt 40 kg 400 mg Alternate second line EFV + PIr + ddI gt40 kg 600 mg

Children First line EFV + 3TC + AZT or d4T or ABC Second line EFV + ddI + PIr

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 10

EMTRICITBINE + TENOFOVIR (FTC + TDF) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Truvada Gilead Sciences Inc Tablet contains HDPE bottle with 30 tablets Store below 25degC (77degF) $0875 per tablet 333 Lakeside Drive Foster City California 94404 USA

200 mg emtricitabine

300 mg tenofivir $319 per patient per year

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV One tablet of 3TC AZT twice a daily and one Formulation is not designed for children Adults FTC+ AZT or d4T + EFV or NVP tablet of EFV daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 11

EMTRICITABINE (FTC) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Emtriva

(FDA approved)

Gilead Sciences Inc 333 Lakeside Drive Foster City California 94404 USA

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccess gileadcom wwwgileadcom

200 mg capsule 30 capsules per bottle

30 capsules per blister pack

2 years Store at room temperature between 39ndash 86degF (15ndash30degC)

10 mgmL oral solution

170 mL bottles including a marked dosing cup

3 years 45 days after first opening the bottle

Store in refrigerator between 36ndash46degF (2ndash 8degC) Alternatively can be stored at room temperature (25degC) for three months Discard any remaining solution after 3 months

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV One 200 mg capsule once daily in combination gt4 months 6 mgkg up to a maximum of 240 mg Adults FTC + AZT or d4T or TDF or ABC + EFV or with other antiretrovirals once daily in combination with other antiretrovirals NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 12

INDINAVIR (IDV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Crixivan Merck and Co Inc 400 mg capsule Bottles of 18 42 90 120 3 years Store at room $274 per capsule One Merck Drive 180 capsules with dessicant temperature 15ndash30degC

(FDA approved) Whitehouse Station NJ 08889 (59ndash86degF) $400 per patient per year

Tel 908-423-1000 Protect from moisture wwwmerckcom

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 800 mg (or two 400 mg capsules) every 8 hours Optimal dosing for pediatric patients has not been Adults IDV r + ddI or TDF + ABC or 3TC (plusmnAZT) in combination with other antiretrovirals established

Alternate second line IDV r + ddI + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 13

LAMIVUDINE (3TC) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Epivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328 wwwgskcom

150 mg tablet 60 tablets per HDPE bottle

60 tablets per blister pack

600 tablets per inner carton

Shipping carton Volume 06 ft3

24 months Store at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0087 per tablet

$64 per patient per year

GlaxoSmithKline 10 mgmL syrup 240 mL per HDPE bottle 24 months Do not store above 25degC $0023 per mL Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328

12 bottles per inner carton

10 mL oral dosing syringe and polyethylene adapter included

Discard oral solution one month after opening

$84 per patient per year

wwwgskcom Shipping carton Volume 37 ft3

Generic Products

Heptavir Hetero Drugs Ltd 150 mg tablet 60 tablets per HDPE bottle Do not store above 30degC $0073 per tablet Jeedimetla AP India

$53 per patient per year 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

+91 40 2371 4250 wwwheterodrugscom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 14

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Lamivirreg

(WHO prequalified)

Cipla Ltd Vikhroli India

Mumbai Central Mumbaindash400 008

50 mg5 mL solution 100 mL per PET bottle with syringe

240 mL bottle

35 bottles per shipper

24 months Store between 20ndash25˚C

Discard oral solution one month after opening

$0018 per mL

$66 per patient per year

India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

100 mg tablet 10 tablets per blister pack

60 tablets per inner carton

24 months Do not store above 30degC

+91 22 2307 0393 wwwciplacom

150 mg tablet 10 tablets per blister pack

60 tablets per inner carton

168 packs per shipping carton

Shipping carton Dimensions 455 x 280 x 250 mm Weight 151 kg

24 months Do not store above 30degC $0065 per tablet

$47 per patient per year

Lamivudine

(WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

150 mg tablet 60 tablets per HDPE bottle

10 tablets per blister pack

Do not store above 30degC $0071 per tablet

$5112 per patient per year

Lamivox

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal

150 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0059 tablet

$43 per patient per year

(FDA tentatively approved)

Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$155 per tablet

$56 per patient per year

10 mgmL 240 mL HDPE container

Pack contains a 20 mL measuring cup

18 months Do not store above 25degC $0009 per mL

$34 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 15

continued LAMIVUDINE

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Aspen Lamivudine

(WHO prequalified)

Aspen Pharmacare Aspen Park 98 Armstrong Avenue La Lucia Ridge Durban 4019 South Africa

150 mg tablet 60 tablets per plastic container securitainer metalised lay flat pack glass bottle

24 months Store below 25˚C $450

Tel +27 31 5808600 wwwaspenpharmacom

Matrix 150 mg tablet 60 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $320 per bottle

Anolam Virolam Avolam

(FDA tentatively approved)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

150 mg tablet 60 tablets per bottle

1440 tablets per inner carton (24 packs per inner carton)

14400 tablets per shipping carton (600 packs or 10 inner carton)

Shipping carton Dimensions 49 x 36 x 23 m Volume 0406 Weight 785

24 months Store below 25degC

Protect from moisture

$00517 per tablet

$43 per patient per year

World Health Organization recommended first and Adult Daily Dosage 300 mg daily or 150 mg twice daily in Pediatric Daily Dosage second line regimens combination with other antiretroviral agents lt 30 days 2 mgkg twice daily regimens using this ARV

gt 30 days to 12 years 4 mgkg twice daily up to a Adults Per Cipla adults weighing less than 50 kg 150 mg once daily maximum of 150 mg twice daily First line 3TC + AZT or d4T or TDF or ABC + EFV or NVP

Alternate first line 3TC + AZT or d4T + TDF or ABC Second line 3TC + ddI or TDF + PIr

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 16

Children First line 3TC + AZT or d4T or ABC + NVP or EFV Alternate first line 3TC + AZT or d4T + ABC

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 17

LAMIVUDINESTAVUDINE (3TCd4T) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

Virolis 30

Coviro - LS 30

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle

10 blister pack

24 months Store below 25degC

Protect from moisture

$00750 per tablet $124 per patient per year

Cipla Tablet containing 30rsquos bottle pack 24 months Store between 15ndash25˚C $0075 per capsule

150 mg lamivudine 1000rsquos bottle pack $5500 per patient per year

30 mg stavudine 96 pack per shipper

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C $425 per bottle

150 mg lamivudine 168 bottles per shipper

30 mg stavudine

Lamivudine Stavudine (WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle 24 months Store below 30degC

Protect from sunlight

$0075 per tablet $54 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 18

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV Patients ge 60 kg one 3TCd4T (40 mg) Patients ge 37 kg one 3TCd4T (30 mg) tablet twice Adults tablet twice daily in combination with other daily

First line d4T3TC + NVP or EFV antiretroviral agents

Alternate first line d4T3TC + TDF or ABC Patients lt 60 kg one 3TCd4T (30 mg) tablet twice daily in combination with other

Children antiretroviral agents d4T3TC + NVP or EFV

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 19

LAMIVUDINESTAVUDINENEVIRAPINE (3TCD4TNVP) NRTI amp NNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Originator Product

Generic Product

Triomune 30

(WHO prequalified)

Cipla Ltd Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Tablet containing 200 mg nevirapine

150 mg lamivudine

30 mg stavudine

30 tablets per bottle

60rsquos bottle pack

1000rsquos bottle pack

Container of 60 tablets

60 bottle pack

24 months

18 months

24 months

Store between 15ndash25˚C Protect from moisture

Store below 25˚C

Store between 15ndash25˚C

$0142 per tablet

$103 per patient per year

Each tablet contains stavudine 6 mg lamivudine 30 mg nevirapine 50 mg Tablet containing

lamivudine 60 mg 1000 bottle pack

stavudine 12 mg

nevirapine 100 mg

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

lamivudine 150 mg

stavudine 40 mg

nevirapine 200 mg

30 tablets 24 months Store below 30˚C

Protect from light

$014 per tablet

$10200 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 20

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Virolans 30 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryana) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

60 tablets per bottle 240 tablets per case 2400 tablets per shipping carton

Shipping carton Dimensions 45 x 03 x 025 m

12 months Store below 25degC Protect from moisture

$01283 per tablet

$219 per patient per year

wwwranbaxycom Volume 00338 m3

Weight 485

Virolans 40 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryan a) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 40 mg stavudine

60 tablets per bottle

240 tablets per case

2400 tablets per shipping carton

12 months Store below 25degC Protect from moisture

$01333 per tablet

$234 per patient per year

wwwranbaxycom Shipping carton Dimensions 45 x 03 x 025 m Volume 00338 Weight 485

Nevilast 30

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500 018 (AP) India q Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

10 tablets per blister pack

60 tablets per HDPE bottle $201 per tablet

$147 per patient per year

23714250 wwwheterodrugscom

World Health Organization recommended first line regimens using this ARV

Adults d4T3TCNVP

Children d4T3TCNVP

Adult Daily Dosage 1 tablet twice daily of 40 mg for patients gt 60 kg and 1 tablet twice daily of 30 mg for patients lt 60 kg in combination with other antiretroviral agents

Pediatric Daily Dosage The FDC is not recommended for pediatric patients or patients lt 50 kg

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 21

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT 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 DEU 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO ltFEFF004b00e40079007400e40020006e00e40069007400e4002000610073006500740075006b007300690061002c0020006b0075006e0020006c0075006f0074002000410064006f0062006500200050004400460020002d0064006f006b0075006d0065006e007400740065006a00610020006c0061006100640075006b006100730074006100200074007900f6007000f60079007400e400740075006c006f0073007400750073007400610020006a00610020007600650064006f007300740075007300740061002000760061007200740065006e002e00200020004c0075006f0064007500740020005000440046002d0064006f006b0075006d0065006e00740069007400200076006f0069006400610061006e0020006100760061007400610020004100630072006f0062006100740069006c006c00610020006a0061002000410064006f00620065002000520065006100640065007200200035002e0030003a006c006c00610020006a006100200075007500640065006d006d0069006c006c0061002egt SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 17: LOGISTICS FACT SHEETS:

EMTRICITBINE + TENOFOVIR (FTC + TDF) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Truvada Gilead Sciences Inc Tablet contains HDPE bottle with 30 tablets Store below 25degC (77degF) $0875 per tablet 333 Lakeside Drive Foster City California 94404 USA

200 mg emtricitabine

300 mg tenofivir $319 per patient per year

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV One tablet of 3TC AZT twice a daily and one Formulation is not designed for children Adults FTC+ AZT or d4T + EFV or NVP tablet of EFV daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 11

EMTRICITABINE (FTC) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Emtriva

(FDA approved)

Gilead Sciences Inc 333 Lakeside Drive Foster City California 94404 USA

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccess gileadcom wwwgileadcom

200 mg capsule 30 capsules per bottle

30 capsules per blister pack

2 years Store at room temperature between 39ndash 86degF (15ndash30degC)

10 mgmL oral solution

170 mL bottles including a marked dosing cup

3 years 45 days after first opening the bottle

Store in refrigerator between 36ndash46degF (2ndash 8degC) Alternatively can be stored at room temperature (25degC) for three months Discard any remaining solution after 3 months

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV One 200 mg capsule once daily in combination gt4 months 6 mgkg up to a maximum of 240 mg Adults FTC + AZT or d4T or TDF or ABC + EFV or with other antiretrovirals once daily in combination with other antiretrovirals NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 12

INDINAVIR (IDV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Crixivan Merck and Co Inc 400 mg capsule Bottles of 18 42 90 120 3 years Store at room $274 per capsule One Merck Drive 180 capsules with dessicant temperature 15ndash30degC

(FDA approved) Whitehouse Station NJ 08889 (59ndash86degF) $400 per patient per year

Tel 908-423-1000 Protect from moisture wwwmerckcom

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 800 mg (or two 400 mg capsules) every 8 hours Optimal dosing for pediatric patients has not been Adults IDV r + ddI or TDF + ABC or 3TC (plusmnAZT) in combination with other antiretrovirals established

Alternate second line IDV r + ddI + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 13

LAMIVUDINE (3TC) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Epivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328 wwwgskcom

150 mg tablet 60 tablets per HDPE bottle

60 tablets per blister pack

600 tablets per inner carton

Shipping carton Volume 06 ft3

24 months Store at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0087 per tablet

$64 per patient per year

GlaxoSmithKline 10 mgmL syrup 240 mL per HDPE bottle 24 months Do not store above 25degC $0023 per mL Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328

12 bottles per inner carton

10 mL oral dosing syringe and polyethylene adapter included

Discard oral solution one month after opening

$84 per patient per year

wwwgskcom Shipping carton Volume 37 ft3

Generic Products

Heptavir Hetero Drugs Ltd 150 mg tablet 60 tablets per HDPE bottle Do not store above 30degC $0073 per tablet Jeedimetla AP India

$53 per patient per year 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

+91 40 2371 4250 wwwheterodrugscom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 14

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Lamivirreg

(WHO prequalified)

Cipla Ltd Vikhroli India

Mumbai Central Mumbaindash400 008

50 mg5 mL solution 100 mL per PET bottle with syringe

240 mL bottle

35 bottles per shipper

24 months Store between 20ndash25˚C

Discard oral solution one month after opening

$0018 per mL

$66 per patient per year

India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

100 mg tablet 10 tablets per blister pack

60 tablets per inner carton

24 months Do not store above 30degC

+91 22 2307 0393 wwwciplacom

150 mg tablet 10 tablets per blister pack

60 tablets per inner carton

168 packs per shipping carton

Shipping carton Dimensions 455 x 280 x 250 mm Weight 151 kg

24 months Do not store above 30degC $0065 per tablet

$47 per patient per year

Lamivudine

(WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

150 mg tablet 60 tablets per HDPE bottle

10 tablets per blister pack

Do not store above 30degC $0071 per tablet

$5112 per patient per year

Lamivox

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal

150 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0059 tablet

$43 per patient per year

(FDA tentatively approved)

Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$155 per tablet

$56 per patient per year

10 mgmL 240 mL HDPE container

Pack contains a 20 mL measuring cup

18 months Do not store above 25degC $0009 per mL

$34 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 15

continued LAMIVUDINE

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Aspen Lamivudine

(WHO prequalified)

Aspen Pharmacare Aspen Park 98 Armstrong Avenue La Lucia Ridge Durban 4019 South Africa

150 mg tablet 60 tablets per plastic container securitainer metalised lay flat pack glass bottle

24 months Store below 25˚C $450

Tel +27 31 5808600 wwwaspenpharmacom

Matrix 150 mg tablet 60 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $320 per bottle

Anolam Virolam Avolam

(FDA tentatively approved)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

150 mg tablet 60 tablets per bottle

1440 tablets per inner carton (24 packs per inner carton)

14400 tablets per shipping carton (600 packs or 10 inner carton)

Shipping carton Dimensions 49 x 36 x 23 m Volume 0406 Weight 785

24 months Store below 25degC

Protect from moisture

$00517 per tablet

$43 per patient per year

World Health Organization recommended first and Adult Daily Dosage 300 mg daily or 150 mg twice daily in Pediatric Daily Dosage second line regimens combination with other antiretroviral agents lt 30 days 2 mgkg twice daily regimens using this ARV

gt 30 days to 12 years 4 mgkg twice daily up to a Adults Per Cipla adults weighing less than 50 kg 150 mg once daily maximum of 150 mg twice daily First line 3TC + AZT or d4T or TDF or ABC + EFV or NVP

Alternate first line 3TC + AZT or d4T + TDF or ABC Second line 3TC + ddI or TDF + PIr

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 16

Children First line 3TC + AZT or d4T or ABC + NVP or EFV Alternate first line 3TC + AZT or d4T + ABC

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 17

LAMIVUDINESTAVUDINE (3TCd4T) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

Virolis 30

Coviro - LS 30

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle

10 blister pack

24 months Store below 25degC

Protect from moisture

$00750 per tablet $124 per patient per year

Cipla Tablet containing 30rsquos bottle pack 24 months Store between 15ndash25˚C $0075 per capsule

150 mg lamivudine 1000rsquos bottle pack $5500 per patient per year

30 mg stavudine 96 pack per shipper

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C $425 per bottle

150 mg lamivudine 168 bottles per shipper

30 mg stavudine

Lamivudine Stavudine (WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle 24 months Store below 30degC

Protect from sunlight

$0075 per tablet $54 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 18

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV Patients ge 60 kg one 3TCd4T (40 mg) Patients ge 37 kg one 3TCd4T (30 mg) tablet twice Adults tablet twice daily in combination with other daily

First line d4T3TC + NVP or EFV antiretroviral agents

Alternate first line d4T3TC + TDF or ABC Patients lt 60 kg one 3TCd4T (30 mg) tablet twice daily in combination with other

Children antiretroviral agents d4T3TC + NVP or EFV

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 19

LAMIVUDINESTAVUDINENEVIRAPINE (3TCD4TNVP) NRTI amp NNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Originator Product

Generic Product

Triomune 30

(WHO prequalified)

Cipla Ltd Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Tablet containing 200 mg nevirapine

150 mg lamivudine

30 mg stavudine

30 tablets per bottle

60rsquos bottle pack

1000rsquos bottle pack

Container of 60 tablets

60 bottle pack

24 months

18 months

24 months

Store between 15ndash25˚C Protect from moisture

Store below 25˚C

Store between 15ndash25˚C

$0142 per tablet

$103 per patient per year

Each tablet contains stavudine 6 mg lamivudine 30 mg nevirapine 50 mg Tablet containing

lamivudine 60 mg 1000 bottle pack

stavudine 12 mg

nevirapine 100 mg

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

lamivudine 150 mg

stavudine 40 mg

nevirapine 200 mg

30 tablets 24 months Store below 30˚C

Protect from light

$014 per tablet

$10200 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 20

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Virolans 30 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryana) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

60 tablets per bottle 240 tablets per case 2400 tablets per shipping carton

Shipping carton Dimensions 45 x 03 x 025 m

12 months Store below 25degC Protect from moisture

$01283 per tablet

$219 per patient per year

wwwranbaxycom Volume 00338 m3

Weight 485

Virolans 40 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryan a) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 40 mg stavudine

60 tablets per bottle

240 tablets per case

2400 tablets per shipping carton

12 months Store below 25degC Protect from moisture

$01333 per tablet

$234 per patient per year

wwwranbaxycom Shipping carton Dimensions 45 x 03 x 025 m Volume 00338 Weight 485

Nevilast 30

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500 018 (AP) India q Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

10 tablets per blister pack

60 tablets per HDPE bottle $201 per tablet

$147 per patient per year

23714250 wwwheterodrugscom

World Health Organization recommended first line regimens using this ARV

Adults d4T3TCNVP

Children d4T3TCNVP

Adult Daily Dosage 1 tablet twice daily of 40 mg for patients gt 60 kg and 1 tablet twice daily of 30 mg for patients lt 60 kg in combination with other antiretroviral agents

Pediatric Daily Dosage The FDC is not recommended for pediatric patients or patients lt 50 kg

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 21

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged 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Page 18: LOGISTICS FACT SHEETS:

EMTRICITABINE (FTC) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Emtriva

(FDA approved)

Gilead Sciences Inc 333 Lakeside Drive Foster City California 94404 USA

Tel +1-650-574-3000 Fax +1-650-522-5870 E-mail ARVaccess gileadcom wwwgileadcom

200 mg capsule 30 capsules per bottle

30 capsules per blister pack

2 years Store at room temperature between 39ndash 86degF (15ndash30degC)

10 mgmL oral solution

170 mL bottles including a marked dosing cup

3 years 45 days after first opening the bottle

Store in refrigerator between 36ndash46degF (2ndash 8degC) Alternatively can be stored at room temperature (25degC) for three months Discard any remaining solution after 3 months

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV One 200 mg capsule once daily in combination gt4 months 6 mgkg up to a maximum of 240 mg Adults FTC + AZT or d4T or TDF or ABC + EFV or with other antiretrovirals once daily in combination with other antiretrovirals NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 12

INDINAVIR (IDV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Crixivan Merck and Co Inc 400 mg capsule Bottles of 18 42 90 120 3 years Store at room $274 per capsule One Merck Drive 180 capsules with dessicant temperature 15ndash30degC

(FDA approved) Whitehouse Station NJ 08889 (59ndash86degF) $400 per patient per year

Tel 908-423-1000 Protect from moisture wwwmerckcom

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 800 mg (or two 400 mg capsules) every 8 hours Optimal dosing for pediatric patients has not been Adults IDV r + ddI or TDF + ABC or 3TC (plusmnAZT) in combination with other antiretrovirals established

Alternate second line IDV r + ddI + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 13

LAMIVUDINE (3TC) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Epivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328 wwwgskcom

150 mg tablet 60 tablets per HDPE bottle

60 tablets per blister pack

600 tablets per inner carton

Shipping carton Volume 06 ft3

24 months Store at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0087 per tablet

$64 per patient per year

GlaxoSmithKline 10 mgmL syrup 240 mL per HDPE bottle 24 months Do not store above 25degC $0023 per mL Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328

12 bottles per inner carton

10 mL oral dosing syringe and polyethylene adapter included

Discard oral solution one month after opening

$84 per patient per year

wwwgskcom Shipping carton Volume 37 ft3

Generic Products

Heptavir Hetero Drugs Ltd 150 mg tablet 60 tablets per HDPE bottle Do not store above 30degC $0073 per tablet Jeedimetla AP India

$53 per patient per year 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

+91 40 2371 4250 wwwheterodrugscom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 14

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Lamivirreg

(WHO prequalified)

Cipla Ltd Vikhroli India

Mumbai Central Mumbaindash400 008

50 mg5 mL solution 100 mL per PET bottle with syringe

240 mL bottle

35 bottles per shipper

24 months Store between 20ndash25˚C

Discard oral solution one month after opening

$0018 per mL

$66 per patient per year

India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

100 mg tablet 10 tablets per blister pack

60 tablets per inner carton

24 months Do not store above 30degC

+91 22 2307 0393 wwwciplacom

150 mg tablet 10 tablets per blister pack

60 tablets per inner carton

168 packs per shipping carton

Shipping carton Dimensions 455 x 280 x 250 mm Weight 151 kg

24 months Do not store above 30degC $0065 per tablet

$47 per patient per year

Lamivudine

(WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

150 mg tablet 60 tablets per HDPE bottle

10 tablets per blister pack

Do not store above 30degC $0071 per tablet

$5112 per patient per year

Lamivox

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal

150 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0059 tablet

$43 per patient per year

(FDA tentatively approved)

Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$155 per tablet

$56 per patient per year

10 mgmL 240 mL HDPE container

Pack contains a 20 mL measuring cup

18 months Do not store above 25degC $0009 per mL

$34 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 15

continued LAMIVUDINE

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Aspen Lamivudine

(WHO prequalified)

Aspen Pharmacare Aspen Park 98 Armstrong Avenue La Lucia Ridge Durban 4019 South Africa

150 mg tablet 60 tablets per plastic container securitainer metalised lay flat pack glass bottle

24 months Store below 25˚C $450

Tel +27 31 5808600 wwwaspenpharmacom

Matrix 150 mg tablet 60 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $320 per bottle

Anolam Virolam Avolam

(FDA tentatively approved)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

150 mg tablet 60 tablets per bottle

1440 tablets per inner carton (24 packs per inner carton)

14400 tablets per shipping carton (600 packs or 10 inner carton)

Shipping carton Dimensions 49 x 36 x 23 m Volume 0406 Weight 785

24 months Store below 25degC

Protect from moisture

$00517 per tablet

$43 per patient per year

World Health Organization recommended first and Adult Daily Dosage 300 mg daily or 150 mg twice daily in Pediatric Daily Dosage second line regimens combination with other antiretroviral agents lt 30 days 2 mgkg twice daily regimens using this ARV

gt 30 days to 12 years 4 mgkg twice daily up to a Adults Per Cipla adults weighing less than 50 kg 150 mg once daily maximum of 150 mg twice daily First line 3TC + AZT or d4T or TDF or ABC + EFV or NVP

Alternate first line 3TC + AZT or d4T + TDF or ABC Second line 3TC + ddI or TDF + PIr

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 16

Children First line 3TC + AZT or d4T or ABC + NVP or EFV Alternate first line 3TC + AZT or d4T + ABC

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 17

LAMIVUDINESTAVUDINE (3TCd4T) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

Virolis 30

Coviro - LS 30

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle

10 blister pack

24 months Store below 25degC

Protect from moisture

$00750 per tablet $124 per patient per year

Cipla Tablet containing 30rsquos bottle pack 24 months Store between 15ndash25˚C $0075 per capsule

150 mg lamivudine 1000rsquos bottle pack $5500 per patient per year

30 mg stavudine 96 pack per shipper

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C $425 per bottle

150 mg lamivudine 168 bottles per shipper

30 mg stavudine

Lamivudine Stavudine (WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle 24 months Store below 30degC

Protect from sunlight

$0075 per tablet $54 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 18

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV Patients ge 60 kg one 3TCd4T (40 mg) Patients ge 37 kg one 3TCd4T (30 mg) tablet twice Adults tablet twice daily in combination with other daily

First line d4T3TC + NVP or EFV antiretroviral agents

Alternate first line d4T3TC + TDF or ABC Patients lt 60 kg one 3TCd4T (30 mg) tablet twice daily in combination with other

Children antiretroviral agents d4T3TC + NVP or EFV

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 19

LAMIVUDINESTAVUDINENEVIRAPINE (3TCD4TNVP) NRTI amp NNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Originator Product

Generic Product

Triomune 30

(WHO prequalified)

Cipla Ltd Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Tablet containing 200 mg nevirapine

150 mg lamivudine

30 mg stavudine

30 tablets per bottle

60rsquos bottle pack

1000rsquos bottle pack

Container of 60 tablets

60 bottle pack

24 months

18 months

24 months

Store between 15ndash25˚C Protect from moisture

Store below 25˚C

Store between 15ndash25˚C

$0142 per tablet

$103 per patient per year

Each tablet contains stavudine 6 mg lamivudine 30 mg nevirapine 50 mg Tablet containing

lamivudine 60 mg 1000 bottle pack

stavudine 12 mg

nevirapine 100 mg

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

lamivudine 150 mg

stavudine 40 mg

nevirapine 200 mg

30 tablets 24 months Store below 30˚C

Protect from light

$014 per tablet

$10200 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 20

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Virolans 30 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryana) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

60 tablets per bottle 240 tablets per case 2400 tablets per shipping carton

Shipping carton Dimensions 45 x 03 x 025 m

12 months Store below 25degC Protect from moisture

$01283 per tablet

$219 per patient per year

wwwranbaxycom Volume 00338 m3

Weight 485

Virolans 40 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryan a) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 40 mg stavudine

60 tablets per bottle

240 tablets per case

2400 tablets per shipping carton

12 months Store below 25degC Protect from moisture

$01333 per tablet

$234 per patient per year

wwwranbaxycom Shipping carton Dimensions 45 x 03 x 025 m Volume 00338 Weight 485

Nevilast 30

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500 018 (AP) India q Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

10 tablets per blister pack

60 tablets per HDPE bottle $201 per tablet

$147 per patient per year

23714250 wwwheterodrugscom

World Health Organization recommended first line regimens using this ARV

Adults d4T3TCNVP

Children d4T3TCNVP

Adult Daily Dosage 1 tablet twice daily of 40 mg for patients gt 60 kg and 1 tablet twice daily of 30 mg for patients lt 60 kg in combination with other antiretroviral agents

Pediatric Daily Dosage The FDC is not recommended for pediatric patients or patients lt 50 kg

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 21

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT 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 DEU 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 ESP ltFEFF005500740069006c0069006300650020006500730074006100200063006f006e0066006900670075007200610063006900f3006e0020007000610072006100200063007200650061007200200064006f00630075006d0065006e0074006f0073002000640065002000410064006f0062006500200050004400460020007000610072006100200063006f006e00730065006700750069007200200069006d0070007200650073006900f3006e002000640065002000630061006c006900640061006400200065006e00200069006d0070007200650073006f0072006100730020006400650020006500730063007200690074006f00720069006f00200079002000680065007200720061006d00690065006e00740061007300200064006500200063006f00720072006500630063006900f3006e002e002000530065002000700075006500640065006e00200061006200720069007200200064006f00630075006d0065006e0074006f00730020005000440046002000630072006500610064006f007300200063006f006e0020004100630072006f006200610074002c002000410064006f00620065002000520065006100640065007200200035002e003000200079002000760065007200730069006f006e0065007300200070006f00730074006500720069006f007200650073002egt FRA ltFEFF005500740069006c006900730065007a00200063006500730020006f007000740069006f006e00730020006100660069006e00200064006500200063007200e900650072002000640065007300200064006f00630075006d0065006e00740073002000410064006f00620065002000500044004600200070006f007500720020006400650073002000e90070007200650075007600650073002000650074002000640065007300200069006d007000720065007300730069006f006e00730020006400650020006800610075007400650020007100750061006c0069007400e90020007300750072002000640065007300200069006d007000720069006d0061006e0074006500730020006400650020006200750072006500610075002e0020004c0065007300200064006f00630075006d0065006e00740073002000500044004600200063007200e900e90073002000700065007500760065006e0074002000ea0074007200650020006f007500760065007200740073002000640061006e00730020004100630072006f006200610074002c002000610069006e00730069002000710075002700410064006f00620065002000520065006100640065007200200035002e0030002000650074002000760065007200730069006f006e007300200075006c007400e90072006900650075007200650073002egt ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 19: LOGISTICS FACT SHEETS:

INDINAVIR (IDV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Crixivan Merck and Co Inc 400 mg capsule Bottles of 18 42 90 120 3 years Store at room $274 per capsule One Merck Drive 180 capsules with dessicant temperature 15ndash30degC

(FDA approved) Whitehouse Station NJ 08889 (59ndash86degF) $400 per patient per year

Tel 908-423-1000 Protect from moisture wwwmerckcom

World Health Organization recommended second line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 800 mg (or two 400 mg capsules) every 8 hours Optimal dosing for pediatric patients has not been Adults IDV r + ddI or TDF + ABC or 3TC (plusmnAZT) in combination with other antiretrovirals established

Alternate second line IDV r + ddI + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 13

LAMIVUDINE (3TC) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Epivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328 wwwgskcom

150 mg tablet 60 tablets per HDPE bottle

60 tablets per blister pack

600 tablets per inner carton

Shipping carton Volume 06 ft3

24 months Store at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0087 per tablet

$64 per patient per year

GlaxoSmithKline 10 mgmL syrup 240 mL per HDPE bottle 24 months Do not store above 25degC $0023 per mL Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328

12 bottles per inner carton

10 mL oral dosing syringe and polyethylene adapter included

Discard oral solution one month after opening

$84 per patient per year

wwwgskcom Shipping carton Volume 37 ft3

Generic Products

Heptavir Hetero Drugs Ltd 150 mg tablet 60 tablets per HDPE bottle Do not store above 30degC $0073 per tablet Jeedimetla AP India

$53 per patient per year 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

+91 40 2371 4250 wwwheterodrugscom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 14

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Lamivirreg

(WHO prequalified)

Cipla Ltd Vikhroli India

Mumbai Central Mumbaindash400 008

50 mg5 mL solution 100 mL per PET bottle with syringe

240 mL bottle

35 bottles per shipper

24 months Store between 20ndash25˚C

Discard oral solution one month after opening

$0018 per mL

$66 per patient per year

India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

100 mg tablet 10 tablets per blister pack

60 tablets per inner carton

24 months Do not store above 30degC

+91 22 2307 0393 wwwciplacom

150 mg tablet 10 tablets per blister pack

60 tablets per inner carton

168 packs per shipping carton

Shipping carton Dimensions 455 x 280 x 250 mm Weight 151 kg

24 months Do not store above 30degC $0065 per tablet

$47 per patient per year

Lamivudine

(WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

150 mg tablet 60 tablets per HDPE bottle

10 tablets per blister pack

Do not store above 30degC $0071 per tablet

$5112 per patient per year

Lamivox

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal

150 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0059 tablet

$43 per patient per year

(FDA tentatively approved)

Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$155 per tablet

$56 per patient per year

10 mgmL 240 mL HDPE container

Pack contains a 20 mL measuring cup

18 months Do not store above 25degC $0009 per mL

$34 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 15

continued LAMIVUDINE

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Aspen Lamivudine

(WHO prequalified)

Aspen Pharmacare Aspen Park 98 Armstrong Avenue La Lucia Ridge Durban 4019 South Africa

150 mg tablet 60 tablets per plastic container securitainer metalised lay flat pack glass bottle

24 months Store below 25˚C $450

Tel +27 31 5808600 wwwaspenpharmacom

Matrix 150 mg tablet 60 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $320 per bottle

Anolam Virolam Avolam

(FDA tentatively approved)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

150 mg tablet 60 tablets per bottle

1440 tablets per inner carton (24 packs per inner carton)

14400 tablets per shipping carton (600 packs or 10 inner carton)

Shipping carton Dimensions 49 x 36 x 23 m Volume 0406 Weight 785

24 months Store below 25degC

Protect from moisture

$00517 per tablet

$43 per patient per year

World Health Organization recommended first and Adult Daily Dosage 300 mg daily or 150 mg twice daily in Pediatric Daily Dosage second line regimens combination with other antiretroviral agents lt 30 days 2 mgkg twice daily regimens using this ARV

gt 30 days to 12 years 4 mgkg twice daily up to a Adults Per Cipla adults weighing less than 50 kg 150 mg once daily maximum of 150 mg twice daily First line 3TC + AZT or d4T or TDF or ABC + EFV or NVP

Alternate first line 3TC + AZT or d4T + TDF or ABC Second line 3TC + ddI or TDF + PIr

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 16

Children First line 3TC + AZT or d4T or ABC + NVP or EFV Alternate first line 3TC + AZT or d4T + ABC

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 17

LAMIVUDINESTAVUDINE (3TCd4T) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

Virolis 30

Coviro - LS 30

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle

10 blister pack

24 months Store below 25degC

Protect from moisture

$00750 per tablet $124 per patient per year

Cipla Tablet containing 30rsquos bottle pack 24 months Store between 15ndash25˚C $0075 per capsule

150 mg lamivudine 1000rsquos bottle pack $5500 per patient per year

30 mg stavudine 96 pack per shipper

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C $425 per bottle

150 mg lamivudine 168 bottles per shipper

30 mg stavudine

Lamivudine Stavudine (WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle 24 months Store below 30degC

Protect from sunlight

$0075 per tablet $54 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 18

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV Patients ge 60 kg one 3TCd4T (40 mg) Patients ge 37 kg one 3TCd4T (30 mg) tablet twice Adults tablet twice daily in combination with other daily

First line d4T3TC + NVP or EFV antiretroviral agents

Alternate first line d4T3TC + TDF or ABC Patients lt 60 kg one 3TCd4T (30 mg) tablet twice daily in combination with other

Children antiretroviral agents d4T3TC + NVP or EFV

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 19

LAMIVUDINESTAVUDINENEVIRAPINE (3TCD4TNVP) NRTI amp NNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Originator Product

Generic Product

Triomune 30

(WHO prequalified)

Cipla Ltd Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Tablet containing 200 mg nevirapine

150 mg lamivudine

30 mg stavudine

30 tablets per bottle

60rsquos bottle pack

1000rsquos bottle pack

Container of 60 tablets

60 bottle pack

24 months

18 months

24 months

Store between 15ndash25˚C Protect from moisture

Store below 25˚C

Store between 15ndash25˚C

$0142 per tablet

$103 per patient per year

Each tablet contains stavudine 6 mg lamivudine 30 mg nevirapine 50 mg Tablet containing

lamivudine 60 mg 1000 bottle pack

stavudine 12 mg

nevirapine 100 mg

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

lamivudine 150 mg

stavudine 40 mg

nevirapine 200 mg

30 tablets 24 months Store below 30˚C

Protect from light

$014 per tablet

$10200 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 20

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Virolans 30 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryana) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

60 tablets per bottle 240 tablets per case 2400 tablets per shipping carton

Shipping carton Dimensions 45 x 03 x 025 m

12 months Store below 25degC Protect from moisture

$01283 per tablet

$219 per patient per year

wwwranbaxycom Volume 00338 m3

Weight 485

Virolans 40 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryan a) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 40 mg stavudine

60 tablets per bottle

240 tablets per case

2400 tablets per shipping carton

12 months Store below 25degC Protect from moisture

$01333 per tablet

$234 per patient per year

wwwranbaxycom Shipping carton Dimensions 45 x 03 x 025 m Volume 00338 Weight 485

Nevilast 30

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500 018 (AP) India q Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

10 tablets per blister pack

60 tablets per HDPE bottle $201 per tablet

$147 per patient per year

23714250 wwwheterodrugscom

World Health Organization recommended first line regimens using this ARV

Adults d4T3TCNVP

Children d4T3TCNVP

Adult Daily Dosage 1 tablet twice daily of 40 mg for patients gt 60 kg and 1 tablet twice daily of 30 mg for patients lt 60 kg in combination with other antiretroviral agents

Pediatric Daily Dosage The FDC is not recommended for pediatric patients or patients lt 50 kg

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 21

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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ESP ltFEFF005500740069006c0069006300650020006500730074006100200063006f006e0066006900670075007200610063006900f3006e0020007000610072006100200063007200650061007200200064006f00630075006d0065006e0074006f0073002000640065002000410064006f0062006500200050004400460020007000610072006100200063006f006e00730065006700750069007200200069006d0070007200650073006900f3006e002000640065002000630061006c006900640061006400200065006e00200069006d0070007200650073006f0072006100730020006400650020006500730063007200690074006f00720069006f00200079002000680065007200720061006d00690065006e00740061007300200064006500200063006f00720072006500630063006900f3006e002e002000530065002000700075006500640065006e00200061006200720069007200200064006f00630075006d0065006e0074006f00730020005000440046002000630072006500610064006f007300200063006f006e0020004100630072006f006200610074002c002000410064006f00620065002000520065006100640065007200200035002e003000200079002000760065007200730069006f006e0065007300200070006f00730074006500720069006f007200650073002egt FRA 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Page 20: LOGISTICS FACT SHEETS:

LAMIVUDINE (3TC) NRTI

Packaging amp Shipping Shelf Brand Name Manufacturer StrengthForm Information Life Storage Conditions Price

Originator Product

Epivirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328 wwwgskcom

150 mg tablet 60 tablets per HDPE bottle

60 tablets per blister pack

600 tablets per inner carton

Shipping carton Volume 06 ft3

24 months Store at 25degC (77degF) Excursions to 15ndash30degC (59ndash86degF) permitted

$0087 per tablet

$64 per patient per year

GlaxoSmithKline 10 mgmL syrup 240 mL per HDPE bottle 24 months Do not store above 25degC $0023 per mL Stockley Park West Uxbridge Middlesex UB222BT Tel +44 (0) 8 0021441 Fax +44 20 8990 4328

12 bottles per inner carton

10 mL oral dosing syringe and polyethylene adapter included

Discard oral solution one month after opening

$84 per patient per year

wwwgskcom Shipping carton Volume 37 ft3

Generic Products

Heptavir Hetero Drugs Ltd 150 mg tablet 60 tablets per HDPE bottle Do not store above 30degC $0073 per tablet Jeedimetla AP India

$53 per patient per year 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

+91 40 2371 4250 wwwheterodrugscom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 14

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Lamivirreg

(WHO prequalified)

Cipla Ltd Vikhroli India

Mumbai Central Mumbaindash400 008

50 mg5 mL solution 100 mL per PET bottle with syringe

240 mL bottle

35 bottles per shipper

24 months Store between 20ndash25˚C

Discard oral solution one month after opening

$0018 per mL

$66 per patient per year

India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

100 mg tablet 10 tablets per blister pack

60 tablets per inner carton

24 months Do not store above 30degC

+91 22 2307 0393 wwwciplacom

150 mg tablet 10 tablets per blister pack

60 tablets per inner carton

168 packs per shipping carton

Shipping carton Dimensions 455 x 280 x 250 mm Weight 151 kg

24 months Do not store above 30degC $0065 per tablet

$47 per patient per year

Lamivudine

(WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

150 mg tablet 60 tablets per HDPE bottle

10 tablets per blister pack

Do not store above 30degC $0071 per tablet

$5112 per patient per year

Lamivox

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal

150 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0059 tablet

$43 per patient per year

(FDA tentatively approved)

Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$155 per tablet

$56 per patient per year

10 mgmL 240 mL HDPE container

Pack contains a 20 mL measuring cup

18 months Do not store above 25degC $0009 per mL

$34 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 15

continued LAMIVUDINE

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Aspen Lamivudine

(WHO prequalified)

Aspen Pharmacare Aspen Park 98 Armstrong Avenue La Lucia Ridge Durban 4019 South Africa

150 mg tablet 60 tablets per plastic container securitainer metalised lay flat pack glass bottle

24 months Store below 25˚C $450

Tel +27 31 5808600 wwwaspenpharmacom

Matrix 150 mg tablet 60 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $320 per bottle

Anolam Virolam Avolam

(FDA tentatively approved)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

150 mg tablet 60 tablets per bottle

1440 tablets per inner carton (24 packs per inner carton)

14400 tablets per shipping carton (600 packs or 10 inner carton)

Shipping carton Dimensions 49 x 36 x 23 m Volume 0406 Weight 785

24 months Store below 25degC

Protect from moisture

$00517 per tablet

$43 per patient per year

World Health Organization recommended first and Adult Daily Dosage 300 mg daily or 150 mg twice daily in Pediatric Daily Dosage second line regimens combination with other antiretroviral agents lt 30 days 2 mgkg twice daily regimens using this ARV

gt 30 days to 12 years 4 mgkg twice daily up to a Adults Per Cipla adults weighing less than 50 kg 150 mg once daily maximum of 150 mg twice daily First line 3TC + AZT or d4T or TDF or ABC + EFV or NVP

Alternate first line 3TC + AZT or d4T + TDF or ABC Second line 3TC + ddI or TDF + PIr

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 16

Children First line 3TC + AZT or d4T or ABC + NVP or EFV Alternate first line 3TC + AZT or d4T + ABC

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 17

LAMIVUDINESTAVUDINE (3TCd4T) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

Virolis 30

Coviro - LS 30

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle

10 blister pack

24 months Store below 25degC

Protect from moisture

$00750 per tablet $124 per patient per year

Cipla Tablet containing 30rsquos bottle pack 24 months Store between 15ndash25˚C $0075 per capsule

150 mg lamivudine 1000rsquos bottle pack $5500 per patient per year

30 mg stavudine 96 pack per shipper

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C $425 per bottle

150 mg lamivudine 168 bottles per shipper

30 mg stavudine

Lamivudine Stavudine (WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle 24 months Store below 30degC

Protect from sunlight

$0075 per tablet $54 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 18

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV Patients ge 60 kg one 3TCd4T (40 mg) Patients ge 37 kg one 3TCd4T (30 mg) tablet twice Adults tablet twice daily in combination with other daily

First line d4T3TC + NVP or EFV antiretroviral agents

Alternate first line d4T3TC + TDF or ABC Patients lt 60 kg one 3TCd4T (30 mg) tablet twice daily in combination with other

Children antiretroviral agents d4T3TC + NVP or EFV

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 19

LAMIVUDINESTAVUDINENEVIRAPINE (3TCD4TNVP) NRTI amp NNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Originator Product

Generic Product

Triomune 30

(WHO prequalified)

Cipla Ltd Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Tablet containing 200 mg nevirapine

150 mg lamivudine

30 mg stavudine

30 tablets per bottle

60rsquos bottle pack

1000rsquos bottle pack

Container of 60 tablets

60 bottle pack

24 months

18 months

24 months

Store between 15ndash25˚C Protect from moisture

Store below 25˚C

Store between 15ndash25˚C

$0142 per tablet

$103 per patient per year

Each tablet contains stavudine 6 mg lamivudine 30 mg nevirapine 50 mg Tablet containing

lamivudine 60 mg 1000 bottle pack

stavudine 12 mg

nevirapine 100 mg

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

lamivudine 150 mg

stavudine 40 mg

nevirapine 200 mg

30 tablets 24 months Store below 30˚C

Protect from light

$014 per tablet

$10200 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 20

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Virolans 30 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryana) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

60 tablets per bottle 240 tablets per case 2400 tablets per shipping carton

Shipping carton Dimensions 45 x 03 x 025 m

12 months Store below 25degC Protect from moisture

$01283 per tablet

$219 per patient per year

wwwranbaxycom Volume 00338 m3

Weight 485

Virolans 40 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryan a) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 40 mg stavudine

60 tablets per bottle

240 tablets per case

2400 tablets per shipping carton

12 months Store below 25degC Protect from moisture

$01333 per tablet

$234 per patient per year

wwwranbaxycom Shipping carton Dimensions 45 x 03 x 025 m Volume 00338 Weight 485

Nevilast 30

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500 018 (AP) India q Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

10 tablets per blister pack

60 tablets per HDPE bottle $201 per tablet

$147 per patient per year

23714250 wwwheterodrugscom

World Health Organization recommended first line regimens using this ARV

Adults d4T3TCNVP

Children d4T3TCNVP

Adult Daily Dosage 1 tablet twice daily of 40 mg for patients gt 60 kg and 1 tablet twice daily of 30 mg for patients lt 60 kg in combination with other antiretroviral agents

Pediatric Daily Dosage The FDC is not recommended for pediatric patients or patients lt 50 kg

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 21

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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Page 21: LOGISTICS FACT SHEETS:

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Lamivirreg

(WHO prequalified)

Cipla Ltd Vikhroli India

Mumbai Central Mumbaindash400 008

50 mg5 mL solution 100 mL per PET bottle with syringe

240 mL bottle

35 bottles per shipper

24 months Store between 20ndash25˚C

Discard oral solution one month after opening

$0018 per mL

$66 per patient per year

India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

100 mg tablet 10 tablets per blister pack

60 tablets per inner carton

24 months Do not store above 30degC

+91 22 2307 0393 wwwciplacom

150 mg tablet 10 tablets per blister pack

60 tablets per inner carton

168 packs per shipping carton

Shipping carton Dimensions 455 x 280 x 250 mm Weight 151 kg

24 months Do not store above 30degC $0065 per tablet

$47 per patient per year

Lamivudine

(WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

150 mg tablet 60 tablets per HDPE bottle

10 tablets per blister pack

Do not store above 30degC $0071 per tablet

$5112 per patient per year

Lamivox

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal

150 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0059 tablet

$43 per patient per year

(FDA tentatively approved)

Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$155 per tablet

$56 per patient per year

10 mgmL 240 mL HDPE container

Pack contains a 20 mL measuring cup

18 months Do not store above 25degC $0009 per mL

$34 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 15

continued LAMIVUDINE

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Aspen Lamivudine

(WHO prequalified)

Aspen Pharmacare Aspen Park 98 Armstrong Avenue La Lucia Ridge Durban 4019 South Africa

150 mg tablet 60 tablets per plastic container securitainer metalised lay flat pack glass bottle

24 months Store below 25˚C $450

Tel +27 31 5808600 wwwaspenpharmacom

Matrix 150 mg tablet 60 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $320 per bottle

Anolam Virolam Avolam

(FDA tentatively approved)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

150 mg tablet 60 tablets per bottle

1440 tablets per inner carton (24 packs per inner carton)

14400 tablets per shipping carton (600 packs or 10 inner carton)

Shipping carton Dimensions 49 x 36 x 23 m Volume 0406 Weight 785

24 months Store below 25degC

Protect from moisture

$00517 per tablet

$43 per patient per year

World Health Organization recommended first and Adult Daily Dosage 300 mg daily or 150 mg twice daily in Pediatric Daily Dosage second line regimens combination with other antiretroviral agents lt 30 days 2 mgkg twice daily regimens using this ARV

gt 30 days to 12 years 4 mgkg twice daily up to a Adults Per Cipla adults weighing less than 50 kg 150 mg once daily maximum of 150 mg twice daily First line 3TC + AZT or d4T or TDF or ABC + EFV or NVP

Alternate first line 3TC + AZT or d4T + TDF or ABC Second line 3TC + ddI or TDF + PIr

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 16

Children First line 3TC + AZT or d4T or ABC + NVP or EFV Alternate first line 3TC + AZT or d4T + ABC

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 17

LAMIVUDINESTAVUDINE (3TCd4T) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

Virolis 30

Coviro - LS 30

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle

10 blister pack

24 months Store below 25degC

Protect from moisture

$00750 per tablet $124 per patient per year

Cipla Tablet containing 30rsquos bottle pack 24 months Store between 15ndash25˚C $0075 per capsule

150 mg lamivudine 1000rsquos bottle pack $5500 per patient per year

30 mg stavudine 96 pack per shipper

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C $425 per bottle

150 mg lamivudine 168 bottles per shipper

30 mg stavudine

Lamivudine Stavudine (WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle 24 months Store below 30degC

Protect from sunlight

$0075 per tablet $54 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 18

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV Patients ge 60 kg one 3TCd4T (40 mg) Patients ge 37 kg one 3TCd4T (30 mg) tablet twice Adults tablet twice daily in combination with other daily

First line d4T3TC + NVP or EFV antiretroviral agents

Alternate first line d4T3TC + TDF or ABC Patients lt 60 kg one 3TCd4T (30 mg) tablet twice daily in combination with other

Children antiretroviral agents d4T3TC + NVP or EFV

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 19

LAMIVUDINESTAVUDINENEVIRAPINE (3TCD4TNVP) NRTI amp NNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Originator Product

Generic Product

Triomune 30

(WHO prequalified)

Cipla Ltd Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Tablet containing 200 mg nevirapine

150 mg lamivudine

30 mg stavudine

30 tablets per bottle

60rsquos bottle pack

1000rsquos bottle pack

Container of 60 tablets

60 bottle pack

24 months

18 months

24 months

Store between 15ndash25˚C Protect from moisture

Store below 25˚C

Store between 15ndash25˚C

$0142 per tablet

$103 per patient per year

Each tablet contains stavudine 6 mg lamivudine 30 mg nevirapine 50 mg Tablet containing

lamivudine 60 mg 1000 bottle pack

stavudine 12 mg

nevirapine 100 mg

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

lamivudine 150 mg

stavudine 40 mg

nevirapine 200 mg

30 tablets 24 months Store below 30˚C

Protect from light

$014 per tablet

$10200 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 20

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Virolans 30 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryana) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

60 tablets per bottle 240 tablets per case 2400 tablets per shipping carton

Shipping carton Dimensions 45 x 03 x 025 m

12 months Store below 25degC Protect from moisture

$01283 per tablet

$219 per patient per year

wwwranbaxycom Volume 00338 m3

Weight 485

Virolans 40 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryan a) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 40 mg stavudine

60 tablets per bottle

240 tablets per case

2400 tablets per shipping carton

12 months Store below 25degC Protect from moisture

$01333 per tablet

$234 per patient per year

wwwranbaxycom Shipping carton Dimensions 45 x 03 x 025 m Volume 00338 Weight 485

Nevilast 30

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500 018 (AP) India q Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

10 tablets per blister pack

60 tablets per HDPE bottle $201 per tablet

$147 per patient per year

23714250 wwwheterodrugscom

World Health Organization recommended first line regimens using this ARV

Adults d4T3TCNVP

Children d4T3TCNVP

Adult Daily Dosage 1 tablet twice daily of 40 mg for patients gt 60 kg and 1 tablet twice daily of 30 mg for patients lt 60 kg in combination with other antiretroviral agents

Pediatric Daily Dosage The FDC is not recommended for pediatric patients or patients lt 50 kg

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 21

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 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UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 22: LOGISTICS FACT SHEETS:

continued LAMIVUDINE

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Aspen Lamivudine

(WHO prequalified)

Aspen Pharmacare Aspen Park 98 Armstrong Avenue La Lucia Ridge Durban 4019 South Africa

150 mg tablet 60 tablets per plastic container securitainer metalised lay flat pack glass bottle

24 months Store below 25˚C $450

Tel +27 31 5808600 wwwaspenpharmacom

Matrix 150 mg tablet 60 tablets per bottle

126 bottles per shipper

24 months Store below 30˚C $320 per bottle

Anolam Virolam Avolam

(FDA tentatively approved)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

150 mg tablet 60 tablets per bottle

1440 tablets per inner carton (24 packs per inner carton)

14400 tablets per shipping carton (600 packs or 10 inner carton)

Shipping carton Dimensions 49 x 36 x 23 m Volume 0406 Weight 785

24 months Store below 25degC

Protect from moisture

$00517 per tablet

$43 per patient per year

World Health Organization recommended first and Adult Daily Dosage 300 mg daily or 150 mg twice daily in Pediatric Daily Dosage second line regimens combination with other antiretroviral agents lt 30 days 2 mgkg twice daily regimens using this ARV

gt 30 days to 12 years 4 mgkg twice daily up to a Adults Per Cipla adults weighing less than 50 kg 150 mg once daily maximum of 150 mg twice daily First line 3TC + AZT or d4T or TDF or ABC + EFV or NVP

Alternate first line 3TC + AZT or d4T + TDF or ABC Second line 3TC + ddI or TDF + PIr

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 16

Children First line 3TC + AZT or d4T or ABC + NVP or EFV Alternate first line 3TC + AZT or d4T + ABC

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 17

LAMIVUDINESTAVUDINE (3TCd4T) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

Virolis 30

Coviro - LS 30

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle

10 blister pack

24 months Store below 25degC

Protect from moisture

$00750 per tablet $124 per patient per year

Cipla Tablet containing 30rsquos bottle pack 24 months Store between 15ndash25˚C $0075 per capsule

150 mg lamivudine 1000rsquos bottle pack $5500 per patient per year

30 mg stavudine 96 pack per shipper

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C $425 per bottle

150 mg lamivudine 168 bottles per shipper

30 mg stavudine

Lamivudine Stavudine (WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle 24 months Store below 30degC

Protect from sunlight

$0075 per tablet $54 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 18

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV Patients ge 60 kg one 3TCd4T (40 mg) Patients ge 37 kg one 3TCd4T (30 mg) tablet twice Adults tablet twice daily in combination with other daily

First line d4T3TC + NVP or EFV antiretroviral agents

Alternate first line d4T3TC + TDF or ABC Patients lt 60 kg one 3TCd4T (30 mg) tablet twice daily in combination with other

Children antiretroviral agents d4T3TC + NVP or EFV

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 19

LAMIVUDINESTAVUDINENEVIRAPINE (3TCD4TNVP) NRTI amp NNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Originator Product

Generic Product

Triomune 30

(WHO prequalified)

Cipla Ltd Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Tablet containing 200 mg nevirapine

150 mg lamivudine

30 mg stavudine

30 tablets per bottle

60rsquos bottle pack

1000rsquos bottle pack

Container of 60 tablets

60 bottle pack

24 months

18 months

24 months

Store between 15ndash25˚C Protect from moisture

Store below 25˚C

Store between 15ndash25˚C

$0142 per tablet

$103 per patient per year

Each tablet contains stavudine 6 mg lamivudine 30 mg nevirapine 50 mg Tablet containing

lamivudine 60 mg 1000 bottle pack

stavudine 12 mg

nevirapine 100 mg

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

lamivudine 150 mg

stavudine 40 mg

nevirapine 200 mg

30 tablets 24 months Store below 30˚C

Protect from light

$014 per tablet

$10200 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 20

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Virolans 30 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryana) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

60 tablets per bottle 240 tablets per case 2400 tablets per shipping carton

Shipping carton Dimensions 45 x 03 x 025 m

12 months Store below 25degC Protect from moisture

$01283 per tablet

$219 per patient per year

wwwranbaxycom Volume 00338 m3

Weight 485

Virolans 40 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryan a) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 40 mg stavudine

60 tablets per bottle

240 tablets per case

2400 tablets per shipping carton

12 months Store below 25degC Protect from moisture

$01333 per tablet

$234 per patient per year

wwwranbaxycom Shipping carton Dimensions 45 x 03 x 025 m Volume 00338 Weight 485

Nevilast 30

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500 018 (AP) India q Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

10 tablets per blister pack

60 tablets per HDPE bottle $201 per tablet

$147 per patient per year

23714250 wwwheterodrugscom

World Health Organization recommended first line regimens using this ARV

Adults d4T3TCNVP

Children d4T3TCNVP

Adult Daily Dosage 1 tablet twice daily of 40 mg for patients gt 60 kg and 1 tablet twice daily of 30 mg for patients lt 60 kg in combination with other antiretroviral agents

Pediatric Daily Dosage The FDC is not recommended for pediatric patients or patients lt 50 kg

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 21

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR 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 SUO 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50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 23: LOGISTICS FACT SHEETS:

Children First line 3TC + AZT or d4T or ABC + NVP or EFV Alternate first line 3TC + AZT or d4T + ABC

PIr = ATVr FPVr IDVr LPVr and SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 17

LAMIVUDINESTAVUDINE (3TCd4T) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

Virolis 30

Coviro - LS 30

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle

10 blister pack

24 months Store below 25degC

Protect from moisture

$00750 per tablet $124 per patient per year

Cipla Tablet containing 30rsquos bottle pack 24 months Store between 15ndash25˚C $0075 per capsule

150 mg lamivudine 1000rsquos bottle pack $5500 per patient per year

30 mg stavudine 96 pack per shipper

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C $425 per bottle

150 mg lamivudine 168 bottles per shipper

30 mg stavudine

Lamivudine Stavudine (WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle 24 months Store below 30degC

Protect from sunlight

$0075 per tablet $54 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 18

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV Patients ge 60 kg one 3TCd4T (40 mg) Patients ge 37 kg one 3TCd4T (30 mg) tablet twice Adults tablet twice daily in combination with other daily

First line d4T3TC + NVP or EFV antiretroviral agents

Alternate first line d4T3TC + TDF or ABC Patients lt 60 kg one 3TCd4T (30 mg) tablet twice daily in combination with other

Children antiretroviral agents d4T3TC + NVP or EFV

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 19

LAMIVUDINESTAVUDINENEVIRAPINE (3TCD4TNVP) NRTI amp NNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Originator Product

Generic Product

Triomune 30

(WHO prequalified)

Cipla Ltd Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Tablet containing 200 mg nevirapine

150 mg lamivudine

30 mg stavudine

30 tablets per bottle

60rsquos bottle pack

1000rsquos bottle pack

Container of 60 tablets

60 bottle pack

24 months

18 months

24 months

Store between 15ndash25˚C Protect from moisture

Store below 25˚C

Store between 15ndash25˚C

$0142 per tablet

$103 per patient per year

Each tablet contains stavudine 6 mg lamivudine 30 mg nevirapine 50 mg Tablet containing

lamivudine 60 mg 1000 bottle pack

stavudine 12 mg

nevirapine 100 mg

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

lamivudine 150 mg

stavudine 40 mg

nevirapine 200 mg

30 tablets 24 months Store below 30˚C

Protect from light

$014 per tablet

$10200 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 20

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Virolans 30 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryana) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

60 tablets per bottle 240 tablets per case 2400 tablets per shipping carton

Shipping carton Dimensions 45 x 03 x 025 m

12 months Store below 25degC Protect from moisture

$01283 per tablet

$219 per patient per year

wwwranbaxycom Volume 00338 m3

Weight 485

Virolans 40 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryan a) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 40 mg stavudine

60 tablets per bottle

240 tablets per case

2400 tablets per shipping carton

12 months Store below 25degC Protect from moisture

$01333 per tablet

$234 per patient per year

wwwranbaxycom Shipping carton Dimensions 45 x 03 x 025 m Volume 00338 Weight 485

Nevilast 30

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500 018 (AP) India q Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

10 tablets per blister pack

60 tablets per HDPE bottle $201 per tablet

$147 per patient per year

23714250 wwwheterodrugscom

World Health Organization recommended first line regimens using this ARV

Adults d4T3TCNVP

Children d4T3TCNVP

Adult Daily Dosage 1 tablet twice daily of 40 mg for patients gt 60 kg and 1 tablet twice daily of 30 mg for patients lt 60 kg in combination with other antiretroviral agents

Pediatric Daily Dosage The FDC is not recommended for pediatric patients or patients lt 50 kg

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 21

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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Page 24: LOGISTICS FACT SHEETS:

LAMIVUDINESTAVUDINE (3TCd4T) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

Virolis 30

Coviro - LS 30

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

19 Nehru Place New Delhindash110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle

10 blister pack

24 months Store below 25degC

Protect from moisture

$00750 per tablet $124 per patient per year

Cipla Tablet containing 30rsquos bottle pack 24 months Store between 15ndash25˚C $0075 per capsule

150 mg lamivudine 1000rsquos bottle pack $5500 per patient per year

30 mg stavudine 96 pack per shipper

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C $425 per bottle

150 mg lamivudine 168 bottles per shipper

30 mg stavudine

Lamivudine Stavudine (WHO prequalified)

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine 30 mg stavudine

60 tablets per bottle 24 months Store below 30degC

Protect from sunlight

$0075 per tablet $54 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 18

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV Patients ge 60 kg one 3TCd4T (40 mg) Patients ge 37 kg one 3TCd4T (30 mg) tablet twice Adults tablet twice daily in combination with other daily

First line d4T3TC + NVP or EFV antiretroviral agents

Alternate first line d4T3TC + TDF or ABC Patients lt 60 kg one 3TCd4T (30 mg) tablet twice daily in combination with other

Children antiretroviral agents d4T3TC + NVP or EFV

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 19

LAMIVUDINESTAVUDINENEVIRAPINE (3TCD4TNVP) NRTI amp NNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Originator Product

Generic Product

Triomune 30

(WHO prequalified)

Cipla Ltd Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Tablet containing 200 mg nevirapine

150 mg lamivudine

30 mg stavudine

30 tablets per bottle

60rsquos bottle pack

1000rsquos bottle pack

Container of 60 tablets

60 bottle pack

24 months

18 months

24 months

Store between 15ndash25˚C Protect from moisture

Store below 25˚C

Store between 15ndash25˚C

$0142 per tablet

$103 per patient per year

Each tablet contains stavudine 6 mg lamivudine 30 mg nevirapine 50 mg Tablet containing

lamivudine 60 mg 1000 bottle pack

stavudine 12 mg

nevirapine 100 mg

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

lamivudine 150 mg

stavudine 40 mg

nevirapine 200 mg

30 tablets 24 months Store below 30˚C

Protect from light

$014 per tablet

$10200 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 20

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Virolans 30 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryana) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

60 tablets per bottle 240 tablets per case 2400 tablets per shipping carton

Shipping carton Dimensions 45 x 03 x 025 m

12 months Store below 25degC Protect from moisture

$01283 per tablet

$219 per patient per year

wwwranbaxycom Volume 00338 m3

Weight 485

Virolans 40 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryan a) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 40 mg stavudine

60 tablets per bottle

240 tablets per case

2400 tablets per shipping carton

12 months Store below 25degC Protect from moisture

$01333 per tablet

$234 per patient per year

wwwranbaxycom Shipping carton Dimensions 45 x 03 x 025 m Volume 00338 Weight 485

Nevilast 30

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500 018 (AP) India q Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

10 tablets per blister pack

60 tablets per HDPE bottle $201 per tablet

$147 per patient per year

23714250 wwwheterodrugscom

World Health Organization recommended first line regimens using this ARV

Adults d4T3TCNVP

Children d4T3TCNVP

Adult Daily Dosage 1 tablet twice daily of 40 mg for patients gt 60 kg and 1 tablet twice daily of 30 mg for patients lt 60 kg in combination with other antiretroviral agents

Pediatric Daily Dosage The FDC is not recommended for pediatric patients or patients lt 50 kg

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 21

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 25: LOGISTICS FACT SHEETS:

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV Patients ge 60 kg one 3TCd4T (40 mg) Patients ge 37 kg one 3TCd4T (30 mg) tablet twice Adults tablet twice daily in combination with other daily

First line d4T3TC + NVP or EFV antiretroviral agents

Alternate first line d4T3TC + TDF or ABC Patients lt 60 kg one 3TCd4T (30 mg) tablet twice daily in combination with other

Children antiretroviral agents d4T3TC + NVP or EFV

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 19

LAMIVUDINESTAVUDINENEVIRAPINE (3TCD4TNVP) NRTI amp NNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Originator Product

Generic Product

Triomune 30

(WHO prequalified)

Cipla Ltd Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Tablet containing 200 mg nevirapine

150 mg lamivudine

30 mg stavudine

30 tablets per bottle

60rsquos bottle pack

1000rsquos bottle pack

Container of 60 tablets

60 bottle pack

24 months

18 months

24 months

Store between 15ndash25˚C Protect from moisture

Store below 25˚C

Store between 15ndash25˚C

$0142 per tablet

$103 per patient per year

Each tablet contains stavudine 6 mg lamivudine 30 mg nevirapine 50 mg Tablet containing

lamivudine 60 mg 1000 bottle pack

stavudine 12 mg

nevirapine 100 mg

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

lamivudine 150 mg

stavudine 40 mg

nevirapine 200 mg

30 tablets 24 months Store below 30˚C

Protect from light

$014 per tablet

$10200 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 20

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Virolans 30 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryana) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

60 tablets per bottle 240 tablets per case 2400 tablets per shipping carton

Shipping carton Dimensions 45 x 03 x 025 m

12 months Store below 25degC Protect from moisture

$01283 per tablet

$219 per patient per year

wwwranbaxycom Volume 00338 m3

Weight 485

Virolans 40 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryan a) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 40 mg stavudine

60 tablets per bottle

240 tablets per case

2400 tablets per shipping carton

12 months Store below 25degC Protect from moisture

$01333 per tablet

$234 per patient per year

wwwranbaxycom Shipping carton Dimensions 45 x 03 x 025 m Volume 00338 Weight 485

Nevilast 30

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500 018 (AP) India q Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

10 tablets per blister pack

60 tablets per HDPE bottle $201 per tablet

$147 per patient per year

23714250 wwwheterodrugscom

World Health Organization recommended first line regimens using this ARV

Adults d4T3TCNVP

Children d4T3TCNVP

Adult Daily Dosage 1 tablet twice daily of 40 mg for patients gt 60 kg and 1 tablet twice daily of 30 mg for patients lt 60 kg in combination with other antiretroviral agents

Pediatric Daily Dosage The FDC is not recommended for pediatric patients or patients lt 50 kg

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 21

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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PreserveOverprintSettings true StartPage 1 SubsetFonts true TransferFunctionInfo Apply UCRandBGInfo Preserve UsePrologue false ColorSettingsFile () AlwaysEmbed [ true ] NeverEmbed [ true ] AntiAliasColorImages false CropColorImages true ColorImageMinResolution 300 ColorImageMinResolutionPolicy OK DownsampleColorImages true ColorImageDownsampleType Bicubic ColorImageResolution 300 ColorImageDepth -1 ColorImageMinDownsampleDepth 1 ColorImageDownsampleThreshold 150000 EncodeColorImages true ColorImageFilter DCTEncode AutoFilterColorImages true ColorImageAutoFilterStrategy JPEG ColorACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt ColorImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000ColorACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000ColorImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasGrayImages false CropGrayImages true GrayImageMinResolution 300 GrayImageMinResolutionPolicy OK DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP 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 FRA ltFEFF005500740069006c006900730065007a00200063006500730020006f007000740069006f006e00730020006100660069006e00200064006500200063007200e900650072002000640065007300200064006f00630075006d0065006e00740073002000410064006f00620065002000500044004600200070006f007500720020006400650073002000e90070007200650075007600650073002000650074002000640065007300200069006d007000720065007300730069006f006e00730020006400650020006800610075007400650020007100750061006c0069007400e90020007300750072002000640065007300200069006d007000720069006d0061006e0074006500730020006400650020006200750072006500610075002e0020004c0065007300200064006f00630075006d0065006e00740073002000500044004600200063007200e900e90073002000700065007500760065006e0074002000ea0074007200650020006f007500760065007200740073002000640061006e00730020004100630072006f006200610074002c002000610069006e00730069002000710075002700410064006f00620065002000520065006100640065007200200035002e0030002000650074002000760065007200730069006f006e007300200075006c007400e90072006900650075007200650073002egt ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE ltFEFF0041006e007600e4006e00640020006400650020006800e4007200200069006e0073007400e4006c006c006e0069006e006700610072006e00610020006f006d002000640075002000760069006c006c00200073006b006100700061002000410064006f006200650020005000440046002d0064006f006b0075006d0065006e00740020006600f600720020006b00760061006c00690074006500740073007500740073006b0072006900660074006500720020007000e5002000760061006e006c00690067006100200073006b0072006900760061007200650020006f006300680020006600f600720020006b006f007200720065006b007400750072002e002000200053006b006100700061006400650020005000440046002d0064006f006b0075006d0065006e00740020006b0061006e002000f600700070006e00610073002000690020004100630072006f0062006100740020006f00630068002000410064006f00620065002000520065006100640065007200200035002e00300020006f00630068002000730065006e006100720065002egt ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 26: LOGISTICS FACT SHEETS:

LAMIVUDINESTAVUDINENEVIRAPINE (3TCD4TNVP) NRTI amp NNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Originator Product

Generic Product

Triomune 30

(WHO prequalified)

Cipla Ltd Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Tablet containing 200 mg nevirapine

150 mg lamivudine

30 mg stavudine

30 tablets per bottle

60rsquos bottle pack

1000rsquos bottle pack

Container of 60 tablets

60 bottle pack

24 months

18 months

24 months

Store between 15ndash25˚C Protect from moisture

Store below 25˚C

Store between 15ndash25˚C

$0142 per tablet

$103 per patient per year

Each tablet contains stavudine 6 mg lamivudine 30 mg nevirapine 50 mg Tablet containing

lamivudine 60 mg 1000 bottle pack

stavudine 12 mg

nevirapine 100 mg

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

lamivudine 150 mg

stavudine 40 mg

nevirapine 200 mg

30 tablets 24 months Store below 30˚C

Protect from light

$014 per tablet

$10200 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 20

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Virolans 30 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryana) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

60 tablets per bottle 240 tablets per case 2400 tablets per shipping carton

Shipping carton Dimensions 45 x 03 x 025 m

12 months Store below 25degC Protect from moisture

$01283 per tablet

$219 per patient per year

wwwranbaxycom Volume 00338 m3

Weight 485

Virolans 40 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryan a) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 40 mg stavudine

60 tablets per bottle

240 tablets per case

2400 tablets per shipping carton

12 months Store below 25degC Protect from moisture

$01333 per tablet

$234 per patient per year

wwwranbaxycom Shipping carton Dimensions 45 x 03 x 025 m Volume 00338 Weight 485

Nevilast 30

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500 018 (AP) India q Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

10 tablets per blister pack

60 tablets per HDPE bottle $201 per tablet

$147 per patient per year

23714250 wwwheterodrugscom

World Health Organization recommended first line regimens using this ARV

Adults d4T3TCNVP

Children d4T3TCNVP

Adult Daily Dosage 1 tablet twice daily of 40 mg for patients gt 60 kg and 1 tablet twice daily of 30 mg for patients lt 60 kg in combination with other antiretroviral agents

Pediatric Daily Dosage The FDC is not recommended for pediatric patients or patients lt 50 kg

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 21

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 27: LOGISTICS FACT SHEETS:

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Virolans 30 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryana) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

60 tablets per bottle 240 tablets per case 2400 tablets per shipping carton

Shipping carton Dimensions 45 x 03 x 025 m

12 months Store below 25degC Protect from moisture

$01283 per tablet

$219 per patient per year

wwwranbaxycom Volume 00338 m3

Weight 485

Virolans 40 Triviro - LNS

(WHO prequalified)

Ranbaxy Laboratories Ltd Dewas India

Plot 90 Sector 32 Gurgaon -122001 (Haryan a) India Tel +91 124 5135000

Tablet containing 200 mg nevirapine 150 mg lamivudine 40 mg stavudine

60 tablets per bottle

240 tablets per case

2400 tablets per shipping carton

12 months Store below 25degC Protect from moisture

$01333 per tablet

$234 per patient per year

wwwranbaxycom Shipping carton Dimensions 45 x 03 x 025 m Volume 00338 Weight 485

Nevilast 30

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500 018 (AP) India q Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing 200 mg nevirapine 150 mg lamivudine 30 mg stavudine

10 tablets per blister pack

60 tablets per HDPE bottle $201 per tablet

$147 per patient per year

23714250 wwwheterodrugscom

World Health Organization recommended first line regimens using this ARV

Adults d4T3TCNVP

Children d4T3TCNVP

Adult Daily Dosage 1 tablet twice daily of 40 mg for patients gt 60 kg and 1 tablet twice daily of 30 mg for patients lt 60 kg in combination with other antiretroviral agents

Pediatric Daily Dosage The FDC is not recommended for pediatric patients or patients lt 50 kg

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 21

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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ESP 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FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO ltFEFF004b00e40079007400e40020006e00e40069007400e4002000610073006500740075006b007300690061002c0020006b0075006e0020006c0075006f0074002000410064006f0062006500200050004400460020002d0064006f006b0075006d0065006e007400740065006a00610020006c0061006100640075006b006100730074006100200074007900f6007000f60079007400e400740075006c006f0073007400750073007400610020006a00610020007600650064006f007300740075007300740061002000760061007200740065006e002e00200020004c0075006f0064007500740020005000440046002d0064006f006b0075006d0065006e00740069007400200076006f0069006400610061006e0020006100760061007400610020004100630072006f0062006100740069006c006c00610020006a0061002000410064006f00620065002000520065006100640065007200200035002e0030003a006c006c00610020006a006100200075007500640065006d006d0069006c006c0061002egt SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 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UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 28: LOGISTICS FACT SHEETS:

LAMIVUDINESTAVUDINE+EFAVIRENZ (3TCd4T+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (coshy 24 months Store at room Stavudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

stavudine 30 mg

Plus

blister pack)

HDPE bottle

temperature 25degC

Co-blister pack wwwstridesarcocom Tablet containing

(WHO pre-qualified)

efavirenz 600 mg

(FDA tentatively approved )

Lamivudine Stavudine

Plus

Efavirenz

Co-blister pack

(WHO pre-qualified)

(FDA tentatively approved )

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

stavudine 30 mg

Plus

Tablet containing

efavirenz 600 mg

60 tablets + 30 tablets (co-blister pack)

HDPE bottle

24 months Store below 30degC $0945 per daily dose (3 tabs)

$345 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCd4T one twice daily Adults 3TC+ d4T +EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 22

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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ESP 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FRA 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ITA 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 JPN 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 SUO ltFEFF004b00e40079007400e40020006e00e40069007400e4002000610073006500740075006b007300690061002c0020006b0075006e0020006c0075006f0074002000410064006f0062006500200050004400460020002d0064006f006b0075006d0065006e007400740065006a00610020006c0061006100640075006b006100730074006100200074007900f6007000f60079007400e400740075006c006f0073007400750073007400610020006a00610020007600650064006f007300740075007300740061002000760061007200740065006e002e00200020004c0075006f0064007500740020005000440046002d0064006f006b0075006d0065006e00740069007400200076006f0069006400610061006e0020006100760061007400610020004100630072006f0062006100740069006c006c00610020006a0061002000410064006f00620065002000520065006100640065007200200035002e0030003a006c006c00610020006a006100200075007500640065006d006d0069006c006c0061002egt SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 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UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 29: LOGISTICS FACT SHEETS:

LAMIVUDINEZIDOVUDINE (3TCZDV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Combivirreg GlaxoSmithKline Tablet containing 60 tablets per bottle 24 months Store between 2ndash30degC $0325 per tablet

(FDA approved)

by Shire Pharmaceuticals Group Inc

150 mg lamivudine (36ndash86degF) $237 per patient per

(WHO

Baingstoke UK 300 mg zidovudine 60 tablets per HDPE bottle

year

prequalified)

Generic Products

Zidolam Hetero Drugs Ltd Jeedimetla AP India

16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

Tablet containing

150 mg lamivudine

300 mg zidovudine

10 tablets per blister pack

60 tablets per HDPE bottle

Do not store above 30degC

$0220 per tablet

$160 per patient per year

+91 40 23714250 wwwheterodrugscom

Matrix Tablet containing 60 tablets per bottle 24 months Store below 30˚C

150 mg lamivudine 168 bottles per carrier

300 mg zidovudine

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346 wwwstridesarcocom

Tablet containing

150 mg lamivudine

300 mg zidovudine

60 tablets per bottle 24 months Store below 30˚C

Protect from light

$0210 per tablet

$15120 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 23

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT 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 DEU 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 30: LOGISTICS FACT SHEETS:

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Avocomb Ranbaxy Laboratories Ltd Tablet containing 60 tablets per bottleblister pack 24 months Store below 25degC $01667 per tablet

Virocomb Dewas India Plot 90 Sector 32 Gurgaon -122001 (Haryana)

150 mg lamivudine 300 mg zidovudine

10 cold form blister pack

10 PVdCPVC blister pack

Protect from moisture $140 per patient per year

(WHO prequalified)

India Tel +91 124 5135000 wwwranbaxycom

Pharmacare Tablet containing

150 mg lamivudine

300 mg zidovudine

120 tablets per carton 24 months Store below 25˚C

Protect from moisture and light

Lamivudine Zidovudine

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India

Tablet containing

150 mg lamivudine 300 mg zidovudine

60 tablets per bottle 24 months Do not store above 30degC Store in original package

$0192 per tablet

$140 per patient per year

(WHO prequalified)

Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

Duovir

(WHO prequalified)

Cipla Ltd Vikhroli India Patalganga India

Mumbai Central Mumbaindash400 008 India Tel +91 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393

Tablet containing

150 mg lamivudine 300 mg zidovudine

10 blister packs

60 tablets per container

1000 tablets per bottle pack

Shipping carton Dimensions 305 x 270 x 150 mm Weight 25 kg

24 months Store 20ndash25˚C $0183 per tablet

$134 per patient per year

wwwciplacom

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 24

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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ESP 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 FRA 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ITA 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 JPN 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 KOR 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 SVE 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50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 31: LOGISTICS FACT SHEETS:

World Health Organization recommended first line regimens using this ARV Adult and adolescent Daily Dosage Pediatric Daily Dosage This FDC Adults 3TCAZT + EFV or NVP One tablet twice daily in combination with should not be used by pediatric patients

Alternate first line 3TCAZT + TDF or ABC other antiretroviral agents under 12 years of age

Children 3TCAZT + EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 25

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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Page 32: LOGISTICS FACT SHEETS:

LAMIVUDINEZIDOVUDINE+EFAVIRENZ (3TCZDV+EFV) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Lamivudine Strides Arcolab Ltd Tablet containing 60 tablets + 30 tablets (co- Store at room $904 per daily dose (3 Zidovudine

Plus

Efavirenz

Strides House Bilekahalli Bannerghatta Rd Bangalore-560076 India Tel +91 80 658134346

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

HDPE bottle

temperature 30˚C tabs)

$330 per patient per year

Co-blister pack wwwstridesarcocom Tablet containing

efavirenz 600 mg (WHO pre-qualified)

(FDA tentatively approved )

Lamivudine Aurobindo Pharma Ltd Tablet containing 60 tablets + 30 tablets (coshy $1083 per daily dose (3 Zidovudine

Plus

Efavirenz

Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038

lamivudine 150 mg

zidovudine 300 mg

Plus

blister pack)

Blister cards carton

tabs)

$395 per patient per year

Co-blister pack Andhra Pradesh India Phone +91 (40) Tablet containing

Fax +91(40) 2374 1080 2374 efavirenz 600 mg (WHO preshy 6883 qualified) Email infoaurobindocom

(FDA tentatively approved)

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 26

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 33: LOGISTICS FACT SHEETS:

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Lamivudine Zidovudine

Plus

Efavirenz

Co-blister pack

(WHO pre qualified)

Ranbaxy Laboratories Ltd Dewas India 19 Nehru Place New Delhi-110019 India Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

Plus

Tablet containing

efavirenz 600 mg

AluAlu blister 2 + 1 Cardboard box 30 + 15

$105 per daily dose (3 tabs)

$434 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDV one twice daily Adults 3TC+ZDV+EFV EFV once daily

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 27

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 ESP 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 FRA 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 ITA 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 JPN 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ltFEFF005500740069006c0069007a006500200065007300730061007300200063006f006e00660069006700750072006100e700f50065007300200064006500200066006f0072006d00610020006100200063007200690061007200200064006f00630075006d0065006e0074006f0073002000410064006f0062006500200050004400460020007000610072006100200069006d0070007200650073007300f5006500730020006400650020007100750061006c0069006400610064006500200065006d00200069006d00700072006500730073006f0072006100730020006400650073006b0074006f00700020006500200064006900730070006f00730069007400690076006f0073002000640065002000700072006f00760061002e0020004f007300200064006f00630075006d0065006e0074006f00730020005000440046002000630072006900610064006f007300200070006f00640065006d0020007300650072002000610062006500720074006f007300200063006f006d0020006f0020004100630072006f006200610074002000650020006f002000410064006f00620065002000520065006100640065007200200035002e0030002000650020007600650072007300f50065007300200070006f00730074006500720069006f007200650073002egt SUO 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Page 34: LOGISTICS FACT SHEETS:

LAMIVUDINEZIDOVUDINENEVIRAPINE (3TCZDVNVP) NRTIampNRTIampNNRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Duovir N

(FDA tentatively approved)

Cipla Ltd Mumbai Central Mumbai 400 ndash8 India (Bangalore site approved by US FDA for bulk drugs)

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets HDPE bottles with child resistant closure

Store below 25degC $0317 per tablet

$231 per patient per year

Lamivudine Zidovudine Nevirapine

(FDA tentatively approved)

Aurobindo Pharma Ltd Registered amp Corporate Office Plot 2 Maitri Vihar Ameerpet Hyderabad ndash 500 038 Andhra Pradesh India Phone +91 (40) Fax +91(40) 2374 1080 2374 6883 Email infoaurobindocom

Tablet containing

lamivudine 150 mg

zidovudine 300 mg

nevirapine 200 mg

60 tablets 24 months Store below 25degC $0242 per tablet

$176 per patient per year

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 3TCZDVNVP one twice daily Not for children Adults 3TC+ZDV+NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 28

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 ESP ltFEFF005500740069006c0069006300650020006500730074006100200063006f006e0066006900670075007200610063006900f3006e0020007000610072006100200063007200650061007200200064006f00630075006d0065006e0074006f0073002000640065002000410064006f0062006500200050004400460020007000610072006100200063006f006e00730065006700750069007200200069006d0070007200650073006900f3006e002000640065002000630061006c006900640061006400200065006e00200069006d0070007200650073006f0072006100730020006400650020006500730063007200690074006f00720069006f00200079002000680065007200720061006d00690065006e00740061007300200064006500200063006f00720072006500630063006900f3006e002e002000530065002000700075006500640065006e00200061006200720069007200200064006f00630075006d0065006e0074006f00730020005000440046002000630072006500610064006f007300200063006f006e0020004100630072006f006200610074002c002000410064006f00620065002000520065006100640065007200200035002e003000200079002000760065007200730069006f006e0065007300200070006f00730074006500720069006f007200650073002egt FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 35: LOGISTICS FACT SHEETS:

LOPINAVIRRITONAVIR (LPVr) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Kaletrareg

(WHO prequalified)

(FDA approved)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100 wwwabbottcom

(check the website for local

Capsule containing 1333 mg lopinavir

333 mg ritonavir

2 x 90 capsules per HDPE bottle

Shipping carton 6 bottles per inner carton Weight 184 kg

24 months Store capsules at 2ndash8degC (36ndash46degF) until dispensed Avoid exposure to excessive heat If stored at room temperature up to 25degC (77degF) use capsules within 2 months

$0228 per capsule

$500 per patient per year

distributors) Oral solution 160 mL per PET bottle 24 months Store oral solution at 2ndash $0137 per mL containing 8degC (36ndash46degF) until

Abbott Laboratories Queensborough Kent UK

80 mgmL lopinavir

20 mgmL ritonavir

60 mL per PET bottle

Five 60 mL bottles with 5

dispensed Avoid exposure to excessive heat If stored at room

$200 per patient per year

Abbott House Norden Road Maidenhead Berkshire SL6 4XE England

(Oral solution contains 424 vv alcohol)

mL syringes per pack temperature up to 25degC (77degF) use solution within 2 months

Tel +44 1628 773 355 Fax +44 1628 644 305 wwwabbottukcom

Aluviareg

(WHO prequalified)

Abbott Laboratories 100 Abbott Park Road Abbott Park Illinois 60064shy3500 Telephone (847) 937-6100

Tablet containing 200 mg lopinavir

50 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0342 per capsule

$500 per patient per year

(FDA approved) wwwabbottcom

(check the website for local distributors)

Tablet containing 100 mg lopinavir

25 mg ritonavir

120 tablets per HDPE bottle Store tablets at room temperature up to 25degC Excursions permitted to 15ndash30degC

$0171 per capsule

$125 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 29

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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Page 36: LOGISTICS FACT SHEETS:

World Health Organization recommends LPVr be Adult Daily Dosage Pediatric Dosage used for second line regimens 3 capsules OR 2 tablets twice daily OR 5 mL 5 ndash 79 kg 16 mg3 mgkg twice daily

in combination with other antiretroviral agents 8 ndash 99 kg 14 mg3 mgkg twice daily Adults

10 ndash 139 kg 12 mg3 mgkg twice daily Second line LPVr + TDF or ddI + ABC or 3TC (plusmn AZT)

14 ndash 399kg 10 mg25 mgkg twice daily Alternate second line LPVr + ddI + EFV or NVP

Maximum dose 400 mg 100 mg twice daily

Children LPVr + ddI + ABC or AZT or EFV or NVP Prescriber should calculate the appropriate milligram dose for each individual child lt13 years old and determine the corresponding volume of solution or number of capsules

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 30

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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ESP 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 FRA ltFEFF005500740069006c006900730065007a00200063006500730020006f007000740069006f006e00730020006100660069006e00200064006500200063007200e900650072002000640065007300200064006f00630075006d0065006e00740073002000410064006f00620065002000500044004600200070006f007500720020006400650073002000e90070007200650075007600650073002000650074002000640065007300200069006d007000720065007300730069006f006e00730020006400650020006800610075007400650020007100750061006c0069007400e90020007300750072002000640065007300200069006d007000720069006d0061006e0074006500730020006400650020006200750072006500610075002e0020004c0065007300200064006f00630075006d0065006e00740073002000500044004600200063007200e900e90073002000700065007500760065006e0074002000ea0074007200650020006f007500760065007200740073002000640061006e00730020004100630072006f006200610074002c002000610069006e00730069002000710075002700410064006f00620065002000520065006100640065007200200035002e0030002000650074002000760065007200730069006f006e007300200075006c007400e90072006900650075007200650073002egt 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 SUO 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Page 37: LOGISTICS FACT SHEETS:

NELFINAVIR MESYLATE (NFV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viraceptreg

(WHO has temporarily suspended this product from the pre-qualification list due to a recall in 2007)

Roche 250 mg tablet 300 tablets per plastic container

3 years Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0293 per tablet

$1069 per patient per year

625 mg tablet 120 tablets per HDPE bottle 3 years Store at 15ndash25degC (59ndash 77degF) in tightly closed container

50 mgg oral powder 144 g per HDPE bottle with scoop

2 years Store at 15ndash25degC (59ndash 77degF) Store in the original

$0220 per dose

(FDA approved) package

$1927 per patient per year

World Health Organization recommends NFV be Adult Daily Dosage Pediatric Daily Dosage used in second line regimens Tablets 1250 mg (as five 250 mg tablets or lt 10kg ~ 75 mgkgdose twice daily

Adults two 625 mg tablets) twice daily in combination with other antiretroviral agents

gt 10kg to 199 kg ~ 60 mgkgdose twice daily

Maximum dose of 1250 mg twice daily in combination Second line NFV + TDF or ddI + ABC or 3TC (plusmn AZT) with other antiretroviral agents Alternate second line NFV + ddI + EFV or NVP

Children NFV + ddI + ABC or AZT or EFV or NVP

NFV is not the first choice for PIs as it is considered less potent than the ritonovir boosted PIs

Price packaging and shipping information will vary according to contract specifications Source Source Meacutedecins Sans FrontiegraveresJune 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 31

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

ltlt ASCII85EncodePages false AllowTransparency false AutoPositionEPSFiles true AutoRotatePages All Binding Left CalGrayProfile (Dot Gain 20) CalRGBProfile (sRGB IEC61966-21) CalCMYKProfile (US Web Coated 050SWOP051 v2) sRGBProfile (sRGB IEC61966-21) CannotEmbedFontPolicy Warning CompatibilityLevel 14 CompressObjects Tags CompressPages true ConvertImagesToIndexed true PassThroughJPEGImages true CreateJDFFile false CreateJobTicket false DefaultRenderingIntent Default DetectBlends true DetectCurves 00000 ColorConversionStrategy LeaveColorUnchanged DoThumbnails false EmbedAllFonts true EmbedOpenType false ParseICCProfilesInComments true EmbedJobOptions true DSCReportingLevel 0 EmitDSCWarnings false EndPage -1 ImageMemory 1048576 LockDistillerParams false MaxSubsetPct 100 Optimize true OPM 1 ParseDSCComments true ParseDSCCommentsForDocInfo true PreserveCopyPage true PreserveDICMYKValues true PreserveEPSInfo true PreserveFlatness true PreserveHalftoneInfo false PreserveOPIComments false PreserveOverprintSettings true StartPage 1 SubsetFonts true TransferFunctionInfo Apply UCRandBGInfo Preserve UsePrologue false ColorSettingsFile () AlwaysEmbed [ true ] NeverEmbed [ true ] AntiAliasColorImages false CropColorImages true ColorImageMinResolution 300 ColorImageMinResolutionPolicy OK DownsampleColorImages true ColorImageDownsampleType Bicubic ColorImageResolution 300 ColorImageDepth -1 ColorImageMinDownsampleDepth 1 ColorImageDownsampleThreshold 150000 EncodeColorImages true ColorImageFilter DCTEncode AutoFilterColorImages true ColorImageAutoFilterStrategy JPEG ColorACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt ColorImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000ColorACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000ColorImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasGrayImages false CropGrayImages true GrayImageMinResolution 300 GrayImageMinResolutionPolicy OK DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 38: LOGISTICS FACT SHEETS:

NEVIRAPINE (NVP) NNRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Viramunereg

(WHO prequalified)

Boehringer Ingelheim Binger Str 173 55216 Ingelheim Germany

200 mg tablet 10 tablets per blister pack

6 blister packs per carton

24 months Store at 25degC (77degF) excursions permitted to 15degndash30degC (59ndash86degF)

$0300 per tablet

$219 per patient per year

(FDA approved) Tel +49 6132 77 0 Fax +49 6132 72 0 httpwwwboehringershyingelheimcom

Boehringer Ingelheim 50 mg5 mL oral 240 mL per HDPE bottle + 5 mL syringe 24 months Store at 25degC (77degF) $0052 per mL Roxane Laboratories Inc suspension excursions permitted to Columbus OH USA Use product 15ndash30degC (59ndash86degF) $1248 per bottle

within 2 PO Box 16532 months of $380 per patient Columbus OH 43216-6532 opening per year USA

Tel +1-614-276-4000 httpwwwboehringershyingelheimcom

Generic Products

Nevimune

(WHO prequalified)

(FDA tentatively approved)

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

200 mg tablet

32 LOGISTICS FACT SHEETS ARV DRUGS

1000 per bottle pack

Shipping carton Dimensions 45 x 28 x 2 m Volume 0252 m3

Weight 104 kg

24 months $0068 per tablet

$50 per patient per year

JULY 2008

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 ESP ltFEFF005500740069006c0069006300650020006500730074006100200063006f006e0066006900670075007200610063006900f3006e0020007000610072006100200063007200650061007200200064006f00630075006d0065006e0074006f0073002000640065002000410064006f0062006500200050004400460020007000610072006100200063006f006e00730065006700750069007200200069006d0070007200650073006900f3006e002000640065002000630061006c006900640061006400200065006e00200069006d0070007200650073006f0072006100730020006400650020006500730063007200690074006f00720069006f00200079002000680065007200720061006d00690065006e00740061007300200064006500200063006f00720072006500630063006900f3006e002e002000530065002000700075006500640065006e00200061006200720069007200200064006f00630075006d0065006e0074006f00730020005000440046002000630072006500610064006f007300200063006f006e0020004100630072006f006200610074002c002000410064006f00620065002000520065006100640065007200200035002e003000200079002000760065007200730069006f006e0065007300200070006f00730074006500720069006f007200650073002egt FRA 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 ITA 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 JPN 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 KOR 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 SVE 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50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 39: LOGISTICS FACT SHEETS:

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevipan Ranbaxy Laboratories Ltd Dewas India

200 mg tablet 60 tablets per blister stripbottle 24 months Store below 25degC $00633 per tablet

(FDA tentatively approved) 19 Nehru Place

New Delhindash110019 India

1500 tablets per inner carton

6000 tablets per shipping carton

Protect from moisture $52 per patient per year

Tel +91 11 2645 2666-72 Fax +91 11 2600 2076 wwwranbaxycom

Shipping carton Dimensions 053 x 035 x 029 m Volume 00538 m3

Weight 9 kg

Nevivir

(WHO prequalified)

Hetero Drugs Ltd 16671 Erragadda Hyderabadndash500018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926

200 mg tablet 10 tablets per blister pack

60 tablets per HDPE bottle

Store below 30degC $0066 per tablet

$48 per patient per year

+91 40 2371 4250 wwwheterodrugscom

Nevirapine Strides Arcolab Ltd Strides House Bilekahalli

200 mg tablet 60 tablets per HDPE bottle $008 per tablet

(WHO prequalified)

Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346

$58 per patient per year

wwwstridesarcocom

Nevirex

(FDA tentatively approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

2374 6883 wwwaurobindocom

200 mg tablet 60 tablets per HDPE bottle 24 months Do not store above 25degC Store in original package

$0066 per tablet

$48 per patient per year

50 mg5 mL oral suspension

240 mL per HDPE bottle

The pack contains a 20 mL measuring cup

24 months Do not store above 25degC Store in original package

$0010 per mL

$76 per patient per year

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 33

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT 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ltFEFF004200720075006700200069006e0064007300740069006c006c0069006e006700650072006e0065002000740069006c0020006100740020006f007000720065007400740065002000410064006f006200650020005000440046002d0064006f006b0075006d0065006e007400650072002000740069006c0020006b00760061006c00690074006500740073007500640073006b007200690076006e0069006e006700200065006c006c006500720020006b006f007200720065006b007400750072006c00e60073006e0069006e0067002e0020004400650020006f007000720065007400740065006400650020005000440046002d0064006f006b0075006d0065006e0074006500720020006b0061006e002000e50062006e00650073002000690020004100630072006f00620061007400200065006c006c006500720020004100630072006f006200610074002000520065006100640065007200200035002e00300020006f00670020006e0079006500720065002egt DEU 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 40: LOGISTICS FACT SHEETS:

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

Nevirapine

(FDA tentatively approved)

Zhejiang Huahai Pharmaceutical Co Ltd Xunqiao Linhai Zhejiang 317024 China

enhuahaicom

200 mg tablet 60 tablets per HDPE bottle 24 months Store below 25˚C

Excursions permitted 15ndash30˚C

Nevirapine

(FDA tentatively approved)

Emcure Pharmaceuticals Limited Plot No P-2 IT-BT Park Phase II MIDC Hinjwadi Pune 411 057 India

wwwemcurecoin

200 mg tablet 60 tablets per HDPE bottle 10 tablets per blister

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage regimens using this ARV 200 mg daily for the first 14 days followed by 200 mg twice 2 months to 8 years 4 mgkg once daily for two weeks Adults daily in combination with other antiretroviral agents followed by 7 mgkg once daily thereafter First line NVP + 3TC or FTC + AZT or d4T

Nevirapine is the first choice NNRTI during pregnancy Preferred regimen for pregnant women or for women for

8 years to 16 years 4 mgkg once daily for two weeks followed by 4 mgkg twice daily thereafter

whom effective contraception cannot be assured Total daily dose should not exceed 400 mg

Alternate second line NVP + ddI + PIr

Children NVP + AZT or d4T or ABC + 3TC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 34

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 ESP 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 FRA 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 ITA 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 JPN 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Page 41: LOGISTICS FACT SHEETS:

RITONAVIR PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Norvir

(WHO prequalified)

Abbott Laboratories Abbott Park Illinois USA

Tel 800-323-9100

100 mg capsule 84 capsules per HDPE bottle

4 bottles per pack

2 years Store in refrigerator between 2ndash8degC Can be stored below 25degC if used within 30 days by patient

$0114 per capsule

$83 per patient per year

wwwabbottcom 80 mgmL oral 90 mL per PET bottle 6 months Store below 25degC Do $093 per mL (FDA approved) solution not refrigerate or freeze

$79 per patient per year

World Health Organization recommends that Adult Daily Dosage Pediatric Daily Dosage ritonavir be used in some second line regimens in combination with protease Inhibitors

600 mg (or 6 capsules) twice daily in combination with other antiretrovirals

gt 2 years 350 mgm2 twice daily in combination with other antiretrovirals

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 35

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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ESP 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FRA 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ITA 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 JPN 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Page 42: LOGISTICS FACT SHEETS:

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 36

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT 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 DEU 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 ESP ltFEFF005500740069006c0069006300650020006500730074006100200063006f006e0066006900670075007200610063006900f3006e0020007000610072006100200063007200650061007200200064006f00630075006d0065006e0074006f0073002000640065002000410064006f0062006500200050004400460020007000610072006100200063006f006e00730065006700750069007200200069006d0070007200650073006900f3006e002000640065002000630061006c006900640061006400200065006e00200069006d0070007200650073006f0072006100730020006400650020006500730063007200690074006f00720069006f00200079002000680065007200720061006d00690065006e00740061007300200064006500200063006f00720072006500630063006900f3006e002e002000530065002000700075006500640065006e00200061006200720069007200200064006f00630075006d0065006e0074006f00730020005000440046002000630072006500610064006f007300200063006f006e0020004100630072006f006200610074002c002000410064006f00620065002000520065006100640065007200200035002e003000200079002000760065007200730069006f006e0065007300200070006f00730074006500720069006f007200650073002egt FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB ltFEFF005500740069006c0069007a006500200065007300730061007300200063006f006e00660069006700750072006100e700f50065007300200064006500200066006f0072006d00610020006100200063007200690061007200200064006f00630075006d0065006e0074006f0073002000410064006f0062006500200050004400460020007000610072006100200069006d0070007200650073007300f5006500730020006400650020007100750061006c0069006400610064006500200065006d00200069006d00700072006500730073006f0072006100730020006400650073006b0074006f00700020006500200064006900730070006f00730069007400690076006f0073002000640065002000700072006f00760061002e0020004f007300200064006f00630075006d0065006e0074006f00730020005000440046002000630072006900610064006f007300200070006f00640065006d0020007300650072002000610062006500720074006f007300200063006f006d0020006f0020004100630072006f006200610074002000650020006f002000410064006f00620065002000520065006100640065007200200035002e0030002000650020007600650072007300f50065007300200070006f00730074006500720069006f007200650073002egt SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 43: LOGISTICS FACT SHEETS:

SAQUINAVIR MESYLATE (SQV) PI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Invirase

(FDA approved)

F Hoffmann-La Roche Ltd Grenzacherstrasse 124 CH-4070 Basel Switzerland Tel +41-61-688 111 wwwrochecom

200 mg capsules 270 capsules per HDPE bottle

3 years Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0288 per capsule

$1051 per patient per year

Roche Labs Inc 340 Kingsland Street Nutley NJ 07110-1199 wwwrochecom

500 mg tablets 120 tablets per HDPE bottle Store at 25degC Excursions permitted to 15ndash30degC Store in tightly closed bottles

$0663 per tablet

$968 per patient per year

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage second line regimens using this ARV 1000 mg twice daily (either five 200 mg capsules or two 500 The safety of saquinavir in pediatric patients under 16 Adults mg tablets) in combination with ritonavir years old or under 25 kg has not been determined

Second line SQVr + TDF or ddI + ABC or 3TC (plusmn AZT)

Alternate second line SQVr + ddI + EFV or NVP

Children

First line SQVr + ddI + ABC or AZT or EFV or NVP

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres June 2005 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 37

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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ESP 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FRA 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Page 44: LOGISTICS FACT SHEETS:

STAVUDINE (d4T) NRTI

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Originator Product

Zeritreg Bristol Myers Squibb 15 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed $0032 per PO Box 4500 containers at controlled room capsule

(WHO prequalified)

Princeton NJ 08543-4500 Tel 800-321-1335 wwwbmscom

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC)

(FDA approved) Do not store above 30degC

20 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$69 per patient per

Do not store above 30degC year

30 mg capsule 56 capsules per blister pack

60 capsules per HDPE bottle

24 months Store capsules in tightly closed containers at controlled room temperature 59ndash86degF (15ndash 30degC)

$0092 per capsule

$67 per patient per

Do not store above 30degC year

40 mg capsule 56 capsules per blister pack 24 months Store capsules in tightly closed containers at controlled room

$0092 per capsule

60 capsules per HDPE bottle temperature 59ndash86degF (15ndash 30degC) $67 per

patient per Do not store above 30degC year

Zeritreg

(continued)

(WHO prequalified)

(FDA approved)

1 mgmL oral solution

Container provides 200 mL of solution after reconstitution with water

2 years discard unused solution after 30 days

Store powder at 59ndash86degF (15ndash 30degC) and protect from excessive moisture

After reconstitution store the solution in a tightly closed container at 2ndash8degC

$0007 per mL

$51 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 38

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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ESP 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 FRA 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ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 45: LOGISTICS FACT SHEETS:

continued STAVUDINE (d4T)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

Generic Products

Stag Hetero Drugs Ltd Genex Pharma

30 mg capsule 10 capsules per blister pack $0027 per capsule

Mumbai India 60 capsules per bottle $20 per

16671 Erragadda patient per Hyderabadndash500018 year (AP) India Tel +91 237049232425 Fax +91 40 23704926 23714250 wwwheterodrugscom

40 mg capsule 10 capsules per blister pack

60 capsules per bottle

$0033 per capsule

$24 per patient per year

Virostav Avostav

Ranbaxy Laboratories Ltd India

19 Nehru Place New Delhindash110019 India Tel +91 11 26452666 72 Fax +91 11 26002076

30 mg capsule 60 capsules per bottle or blister pack 180 capsules per case (3 bottles) 1800 capsules per shipping carton (30 bottles)

Shipping carton Dimensions 049 x 039 x 025 m

24 months Store below 25degC

Protect from moisture

$0040 per capsule

$28 per patient per year

wwwranbaxycom Volume 00478 m3

Weight 28 kg

40 mg capsule 60 capsules per bottle or blister pack 24 months Store below 25degC $0045 per capsule

Shipping carton Dimensions 035 x 029 x 027 m Volume 00274 m3

Weight 27 kg

Protect from moisture $34 per patient per year

Stavex

(tentatively FDA approved)

(WHO prequalified)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Ranga Reddy District Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080

15 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0031 per capsule

20 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0033 per capsule

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 39

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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ESP 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FRA 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 SVE 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50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged 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Page 46: LOGISTICS FACT SHEETS:

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information

Shelf Life Storage Conditions Price

2374 6883 wwwaurobindocom

30 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 25degC $0037 per capsule

$27 per patient per year

40 mg capsule 60 capsules per HDPE bottle 24 months Do not store above 30degC $0040 per capsule

$29 per patient per year

1 mgmL oral solution

200 mL HDPE bottle and measuring cup 24 months for dry powder and not more than 30 days following reconstitushytion

Do not store powder above 30degC Following reconstitution store the solution in tightly closed bottles between 2ndash8degC

$0010 per ml

$73 per patient per year (daily dose 20 ml)

Aspen-Stavudine

Aspen Pharmacare Aspen Park 98 Armstrong Avenue

40 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

(WHO prequalified)

La Lucia Ridge Durban 4019 South Africa Tel +27 31 5808600 wwwaspenpharmacom

30 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

20 mg capsules 60 capsules per plastic container securitainer metallised lay flat pack glass bottle

24 months Store below 25˚C Protect from moisture and light

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 40

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP ltFEFF005500740069006c0069006300650020006500730074006100200063006f006e0066006900670075007200610063006900f3006e0020007000610072006100200063007200650061007200200064006f00630075006d0065006e0074006f0073002000640065002000410064006f0062006500200050004400460020007000610072006100200063006f006e00730065006700750069007200200069006d0070007200650073006900f3006e002000640065002000630061006c006900640061006400200065006e00200069006d0070007200650073006f0072006100730020006400650020006500730063007200690074006f00720069006f00200079002000680065007200720061006d00690065006e00740061007300200064006500200063006f00720072006500630063006900f3006e002e002000530065002000700075006500640065006e00200061006200720069007200200064006f00630075006d0065006e0074006f00730020005000440046002000630072006500610064006f007300200063006f006e0020004100630072006f006200610074002c002000410064006f00620065002000520065006100640065007200200035002e003000200079002000760065007200730069006f006e0065007300200070006f00730074006500720069006f007200650073002egt FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 47: LOGISTICS FACT SHEETS:

Brand Name

Stavudine

(WHO prequalified)

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Stavudine

(FDA tentatively approved)

Manufacturer

Strides Arcolab Ltd Strides House Bilekahalli Bannerghatta Road Bangalorendash560076 India Tel +91 80 658134346 wwwstridesarcocom

Cipla Ltd Vikhroli India Goa India

Mumbai Central Mumbai 400 008 India Tel +91 22 2308 2891

+91 22 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

StrengthForm Packaging amp Shipping Information

30 mg capsule 60 capsules per HDPE bottle

1mg mL oral solution

200 ml HDPE bottles

30 mg capsules 60 capsules per HDPE bottle 10 capsules per Blister Pack

40 mg 60 tablets per bottle

90 bottles per shipper

Shelf Life

24 months

24 months

24 months

24 months

Storage Conditions

Store below 30degC

Store at 20ndash25˚C

Store below 30˚C

Store below 30˚C Protect from light

Price

$0037 per capsule

$2664 per patient per year

$0015 per ml

$110 per person per year

$0042 per capsule

$31 per patient per year

$250 per bottle

World Health Organization recommended Adult Daily Dosage Pediatric Daily Dosage first line regimens using this ARV 30 mg twice daily for patients in combination Birth to 13 days old 05 mgkgdose Adults with other antiretroviral agents every 12 hours First line d4T + 3TC or FTC + NVP or EFV 14 days old and le 30 kg 1 mgkgdose

every 12 hoursAlternate first line d4T + 3TC or FTC + TDF or ABC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 41

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 48: LOGISTICS FACT SHEETS:

Children d4T + 3TC + NVP when child lt 3 years or lt 10 kg

d4T + 3TC + EFV when child gt 3years

Alternate first line d4T + 3TC + ABC

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 42

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT 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 DEU 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 49: LOGISTICS FACT SHEETS:

TENOFOVIR DISOPROXIL FUMARATE (TDF) NRTI

Packaging amp Shipping Storage Brand Name Manufacturer StrengthForm Information Shelf Life Conditions Price

Originator Product

Vireadreg Gilead Sciences Inc 333 Lakeside Drive

300 mg tablet 30 tablets per HDPE bottle 36 months Store at 25degC Excursions to 15ndash

$100 per tablet

(WHO prequalified)

(FDA approved)

Foster City California 94404 USA

Tel +1-650-574-3000

30degC permitted $365 per patient per year

Fax +1-650-522-5870 E-mail ARVaccessgileadcom wwwgileadcom

Tenofovir

(FDA tentatively approved)

Matrix Laboratories Limited 1-1-1511 4th Floor Sai Ram Towers Alexander Road Secunderabad ndash 500 003

300 mg tablet 30 count CRC HDPE bottles 100 count non-CRC HDPE bottles Blister packs of 20s (2 x 10)

24 months Store below 39˚C $0546 per tablet

$199 per patient per year

Phone +91-40-27700363 +91-40-66327722

Fax +91-40-27700343

matrixmatrixlabsindiacom

World Health Organization recommended first line Adult Daily Dosage 300 mg daily Pediatric Daily Dosage The safety and effectiveness regimens using this ARV of tenofovir in pediatric patients has not been

establishedAdults

First line TDF + FTC or 3TC + EFV or NVP

Alternate first line TDF + 3TC or FTC + AZT or d4T

Second line TDF + PIr + ABC or 3TC (plusmn AZT)

PIr = ATVr FPVr IDVr LPVr SQVr

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 43

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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ltFEFF00560065007200770065006e00640065006e0020005300690065002000640069006500730065002000450069006e007300740065006c006c0075006e00670065006e0020007a0075006d002000450072007300740065006c006c0065006e00200076006f006e002000410064006f006200650020005000440046002d0044006f006b0075006d0065006e00740065006e002c00200076006f006e002000640065006e0065006e002000530069006500200068006f00630068007700650072007400690067006500200044007200750063006b006500200061007500660020004400650073006b0074006f0070002d0044007200750063006b00650072006e00200075006e0064002000500072006f006f0066002d00470065007200e400740065006e002000650072007a0065007500670065006e0020006d00f60063006800740065006e002e002000450072007300740065006c006c007400650020005000440046002d0044006f006b0075006d0065006e007400650020006b00f6006e006e0065006e0020006d006900740020004100630072006f00620061007400200075006e0064002000410064006f00620065002000520065006100640065007200200035002e00300020006f0064006500720020006800f600680065007200200067006500f600660066006e00650074002000770065007200640065006e002egt ESP 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 FRA ltFEFF005500740069006c006900730065007a00200063006500730020006f007000740069006f006e00730020006100660069006e00200064006500200063007200e900650072002000640065007300200064006f00630075006d0065006e00740073002000410064006f00620065002000500044004600200070006f007500720020006400650073002000e90070007200650075007600650073002000650074002000640065007300200069006d007000720065007300730069006f006e00730020006400650020006800610075007400650020007100750061006c0069007400e90020007300750072002000640065007300200069006d007000720069006d0061006e0074006500730020006400650020006200750072006500610075002e0020004c0065007300200064006f00630075006d0065006e00740073002000500044004600200063007200e900e90073002000700065007500760065006e0074002000ea0074007200650020006f007500760065007200740073002000640061006e00730020004100630072006f006200610074002c002000610069006e00730069002000710075002700410064006f00620065002000520065006100640065007200200035002e0030002000650074002000760065007200730069006f006e007300200075006c007400e90072006900650075007200650073002egt ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR ltFEFF004200720075006b00200064006900730073006500200069006e006e007300740069006c006c0069006e00670065006e0065002000740069006c002000e50020006f0070007000720065007400740065002000410064006f006200650020005000440046002d0064006f006b0075006d0065006e00740065007200200066006f00720020007500740073006b00720069006600740020006100760020006800f800790020006b00760061006c00690074006500740020007000e500200062006f007200640073006b0072006900760065007200200065006c006c00650072002000700072006f006f006600650072002e0020005000440046002d0064006f006b0075006d0065006e00740065006e00650020006b0061006e002000e50070006e00650073002000690020004100630072006f00620061007400200065006c006c00650072002000410064006f00620065002000520065006100640065007200200035002e003000200065006c006c00650072002000730065006e006500720065002egt PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 50: LOGISTICS FACT SHEETS:

ZIDOVUDINE (ZDV) (AZT) NRTI

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Originator Product

Retrovirreg

(WHO prequalified)

(FDA approved)

GlaxoSmithKline Wellcome Foundation Dartford Kent

Tel +44 20 8990 9000 Fax +44 20 8990 4321 wwwgskcom

100 mg capsule 100 capsules per HDPE bottle

60 months Store at 15ndash25degC (59ndash 77degF)

Protect from moisture

$0122 per capsule

$89 per patient per year

250 mg capsule 40 capsules per blister pack 60 months Do not store above 30degC Store in the original package

$0276 per capsule

GlaxoSmithKline Ware Hertfordshire UK

300 mg tablet 60 tablets per HDPE bottle 60 months Store at 15ndash25degC (59ndash 77degF)

$0221 per tablet

$161 per patient per year

GlaxoSmithKline Catalytica Pharm Inc Greenville USA 5 Moore Drive PO Box 13398 Research Triangle Park NC 27709 USA Tel +1 888 825 5249

10 mgmL infusion 20 mL amber glass vial

10 vials per tray

36 months Store vials at 15ndash25degC (59ndash77degF)

Protect from light

$0032 per mL

$234 per person per year

GlaxoSmithKline Welcome Foundation Uxbridge Middlesex UK

GlaxoSmithKline 7333 Mississauga Road North Mississauga Ontario L5N 6L4 Canada Tel +1-905-819-3000

50 mg5 mL oral solution

240 mL amber glass bottle 24 months Store at 15ndash25degC (59ndash 77degF)

$0036 per mL

$223 per patient per year

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 44

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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ESP 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Page 51: LOGISTICS FACT SHEETS:

continued ZIDOVUDINE (ZDV) (AZT)

Packaging amp Shipping Brand Name Manufacturer StrengthForm Information Shelf Life Storage Conditions Price

Generic Products

ZidondashH Hetero Drugs Ltd Genex Pharma

300 mg tablets 60 capsules per HDPE bottle Do not store above 30degC

$0150 per capsule

16671 Erragadda Hyderabadndash500 018 (AP) India Tel +91 40 2370 49232425 Fax +91 40 2370 4926 23714250

10 capsules per blister pack $110 per patient per year

wwwheterodrugscom wwwgenxpharmacom

Zidovirreg

(WHO prequalified)

Cipla Ltd Mumbai Central Mumbaindash400 008 India Tel +91 22 2308 2891 2309 5521 Fax +91 22 2307 0013

+91 22 2307 0393 wwwciplacom

100 mg capsules 1000 capsules per bottle

Shipping carton 10 bottles per inner carton

24 months Protect capsules from light and moisture

Store between 20ndash25˚C

$0075 per capsule

Zidovirreg (continued)

Cipla Ltd (continued)

300 mg tablets 10 tablets per blister strip 24 months Protect capsules from light and moisture

$0142 per tablet

60 tablets per bottle $104 per patient per year

(WHO prequalified)

Shipping carton 30 strips per inner carton 320 packs per shipping

Store between 15ndash25˚C

carton Dimensions 455 x 320 x 255 m Volume 037 m3

Weight 1685 kg

50 mg5 mL oral 100 mL PET bottle with 24 months Do not store above $0014 per mL solution syringe 30degC

$102 per patient per year

Zidovudina

(WHO

Combino Pharm Finaf 92 Barbara del Valles

100 mg capsule 100 capsules per aluminum strip

36 months Do not store above 30degC

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 45

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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Page 52: LOGISTICS FACT SHEETS:

continued ZIDOVUDINE (ZDV) (AZT)

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

prequalified) Medea SA Barcelona Spain wwwcombino-pharmes

250 mg capsule 40 or 300 capsules per PVCaluminum blister pack

36 months Do not store above 30degC

300 mg capsule 60 or 300 capsules per 36 months Do not store above $039 per capsule PVCaluminum blister pack 30degC

$285 per patient per year

50 mg5 mL oral 200 mL PET bottle plus 10 36 months Do not store above $0021 per mL solution mL syringe 30degC

$130 per patient per year

Zidovudine

(FDA approved)

Roxane Laboratories Inc Boehringer Ingelheim PO Box 16532 Columbus OH 43216 Tel +1 800 962 8364

300 mg tablets 60 tablets per bottleblister pack

10 bottles per inner carton

Store at 68ndash77degF

Fax +1 614 279 5517 wwwroxanecom

100 bottles per case

Zidovex

(WHO prequalified ndash tablet only)

(FDA approved)

Aurobindo Pharma Ltd Unit III Survey No 313 Bachupally Village Quthubullapur Mandal Hyderabad ndash 500 072 Andhra Pradesh India Tel +91 40 5572 5000 Fax +91 40 2374 1080 2374 6883 wwwaurobindocom

300 mg tablets 60 tablets per HDPE container

24 months Do not store above 25degC Store in original package

$016 per tablet

$117 per patient per year

50 mg5 mL oral solution

240 mL HDPE bottle

20 mL measuring cup

24 months Store below 25degC Keep bottle tightly closed

$0013 per mL

$95 per patient per year

100 mg capsule 100 HDPE container 24 months Do not store above 25degC

$0110 per capsule

LOGISTICS FACT SHEETS ARV DRUGS JULY 2008 46

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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FRA 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ltFEFF9ad854c18cea51fa529b7528002000410064006f0062006500200050004400460020658766f8306e4f5c6210306b4f7f75283057307e30593002537052376642306e753b8cea3092670059279650306b4fdd306430533068304c3067304d307e3059300230c730b930af30c830c330d730d730ea30f330bf3067306e53705237307e305f306f30d730eb30fc30d57528306b9069305730663044307e305930023053306e8a2d5b9a30674f5c62103055308c305f0020005000440046002030d530a130a430eb306f3001004100630072006f0062006100740020304a30883073002000410064006f00620065002000520065006100640065007200200035002e003000204ee5964d3067958b304f30533068304c3067304d307e30593002gt KOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 53: LOGISTICS FACT SHEETS:

Brand Name Manufacturer StrengthForm Packaging amp Shipping Information Shelf Life Storage Conditions Price

VirondashZ Ranbaxy Laboratories Ltd Dewas India

300 mg tablets 60 or 100 tablets per blister packs

24 months Do not store above 20ndash 25˚C

$01500 per tablet

(WHO prequalified)

(FDA approved)

19 Nehru Place New Delhindash10019 India Tel +91 11 26452666 72 Fax +91 11 26002076

60 tablets per blister pack

720 tablets per inner carton

$115 per patient per year

wwwranbaxycom 7200 tablets per shipping carton

Shipping carton Dimensions 049 x 036 x 023 m Volume 00406 m3

Weight 785 kg

World Health Organization recommended first line Adult Daily Dosage Pediatric Daily Dosage (according to GSK) regimens using this ARV Tablets 600 mg per day in divided dose in combination with Birth to 6 weeks 2 mgkg orally every 6 hours starting Adults other antiretroviral agents within 12 hours after birth and continuing through 6 First line AZT + 3TC or FTC + EFV or NVP weeks of age Alternate first line AZT + 3TC or FTC + TDF or ABC Infusion Infuse 1 mg over 1 hour Administer

dose 5 to 6 times daily (5 to 6 mgkg daily) 6 weeks to 12 yrs 160 mgm2 every 8 hours Children AZT + 3TC + NVP or EFV Do not exceed 200 mg for any individual dose

Price packaging and shipping information will vary according to contract specifications Source Meacutedecins Sans Frontiegraveres July 2007 Untangling the Web of Price Reductions Geneva Meacutedecins Sans Frontiegraveres

JULY 2008 LOGISTICS FACT SHEETS ARV DRUGS 47

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

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PreserveOverprintSettings true StartPage 1 SubsetFonts true TransferFunctionInfo Apply UCRandBGInfo Preserve UsePrologue false ColorSettingsFile () AlwaysEmbed [ true ] NeverEmbed [ true ] AntiAliasColorImages false CropColorImages true ColorImageMinResolution 300 ColorImageMinResolutionPolicy OK DownsampleColorImages true ColorImageDownsampleType Bicubic ColorImageResolution 300 ColorImageDepth -1 ColorImageMinDownsampleDepth 1 ColorImageDownsampleThreshold 150000 EncodeColorImages true ColorImageFilter DCTEncode AutoFilterColorImages true ColorImageAutoFilterStrategy JPEG ColorACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt ColorImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000ColorACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000ColorImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasGrayImages false CropGrayImages true GrayImageMinResolution 300 GrayImageMinResolutionPolicy OK 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ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO ltFEFF004b00e40079007400e40020006e00e40069007400e4002000610073006500740075006b007300690061002c0020006b0075006e0020006c0075006f0074002000410064006f0062006500200050004400460020002d0064006f006b0075006d0065006e007400740065006a00610020006c0061006100640075006b006100730074006100200074007900f6007000f60079007400e400740075006c006f0073007400750073007400610020006a00610020007600650064006f007300740075007300740061002000760061007200740065006e002e00200020004c0075006f0064007500740020005000440046002d0064006f006b0075006d0065006e00740069007400200076006f0069006400610061006e0020006100760061007400610020004100630072006f0062006100740069006c006c00610020006a0061002000410064006f00620065002000520065006100640065007200200035002e0030003a006c006c00610020006a006100200075007500640065006d006d0069006c006c0061002egt SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 54: LOGISTICS FACT SHEETS:

For more information please visit deliverjsicom

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

ltlt ASCII85EncodePages false AllowTransparency false AutoPositionEPSFiles true AutoRotatePages All Binding Left CalGrayProfile (Dot Gain 20) CalRGBProfile (sRGB IEC61966-21) CalCMYKProfile (US Web Coated 050SWOP051 v2) sRGBProfile (sRGB IEC61966-21) CannotEmbedFontPolicy Warning CompatibilityLevel 14 CompressObjects Tags CompressPages true ConvertImagesToIndexed true PassThroughJPEGImages true CreateJDFFile false CreateJobTicket false DefaultRenderingIntent Default DetectBlends true DetectCurves 00000 ColorConversionStrategy LeaveColorUnchanged DoThumbnails false EmbedAllFonts true EmbedOpenType false ParseICCProfilesInComments true EmbedJobOptions true DSCReportingLevel 0 EmitDSCWarnings false EndPage -1 ImageMemory 1048576 LockDistillerParams false MaxSubsetPct 100 Optimize true OPM 1 ParseDSCComments true ParseDSCCommentsForDocInfo true PreserveCopyPage true PreserveDICMYKValues true PreserveEPSInfo true PreserveFlatness true PreserveHalftoneInfo false PreserveOPIComments false PreserveOverprintSettings true StartPage 1 SubsetFonts true TransferFunctionInfo Apply UCRandBGInfo Preserve UsePrologue false ColorSettingsFile () AlwaysEmbed [ true ] NeverEmbed [ true ] AntiAliasColorImages false CropColorImages true ColorImageMinResolution 300 ColorImageMinResolutionPolicy OK DownsampleColorImages true ColorImageDownsampleType Bicubic ColorImageResolution 300 ColorImageDepth -1 ColorImageMinDownsampleDepth 1 ColorImageDownsampleThreshold 150000 EncodeColorImages true ColorImageFilter DCTEncode AutoFilterColorImages true ColorImageAutoFilterStrategy JPEG ColorACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt ColorImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000ColorACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000ColorImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasGrayImages false CropGrayImages true GrayImageMinResolution 300 GrayImageMinResolutionPolicy OK DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP 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 FRA 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 ITA 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 JPN ltFEFF9ad854c18cea51fa529b7528002000410064006f0062006500200050004400460020658766f8306e4f5c6210306b4f7f75283057307e30593002537052376642306e753b8cea3092670059279650306b4fdd306430533068304c3067304d307e3059300230c730b930af30c830c330d730d730ea30f330bf3067306e53705237307e305f306f30d730eb30fc30d57528306b9069305730663044307e305930023053306e8a2d5b9a30674f5c62103055308c305f0020005000440046002030d530a130a430eb306f3001004100630072006f0062006100740020304a30883073002000410064006f00620065002000520065006100640065007200200035002e003000204ee5964d3067958b304f30533068304c3067304d307e30593002gt KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice

Page 55: LOGISTICS FACT SHEETS:

USAID | DELIVER PROJECT John Snow Inc

1616 Fort Myer Drive 11th Floor

Arlington VA 22209 USA

Phone 703-528-7474

Fax 703-528-7480

Email deliver_projectjsicom

Internet deliverjsicom

ltlt ASCII85EncodePages false AllowTransparency false AutoPositionEPSFiles true AutoRotatePages All Binding Left CalGrayProfile (Dot Gain 20) CalRGBProfile (sRGB IEC61966-21) CalCMYKProfile (US Web Coated 050SWOP051 v2) sRGBProfile (sRGB IEC61966-21) CannotEmbedFontPolicy Warning CompatibilityLevel 14 CompressObjects Tags CompressPages true ConvertImagesToIndexed true PassThroughJPEGImages true CreateJDFFile false CreateJobTicket false DefaultRenderingIntent Default DetectBlends true DetectCurves 00000 ColorConversionStrategy LeaveColorUnchanged DoThumbnails false EmbedAllFonts true EmbedOpenType false ParseICCProfilesInComments true EmbedJobOptions true DSCReportingLevel 0 EmitDSCWarnings false EndPage -1 ImageMemory 1048576 LockDistillerParams false MaxSubsetPct 100 Optimize true OPM 1 ParseDSCComments true ParseDSCCommentsForDocInfo true PreserveCopyPage true PreserveDICMYKValues true PreserveEPSInfo true PreserveFlatness true PreserveHalftoneInfo false PreserveOPIComments false PreserveOverprintSettings true StartPage 1 SubsetFonts true TransferFunctionInfo Apply UCRandBGInfo Preserve UsePrologue false ColorSettingsFile () AlwaysEmbed [ true ] NeverEmbed [ true ] AntiAliasColorImages false CropColorImages true ColorImageMinResolution 300 ColorImageMinResolutionPolicy OK DownsampleColorImages true ColorImageDownsampleType Bicubic ColorImageResolution 300 ColorImageDepth -1 ColorImageMinDownsampleDepth 1 ColorImageDownsampleThreshold 150000 EncodeColorImages true ColorImageFilter DCTEncode AutoFilterColorImages true ColorImageAutoFilterStrategy JPEG ColorACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt ColorImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000ColorACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000ColorImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasGrayImages false CropGrayImages true GrayImageMinResolution 300 GrayImageMinResolutionPolicy OK DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE ltFEFF0041006e007600e4006e00640020006400650020006800e4007200200069006e0073007400e4006c006c006e0069006e006700610072006e00610020006f006d002000640075002000760069006c006c00200073006b006100700061002000410064006f006200650020005000440046002d0064006f006b0075006d0065006e00740020006600f600720020006b00760061006c00690074006500740073007500740073006b0072006900660074006500720020007000e5002000760061006e006c00690067006100200073006b0072006900760061007200650020006f006300680020006600f600720020006b006f007200720065006b007400750072002e002000200053006b006100700061006400650020005000440046002d0064006f006b0075006d0065006e00740020006b0061006e002000f600700070006e00610073002000690020004100630072006f0062006100740020006f00630068002000410064006f00620065002000520065006100640065007200200035002e00300020006f00630068002000730065006e006100720065002egt ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice