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 $39.65 PF
4579B ALPROSTADILalprostadil 10 microgram injection [2] (&) inert substance diluent [2 x 0.6 mL syringes], 1 pack 2 $31.37 PF
4598B BANDAGE COMPRESSIONbandage compression four layer bandage, 1 1 $33.82 SN
4658E BANDAGE COMPRESSIONbandage compression four layer bandage, 1 1 $51.28 SN
4748X BANDAGE COMPRESSIONbandage compression 10 cm x 3 m high stretch bandage, 1 1 $12.90 CC
4748X BANDAGE COMPRESSIONbandage compression 10 cm x 3 m high stretch bandage, 1 1 $28.56 BV
4657D BANDAGE COMPRESSIONbandage compression 10 cm x 3.5 m high stretch bandage, 1 1 $13.93 MH
4654Y BANDAGE COMPRESSIONbandage compression 8 cm x 2.6 m short stretch bandage, 1 1 $13.97 BV
4811F BANDAGE RETENTION COHESIVE HEAVYbandage retention cohesive heavy 5 cm x 1.3 m bandage, 1 1 $5.32 MM
4660G BANDAGE RETENTION COHESIVE HEAVYbandage retention cohesive heavy 10 cm x 2 m bandage, 1 1 $7.65 MM
4812G BANDAGE RETENTION COHESIVE HEAVYbandage retention cohesive heavy 7.5 cm x 1.3 m bandage, 1 1 $6.75 MM
4814J BANDAGE RETENTION COHESIVE HEAVYbandage retention cohesive heavy 15 cm x 1.3 m bandage, 1 1 $11.48 MM
4813H BANDAGE RETENTION COHESIVE HEAVYbandage retention cohesive heavy 10 cm x 1.3 m bandage, 1 1 $8.39 MM
4719J BANDAGE RETENTION COHESIVE LIGHTbandage retention cohesive light 6 cm x 2 m bandage, 1 1 $6.28 BV
4662J BANDAGE RETENTION COHESIVE LIGHTbandage retention cohesive light 10 cm x 2 m bandage, 1 1 $13.21 BV
4727T BANDAGE RETENTION COTTON CREPEbandage retention cotton crepe 5 cm x 2.3 m bandage, 1 1 $6.80 KE
4727T BANDAGE RETENTION COTTON CREPEbandage retention cotton crepe 5 cm x 2.3 m bandage, 1 1 $8.13 BV
4728W BANDAGE RETENTION COTTON CREPEbandage retention cotton crepe 7.5 cm x 2.3 m bandage, 1 1 $8.89 KE
4728W BANDAGE RETENTION COTTON CREPEbandage retention cotton crepe 7.5 cm x 2.3 m bandage, 1 1 $10.41 BV
4729X BANDAGE RETENTION COTTON CREPEbandage retention cotton crepe 10 cm x 2.3 m bandage, 1 1 $10.26 KE
4729X BANDAGE RETENTION COTTON CREPEbandage retention cotton crepe 10 cm x 2.3 m bandage, 1 1 $12.98 BV
4799N BANDAGE TUBULAR LONG STOCKINGbandage tubular long stocking large size bandage, 1 1 $15.37 MH
4797L BANDAGE TUBULAR LONG STOCKINGbandage tubular long stocking medium size bandage, 1 1 $15.37 MH
4675C BANDAGE TUBULAR LONG STOCKINGbandage tubular long stocking XX/large size bandage, 1 1 $15.38 MH
4674B BANDAGE TUBULAR LONG STOCKINGbandage tubular long stocking small size bandage, 1 1 $15.37 MH
4816L BANDAGE TUBULAR SHORT STOCKINGbandage tubular short stocking large D/E size bandage, 1 1 $10.26 MH
4815K BANDAGE TUBULAR SHORT STOCKINGbandage tubular short stocking medium C/D size bandage, 1 1 $10.26 MH
4661H BANDAGE TUBULAR SHORT STOCKINGbandage tubular short stocking small B/C size bandage, 1 1 $10.26 MH
4670T BANDAGE ZINC PASTEbandage zinc paste 10 cm x 9.1 m bandage, 1 1 $11.74 CC
4669R BANDAGE ZINC PASTEbandage zinc paste 7.5 cm x 6 m bandage, 1 1 $12.12 MH
4750B BANDAGE ZINC PASTEbandage zinc paste 7.5 cm x 6 m bandage, 1 1 $41.06 SN
10580W BISACODYLbisacodyl 10 mg suppository, 12 1 $4.80 PP
10578R BISACODYLbisacodyl 10 mg suppository, 10 1 $5.99 VZ
10578R BISACODYLbisacodyl 10 mg suppository, 10 1 $5.56 PP
4151L BROMAZEPAMbromazepam 6 mg tablet, 30 30 $14.92 RO
4150K BROMAZEPAMbromazepam 3 mg tablet, 30 30 $12.05 RO
4142B CALCIUMCALCIUM Tablet 600 mg (as carbonate), 120 120 $7.59 PP
4094L CALCIUMCALCIUM Tablet (chewable) 500 mg (as carbonate), 60 60 $4.98 PP
4333C CALCIUMCALCIUM Tablet (chewable) 500 mg (as carbonate), 60 60 $5.99 PP
4681J DRESSING ACTIVATED CHARCOAL MALODOROUS WOUNDdressing activated charcoal malodorous wound 10.5 cm x 10.5 cm dressing, 1 1 $8.99 KI
4832H DRESSING ALGINATE CAVITY WOUNDDRESSING-ALGINATE (CAVITY WOUND) Rope 2 g, 1 1 $9.74 UM
1905G DRESSING ALGINATE CAVITY WOUNDDRESSING-ALGINATE (CAVITY WOUND) Rope 2 g, 5 5 $51.49 CC
4682K DRESSING ALGINATE CAVITY WOUNDdressing alginate cavity wound 2 g (40 cm) rope, 6 x 2 g 1 $61.70 CT
4831G DRESSING ALGINATE SUPERFICIAL WOUNDdressing alginate superficial wound 10 cm x 10 cm dressing, 1 1 $8.01 CT
4831G DRESSING ALGINATE SUPERFICIAL WOUNDdressing alginate superficial wound 10 cm x 10 cm dressing, 1 1 $7.49 UM
4684M DRESSING ALGINATE SUPERFICIAL WOUNDdressing alginate superficial wound 5 cm x 5 cm dressing, 1 1 $4.00 CT
4688R DRESSING FILMdressing film 15 cm x 20 cm dressing, 1 1 $4.18 MM
4899W DRESSING FILM ISLANDdressing film island 8 cm x 10 cm dressing, 5 1 $21.27 SN
4690W DRESSING FILM ISLANDdressing film island 9 cm x 10 cm dressing, 1 1 $2.25 MM
4898T DRESSING FILM ISLANDdressing film island 5 cm x 7.2 cm dressing, 5 1 $12.91 SN
4689T DRESSING FILM ISLANDdressing film island 5 cm x 7 cm dressing, 1 1 $1.25 MM
4906F DRESSING HYDROACTIVE SUPERFICIAL WOUND LIGHT EXUDATEdressing hydroactive superficial wound light exudate 10 cm x 10 cm dressing, 5 1 $59.59 SN
4886E DRESSING HYDROACTIVE SUPERFICIAL WOUND MODERATE EXUDATEdressing hydroactive superficial wound moderate exudate 10 cm x 10 cm dressing, 5 1 $44.28 SN
4896Q DRESSING HYDROCOLLOID CAVITY WOUNDdressing hydrocolloid cavity wound paste, 30 g 1 $13.01 CC
4679G DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATEdressing hydrocolloid superficial wound moderate exudate 10cm (round) dressing, 1 1 $10.48 CT
4920Y DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATEdressing hydrocolloid superficial wound moderate exudate 20 cm x 20 cm dressing, 5 1 $101.28 CC
4897R DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATEdressing hydrocolloid superficial wound moderate exudate 10 cm x 10 cm dressing, 5 1 $36.10 CC
4678F DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATEdressing hydrocolloid superficial wound moderate exudate 7cm (butterfly shape) dressing, 1 1 $9.66 CT
2803M DRESSING HYDROFIBRE ALTERNATE TO ALGINATESdressing hydrofibre alternate to alginates 15 cm x 15 cm dressing, 5 1 $94.23 CC
2445Q DRESSING HYDROFIBRE GELLING FIBREdressing hydrofibre gelling fibre 15 cm x 15 cm dressing, 5 1 $106.21 SN
4913N DRESSING HYDROGEL AMORPHOUSdressing hydrogel amorphous gel, 3 x 30 g 1 $28.83 CC
4599C DRESSING HYDROGEL AMORPHOUSdressing hydrogel amorphous gel, 50 g 1 $9.85 SN
4914P DRESSING HYDROGEL AMORPHOUSdressing hydrogel amorphous gel, 50 g 1 $9.09 JJ
4894N DRESSING HYDROGEL AMORPHOUSdressing hydrogel amorphous gel, 25 g 1 $17.17 SN
4911L DRESSING HYDROGEL SHEETdressing hydrogel sheet 9.5 cm x 10.2 cm dressing, 5 1 $36.92 KI
4806Y DRESSING HYDROGEL SHEETdressing hydrogel sheet 10 cm x 10 cm dressing, 5 1 $23.20 HR
4819P DRESSING NON ADHERENTdressing non adherent 5 cm x 5 cm dressing, 5 1 $6.46 SN
4860T DRESSING NON ADHERENTdressing non adherent 5 cm x 5 cm dressing, 5 1 $7.14 SN
4862X DRESSING NON ADHERENTdressing non adherent 10 cm x 10 cm dressing, 5 1 $11.03 SN
4909J DRESSING TULLE NON GAUZE PARAFFINdressing tulle non gauze paraffin 7.6 cm x 7.6 cm dressing, 1 1 $1.21 KI
4237B FEXOFENADINEfexofenadine hydrochloride 60 mg tablet, 20 20 $16.04 SW
10584C FOLIC ACIDfolic acid 500 microgram tablet, 100 100 $4.05 AF,PP
10573L FOLIC ACIDfolic acid 5 mg tablet, 100 100 $5.16 AF
4246L GLYCEROLglycerol 2.8 g suppository, 12 1 $5.59 PP
10596Q GLYCEROLglycerol 1.4 g suppository, 12 1 $5.43 PP
10586E GLYCEROLglycerol 700 mg suppository, 12 1 $5.31 PP
4573Q NICOTINEnicotine 21 mg/24 hours patch, 7 1 $25.32 AF
4573Q NICOTINEnicotine 21 mg/24 hours patch, 7 1 $30.35 GC
4571N NICOTINEnicotine 7 mg/24 hours patch, 7 1 $22.26 AF
4572P NICOTINEnicotine 14 mg/24 hours patch, 7 1 $23.84 AF
4572P NICOTINEnicotine 14 mg/24 hours patch, 7 1 $30.35 GC
10585D PARACETAMOLparacetamol 500 mg tablet, 100 100 $3.00 AF,EA,GQ,OW,SW,SZ,TX
10598T PARACETAMOLparacetamol 665 mg modified release tablet, 96 96 $5.75 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 $37.89 NT
11401C PROTEIN FORMULA WITH ARGININE, VITAMIN C, E AND ZINCprotein formula with arginine, vitamin C, E and zinc oral liquid, 24 x 200 mL bottles 1 $96.88 SB
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 $128.07 NT