Browse by Standard Packs

Standard Packs and Prices for Ready Prepared Pharmaceutical Benefits

Item code Drug name
Form and Strength
Pack size Price Manufacturer
3486L BENZYLPENICILLINbenzylpenicillin 600 mg injection, 1 vial 1 $6.80 CS
3463G DIPHTHERIA + TETANUS VACCINEdiphtheria 2 units + tetanus 20 units vaccine injection, 5 x 0.5 mL syringes 5 $61.00 CS
3470P HYDROCORTISONE SODIUM SUCCINATEhydrocortisone (as sodium succinate) 100 mg injection [1 chamber] (&) inert substance diluent [2 mL chamber], 1 dual chamber vial 1 $7.04 PF
10786Q NALOXONEnaloxone hydrochloride 400 microgram/mL injection, 5 x 1 mL ampoules 5 $36.00 JO,JU,PF
3488N PROMETHAZINEpromethazine hydrochloride 50 mg/2 mL injection, 5 x 2 mL ampoules 5 $13.93 PF