Browse by Standard Packs

Standard Packs and Prices for Ready Prepared Pharmaceutical Benefits

Item code Drug name
Form and Strength
Pack size Price Manufacturer
14183L ALFUZOSINalfuzosin hydrochloride 10 mg modified release tablet, 30 30 $66.64 SW
4579B ALPROSTADILalprostadil 10 microgram injection [1 chamber] (&) inert substance diluent [0.5 mL chamber], 2 dual chamber syringes 2 $37.33 PF
4580C ALPROSTADILalprostadil 20 microgram injection [1 chamber] (&) inert substance diluent [0.5 mL chamber], 2 dual chamber syringes 2 $48.10 PF
4598B BANDAGE COMPRESSIONbandage compression four layer bandage, 1 1 $41.38 SN
4658E BANDAGE COMPRESSIONbandage compression four layer bandage, 1 1 $62.67 SN
4748X BANDAGE COMPRESSIONbandage compression 10 cm x 3 m high stretch bandage, 1 1 $13.05 CC
4748X BANDAGE COMPRESSIONbandage compression 10 cm x 3 m high stretch bandage, 1 1 $29.10 BV
4657D BANDAGE COMPRESSIONbandage compression 10 cm x 3.5 m high stretch bandage, 1 1 $14.08 MH
4654Y BANDAGE COMPRESSIONbandage compression 8 cm x 2.6 m short stretch bandage, 1 1 $14.12 BV
4813H BANDAGE RETENTION COHESIVE HEAVYbandage retention cohesive heavy 10 cm x 1.3 m bandage, 1 1 $8.77 MM
4660G BANDAGE RETENTION COHESIVE HEAVYbandage retention cohesive heavy 10 cm x 2 m bandage, 1 1 $8.03 MM
4814J BANDAGE RETENTION COHESIVE HEAVYbandage retention cohesive heavy 15 cm x 1.3 m bandage, 1 1 $11.86 MM
4811F BANDAGE RETENTION COHESIVE HEAVYbandage retention cohesive heavy 5 cm x 1.3 m bandage, 1 1 $5.70 MM
4812G BANDAGE RETENTION COHESIVE HEAVYbandage retention cohesive heavy 7.5 cm x 1.3 m bandage, 1 1 $7.13 MM
4662J BANDAGE RETENTION COHESIVE LIGHTbandage retention cohesive light 10 cm x 2 m bandage, 1 1 $13.59 BV
4719J BANDAGE RETENTION COHESIVE LIGHTbandage retention cohesive light 6 cm x 2 m bandage, 1 1 $6.66 BV
4729X BANDAGE RETENTION COTTON CREPEbandage retention cotton crepe 10 cm x 2.3 m bandage, 1 1 $10.64 KE
4729X BANDAGE RETENTION COTTON CREPEbandage retention cotton crepe 10 cm x 2.3 m bandage, 1 1 $13.36 BV
4727T BANDAGE RETENTION COTTON CREPEbandage retention cotton crepe 5 cm x 2.3 m bandage, 1 1 $7.18 KE
4727T BANDAGE RETENTION COTTON CREPEbandage retention cotton crepe 5 cm x 2.3 m bandage, 1 1 $8.51 BV
4728W BANDAGE RETENTION COTTON CREPEbandage retention cotton crepe 7.5 cm x 2.3 m bandage, 1 1 $9.27 KE
4728W BANDAGE RETENTION COTTON CREPEbandage retention cotton crepe 7.5 cm x 2.3 m bandage, 1 1 $10.79 BV
4799N BANDAGE TUBULAR LONG STOCKINGbandage tubular long stocking large size bandage, 1 1 $15.75 MH
4797L BANDAGE TUBULAR LONG STOCKINGbandage tubular long stocking medium size bandage, 1 1 $15.75 MH
4674B BANDAGE TUBULAR LONG STOCKINGbandage tubular long stocking small size bandage, 1 1 $15.75 MH
4675C BANDAGE TUBULAR LONG STOCKINGbandage tubular long stocking XX/large size bandage, 1 1 $15.76 MH
4816L BANDAGE TUBULAR SHORT STOCKINGbandage tubular short stocking large D/E size bandage, 1 1 $10.64 MH
4815K BANDAGE TUBULAR SHORT STOCKINGbandage tubular short stocking medium C/D size bandage, 1 1 $10.64 MH
4661H BANDAGE TUBULAR SHORT STOCKINGbandage tubular short stocking small B/C size bandage, 1 1 $10.64 MH
4669R BANDAGE ZINC PASTEbandage zinc paste 7.5 cm x 6 m bandage, 1 1 $12.50 MH
4750B BANDAGE ZINC PASTEbandage zinc paste 7.5 cm x 6 m bandage, 1 1 $46.61 SN
10578R BISACODYLbisacodyl 10 mg suppository, 10 1 $6.24 VZ
10578R BISACODYLbisacodyl 10 mg suppository, 10 1 $5.81 PP
14567Q BISACODYLbisacodyl 10 mg suppository, 10 1 $5.44 VZ
14567Q BISACODYLbisacodyl 10 mg suppository, 10 1 $5.01 PP
10580W BISACODYLbisacodyl 10 mg suppository, 12 1 $5.36 PP
14572Y BISACODYLbisacodyl 10 mg suppository, 12 1 $4.56 PP
4150K BROMAZEPAMbromazepam 3 mg tablet, 30 30 $12.43 PB
4151L BROMAZEPAMbromazepam 6 mg tablet, 30 30 $15.30 PB
11845K CALCIUMcalcium carbonate 1.25 g (calcium 500 mg) chewable tablet, 120 120 $10.44 PP
14176D CALCIUMcalcium carbonate 1.25 g (calcium 500 mg) chewable tablet, 120 120 $10.44 PP
14217G CALCIUMcalcium carbonate 1.25 g (calcium 500 mg) chewable tablet, 120 120 $9.24 PP
14174B CALCIUMcalcium carbonate 1.5 g (calcium 600 mg) tablet, 120 120 $9.29 PP
14174B CALCIUMcalcium carbonate 1.5 g (calcium 600 mg) tablet, 120 120 $7.97 CR
14175C CALCIUMcalcium carbonate 1.5 g (calcium 600 mg) tablet, 120 120 $8.09 PP
14175C CALCIUMcalcium carbonate 1.5 g (calcium 600 mg) tablet, 120 120 $6.77 CR
4142B CALCIUMcalcium carbonate 1.5 g (calcium 600 mg) tablet, 120 120 $9.29 PP
4142B CALCIUMcalcium carbonate 1.5 g (calcium 600 mg) tablet, 120 120 $7.97 CR
4681J DRESSING ACTIVATED CHARCOAL MALODOROUS WOUNDdressing activated charcoal malodorous wound 10.5 cm x 10.5 cm dressing, 1 1 $9.07 KI
4832H DRESSING ALGINATE CAVITY WOUNDdressing alginate cavity wound 2 g rope, 1 1 $9.82 UM
1905G DRESSING ALGINATE CAVITY WOUNDdressing alginate cavity wound 2 g rope, 5 x 2 g 5 $51.87 CC
4682K DRESSING ALGINATE CAVITY WOUNDdressing alginate cavity wound 2 g (40 cm) rope, 6 x 2 g 1 $62.56 CT
4684M DRESSING ALGINATE SUPERFICIAL WOUNDdressing alginate superficial wound 5 cm x 5 cm dressing, 1 1 $4.08 CT
4831G DRESSING ALGINATE SUPERFICIAL WOUNDdressing alginate superficial wound 10 cm x 10 cm dressing, 1 1 $8.09 CT
4831G DRESSING ALGINATE SUPERFICIAL WOUNDdressing alginate superficial wound 10 cm x 10 cm dressing, 1 1 $7.57 UM
4688R DRESSING FILMdressing film 15 cm x 20 cm dressing, 1 1 $4.31 MM
4689T DRESSING FILM ISLANDdressing film island 5 cm x 7 cm dressing, 1 1 $1.33 MM
4690W DRESSING FILM ISLANDdressing film island 9 cm x 10 cm dressing, 1 1 $2.33 MM
4898T DRESSING FILM ISLANDdressing film island 5 cm x 7.2 cm dressing, 5 1 $14.38 SN
4899W DRESSING FILM ISLANDdressing film island 8 cm x 10 cm dressing, 5 1 $23.59 SN
2445Q DRESSING GELLING FIBREdressing gelling fibre 15 cm x 15 cm dressing, 5 1 $129.58 SN
4906F DRESSING HYDROACTIVE SUPERFICIAL WOUND LIGHT EXUDATEdressing hydroactive superficial wound light exudate 10 cm x 10 cm dressing, 5 1 $72.12 SN
4886E DRESSING HYDROACTIVE SUPERFICIAL WOUND MODERATE EXUDATEdressing hydroactive superficial wound moderate exudate 10 cm x 10 cm dressing, 5 1 $45.91 SN
4896Q DRESSING HYDROCOLLOID CAVITY WOUNDdressing hydrocolloid cavity wound paste, 30 g 1 $13.22 CC
4897R DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATEdressing hydrocolloid superficial wound moderate exudate 10 cm x 10 cm dressing, 5 1 $36.48 CC
4678F DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATEdressing hydrocolloid superficial wound moderate exudate 7cm (butterfly shape) dressing, 1 1 $9.81 CT
4920Y DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATEdressing hydrocolloid superficial wound moderate exudate 20 cm x 20 cm dressing, 5 1 $103.79 CC
4679G DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATEdressing hydrocolloid superficial wound moderate exudate 10cm (round) dressing, 1 1 $10.63 CT
2803M DRESSING HYDROFIBRE ALTERNATE TO ALGINATESdressing hydrofibre alternate to alginates 15 cm x 15 cm dressing, 5 1 $96.64 CC
4894N DRESSING HYDROGEL AMORPHOUSdressing hydrogel amorphous gel, 25 g 1 $20.42 SN
4599C DRESSING HYDROGEL AMORPHOUSdressing hydrogel amorphous gel, 50 g 1 $11.60 SN
4914P DRESSING HYDROGEL AMORPHOUSdressing hydrogel amorphous gel, 50 g 1 $9.34 JJ
4913N DRESSING HYDROGEL AMORPHOUSdressing hydrogel amorphous gel, 3 x 30 g 1 $29.08 CC
4806Y DRESSING HYDROGEL SHEETdressing hydrogel sheet 10 cm x 10 cm dressing, 5 1 $23.58 HR
4911L DRESSING HYDROGEL SHEETdressing hydrogel sheet 9.5 cm x 10.2 cm dressing, 5 1 $37.30 KI
4862X DRESSING NON ADHERENTdressing non adherent 10 cm x 10 cm dressing, 5 1 $12.43 SN
4819P DRESSING NON ADHERENTdressing non adherent 5 cm x 5 cm dressing, 5 1 $7.35 SN
4860T DRESSING NON ADHERENTdressing non adherent 5 cm x 5 cm dressing, 5 1 $8.21 SN
4909J DRESSING TULLE NON-ADHERENT PRIMARY WOUND CONTACT LAYER PARAFFINdressing tulle non-adherent primary wound contact layer paraffin 7.6 cm x 7.6 cm dressing, 1 1 $1.29 KI
14210X DUTASTERIDEdutasteride 500 microgram capsule, 30 30 $18.76 TX
14210X DUTASTERIDEdutasteride 500 microgram capsule, 30 30 $25.76 GK
14184M DUTASTERIDE + TAMSULOSINdutasteride 500 microgram + tamsulosin hydrochloride 400 microgram modified release capsule, 30 30 $23.80 GK
4237B FEXOFENADINEfexofenadine hydrochloride 60 mg tablet, 20 20 $16.29 SW
14191X FINASTERIDEfinasteride 5 mg tablet, 28 28 $80.88 RZ
14199H FINASTERIDEfinasteride 5 mg tablet, 30 30 $91.23 CR,GN,OQ,SZ,TX
14199H FINASTERIDEfinasteride 5 mg tablet, 30 30 $67.92 AF,AL,GQ
14199H FINASTERIDEfinasteride 5 mg tablet, 30 30 $86.67 RW
10573L FOLIC ACIDfolic acid 5 mg tablet, 100 100 $5.54 AF
10584C FOLIC ACIDfolic acid 500 microgram tablet, 100 100 $4.50 AF,PP
10596Q GLYCEROLglycerol 1.4 g suppository, 12 1 $5.68 PP
4246L GLYCEROLglycerol 2.8 g suppository, 12 1 $5.84 PP
10586E GLYCEROLglycerol 700 mg suppository, 12 1 $5.56 PP
4572P NICOTINEnicotine 14 mg/24 hours patch, 7 1 $24.22 AF
4573Q NICOTINEnicotine 21 mg/24 hours patch, 7 1 $25.70 AF
4571N NICOTINEnicotine 7 mg/24 hours patch, 7 1 $22.64 AF
10585D PARACETAMOLparacetamol 500 mg tablet, 100 100 $3.27 AF,BG,OW,QS,SI,SW,SZ,TX,XT
10598T PARACETAMOLparacetamol 665 mg modified release tablet, 96 96 $6.16 CR,GQ,HQ,XT
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 $99.33 SB
14197F RISEDRONATErisedronate sodium 35 mg tablet, 4 4 $22.82 SZ,TX
14198G RISEDRONATErisedronate sodium 35 mg enteric tablet, 4 4 $22.82 TT
14209W RISEDRONATErisedronate sodium 5 mg tablet, 28 28 $26.41 TT
14185N SILODOSINsilodosin 4 mg capsule, 30 30 $29.19 YN
14192Y SILODOSINsilodosin 8 mg capsule, 30 30 $33.94 YN
14200J TAMSULOSINtamsulosin hydrochloride 400 microgram modified release tablet, 30 30 $54.24 AF,BG,GQ,IB,LS,SZ,TX
14182K THIAMINEthiamine hydrochloride 100 mg tablet, 100 100 $6.29 PP