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!1147J!SZ!Captopril Sandoz!!21533011000036102!captopril!!!27835011000036103!captopril 12.5 mg tablet, 90!!!920438011000036107!Captopril (Sandoz) 12.5 mg tablet, 90!!1!90!3.12!0.00!3.12!!
GE!1248Q!AF!Anpec 40!!21287011000036109!verapamil!!!27932011000036100!verapamil hydrochloride 40 mg tablet, 100!!!13771011000036106!Anpec 40 mg tablet, 100!!1!100!4.53!0.00!4.53!!
GE!1158Y!AF!Magicul 400!!21427011000036101!cimetidine!!!27866011000036103!cimetidine 400 mg tablet, 60!!!13184011000036107!Magicul 400 mg tablet, 60!!1!60!8.37!0.00!8.37!!
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!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!2964B!PF!DBL Cephalothin!!21844011000036103!cefalotin!!!27524011000036100!cefalotin 1 g injection, 10 vials!!!13055011000036108!Cephalothin (DBL) 1 g powder for injection, 10 vials!!1!10!13.46!0.00!13.46!!
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!2109B!AF!Genox 10!!21494011000036103!tamoxifen!!!27309011000036109!tamoxifen 10 mg tablet, 60!!!12340011000036108!Genox 10 mg tablet, 60!!1!60!8.33!0.00!8.33!!
GE!2055E!AF!Carafate!!21909011000036102!sucralfate!!!27122011000036100!sucralfate 1 g tablet, 120!!!12064011000036109!Carafate 1 g tablet, 120!!1!120!14.50!0.00!14.50!!
GE!2750R!AF!E-Mycin!!21523011000036104!erythromycin ethylsuccinate!!!27690011000036109!erythromycin (as ethylsuccinate) 400 mg tablet, 25!!!13320011000036104!E-Mycin 400 mg tablet, 25!!1!25!4.56!0.00!4.56!!
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!3336N!AF!E-Mycin!!21523011000036104!erythromycin ethylsuccinate!!!27690011000036109!erythromycin (as ethylsuccinate) 400 mg tablet, 25!!!13320011000036104!E-Mycin 400 mg tablet, 25!!1!25!4.56!0.00!4.56!!
GE!3376Q!PF!DBL Cephalothin!!21844011000036103!cefalotin!!!27524011000036100!cefalotin 1 g injection, 10 vials!!!13055011000036108!Cephalothin (DBL) 1 g powder for injection, 10 vials!!1!10!13.46!0.00!13.46!!
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!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!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!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!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!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!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!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!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!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!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!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!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!8838E!AL!Glucovance 250mg/1.25mg!!21813011000036107!metformin + glibenclamide!!!28195011000036108!metformin hydrochloride 250 mg + glibenclamide 1.25 mg tablet, 90!!!14179011000036100!Glucovance 250/1.25 tablet, 90!!1!90!5.24!0.00!5.24!!
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!8811R!AL!Glucovance 500mg/5mg!!21813011000036107!metformin + glibenclamide!!!28197011000036103!metformin hydrochloride 500 mg + glibenclamide 5 mg tablet, 90!!!14181011000036107!Glucovance 500/5 tablet, 90!!1!90!6.82!0.00!6.82!!
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!8740B!PF!Leucovorin Calcium (Hospira Pty Limited)!!21617011000036108!folinic acid!!!27088011000036101!folinic acid 50 mg/5 mL injection, 5 mL vial!!!12381011000036108!Leucovorin Calcium (DBL) 50 mg/5 mL injection, 5 mL vial!!10!10!3.89!0.00!3.89!!
GE!8810Q!AL!Glucovance 500mg/2.5mg!!21813011000036107!metformin + glibenclamide!!!28196011000036101!metformin hydrochloride 500 mg + glibenclamide 2.5 mg tablet, 90!!!14180011000036100!Glucovance 500/2.5 tablet, 90!!1!90!5.90!0.00!5.90!!
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!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!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!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!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!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!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!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!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!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!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!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!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!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!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!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!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!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!11021C!MK!Zepatier!!847061000168101!elbasvir + grazoprevir!!!847091000168108!elbasvir 50 mg + grazoprevir 100 mg tablet, 28!!!847101000168103!Zepatier tablet, 28!!1!28!8400.00!0.00!8400.00!!
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!10789W!AF!E-Mycin!!21523011000036104!erythromycin ethylsuccinate!!!27690011000036109!erythromycin (as ethylsuccinate) 400 mg tablet, 25!!!13320011000036104!E-Mycin 400 mg tablet, 25!!2!50!4.56!0.00!4.56!!
GE!10822N!OH!PKU Baby!!809301000168104!amino acid formula with fat, carbohydrate, vitamins, minerals and long chain polyunsaturated fatty acids without phenylalanine and supplemented with docosahexaenoic acid!!!809361000168103!amino acid formula with fat, carbohydrate, vitamins, minerals and long chain polyunsaturated fatty acids without phenylalanine and supplemented with docosahexaenoic acid oral liquid, 20 x 500 mL bottles!!!809371000168109!PKU Baby oral liquid, 20 x 500 mL bottles!!2!2!282.60!0.00!282.60!!
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!11011M!MK!Zepatier!!847061000168101!elbasvir + grazoprevir!!!847091000168108!elbasvir 50 mg + grazoprevir 100 mg tablet, 28!!!847101000168103!Zepatier tablet, 28!!1!28!8400.00!0.00!8400.00!!
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!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!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!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!5890B!PF!Leucovorin Calcium (Hospira Pty Limited)!!21617011000036108!folinic acid!!!27088011000036101!folinic acid 50 mg/5 mL injection, 5 mL vial!!!12381011000036108!Leucovorin Calcium (DBL) 50 mg/5 mL injection, 5 mL vial!!10!10!3.89!0.00!3.89!!
CA!10275T!MK!Stocrin!!21616011000036105!efavirenz!!!27991011000036101!efavirenz 30 mg/mL oral liquid, 180 mL!!!13884011000036102!Stocrin 30 mg/mL oral liquid, 180 mL!!7!7!66.18!0.00!66.18!!
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!6332G!IS!Somatuline LA!!21278011000036100!lanreotide!!!27901011000036104!lanreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL ampoule], 1 pack!!!13726011000036102!Somatuline LA (1 x 30 mg vial, 1 x 2 mL diluent ampoule), 1 pack!!2!2!609.19!0.00!609.19!!
HS!10991L!MK!Zepatier!!847061000168101!elbasvir + grazoprevir!!!847091000168108!elbasvir 50 mg + grazoprevir 100 mg tablet, 28!!!847101000168103!Zepatier tablet, 28!!1!28!8400.00!0.00!8400.00!!
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!10979W!MK!Zepatier!!847061000168101!elbasvir + grazoprevir!!!847091000168108!elbasvir 50 mg + grazoprevir 100 mg tablet, 28!!!847101000168103!Zepatier tablet, 28!!1!28!8400.00!0.00!8400.00!!
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!5776B!IS!Somatuline LA!!21278011000036100!lanreotide!!!27901011000036104!lanreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL ampoule], 1 pack!!!13726011000036102!Somatuline LA (1 x 30 mg vial, 1 x 2 mL diluent ampoule), 1 pack!!2!2!609.19!0.00!609.19!!
HB!10986F!MK!Zepatier!!847061000168101!elbasvir + grazoprevir!!!847091000168108!elbasvir 50 mg + grazoprevir 100 mg tablet, 28!!!847101000168103!Zepatier tablet, 28!!1!28!8400.00!0.00!8400.00!!
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!10978T!MK!Zepatier!!847061000168101!elbasvir + grazoprevir!!!847091000168108!elbasvir 50 mg + grazoprevir 100 mg tablet, 28!!!847101000168103!Zepatier tablet, 28!!1!28!8400.00!0.00!8400.00!!
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!!
