program-code!item-code!manufacturer-code!brand-name!unit-of-measure!mp-id!mp-pt!mpuu-id!mpuu-pt!mpp-id!mpp-pt!tpuu-id!tpuu-pt!tpp-id!tpp-pt!vial-content!mq-pack!mq-uu!cemp-tpp!cemp-tpuu!memp-tpp!memp-tpuu!pfdi
GE!1270W!AS!Cyprocur 50!!21694011000036101!cyproterone!!!27797011000036104!cyproterone acetate 50 mg tablet, 50!!!59161000036104!Cyprocur 50 mg tablet, 50!!2!100!33.30!0.00!33.30!!0.00
GE!1269T!SY!Cyprostat!!21694011000036101!cyproterone!!!27796011000036102!cyproterone acetate 50 mg tablet, 20!!!13543011000036107!Cyprostat 50 mg tablet, 20!!1!20!13.32!0.00!13.32!!0.00
GE!1269T!AS!Cyprocur 50!!21694011000036101!cyproterone!!!27796011000036102!cyproterone acetate 50 mg tablet, 20!!!59151000036102!Cyprocur 50 mg tablet, 20!!1!20!13.32!0.00!13.32!!0.00
GE!1616C!AF!Akamin 50!!21488011000036109!minocycline!!!27684011000036103!minocycline 50 mg tablet, 60!!!13314011000036101!Akamin 50 mg tablet, 60!!1!60!6.98!0.00!6.98!!
GE!1674D!AF!Inza 250!!21304011000036105!naproxen!!!27555011000036100!naproxen 250 mg tablet, 50!!!12361011000036105!Inza 250 mg tablet, 50!!2!100!4.42!0.00!4.42!!
GE!1763T!NI!Mixtard 30/70 InnoLet!!33639011000036103!insulin isophane human + insulin neutral human!!!27770011000036107!insulin isophane human 70 units/mL + insulin neutral human 30 units/mL injection, 5 x 3 mL cartridges!!!85271000144108!Mixtard 30/70 Innolet injection, 5 x 3 mL cartridges!!5!5!30.20!0.00!30.20!!
GE!1629R!AF!Hydopa!!21515011000036109!methyldopa!!!27664011000036101!methyldopa 250 mg tablet, 100!!!13280011000036100!Hydopa 250 mg tablet, 100!!1!100!8.18!0.00!8.18!!
GE!1659H!AF!Inza 500!!21304011000036105!naproxen!!!27554011000036104!naproxen 500 mg tablet, 50!!!12363011000036106!Inza 500 mg tablet, 50!!1!50!4.99!0.00!4.99!!
GE!1761Q!NI!Protaphane InnoLet!!33643011000036100!insulin isophane human!!!27769011000036109!insulin isophane human 100 units/mL injection, 5 x 3 mL cartridges!!!84891000144107!Protaphane Innolet 100 units/mL injection, 5 x 3 mL cartridges!!5!5!30.20!0.00!30.20!!
GE!1567L!AF!Presolol 200!!21315011000036106!labetalol!!!27361011000036106!labetalol hydrochloride 200 mg tablet, 100!!!12803011000036107!Presolol 200 mg tablet, 100!!1!100!12.32!0.00!12.32!!
GE!1257E!SZ!Cefazolin Sandoz!!21621011000036107!cefazolin!!!26880011000036103!cefazolin 1 g injection, 10 vials!!!933244511000036107!Cefazolin (Sandoz) 1 g powder for injection, 10 vials!!1!10!9.10!0.00!9.10!!
GE!1921D!SW!Apidra SoloStar!!21731011000036104!insulin glulisine!!!26809011000036105!insulin glulisine 100 units/mL injection, 5 x 3 mL cartridges!!!67951000144100!Apidra Solostar 100 units/mL injection, 5 x 3 mL cartridges!!5!5!38.14!0.00!38.14!!
GE!1300K!CR!Pharmacor Diclofenac 50!!21288011000036105!diclofenac!!!27885011000036108!diclofenac sodium 50 mg enteric tablet, 50!!!1059211000168101!Diclofenac (Pharmacor) 50 mg enteric tablet, 50!!1!50!1.91!0.00!1.91!!0.00
GE!2234N!FP!Pentasa!!21351011000036101!mesalazine!!!927736011000036108!mesalazine 1 g modified release granules, 120 sachets!!!927628011000036102!Pentasa 1 g modified release granules, 120 sachets!!1!120!134.17!0.00!134.17!!
GE!2977Q!AL!Austrapen!!21671011000036106!ampicillin!!!28099011000036101!ampicillin 1 g injection, 5 vials!!!12288011000036107!Austrapen 1 g powder for injection, 5 vials!!1!5!5.71!0.00!5.71!!
GE!1977C!SZ!Ranitidine Sandoz!!21682011000036109!ranitidine!!!28218011000036104!ranitidine 300 mg tablet, 30!!!920451011000036104!Ranitidine (Sandoz) 300 mg tablet, 30!!1!30!3.22!0.00!3.22!!0.00
GE!2269K!PF!DBL Vancomycin Hydrochloride!!21381011000036106!vancomycin!!!27498011000036108!vancomycin 1 g injection, 1 vial!!!13024011000036108!Vancomycin (DBL) 1 g powder for injection, 1 vial!!1!1!7.50!0.00!7.50!!
GE!2270L!PF!DBL Vancomycin Hydrochloride!!21381011000036106!vancomycin!!!27498011000036108!vancomycin 1 g injection, 1 vial!!!13024011000036108!Vancomycin (DBL) 1 g powder for injection, 1 vial!!3!3!7.50!0.00!7.50!!
GE!2732T!AF!Alodorm!!21647011000036102!nitrazepam!!!27314011000036105!nitrazepam 5 mg tablet, 25!!!12724011000036100!Alodorm 5 mg tablet, 25!!2!50!1.50!0.00!1.50!!
GE!1978D!SZ!Ranitidine Sandoz!!21682011000036109!ranitidine!!!28217011000036100!ranitidine 150 mg tablet, 60!!!923467011000036102!Ranitidine (Sandoz) 150 mg tablet, 60!!1!60!3.22!0.00!3.22!!0.00
GE!2723H!AF!Alodorm!!21647011000036102!nitrazepam!!!27314011000036105!nitrazepam 5 mg tablet, 25!!!12724011000036100!Alodorm 5 mg tablet, 25!!1!25!1.50!0.00!1.50!!
GE!3170W!CR!Rispericor 2!!21338011000036109!risperidone!!!27203011000036102!risperidone 2 mg tablet, 60!!!924771011000036109!Rispericor 2 mg tablet, 60!!1!60!13.27!0.00!13.27!!
GE!3133X!AF!Alepam 30!!21541011000036102!oxazepam!!!32770011000036109!oxazepam 30 mg tablet, 25!!!32368011000036104!Alepam 30 mg tablet, 25!!1!25!1.00!0.00!1.00!!0.00
GE!5006L!CR!Clavam 875 mg/125 mg!!21360011000036101!amoxicillin + clavulanic acid!!!28152011000036108!amoxicillin 875 mg + clavulanic acid 125 mg tablet, 10!!!164041000036100!Clavam 875 mg/125 mg tablet, 10!!1!10!2.58!0.00!2.58!!0.00
GE!3314K!AL!Austrapen!!21671011000036106!ampicillin!!!28099011000036101!ampicillin 1 g injection, 5 vials!!!12288011000036107!Austrapen 1 g powder for injection, 5 vials!!1!5!5.71!0.00!5.71!!
GE!5192G!AF!Alepam 15!!21541011000036102!oxazepam!!!32769011000036106!oxazepam 15 mg tablet, 25!!!32367011000036100!Alepam 15 mg tablet, 25!!1!25!1.32!0.00!1.32!!
GE!5193H!AF!Alepam 30!!21541011000036102!oxazepam!!!32770011000036109!oxazepam 30 mg tablet, 25!!!32368011000036104!Alepam 30 mg tablet, 25!!1!25!1.00!0.00!1.00!!0.00
GE!5177L!AF!Inza 500!!21304011000036105!naproxen!!!27554011000036104!naproxen 500 mg tablet, 50!!!12363011000036106!Inza 500 mg tablet, 50!!1!50!4.99!0.00!4.99!!
GE!3134Y!AF!Alepam 15!!21541011000036102!oxazepam!!!32769011000036106!oxazepam 15 mg tablet, 25!!!32367011000036100!Alepam 15 mg tablet, 25!!2!50!1.32!0.00!1.32!!
GE!3135B!AF!Alepam 30!!21541011000036102!oxazepam!!!32770011000036109!oxazepam 30 mg tablet, 25!!!32368011000036104!Alepam 30 mg tablet, 25!!2!50!1.00!0.00!1.00!!0.00
GE!5176K!AF!Inza 250!!21304011000036105!naproxen!!!27555011000036100!naproxen 250 mg tablet, 50!!!12361011000036105!Inza 250 mg tablet, 50!!2!100!4.42!0.00!4.42!!
GE!5435C!WA!Enoxaparin Winthrop!!21553011000036103!enoxaparin sodium!!!27375011000036104!enoxaparin sodium 100 mg/mL injection, 10 x 1 mL syringes!!!1145821000168101!Enoxaparin (Winthrop) 100 mg/mL injection, 10 x 1 mL syringes!!2!20!69.27!0.00!69.27!!
GE!5435C!SW!Clexane!!21553011000036103!enoxaparin sodium!!!27375011000036104!enoxaparin sodium 100 mg/mL injection, 10 x 1 mL syringes!!!12818011000036104!Clexane 100 mg/mL injection, 10 x 1 mL syringes!!2!20!69.27!0.00!69.27!!
GE!5189D!AF!Alodorm!!21647011000036102!nitrazepam!!!27314011000036105!nitrazepam 5 mg tablet, 25!!!12724011000036100!Alodorm 5 mg tablet, 25!!1!25!1.50!0.00!1.50!!
GE!3169T!CR!Rispericor 1!!21338011000036109!risperidone!!!27153011000036108!risperidone 1 mg tablet, 60!!!924773011000036105!Rispericor 1 mg tablet, 60!!1!60!5.80!0.00!5.80!!
GE!5077F!CR!Pharmacor Diclofenac 50!!21288011000036105!diclofenac!!!27885011000036108!diclofenac sodium 50 mg enteric tablet, 50!!!1059211000168101!Diclofenac (Pharmacor) 50 mg enteric tablet, 50!!1!50!1.91!0.00!1.91!!0.00
GE!5232J!CR!Tramadol SCP!!21486011000036105!tramadol!!!28222011000036107!tramadol hydrochloride 50 mg capsule, 20!!!138741000036100!Tramadol Hydrochloride (SCP) 50 mg capsule, 20!!1!20!1.86!0.00!1.86!!0.00
GE!3401B!CR!Pharmacor Esomeprazole!!21697011000036107!esomeprazole!!!27739011000036103!esomeprazole 40 mg enteric tablet, 30!!!1026621000168100!Esomeprazole (Pharmacor) 40 mg enteric tablet, 30!!1!30!9.97!0.00!9.97!!0.00
GE!5434B!WA!Enoxaparin Winthrop!!21553011000036103!enoxaparin sodium!!!27374011000036103!enoxaparin sodium 80 mg/0.8 mL injection, 10 x 0.8 mL syringes!!!1145501000168108!Enoxaparin (Winthrop) 80 mg/0.8 mL injection, 10 x 0.8 mL syringes!!2!20!56.87!0.00!56.87!!
GE!5434B!SW!Clexane!!21553011000036103!enoxaparin sodium!!!27374011000036103!enoxaparin sodium 80 mg/0.8 mL injection, 10 x 0.8 mL syringes!!!12817011000036100!Clexane 80 mg/0.8 mL injection, 10 x 0.8 mL syringes!!2!20!56.87!0.00!56.87!!
GE!3132W!AF!Alepam 15!!21541011000036102!oxazepam!!!32769011000036106!oxazepam 15 mg tablet, 25!!!32367011000036100!Alepam 15 mg tablet, 25!!1!25!1.32!0.00!1.32!!
GE!5083M!PF!DBL Vancomycin Hydrochloride!!21381011000036106!vancomycin!!!27498011000036108!vancomycin 1 g injection, 1 vial!!!13024011000036108!Vancomycin (DBL) 1 g powder for injection, 1 vial!!1!1!7.50!0.00!7.50!!
GE!8390N!KP!Humalog Mix25 KwikPen!!21622011000036101!insulin lispro + insulin lispro protamine!!!27656011000036101!insulin lispro 25 units/mL + insulin lispro protamine 75 units/mL injection, 5 x 3 mL cartridges!!!146601000144108!Humalog Mix25 KwikPen Injections (human analogue) 100 units (25 units-75 units) per mL, 3 mL, 5, 1!!5!5!36.23!0.00!36.23!!
GE!8263X!WA!Enoxaparin Winthrop!!21553011000036103!enoxaparin sodium!!!27374011000036103!enoxaparin sodium 80 mg/0.8 mL injection, 10 x 0.8 mL syringes!!!1145501000168108!Enoxaparin (Winthrop) 80 mg/0.8 mL injection, 10 x 0.8 mL syringes!!1!10!56.87!0.00!56.87!!
GE!8263X!SW!Clexane!!21553011000036103!enoxaparin sodium!!!27374011000036103!enoxaparin sodium 80 mg/0.8 mL injection, 10 x 0.8 mL syringes!!!12817011000036100!Clexane 80 mg/0.8 mL injection, 10 x 0.8 mL syringes!!1!10!56.87!0.00!56.87!!
GE!8270G!LY!Prozac Tab!!21411011000036102!fluoxetine!!!844321000168102!fluoxetine 20 mg tablet, 28!!!844331000168104!Prozac 20 mg tablet, 28!!1!28!3.45!0.00!4.55!!
GE!8333N!CR!Pharmacor Omeprazole!!21676011000036101!omeprazole!!!27602011000036106!omeprazole 20 mg enteric tablet, 30!!!1058571000168101!Omeprazole (Pharmacor) 20 mg enteric tablet, 30!!1!30!4.12!0.00!4.12!!0.00
GE!8302Y!SZ!Venlafaxine Sandoz XR!!21313011000036105!venlafaxine!!!27471011000036106!venlafaxine 150 mg modified release capsule, 28!!!6601000036109!Venlafaxine XR (Sandoz) 150 mg modified release capsule, 28!!1!28!4.08!0.00!4.08!!
GE!8301X!SZ!Venlafaxine Sandoz XR!!21313011000036105!venlafaxine!!!27470011000036104!venlafaxine 75 mg modified release capsule, 28!!!6631000036102!Venlafaxine XR (Sandoz) 75 mg modified release capsule, 28!!1!28!3.35!0.00!3.35!!
GE!8002E!CR!Famciclovir SCP 250!!21221011000036105!famciclovir!!!27248011000036102!famciclovir 250 mg tablet, 21!!!144781000036100!Famciclovir (SCP) 250 mg tablet, 21!!1!21!21.22!0.00!21.22!!
GE!8212F!KP!Humalog KwikPen!!21851011000036103!insulin lispro!!!27297011000036108!insulin lispro 100 units/mL injection, 5 x 3 mL cartridges!!!136611000144109!Humalog KwikPen Injections (human analogue) 100 units per mL, 3 mL, 5, 1!!5!5!36.23!0.00!36.23!!
GE!8264Y!WA!Enoxaparin Winthrop!!21553011000036103!enoxaparin sodium!!!27375011000036104!enoxaparin sodium 100 mg/mL injection, 10 x 1 mL syringes!!!1145821000168101!Enoxaparin (Winthrop) 100 mg/mL injection, 10 x 1 mL syringes!!1!10!69.27!0.00!69.27!!
GE!8264Y!SW!Clexane!!21553011000036103!enoxaparin sodium!!!27375011000036104!enoxaparin sodium 100 mg/mL injection, 10 x 1 mL syringes!!!12818011000036104!Clexane 100 mg/mL injection, 10 x 1 mL syringes!!1!10!69.27!0.00!69.27!!
GE!8217L!CR!Famciclovir SCP 250!!21221011000036105!famciclovir!!!27249011000036105!famciclovir 250 mg tablet, 56!!!144791000036103!Famciclovir (SCP) 250 mg tablet, 56!!1!56!56.59!0.00!56.59!!
GE!8331L!CR!Pharmacor Omeprazole!!21676011000036101!omeprazole!!!27602011000036106!omeprazole 20 mg enteric tablet, 30!!!1058571000168101!Omeprazole (Pharmacor) 20 mg enteric tablet, 30!!1!30!4.12!0.00!4.12!!0.00
GE!8455B!CR!Tramadol SCP!!21486011000036105!tramadol!!!28222011000036107!tramadol hydrochloride 50 mg capsule, 20!!!138741000036100!Tramadol Hydrochloride (SCP) 50 mg capsule, 20!!1!20!1.86!0.00!1.86!!0.00
GE!5478H!SZ!Cefazolin Sandoz!!21621011000036107!cefazolin!!!26880011000036103!cefazolin 1 g injection, 10 vials!!!933244511000036107!Cefazolin (Sandoz) 1 g powder for injection, 10 vials!!1!10!9.10!0.00!9.10!!
GE!8019C!AS!Cyprocur 100!!21694011000036101!cyproterone!!!27250011000036102!cyproterone acetate 100 mg tablet, 50!!!43001000036100!Cyprocur 100 mg tablet, 50!!1!50!51.88!0.00!51.88!!0.00
GE!8254K!CR!Clavam 875 mg/125 mg!!21360011000036101!amoxicillin + clavulanic acid!!!28152011000036108!amoxicillin 875 mg + clavulanic acid 125 mg tablet, 10!!!164041000036100!Clavam 875 mg/125 mg tablet, 10!!1!10!2.58!0.00!2.58!!0.00
GE!8435Y!NF!NovoRapid FlexPen!!21699011000036100!insulin aspart!!!27822011000036108!insulin aspart 100 units/mL injection, 5 x 3 mL cartridges!!!147531000144100!Novorapid Flexpen 100 units/mL injection, 5 x 3 mL cartridges!!5!5!36.23!0.00!36.23!!
GE!8262W!WA!Enoxaparin Winthrop!!21553011000036103!enoxaparin sodium!!!27373011000036100!enoxaparin sodium 60 mg/0.6 mL injection, 10 x 0.6 mL syringes!!!1145591000168102!Enoxaparin (Winthrop) 60 mg/0.6 mL injection, 10 x 0.6 mL syringes!!1!10!49.43!0.00!49.43!!
GE!8262W!SW!Clexane!!21553011000036103!enoxaparin sodium!!!27373011000036100!enoxaparin sodium 60 mg/0.6 mL injection, 10 x 0.6 mL syringes!!!12816011000036103!Clexane 60 mg/0.6 mL injection, 10 x 0.6 mL syringes!!1!10!49.43!0.00!49.43!!
GE!8752P!FP!Pentasa!!21351011000036101!mesalazine!!!924190011000036104!mesalazine 1 g suppository, 30!!!933226531000036105!Pentasa 1 g suppository, 30!!1!30!89.26!0.00!89.26!!
GE!8610E!BN!Adalat Oros 20mg!!21241011000036108!nifedipine!!!27452011000036102!nifedipine 20 mg modified release tablet, 30!!!12937011000036102!Adalat Oros 20 mg modified release tablet, 30!!1!30!5.93!0.00!5.93!!
GE!8789N!CR!Rispericor 1!!21338011000036109!risperidone!!!27153011000036108!risperidone 1 mg tablet, 60!!!924773011000036105!Rispericor 1 mg tablet, 60!!1!60!5.80!0.00!5.80!!
GE!8812T!SZ!Calcium Folinate Ebewe!!21617011000036108!folinic acid!!!28262011000036101!folinic acid 100 mg/10 mL injection, 10 mL vial!!!14268011000036103!Calcium Folinate (Ebewe) 100 mg/10 mL injection, 10 mL vial!!10!10!4.38!0.00!4.38!!
GE!8886Q!CR!Pharmacor Esomeprazole!!21697011000036107!esomeprazole!!!27738011000036106!esomeprazole 20 mg enteric tablet, 30!!!1027151000168101!Esomeprazole (Pharmacor) 20 mg enteric tablet, 30!!1!30!5.87!0.00!5.87!!0.00
GE!8694N!SZ!Pioglitazone Sandoz!!21416011000036107!pioglitazone!!!27806011000036102!pioglitazone 15 mg tablet, 28!!!930693011000036105!Pioglitazone (Sandoz) 15 mg tablet, 28!!1!28!7.22!0.00!7.22!!
GE!8874C!KP!Humalog Mix50 KwikPen!!21622011000036101!insulin lispro + insulin lispro protamine!!!27657011000036103!insulin lispro 50 units/mL + insulin lispro protamine 50 units/mL injection, 5 x 3 mL cartridges!!!146621000144104!Humalog Mix50 KwikPen Injections (human analogue) 100 units (50 units-50 units) per mL, 3 mL, 5, 1!!5!5!36.23!0.00!36.23!!
GE!8510X!SW!Clexane!!21553011000036103!enoxaparin sodium!!!33799011000036103!enoxaparin sodium 40 mg/0.4 mL injection, 10 x 0.4 mL syringes!!!33318011000036106!Clexane 40 mg/0.4 mL injection, 10 x 0.4 mL syringes!!2!20!34.56!0.00!34.56!!
GE!8510X!WA!Enoxaparin Winthrop!!21553011000036103!enoxaparin sodium!!!33799011000036103!enoxaparin sodium 40 mg/0.4 mL injection, 10 x 0.4 mL syringes!!!1145661000168105!Enoxaparin (Winthrop) 40 mg/0.4 mL injection, 10 x 0.4 mL syringes!!2!20!34.56!0.00!34.56!!
GE!8596K!CR!Pharmacor Amisulpride!!21522011000036106!amisulpride!!!27752011000036109!amisulpride 400 mg tablet, 60!!!1045451000168104!Amisulpride (Pharmacor) 400 mg tablet, 60!!1!60!50.57!0.00!50.57!!
GE!8496E!CR!Pharmacor Donepezil 10!!21256011000036101!donepezil!!!27456011000036103!donepezil hydrochloride 10 mg tablet, 28!!!120301000036102!Donepezil Hydrochloride (Pharmacor) 10 mg tablet, 28!!1!28!9.36!0.00!9.36!!0.00
GE!8640R!WA!Enoxaparin Winthrop!!21553011000036103!enoxaparin sodium!!!27373011000036100!enoxaparin sodium 60 mg/0.6 mL injection, 10 x 0.6 mL syringes!!!1145591000168102!Enoxaparin (Winthrop) 60 mg/0.6 mL injection, 10 x 0.6 mL syringes!!2!20!49.43!0.00!49.43!!
GE!8640R!SW!Clexane!!21553011000036103!enoxaparin sodium!!!27373011000036100!enoxaparin sodium 60 mg/0.6 mL injection, 10 x 0.6 mL syringes!!!12816011000036103!Clexane 60 mg/0.6 mL injection, 10 x 0.6 mL syringes!!2!20!49.43!0.00!49.43!!
GE!8558K!SW!Clexane!!21553011000036103!enoxaparin sodium!!!33800011000036109!enoxaparin sodium 20 mg/0.2 mL injection, 10 x 0.2 mL syringes!!!33319011000036103!Clexane 20 mg/0.2 mL injection, 10 x 0.2 mL syringes!!2!20!33.16!0.00!33.16!!
GE!8558K!WA!Enoxaparin Winthrop!!21553011000036103!enoxaparin sodium!!!33800011000036109!enoxaparin sodium 20 mg/0.2 mL injection, 10 x 0.2 mL syringes!!!1145731000168105!Enoxaparin (Winthrop) 20 mg/0.2 mL injection, 10 x 0.2 mL syringes!!2!20!33.16!0.00!33.16!!
GE!8787L!CR!Rispericor 0.5!!21338011000036109!risperidone!!!51485011000036105!risperidone 500 microgram tablet, 60!!!924781011000036101!Rispericor-0.5 500 microgram tablet, 60!!1!60!6.63!0.00!6.63!!
GE!8639Q!WA!Enoxaparin Winthrop!!21553011000036103!enoxaparin sodium!!!33799011000036103!enoxaparin sodium 40 mg/0.4 mL injection, 10 x 0.4 mL syringes!!!1145661000168105!Enoxaparin (Winthrop) 40 mg/0.4 mL injection, 10 x 0.4 mL syringes!!2!20!34.56!0.00!34.56!!
GE!8639Q!SW!Clexane!!21553011000036103!enoxaparin sodium!!!33799011000036103!enoxaparin sodium 40 mg/0.4 mL injection, 10 x 0.4 mL syringes!!!33318011000036106!Clexane 40 mg/0.4 mL injection, 10 x 0.4 mL syringes!!2!20!34.56!0.00!34.56!!
GE!8701Y!SZ!Esitalo!!21534011000036100!escitalopram!!!28072011000036101!escitalopram 20 mg tablet, 28!!!74292011000036108!Esitalo 20 mg tablet, 28!!1!28!1.97!0.00!1.97!!0.00
GE!8701Y!CR!Pharmacor Escitalopram 20!!21534011000036100!escitalopram!!!28072011000036101!escitalopram 20 mg tablet, 28!!!929524011000036108!Escitalopram (Pharmacor) 20 mg tablet, 28!!1!28!1.97!0.00!1.97!!0.00
GE!8609D!NF!NovoMix 30 FlexPen!!21276011000036104!insulin aspart + insulin aspart protamine!!!27966011000036108!insulin aspart 30 units/mL + insulin aspart protamine 70 units/mL injection, 5 x 3 mL cartridges!!!62331000144105!Novomix 30 Flexpen injection suspension, 5 x 3 mL syringes!!5!5!36.23!0.00!36.23!!
GE!8700X!SZ!Esitalo!!21534011000036100!escitalopram!!!28071011000036107!escitalopram 10 mg tablet, 28!!!74291011000036102!Esitalo 10 mg tablet, 28!!1!28!1.95!0.00!1.95!!0.00
GE!8700X!CR!Pharmacor Escitalopram 10!!21534011000036100!escitalopram!!!28071011000036107!escitalopram 10 mg tablet, 28!!!929523011000036106!Escitalopram (Pharmacor) 10 mg tablet, 28!!1!28!1.95!0.00!1.95!!0.00
GE!8601Q!CR!Pharmacor Esomeprazole!!21697011000036107!esomeprazole!!!27739011000036103!esomeprazole 40 mg enteric tablet, 30!!!1026621000168100!Esomeprazole (Pharmacor) 40 mg enteric tablet, 30!!1!30!9.97!0.00!9.97!!0.00
GE!8600P!CR!Pharmacor Esomeprazole!!21697011000036107!esomeprazole!!!27738011000036106!esomeprazole 20 mg enteric tablet, 30!!!1027151000168101!Esomeprazole (Pharmacor) 20 mg enteric tablet, 30!!1!30!5.87!0.00!5.87!!0.00
GE!8595J!CR!Pharmacor Amisulpride!!21522011000036106!amisulpride!!!28188011000036103!amisulpride 200 mg tablet, 60!!!1045171000168103!Amisulpride (Pharmacor) 200 mg tablet, 60!!1!60!27.89!0.00!27.89!!
GE!8869T!CR!Rispericor 0.5!!21338011000036109!risperidone!!!51485011000036105!risperidone 500 microgram tablet, 60!!!924781011000036101!Rispericor-0.5 500 microgram tablet, 60!!1!60!6.63!0.00!6.63!!
GE!8594H!CR!Pharmacor Amisulpride!!21522011000036106!amisulpride!!!28187011000036104!amisulpride 100 mg tablet, 30!!!1045221000168108!Amisulpride (Pharmacor) 100 mg tablet, 30!!1!30!6.47!0.00!6.47!!
GE!8716R!SW!Clexane!!21553011000036103!enoxaparin sodium!!!33800011000036109!enoxaparin sodium 20 mg/0.2 mL injection, 10 x 0.2 mL syringes!!!33319011000036103!Clexane 20 mg/0.2 mL injection, 10 x 0.2 mL syringes!!2!20!33.16!0.00!33.16!!
GE!8716R!WA!Enoxaparin Winthrop!!21553011000036103!enoxaparin sodium!!!33800011000036109!enoxaparin sodium 20 mg/0.2 mL injection, 10 x 0.2 mL syringes!!!1145731000168105!Enoxaparin (Winthrop) 20 mg/0.2 mL injection, 10 x 0.2 mL syringes!!2!20!33.16!0.00!33.16!!
GE!9286R!BZ!Dibenzyline!!21893011000036108!phenoxybenzamine!!!26799011000036105!phenoxybenzamine hydrochloride 10 mg capsule, 100!!!52078011000036104!Dibenzyline 10 mg capsule, 100!!1!100!847.64!0.00!847.64!!
GE!9025B!JT!Nizoral 1%!!21500011000036103!ketoconazole!!!72441000036101!ketoconazole 1% shampoo, 100 mL!!!72431000036106!Nizoral 1% shampoo, 100 mL!!1!1!7.84!0.00!7.84!!
GE!9296G!SZ!Clopidogrel/Aspirin Sandoz 75/100!!82432011000036105!clopidogrel + aspirin!!!82549011000036107!clopidogrel 75 mg + aspirin 100 mg tablet, 30!!!719121000168105!Clopidogrel/Aspirin 75/100 (Sandoz) tablet, 30!!1!30!4.07!0.00!4.07!!
GE!9039R!WA!Optisulin SoloStar!!21815011000036108!insulin glargine!!!27848011000036108!insulin glargine 100 units/mL injection, 5 x 3 mL cartridges!!!446081000144109!Optisulin Solostar 100 units/mL injection, 5 x 3 mL cartridges!!5!5!31.71!0.00!31.71!!
GE!9040T!NF!Levemir FlexPen!!21764011000036105!insulin detemir!!!28156011000036107!insulin detemir 100 units/mL injection, 5 x 3 mL cartridges!!!66911000144102!Levemir Flexpen 100 units/mL injection, 5 x 3 mL cartridges!!5!5!61.61!0.00!61.61!!
GE!9079W!CR!Rispericor 2!!21338011000036109!risperidone!!!27203011000036102!risperidone 2 mg tablet, 60!!!924771011000036109!Rispericor 2 mg tablet, 60!!1!60!13.27!0.00!13.27!!
GE!2479L!CR!Pharmacor Donepezil 10!!21256011000036101!donepezil!!!27456011000036103!donepezil hydrochloride 10 mg tablet, 28!!!120301000036102!Donepezil Hydrochloride (Pharmacor) 10 mg tablet, 28!!1!28!9.36!0.00!9.36!!0.00
GE!9435N!AF!Diaformin XR!!21614011000036102!metformin!!!71365011000036100!metformin hydrochloride 500 mg modified release tablet, 120!!!66655011000036102!Diaformin XR 500 mg modified release tablet, 120!!1!120!4.01!0.00!4.01!!0.00
GE!10571J!PF!Ostira!!21790011000036102!zoledronic acid!!!731451000168100!zoledronic acid 5 mg/100 mL injection, 100 mL bag!!!731461000168103!Ostira 5 mg/100 mL injection, 100 mL bag!!1!1!97.47!0.00!97.47!!
GE!10555M!PF!Ostira!!21790011000036102!zoledronic acid!!!731451000168100!zoledronic acid 5 mg/100 mL injection, 100 mL bag!!!731461000168103!Ostira 5 mg/100 mL injection, 100 mL bag!!1!1!97.47!0.00!97.47!!
GE!10656W!VE!Lucrin Depot 6-Month!!21320011000036109!leuprorelin!!!766141000168109!leuprorelin acetate 45 mg modified release injection [1 syringe] (&) inert substance diluent [1 syringe], 1 pack!!!375611000144105!Lucrin Depot 6-Month (1 x 45 mg syringe, 1 x 1.5 mL diluent syringe), 1 pack!!1!1!1606.32!0.00!1606.32!!
GE!10255R!VE!Lucrin Depot Paediatric 30 mg PDS!!21320011000036109!leuprorelin!!!932931011000036109!leuprorelin acetate 30 mg modified release injection [1 syringe] (&) inert substance diluent [1 syringe], 1 pack!!!345831000144102!Lucrin Depot Paediatric  3-Month (1 x 30 mg syringe, 1 x 1.5  mL diluent syringe), 1 pack!!1!1!1071.68!0.00!1071.68!!
GE!10256T!VE!Lucrin Depot Paediatric 30 mg PDS!!21320011000036109!leuprorelin!!!932931011000036109!leuprorelin acetate 30 mg modified release injection [1 syringe] (&) inert substance diluent [1 syringe], 1 pack!!!345831000144102!Lucrin Depot Paediatric  3-Month (1 x 30 mg syringe, 1 x 1.5  mL diluent syringe), 1 pack!!1!1!1071.68!0.00!1071.68!!
GE!12081W!AS!Aspen Pharma Pty Ltd!!21821011000036104!codeine!!!834811000168103!codeine phosphate hemihydrate 30 mg tablet, 20!!!834901000168106!Codeine (Aspen) 30 mg tablet, 20!!1!20!5.09!0.00!5.09!!
GE!11746F!DZ!Medsurge!!21623011000036108!flucloxacillin!!!1348001000168101!flucloxacillin 250 mg capsule, 28!!!1348011000168103!Flucloxacillin (Medreich) 250 mg capsule, 28!!0.86!24!19.50!0.00!19.50!!
GE!11733M!DZ!Medsurge!!21623011000036108!flucloxacillin!!!1348001000168101!flucloxacillin 250 mg capsule, 28!!!1348011000168103!Flucloxacillin (Medreich) 250 mg capsule, 28!!0.86!24!19.50!0.00!19.50!!
GE!11737R!DZ!Medsurge!!21623011000036108!flucloxacillin!!!1348201000168106!flucloxacillin 500 mg capsule, 100!!!1348211000168109!Flucloxacillin (Athlone) 500 mg capsule, 100!!0.48!48!49.50!0.00!49.50!!
GE!11738T!DZ!Medsurge!!21623011000036108!flucloxacillin!!!1348201000168106!flucloxacillin 500 mg capsule, 100!!!1348211000168109!Flucloxacillin (Athlone) 500 mg capsule, 100!!0.24!24!49.50!0.00!49.50!!
GE!11728G!DZ!Medsurge!!21623011000036108!flucloxacillin!!!1348201000168106!flucloxacillin 500 mg capsule, 100!!!1348211000168109!Flucloxacillin (Athlone) 500 mg capsule, 100!!0.24!24!49.50!0.00!49.50!!
GE!11877D!CR!Rispericor 1!!21338011000036109!risperidone!!!27153011000036108!risperidone 1 mg tablet, 60!!!924773011000036105!Rispericor 1 mg tablet, 60!!1!60!5.80!0.00!5.80!!
GE!12008B!CR!Tramadol SCP!!21486011000036105!tramadol!!!28222011000036107!tramadol hydrochloride 50 mg capsule, 20!!!138741000036100!Tramadol Hydrochloride (SCP) 50 mg capsule, 20!!0.5!10!1.86!0.00!1.86!!0.00
GE!11683X!CR!Pharmacor Omeprazole!!21676011000036101!omeprazole!!!27602011000036106!omeprazole 20 mg enteric tablet, 30!!!1058571000168101!Omeprazole (Pharmacor) 20 mg enteric tablet, 30!!1!30!4.12!0.00!4.12!!0.00
GE!11933C!CR!Clavam 875 mg/125 mg!!21360011000036101!amoxicillin + clavulanic acid!!!28152011000036108!amoxicillin 875 mg + clavulanic acid 125 mg tablet, 10!!!164041000036100!Clavam 875 mg/125 mg tablet, 10!!2!20!2.58!0.00!2.58!!0.00
GE!11879F!CR!Rispericor 1!!21338011000036109!risperidone!!!27153011000036108!risperidone 1 mg tablet, 60!!!924773011000036105!Rispericor 1 mg tablet, 60!!1!60!5.80!0.00!5.80!!
GE!11881H!CR!Rispericor 0.5!!21338011000036109!risperidone!!!51485011000036105!risperidone 500 microgram tablet, 60!!!924781011000036101!Rispericor-0.5 500 microgram tablet, 60!!1!60!6.63!0.00!6.63!!
GE!12024W!CR!Tramadol SCP!!21486011000036105!tramadol!!!28222011000036107!tramadol hydrochloride 50 mg capsule, 20!!!138741000036100!Tramadol Hydrochloride (SCP) 50 mg capsule, 20!!0.5!10!1.86!0.00!1.86!!0.00
GE!11692J!CR!Pharmacor Esomeprazole!!21697011000036107!esomeprazole!!!27738011000036106!esomeprazole 20 mg enteric tablet, 30!!!1027151000168101!Esomeprazole (Pharmacor) 20 mg enteric tablet, 30!!1!30!5.87!0.00!5.87!!0.00
GE!11869Q!CR!Rispericor 0.5!!21338011000036109!risperidone!!!51485011000036105!risperidone 500 microgram tablet, 60!!!924781011000036101!Rispericor-0.5 500 microgram tablet, 60!!1!60!6.63!0.00!6.63!!
GE!11655K!DZ!Carbidopa and Levodopa Tablets, USP!!21326011000036107!levodopa + carbidopa!!!28304011000036101!levodopa 250 mg + carbidopa 25 mg tablet, 100!!!1276851000168102!Carbidopa and Levodopa 25 mg/250 mg (Actavis) tablet, 100!!1!100!44.63!0.00!44.63!!
GE!11924N!CR!Pharmacor Donepezil 10!!21256011000036101!donepezil!!!27456011000036103!donepezil hydrochloride 10 mg tablet, 28!!!120301000036102!Donepezil Hydrochloride (Pharmacor) 10 mg tablet, 28!!1!28!9.36!0.00!9.36!!0.00
PL!5359C!AF!Alodorm!!21647011000036102!nitrazepam!!!27314011000036105!nitrazepam 5 mg tablet, 25!!!12724011000036100!Alodorm 5 mg tablet, 25!!2!50!1.50!0.00!1.50!!
PL!5346J!AF!Inza 500!!21304011000036105!naproxen!!!27554011000036104!naproxen 500 mg tablet, 50!!!12363011000036106!Inza 500 mg tablet, 50!!1!50!4.99!0.00!4.99!!
PL!5345H!AF!Inza 250!!21304011000036105!naproxen!!!27555011000036100!naproxen 250 mg tablet, 50!!!12361011000036105!Inza 250 mg tablet, 50!!2!100!4.42!0.00!4.42!!
PL!5362F!CR!Pharmacor Diclofenac 50!!21288011000036105!diclofenac!!!27885011000036108!diclofenac sodium 50 mg enteric tablet, 50!!!1059211000168101!Diclofenac (Pharmacor) 50 mg enteric tablet, 50!!1!50!1.91!0.00!1.91!!0.00
PL!5371Q!AF!Alepam 15!!21541011000036102!oxazepam!!!32769011000036106!oxazepam 15 mg tablet, 25!!!32367011000036100!Alepam 15 mg tablet, 25!!2!50!1.32!0.00!1.32!!
PL!5372R!AF!Alepam 30!!21541011000036102!oxazepam!!!32770011000036109!oxazepam 30 mg tablet, 25!!!32368011000036104!Alepam 30 mg tablet, 25!!2!50!1.00!0.00!1.00!!0.00
R1!4023R!IL!Gold Cross!!21251011000036106!methyl salicylate!!!26852011000036106!methyl salicylate 50% ointment, 100 g!!!12018011000036103!Methyl Salicylate (Gold Cross) 50% ointment, 100 g!!1!1!4.65!0.00!4.65!!
R1!4022Q!IL!Gold Cross!!21628011000036103!methyl salicylate + eucalyptus oil + menthol!!!26849011000036104!methyl salicylate 25% + eucalyptus oil 10% + menthol 4% cream, 100 g!!!12015011000036109!Methyl Salicylate Compound (Gold Cross) cream, 100 g!!1!1!6.15!0.00!6.15!!
R1!4026X!IL!Gold Cross!!21251011000036106!methyl salicylate!!!27011011000036108!methyl salicylate 25% liniment, 100 mL!!!12246011000036100!Methyl Salicylate (Gold Cross) 25% liniment, 100 mL!!1!1!2.85!0.00!2.85!!
R1!4074K!IL!Gold Cross!!21924011000036109!ammonium + senega root!!!27010011000036101!ammonium bicarbonate 25 mg/mL + senega root 25 mg/mL oral liquid, 200 mL!!!80624011000036108!Senega and Ammonia Mixture (Gold Cross) Cherry oral liquid, 200 mL!!1!1!2.23!0.00!2.23!!
R1!4115N!GN!Zitrocin!!21518011000036103!azithromycin!!!27420011000036100!azithromycin 500 mg tablet, 3!!!926220011000036101!Zitrocin 500 mg tablet, 3!!1!3!20.29!0.00!20.29!!
IN!7268M!JC!Velcade!1 mcg!21633011000036105!bortezomib!22006011000036104!bortezomib 3.5 mg injection, vial!26598011000036101!bortezomib 3.5 mg injection, 1 vial!5681011000036104!Velcade 3.5 mg powder for injection, 3.5 mg vial!11309011000036107!Velcade 3.5 mg powder for injection, 1 vial!3500!!3000!806.89!806.89!806.89!806.89!
IN!7268M!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!691.62!691.62!691.62!691.62!
IN!7269N!JC!Velcade!1 mcg!21633011000036105!bortezomib!22006011000036104!bortezomib 3.5 mg injection, vial!26598011000036101!bortezomib 3.5 mg injection, 1 vial!5681011000036104!Velcade 3.5 mg powder for injection, 3.5 mg vial!11309011000036107!Velcade 3.5 mg powder for injection, 1 vial!3500!!3000!806.89!806.89!806.89!806.89!
IN!7269N!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!691.62!691.62!691.62!691.62!
IN!7271Q!JC!Velcade!1 mcg!21633011000036105!bortezomib!22006011000036104!bortezomib 3.5 mg injection, vial!26598011000036101!bortezomib 3.5 mg injection, 1 vial!5681011000036104!Velcade 3.5 mg powder for injection, 3.5 mg vial!11309011000036107!Velcade 3.5 mg powder for injection, 1 vial!3500!!3000!806.89!806.89!806.89!806.89!
IN!7271Q!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!691.62!691.62!691.62!691.62!
IN!7272R!JC!Velcade!1 mcg!21633011000036105!bortezomib!22006011000036104!bortezomib 3.5 mg injection, vial!26598011000036101!bortezomib 3.5 mg injection, 1 vial!5681011000036104!Velcade 3.5 mg powder for injection, 3.5 mg vial!11309011000036107!Velcade 3.5 mg powder for injection, 1 vial!3500!!3000!806.89!806.89!806.89!806.89!
IN!7272R!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!691.62!691.62!691.62!691.62!
IN!7275X!JC!Velcade!1 mcg!21633011000036105!bortezomib!78391000036100!bortezomib 1 mg injection, vial!79861000036105!bortezomib 1 mg injection, 1 vial!78381000036102!Velcade 1 mg powder for injection, vial!79851000036107!Velcade 1 mg powder for injection, 1 vial!1000!!3000!230.54!230.54!230.54!230.54!
IN!7275X!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!691.62!691.62!691.62!691.62!
IN!7238Y!JC!Velcade!1 mcg!21633011000036105!bortezomib!78391000036100!bortezomib 1 mg injection, vial!79861000036105!bortezomib 1 mg injection, 1 vial!78381000036102!Velcade 1 mg powder for injection, vial!79851000036107!Velcade 1 mg powder for injection, 1 vial!1000!!3000!230.54!230.54!230.54!230.54!
IN!7238Y!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!691.62!691.62!691.62!691.62!
IN!7274W!JC!Velcade!1 mcg!21633011000036105!bortezomib!78391000036100!bortezomib 1 mg injection, vial!79861000036105!bortezomib 1 mg injection, 1 vial!78381000036102!Velcade 1 mg powder for injection, vial!79851000036107!Velcade 1 mg powder for injection, 1 vial!1000!!3000!230.54!230.54!230.54!230.54!
IN!7274W!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!691.62!691.62!691.62!691.62!
IN!11701W!QY!Bleomycin for Injection, USP!1 iu!857781000168109!bleomycin!23152011000036109!bleomycin sulfate 15 000 international units injection, vial!27097011000036101!bleomycin sulfate 15 000 international units injection, 1 vial!476541000144109!Bleomycin for Injection, USP, 15 000 international units powder for injection, 15 000 international units vial!475891000144105!Bleomycin for Injection, USP, 1 vial!15000!!30000!40.00!40.00!40.00!40.00!
IP!4706Q!JC!Velcade!1 mcg!21633011000036105!bortezomib!22006011000036104!bortezomib 3.5 mg injection, vial!26598011000036101!bortezomib 3.5 mg injection, 1 vial!5681011000036104!Velcade 3.5 mg powder for injection, 3.5 mg vial!11309011000036107!Velcade 3.5 mg powder for injection, 1 vial!3500!!3000!806.89!806.89!806.89!806.89!
IP!4706Q!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!691.62!691.62!691.62!691.62!
IP!4712B!JC!Velcade!1 mcg!21633011000036105!bortezomib!22006011000036104!bortezomib 3.5 mg injection, vial!26598011000036101!bortezomib 3.5 mg injection, 1 vial!5681011000036104!Velcade 3.5 mg powder for injection, 3.5 mg vial!11309011000036107!Velcade 3.5 mg powder for injection, 1 vial!3500!!3000!806.89!806.89!806.89!806.89!
IP!4712B!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!691.62!691.62!691.62!691.62!
IP!4713C!JC!Velcade!1 mcg!21633011000036105!bortezomib!22006011000036104!bortezomib 3.5 mg injection, vial!26598011000036101!bortezomib 3.5 mg injection, 1 vial!5681011000036104!Velcade 3.5 mg powder for injection, 3.5 mg vial!11309011000036107!Velcade 3.5 mg powder for injection, 1 vial!3500!!3000!806.89!806.89!806.89!806.89!
IP!4713C!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!691.62!691.62!691.62!691.62!
IP!4725Q!JC!Velcade!1 mcg!21633011000036105!bortezomib!22006011000036104!bortezomib 3.5 mg injection, vial!26598011000036101!bortezomib 3.5 mg injection, 1 vial!5681011000036104!Velcade 3.5 mg powder for injection, 3.5 mg vial!11309011000036107!Velcade 3.5 mg powder for injection, 1 vial!3500!!3000!806.89!806.89!806.89!806.89!
IP!4725Q!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!691.62!691.62!691.62!691.62!
IP!4732C!JC!Velcade!1 mcg!21633011000036105!bortezomib!78391000036100!bortezomib 1 mg injection, vial!79861000036105!bortezomib 1 mg injection, 1 vial!78381000036102!Velcade 1 mg powder for injection, vial!79851000036107!Velcade 1 mg powder for injection, 1 vial!1000!!3000!230.54!230.54!230.54!230.54!
IP!4732C!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!691.62!691.62!691.62!691.62!
IP!4403R!JC!Velcade!1 mcg!21633011000036105!bortezomib!78391000036100!bortezomib 1 mg injection, vial!79861000036105!bortezomib 1 mg injection, 1 vial!78381000036102!Velcade 1 mg powder for injection, vial!79851000036107!Velcade 1 mg powder for injection, 1 vial!1000!!3000!230.54!230.54!230.54!230.54!
IP!4403R!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!691.62!691.62!691.62!691.62!
IP!4429D!JC!Velcade!1 mcg!21633011000036105!bortezomib!78391000036100!bortezomib 1 mg injection, vial!79861000036105!bortezomib 1 mg injection, 1 vial!78381000036102!Velcade 1 mg powder for injection, vial!79851000036107!Velcade 1 mg powder for injection, 1 vial!1000!!3000!230.54!230.54!230.54!230.54!
IP!4429D!JC!Velcade!1 mcg!21633011000036105!bortezomib!739471000168105!bortezomib 3 mg injection, vial!739491000168106!bortezomib 3 mg injection, 1 vial!739481000168108!Velcade 3 mg powder for injection, 3 mg vial!739501000168104!Velcade 3 mg powder for injection, 1 vial!3000!!3000!691.62!691.62!691.62!691.62!
IP!11704B!QY!Bleomycin for Injection, USP!1 iu!857781000168109!bleomycin!23152011000036109!bleomycin sulfate 15 000 international units injection, vial!27097011000036101!bleomycin sulfate 15 000 international units injection, 1 vial!476541000144109!Bleomycin for Injection, USP, 15 000 international units powder for injection, 15 000 international units vial!475891000144105!Bleomycin for Injection, USP, 1 vial!15000!!30000!40.00!40.00!40.00!40.00!
CT!5886T!SZ!Calcium Folinate Ebewe!!21617011000036108!folinic acid!!!28262011000036101!folinic acid 100 mg/10 mL injection, 10 mL vial!!!14268011000036103!Calcium Folinate (Ebewe) 100 mg/10 mL injection, 10 mL vial!!10!10!4.38!0.00!4.38!!
CA!10287K!JC!Prezista!!32622011000036101!darunavir!!!86436011000036108!darunavir 150 mg tablet, 240!!!85693011000036109!Prezista 150 mg tablet, 240!!1!240!896.64!0.00!896.64!!
HS!10542W!PF!DBL Zoledronic Acid!!21790011000036102!zoledronic acid!!!734521000168109!zoledronic acid 4 mg/100 mL injection, 100 mL bag!!!734531000168107!Zoledronic Acid (DBL) 4 mg/100 mL injection, 100 mL bag!!1!1!72.80!0.00!72.80!!
HS!11530W!PF!Granocyte 34!!21639011000036108!lenograstim!!!27907011000036107!lenograstim 33.6 million units (263 microgram) injection, 1 vial!!!838271000168104!Granocyte-34 33.6 million units (263 microgram) powder for injection, 1 vial!!20!20!104.26!0.00!104.26!!
HS!11517E!PF!Granocyte 13!!21639011000036108!lenograstim!!!27906011000036109!lenograstim 13.4 million units (105 microgram) injection, 1 vial!!!838231000168102!Granocyte-13 13.4 million units (105 microgram) powder for injection, 1 vial!!20!20!41.63!0.00!41.63!!
HB!10561W!PF!DBL Zoledronic Acid!!21790011000036102!zoledronic acid!!!734521000168109!zoledronic acid 4 mg/100 mL injection, 100 mL bag!!!734531000168107!Zoledronic Acid (DBL) 4 mg/100 mL injection, 100 mL bag!!1!1!72.80!0.00!72.80!!
HB!11550X!PF!Granocyte 13!!21639011000036108!lenograstim!!!27906011000036109!lenograstim 13.4 million units (105 microgram) injection, 1 vial!!!838231000168102!Granocyte-13 13.4 million units (105 microgram) powder for injection, 1 vial!!20!20!41.63!0.00!41.63!!
HB!11551Y!PF!Granocyte 34!!21639011000036108!lenograstim!!!27907011000036107!lenograstim 33.6 million units (263 microgram) injection, 1 vial!!!838271000168104!Granocyte-34 33.6 million units (263 microgram) powder for injection, 1 vial!!20!20!104.26!0.00!104.26!!
