Browse by Standard Packs

Standard Packs and Prices for Ready Prepared Pharmaceutical Benefits

Item code Drug name
Form and Strength
Pack size Price Manufacturer
4579B ALPROSTADILalprostadil 10 microgram injection [1 chamber] (&) inert substance diluent [0.5 mL chamber], 2 dual chamber syringes 2 $32.96 PF
4580C ALPROSTADILalprostadil 20 microgram injection [1 chamber] (&) inert substance diluent [0.5 mL chamber], 2 dual chamber syringes 2 $42.40 PF
4598B BANDAGE COMPRESSIONbandage compression four layer bandage, 1 1 $37.83 SN
4658E BANDAGE COMPRESSIONbandage compression four layer bandage, 1 1 $57.35 SN
4748X BANDAGE COMPRESSIONbandage compression 10 cm x 3 m high stretch bandage, 1 1 $12.95 CC
4748X BANDAGE COMPRESSIONbandage compression 10 cm x 3 m high stretch bandage, 1 1 $29.00 BV
4657D BANDAGE COMPRESSIONbandage compression 10 cm x 3.5 m high stretch bandage, 1 1 $13.98 MH
4654Y BANDAGE COMPRESSIONbandage compression 8 cm x 2.6 m short stretch bandage, 1 1 $14.02 BV
4813H BANDAGE RETENTION COHESIVE HEAVYbandage retention cohesive heavy 10 cm x 1.3 m bandage, 1 1 $8.53 MM
4660G BANDAGE RETENTION COHESIVE HEAVYbandage retention cohesive heavy 10 cm x 2 m bandage, 1 1 $7.79 MM
4814J BANDAGE RETENTION COHESIVE HEAVYbandage retention cohesive heavy 15 cm x 1.3 m bandage, 1 1 $11.62 MM
4811F BANDAGE RETENTION COHESIVE HEAVYbandage retention cohesive heavy 5 cm x 1.3 m bandage, 1 1 $5.46 MM
4812G BANDAGE RETENTION COHESIVE HEAVYbandage retention cohesive heavy 7.5 cm x 1.3 m bandage, 1 1 $6.89 MM
4662J BANDAGE RETENTION COHESIVE LIGHTbandage retention cohesive light 10 cm x 2 m bandage, 1 1 $13.35 BV
4719J BANDAGE RETENTION COHESIVE LIGHTbandage retention cohesive light 6 cm x 2 m bandage, 1 1 $6.42 BV
4729X BANDAGE RETENTION COTTON CREPEbandage retention cotton crepe 10 cm x 2.3 m bandage, 1 1 $10.40 KE
4729X BANDAGE RETENTION COTTON CREPEbandage retention cotton crepe 10 cm x 2.3 m bandage, 1 1 $13.12 BV
4727T BANDAGE RETENTION COTTON CREPEbandage retention cotton crepe 5 cm x 2.3 m bandage, 1 1 $6.94 KE
4727T BANDAGE RETENTION COTTON CREPEbandage retention cotton crepe 5 cm x 2.3 m bandage, 1 1 $8.27 BV
4728W BANDAGE RETENTION COTTON CREPEbandage retention cotton crepe 7.5 cm x 2.3 m bandage, 1 1 $9.03 KE
4728W BANDAGE RETENTION COTTON CREPEbandage retention cotton crepe 7.5 cm x 2.3 m bandage, 1 1 $10.55 BV
4799N BANDAGE TUBULAR LONG STOCKINGbandage tubular long stocking large size bandage, 1 1 $15.51 MH
4797L BANDAGE TUBULAR LONG STOCKINGbandage tubular long stocking medium size bandage, 1 1 $15.51 MH
4674B BANDAGE TUBULAR LONG STOCKINGbandage tubular long stocking small size bandage, 1 1 $15.51 MH
4675C BANDAGE TUBULAR LONG STOCKINGbandage tubular long stocking XX/large size bandage, 1 1 $15.52 MH
4816L BANDAGE TUBULAR SHORT STOCKINGbandage tubular short stocking large D/E size bandage, 1 1 $10.40 MH
4815K BANDAGE TUBULAR SHORT STOCKINGbandage tubular short stocking medium C/D size bandage, 1 1 $10.40 MH
4661H BANDAGE TUBULAR SHORT STOCKINGbandage tubular short stocking small B/C size bandage, 1 1 $10.40 MH
4669R BANDAGE ZINC PASTEbandage zinc paste 7.5 cm x 6 m bandage, 1 1 $12.26 MH
4750B BANDAGE ZINC PASTEbandage zinc paste 7.5 cm x 6 m bandage, 1 1 $44.77 SN
10578R BISACODYLbisacodyl 10 mg suppository, 10 1 $6.08 VZ
10578R BISACODYLbisacodyl 10 mg suppository, 10 1 $5.65 PP
10580W BISACODYLbisacodyl 10 mg suppository, 12 1 $5.20 PP
4150K BROMAZEPAMbromazepam 3 mg tablet, 30 30 $12.19 PB
4151L BROMAZEPAMbromazepam 6 mg tablet, 30 30 $15.06 PB
11845K CALCIUMcalcium carbonate 1.25 g (calcium 500 mg) chewable tablet, 120 120 $10.09 PP
4142B CALCIUMcalcium carbonate 1.5 g (calcium 600 mg) tablet, 120 120 $7.73 CR,PP
4681J DRESSING ACTIVATED CHARCOAL MALODOROUS WOUNDdressing activated charcoal malodorous wound 10.5 cm x 10.5 cm dressing, 1 1 $9.02 KI
4832H DRESSING ALGINATE CAVITY WOUNDdressing alginate cavity wound 2 g rope, 1 1 $9.77 UM
1905G DRESSING ALGINATE CAVITY WOUNDdressing alginate cavity wound 2 g rope, 5 x 2 g 5 $51.63 CC
4682K DRESSING ALGINATE CAVITY WOUNDdressing alginate cavity wound 2 g (40 cm) rope, 6 x 2 g 1 $62.32 CT
4684M DRESSING ALGINATE SUPERFICIAL WOUNDdressing alginate superficial wound 5 cm x 5 cm dressing, 1 1 $4.03 CT
4831G DRESSING ALGINATE SUPERFICIAL WOUNDdressing alginate superficial wound 10 cm x 10 cm dressing, 1 1 $8.04 CT
4831G DRESSING ALGINATE SUPERFICIAL WOUNDdressing alginate superficial wound 10 cm x 10 cm dressing, 1 1 $7.52 UM
4688R DRESSING FILMdressing film 15 cm x 20 cm dressing, 1 1 $4.23 MM
4689T DRESSING FILM ISLANDdressing film island 5 cm x 7 cm dressing, 1 1 $1.28 MM
4690W DRESSING FILM ISLANDdressing film island 9 cm x 10 cm dressing, 1 1 $2.28 MM
4898T DRESSING FILM ISLANDdressing film island 5 cm x 7.2 cm dressing, 5 1 $13.48 SN
4899W DRESSING FILM ISLANDdressing film island 8 cm x 10 cm dressing, 5 1 $22.19 SN
2445Q DRESSING GELLING FIBREdressing gelling fibre 15 cm x 15 cm dressing, 5 1 $118.53 SN
4906F DRESSING HYDROACTIVE SUPERFICIAL WOUND LIGHT EXUDATEdressing hydroactive superficial wound light exudate 10 cm x 10 cm dressing, 5 1 $65.87 SN
4886E DRESSING HYDROACTIVE SUPERFICIAL WOUND MODERATE EXUDATEdressing hydroactive superficial wound moderate exudate 10 cm x 10 cm dressing, 5 1 $45.67 SN
4896Q DRESSING HYDROCOLLOID CAVITY WOUNDdressing hydrocolloid cavity wound paste, 30 g 1 $13.17 CC
4678F DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATEdressing hydrocolloid superficial wound moderate exudate 7cm (butterfly shape) dressing, 1 1 $9.71 CT
4920Y DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATEdressing hydrocolloid superficial wound moderate exudate 20 cm x 20 cm dressing, 5 1 $103.56 CC
4679G DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATEdressing hydrocolloid superficial wound moderate exudate 10cm (round) dressing, 1 1 $10.53 CT
4897R DRESSING HYDROCOLLOID SUPERFICIAL WOUND MODERATE EXUDATEdressing hydrocolloid superficial wound moderate exudate 10 cm x 10 cm dressing, 5 1 $36.24 CC
2803M DRESSING HYDROFIBRE ALTERNATE TO ALGINATESdressing hydrofibre alternate to alginates 15 cm x 15 cm dressing, 5 1 $96.41 CC
4894N DRESSING HYDROGEL AMORPHOUSdressing hydrogel amorphous gel, 25 g 1 $18.71 SN
4599C DRESSING HYDROGEL AMORPHOUSdressing hydrogel amorphous gel, 50 g 1 $10.75 SN
4914P DRESSING HYDROGEL AMORPHOUSdressing hydrogel amorphous gel, 50 g 1 $9.18 JJ
4913N DRESSING HYDROGEL AMORPHOUSdressing hydrogel amorphous gel, 3 x 30 g 1 $28.92 CC
4806Y DRESSING HYDROGEL SHEETdressing hydrogel sheet 10 cm x 10 cm dressing, 5 1 $23.34 HR
4911L DRESSING HYDROGEL SHEETdressing hydrogel sheet 9.5 cm x 10.2 cm dressing, 5 1 $37.06 KI
4862X DRESSING NON ADHERENTdressing non adherent 10 cm x 10 cm dressing, 5 1 $11.63 SN
4819P DRESSING NON ADHERENTdressing non adherent 5 cm x 5 cm dressing, 5 1 $6.83 SN
4860T DRESSING NON ADHERENTdressing non adherent 5 cm x 5 cm dressing, 5 1 $7.64 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 $1.24 KI
4237B FEXOFENADINEfexofenadine hydrochloride 60 mg tablet, 20 20 $16.13 SW
10573L FOLIC ACIDfolic acid 5 mg tablet, 100 100 $5.30 AF
10584C FOLIC ACIDfolic acid 500 microgram tablet, 100 100 $4.26 AF,PP
10596Q GLYCEROLglycerol 1.4 g suppository, 12 1 $5.52 PP
4246L GLYCEROLglycerol 2.8 g suppository, 12 1 $5.68 PP
10586E GLYCEROLglycerol 700 mg suppository, 12 1 $5.40 PP
4572P NICOTINEnicotine 14 mg/24 hours patch, 7 1 $23.98 AF
4573Q NICOTINEnicotine 21 mg/24 hours patch, 7 1 $25.46 AF
4571N NICOTINEnicotine 7 mg/24 hours patch, 7 1 $22.40 AF
10585D PARACETAMOLparacetamol 500 mg tablet, 100 100 $3.11 AF,BG,EA,HX,OW,QS,SI,SW,SZ,TX
10598T PARACETAMOLparacetamol 665 mg modified release tablet, 96 96 $5.92 CR,GQ,RF
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 $38.55 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 $99.10 SB
13020G PROTEIN FORMULA WITH ARGININE, VITAMIN C, E AND ZINCprotein formula with arginine, vitamin C, E and zinc oral liquid, 24 x 237 mL cartons 1 $116.17 NT