Browse by Standard Packs

Standard Packs and Prices for Ready Prepared Pharmaceutical Benefits

Item code Drug name
Form and Strength
Pack size Price Manufacturer
4580C ALPROSTADILalprostadil 20 microgram injection [2] (&) inert substance diluent [2 x 0.6 mL syringes], 1 pack 2 $39.61 PF
4579B ALPROSTADILalprostadil 10 microgram injection [2] (&) inert substance diluent [2 x 0.6 mL syringes], 1 pack 2 $31.33 PF
4118R ALUMINIUM HYDROXIDE WITH MAGNESIUM HYDROXIDE AND SIMETHICONEALUMINIUM HYDROXIDE with MAGNESIUM HYDROXIDE and SIMETHICONE Oral suspension 400 mg-400 mg-30 mg per 5 mL, 500 mL, 1 1 $9.02 JT
4654Y BANDAGE COMPRESSIONBANDAGE-COMPRESSION Bandage, short stretch, 8 cm x 2.6 m, 1 1 $13.95 BV
4598B BANDAGE COMPRESSIONbandage compression four layer bandage, 1 1 $31.40 SN
4658E BANDAGE COMPRESSIONbandage compression four layer bandage, 1 1 $47.50 SN
4748X BANDAGE COMPRESSIONbandage compression 10 cm x 3 m high stretch bandage, 1 1 $12.88 CC
4748X BANDAGE COMPRESSIONbandage compression 10 cm x 3 m high stretch bandage, 1 1 $28.54 BV
4657D BANDAGE COMPRESSIONbandage compression 10 cm x 3.5 m high stretch bandage, 1 1 $13.91 MH
4811F BANDAGE RETENTION COHESIVE HEAVYbandage retention cohesive heavy 5 cm x 1.3 m bandage, 1 1 $5.27 MM
4814J BANDAGE RETENTION COHESIVE HEAVYbandage retention cohesive heavy 15 cm x 1.3 m bandage, 1 1 $11.43 MM
4813H BANDAGE RETENTION COHESIVE HEAVYbandage retention cohesive heavy 10 cm x 1.3 m bandage, 1 1 $8.34 MM
4812G BANDAGE RETENTION COHESIVE HEAVYbandage retention cohesive heavy 7.5 cm x 1.3 m bandage, 1 1 $6.70 MM
4660G BANDAGE RETENTION COHESIVE HEAVYbandage retention cohesive heavy 10 cm x 2 m bandage, 1 1 $7.60 MM
4719J BANDAGE RETENTION COHESIVE LIGHTbandage retention cohesive light 6 cm x 2 m bandage, 1 1 $6.23 BV
4662J BANDAGE RETENTION COHESIVE LIGHTbandage retention cohesive light 10 cm x 2 m bandage, 1 1 $13.16 BV
4728W BANDAGE RETENTION COTTON CREPEbandage retention cotton crepe 7.5 cm x 2.3 m bandage, 1 1 $8.84 KE
4728W BANDAGE RETENTION COTTON CREPEbandage retention cotton crepe 7.5 cm x 2.3 m bandage, 1 1 $10.36 BV
4729X BANDAGE RETENTION COTTON CREPEbandage retention cotton crepe 10 cm x 2.3 m bandage, 1 1 $10.21 KE
4729X BANDAGE RETENTION COTTON CREPEbandage retention cotton crepe 10 cm x 2.3 m bandage, 1 1 $12.93 BV
4727T BANDAGE RETENTION COTTON CREPEbandage retention cotton crepe 5 cm x 2.3 m bandage, 1 1 $6.75 KE
4727T BANDAGE RETENTION COTTON CREPEbandage retention cotton crepe 5 cm x 2.3 m bandage, 1 1 $8.08 BV
4674B BANDAGE TUBULAR LONG STOCKINGbandage tubular long stocking small size bandage, 1 1 $15.32 MH
4799N BANDAGE TUBULAR LONG STOCKINGbandage tubular long stocking large size bandage, 1 1 $15.32 MH
4675C BANDAGE TUBULAR LONG STOCKINGbandage tubular long stocking XX/large size bandage, 1 1 $15.33 MH
4797L BANDAGE TUBULAR LONG STOCKINGbandage tubular long stocking medium size bandage, 1 1 $15.32 MH
4661H BANDAGE TUBULAR SHORT STOCKINGbandage tubular short stocking small B/C size bandage, 1 1 $10.21 MH
4815K BANDAGE TUBULAR SHORT STOCKINGbandage tubular short stocking medium C/D size bandage, 1 1 $10.21 MH
4816L BANDAGE TUBULAR SHORT STOCKINGbandage tubular short stocking large D/E size bandage, 1 1 $10.21 MH
4669R BANDAGE ZINC PASTEbandage zinc paste 7.5 cm x 6 m bandage, 1 1 $12.07 MH
4750B BANDAGE ZINC PASTEbandage zinc paste 7.5 cm x 6 m bandage, 1 1 $39.57 SN
4670T BANDAGE ZINC PASTEbandage zinc paste 10 cm x 9.1 m bandage, 1 1 $11.69 CC
10580W BISACODYLbisacodyl 10 mg suppository, 12 1 $4.76 PP
10578R BISACODYLbisacodyl 10 mg suppository, 10 1 $5.95 VZ
10578R BISACODYLbisacodyl 10 mg suppository, 10 1 $5.52 PP
4151L BROMAZEPAMbromazepam 6 mg tablet, 30 30 $14.87 RO
4150K BROMAZEPAMbromazepam 3 mg tablet, 30 30 $12.00 RO
4094L CALCIUMCALCIUM Tablet (chewable) 500 mg (as carbonate), 60 60 $5.63 IA,PP
4333C CALCIUMCALCIUM Tablet (chewable) 500 mg (as carbonate), 60 60 $6.61 IA,PP
4142B CALCIUMCALCIUM Tablet 600 mg (as carbonate), 120 120 $8.49 PP
4055K CALCIUM CARBONATE + GLYCINEcalcium carbonate 420 mg + glycine 180 mg chewable tablet, 100 100 $9.26 MM
4681J DRESSING ACTIVATED CHARCOAL MALODOROUS WOUNDdressing activated charcoal malodorous wound 10.5 cm x 10.5 cm dressing, 1 1 $8.98 KI
4682K DRESSING ALGINATE CAVITY WOUNDdressing alginate cavity wound 2 g (40 cm) rope, 6 x 2 g 1 $61.65 CT
4832H DRESSING ALGINATE CAVITY WOUNDDRESSING-ALGINATE (CAVITY WOUND) Rope 2 g, 1 1 $9.73 UM
1905G DRESSING ALGINATE CAVITY WOUNDDRESSING-ALGINATE (CAVITY WOUND) Rope 2 g, 5 5 $51.44 CC
4684M DRESSING ALGINATE SUPERFICIAL WOUNDdressing alginate superficial wound 5 cm x 5 cm dressing, 1 1 $3.99 CT
4831G DRESSING ALGINATE SUPERFICIAL WOUNDdressing alginate superficial wound 10 cm x 10 cm dressing, 1 1 $8.00 CT
4831G DRESSING ALGINATE SUPERFICIAL WOUNDdressing alginate superficial wound 10 cm x 10 cm dressing, 1 1 $7.48 UM
4688R DRESSING FILMdressing film 15 cm x 20 cm dressing, 1 1 $4.17 MM
4690W DRESSING FILM ISLANDdressing film island 9 cm x 10 cm dressing, 1 1 $2.24 MM
4899W DRESSING FILM ISLANDdressing film island 8 cm x 10 cm dressing, 5 1 $21.03 SN
4689T DRESSING FILM ISLANDdressing film island 5 cm x 7 cm dressing, 1 1 $1.24 MM
4898T DRESSING FILM ISLANDdressing film island 5 cm x 7.2 cm dressing, 5 1 $12.75 SN
4906F DRESSING HYDROACTIVE SUPERFICIAL WOUND LIGHT EXUDATEdressing hydroactive superficial wound light exudate 10 cm x 10 cm dressing, 5 1 $55.35 SN
4886E DRESSING HYDROACTIVE SUPERFICIAL WOUND MODERATE EXUDATEdressing hydroactive superficial wound moderate exudate 10 cm x 10 cm dressing, 5 1 $42.67 SN
4896Q DRESSING HYDROCOLLOID CAVITY WOUNDdressing hydrocolloid cavity wound paste, 30 g 1 $13.00 CC
4679G DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATEdressing hydrocolloid superficial wound moderate exudate 10cm (round) dressing, 1 1 $10.46 CT
4678F DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATEdressing hydrocolloid superficial wound moderate exudate 7cm (butterfly shape) dressing, 1 1 $9.64 CT
4920Y DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATEdressing hydrocolloid superficial wound moderate exudate 20 cm x 20 cm dressing, 5 1 $101.23 CC
4897R DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATEdressing hydrocolloid superficial wound moderate exudate 10 cm x 10 cm dressing, 5 1 $36.05 CC
2803M DRESSING HYDROFIBRE ALTERNATE TO ALGINATESdressing hydrofibre alternate to alginates 15 cm x 15 cm dressing, 5 1 $94.18 CC
2445Q DRESSING HYDROFIBRE GELLING FIBREdressing hydrofibre gelling fibre 15 cm x 15 cm dressing, 5 1 $102.22 SN
4894N DRESSING HYDROGEL AMORPHOUSdressing hydrogel amorphous gel, 25 g 1 $16.54 SN
4599C DRESSING HYDROGEL AMORPHOUSdressing hydrogel amorphous gel, 50 g 1 $9.20 SN
4914P DRESSING HYDROGEL AMORPHOUSdressing hydrogel amorphous gel, 50 g 1 $9.05 JJ
4913N DRESSING HYDROGEL AMORPHOUSdressing hydrogel amorphous gel, 3 x 30 g 1 $28.79 CC
4911L DRESSING HYDROGEL SHEETdressing hydrogel sheet 9.5 cm x 10.2 cm dressing, 5 1 $36.87 KI
4806Y DRESSING HYDROGEL SHEETdressing hydrogel sheet 10 cm x 10 cm dressing, 5 1 $23.15 HR
4862X DRESSING NON ADHERENTdressing non adherent 10 cm x 10 cm dressing, 5 1 $10.89 SN
4819P DRESSING NON ADHERENTdressing non adherent 5 cm x 5 cm dressing, 5 1 $6.37 SN
4860T DRESSING NON ADHERENTdressing non adherent 5 cm x 5 cm dressing, 5 1 $6.99 SN
4909J DRESSING TULLE NON GAUZE PARAFFINdressing tulle non gauze paraffin 7.6 cm x 7.6 cm dressing, 1 1 $1.20 KI
4237B FEXOFENADINEfexofenadine hydrochloride 60 mg tablet, 20 20 $16.00 SW
10584C FOLIC ACIDfolic acid 500 microgram tablet, 100 100 $4.00 AF,PP
10573L FOLIC ACIDfolic acid 5 mg tablet, 100 100 $5.11 AF
10596Q GLYCEROLglycerol 1.4 g suppository, 12 1 $5.39 PP
4246L GLYCEROLglycerol 2.8 g suppository, 12 1 $5.55 PP
10586E GLYCEROLglycerol 700 mg suppository, 12 1 $5.27 PP
4571N NICOTINEnicotine 7 mg/24 hours patch, 7 1 $22.21 AF
4572P NICOTINEnicotine 14 mg/24 hours patch, 7 1 $23.79 AF
4572P NICOTINEnicotine 14 mg/24 hours patch, 7 1 $30.30 GC
4577X NICOTINEnicotine 10 mg/16 hours patch, 7 1 $23.90 JT
4578Y NICOTINEnicotine 15 mg/16 hours patch, 7 1 $26.31 JT
4576W NICOTINEnicotine 5 mg/16 hours patch, 7 1 $21.91 JT
4573Q NICOTINEnicotine 21 mg/24 hours patch, 7 1 $25.27 AF
4573Q NICOTINEnicotine 21 mg/24 hours patch, 7 1 $30.30 GC
10585D PARACETAMOLparacetamol 500 mg tablet, 100 100 $2.96 AF,EA,GQ,OW,SW,SZ,TX
10598T PARACETAMOLparacetamol 665 mg modified release tablet, 96 96 $5.70 CR
10850C PROTEIN FORMULA WITH ARGININE, VITAMIN C AND Eprotein formula with arginine, vitamin C and E powder for oral liquid, 14 x 9.2 g sachets 1 $30.34 NT
10841N PROTEIN FORMULA WITH ARGININE, VITAMIN C, E AND ZINCprotein formula with arginine, vitamin C, E and zinc oral liquid, 27 x 237 mL cartons 1 $101.57 NT