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!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!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!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!1659H!IX!Naprosyn!!21304011000036105!naproxen!!!27554011000036104!naproxen 500 mg tablet, 50!!!13112011000036101!Naprosyn 500 mg tablet, 50!!1!50!4.99!0.00!4.99!!
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!1229Q!PF!Fragmin!!21450011000036103!dalteparin sodium!!!27585011000036109!dalteparin sodium 10 000 anti-Xa units/mL injection, 10 x 1 mL syringes!!!13166011000036101!Fragmin 10 000 anti-Xa units/mL injection, 10 x 1 mL syringes!!2!20!58.08!0.00!58.08!!
GE!1296F!PF!Fragmin!!21450011000036103!dalteparin sodium!!!933226021000036100!dalteparin sodium 12 500 anti-Xa units/0.5 mL injection, 10 x 0.5 mL syringes!!!933226011000036107!Fragmin 12 500 anti-Xa units/0.5 mL injection, 10 x 0.5 mL syringes!!2!20!81.92!0.00!81.92!!
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!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!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!2732T!AF!Alodorm!!21647011000036102!nitrazepam!!!27314011000036105!nitrazepam 5 mg tablet, 25!!!12724011000036100!Alodorm 5 mg tablet, 25!!2!50!2.00!0.00!2.00!!
GE!2723H!AF!Alodorm!!21647011000036102!nitrazepam!!!27314011000036105!nitrazepam 5 mg tablet, 25!!!12724011000036100!Alodorm 5 mg tablet, 25!!1!25!2.00!0.00!2.00!!
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!2816F!PF!Fragmin!!21450011000036103!dalteparin sodium!!!33797011000036105!dalteparin sodium 5000 anti-Xa units/0.2 mL injection, 10 x 0.2 mL syringes!!!33313011000036101!Fragmin 5000 anti-Xa units/0.2 mL injection, 10 x 0.2 mL syringes!!2!20!35.17!0.00!35.17!!
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!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!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!5177L!IX!Naprosyn!!21304011000036105!naproxen!!!27554011000036104!naproxen 500 mg tablet, 50!!!13112011000036101!Naprosyn 500 mg tablet, 50!!1!50!4.99!0.00!4.99!!
GE!5189D!AF!Alodorm!!21647011000036102!nitrazepam!!!27314011000036105!nitrazepam 5 mg tablet, 25!!!12724011000036100!Alodorm 5 mg tablet, 25!!1!25!2.00!0.00!2.00!!
GE!5445N!PF!Fragmin!!21450011000036103!dalteparin sodium!!!933226021000036100!dalteparin sodium 12 500 anti-Xa units/0.5 mL injection, 10 x 0.5 mL syringes!!!933226011000036107!Fragmin 12 500 anti-Xa units/0.5 mL injection, 10 x 0.5 mL syringes!!1!10!81.92!0.00!81.92!!
GE!8269F!PF!Fragmin!!21450011000036103!dalteparin sodium!!!27585011000036109!dalteparin sodium 10 000 anti-Xa units/mL injection, 10 x 1 mL syringes!!!13166011000036101!Fragmin 10 000 anti-Xa units/mL injection, 10 x 1 mL syringes!!1!10!58.08!0.00!58.08!!
GE!8271H!PF!Fragmin!!21450011000036103!dalteparin sodium!!!27584011000036105!dalteparin sodium 7500 anti-Xa units/0.75 mL injection, 10 x 0.75 mL syringes!!!13165011000036108!Fragmin 7500 anti-Xa units/0.75 mL injection, 10 x 0.75 mL syringes!!1!10!42.55!0.00!42.55!!
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!8460G!TB!Androderm!!21290011000036109!testosterone!!!27488011000036107!testosterone 2.5 mg/24 hours patch, 60!!!12991011000036100!Androderm 2.5 mg/24 hours patch, 60!!1!1!61.41!0.00!61.41!!
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!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!8957K!PF!Fragmin!!21450011000036103!dalteparin sodium!!!27585011000036109!dalteparin sodium 10 000 anti-Xa units/mL injection, 10 x 1 mL syringes!!!13166011000036101!Fragmin 10 000 anti-Xa units/mL injection, 10 x 1 mL syringes!!3!30!58.08!0.00!58.08!!
GE!8958L!PF!Fragmin!!21450011000036103!dalteparin sodium!!!933226021000036100!dalteparin sodium 12 500 anti-Xa units/0.5 mL injection, 10 x 0.5 mL syringes!!!933226011000036107!Fragmin 12 500 anti-Xa units/0.5 mL injection, 10 x 0.5 mL syringes!!3!30!81.92!0.00!81.92!!
GE!8959M!PF!Fragmin!!21450011000036103!dalteparin sodium!!!46801000036102!dalteparin sodium 15 000 anti-Xa units/0.6 mL injection, 10 x 0.6 mL syringes!!!46791000036101!Fragmin 15 000 anti-Xa units/0.6 mL injection, 10 x 0.6 mL syringes!!3!30!98.29!0.00!98.29!!
GE!8960N!PF!Fragmin!!21450011000036103!dalteparin sodium!!!46781000036103!dalteparin sodium 18 000 anti-Xa units/0.72 mL injection, 10 x 0.72 mL syringes!!!46771000036100!Fragmin 18 000 anti-Xa units/0.72 mL injection, 10 x 0.72 mL syringes!!3!30!117.96!0.00!117.96!!
GE!8641T!PF!Fragmin!!21450011000036103!dalteparin sodium!!!33796011000036107!dalteparin sodium 2500 anti-Xa units/0.2 mL injection, 10 x 0.2 mL syringes!!!33312011000036108!Fragmin 2500 anti-Xa units/0.2 mL injection, 10 x 0.2 mL syringes!!2!20!33.76!0.00!33.76!!
GE!8603T!PF!Fragmin!!21450011000036103!dalteparin sodium!!!33796011000036107!dalteparin sodium 2500 anti-Xa units/0.2 mL injection, 10 x 0.2 mL syringes!!!33312011000036108!Fragmin 2500 anti-Xa units/0.2 mL injection, 10 x 0.2 mL syringes!!2!20!33.76!0.00!33.76!!
GE!8642W!PF!Fragmin!!21450011000036103!dalteparin sodium!!!33797011000036105!dalteparin sodium 5000 anti-Xa units/0.2 mL injection, 10 x 0.2 mL syringes!!!33313011000036101!Fragmin 5000 anti-Xa units/0.2 mL injection, 10 x 0.2 mL syringes!!2!20!35.17!0.00!35.17!!
GE!8956J!PF!Fragmin!!21450011000036103!dalteparin sodium!!!27584011000036105!dalteparin sodium 7500 anti-Xa units/0.75 mL injection, 10 x 0.75 mL syringes!!!13165011000036108!Fragmin 7500 anti-Xa units/0.75 mL injection, 10 x 0.75 mL syringes!!3!30!42.55!0.00!42.55!!
GE!8643X!PF!Fragmin!!21450011000036103!dalteparin sodium!!!27584011000036105!dalteparin sodium 7500 anti-Xa units/0.75 mL injection, 10 x 0.75 mL syringes!!!13165011000036108!Fragmin 7500 anti-Xa units/0.75 mL injection, 10 x 0.75 mL syringes!!2!20!42.55!0.00!42.55!!
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!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!8612G!AE!lax-sachets!!32631011000036109!macrogol-3350 + sodium chloride + bicarbonate + potassium chloride!!!669081000168100!macrogol-3350 13.125 g + sodium chloride 350.7 mg + sodium bicarbonate 178.5 mg + potassium chloride 46.6 mg powder for oral liquid, 30 sachets!!!674291000168101!Lax-Sachets powder for oral liquid, 30 sachets!!1!1!7.04!0.00!7.04!!
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!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!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!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!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!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!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!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!2817G!AP!Bricanyl Turbuhaler!!21514011000036105!terbutaline!!!149821000036105!terbutaline sulfate 500 microgram/actuation powder for inhalation, 100 actuations!!!149811000036103!Bricanyl Turbuhaler 500 microgram/actuation powder for inhalation, 100 actuations!!2!2!6.82!0.00!6.82!!
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!11050N!AP!Lynparza!!807191000168100!olaparib!!!807251000168103!olaparib 50 mg capsule, 4 x 112!!!807261000168101!Lynparza 50 mg capsule, 4 x 112!!1!448!6810.00!0.00!6810.00!!
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!10888C!AP!Bydureon!!44897011000036109!exenatide!!!1348111000168104!exenatide 2 mg modified release injection [1 chamber] (&) inert substance diluent [1 chamber], 4 dual chamber pen devices!!!1348121000168106!Bydureon (1 x 2 mg chamber, 1 x inert diluent chamber), 4 dual chamber pen devices!!1!4!100.30!0.00!100.30!!
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!11108P!VF!Keyo!!79093011000036108!high fat formula with vitamins, minerals and trace elements and low in protein and carbohydrate!!!919741000168106!high fat formula with vitamins, minerals and trace elements and low in protein and carbohydrate oral semi-solid, 48 x 100 g tubs!!!919751000168108!Keyo oral semi-solid, 48 x 100 g tubs!!3!3!232.18!0.00!232.18!!
PL!5302C!AS!Bisalax!!21264011000036101!bisacodyl!!!27030011000036106!bisacodyl 10 mg/5 mL enema, 25 x 5 mL!!!12268011000036105!Bisalax Micro 10 mg/5 mL enema, 25 x 5 mL!!1!1!25.49!0.00!25.49!!
PL!5303D!PP!Petrus Bisacodyl Suppositories!!21264011000036101!bisacodyl!!!27141011000036109!bisacodyl 10 mg suppository, 10!!!12473011000036106!Bisacodyl (Petrus) 10 mg suppository, 10!!3!3!3.92!0.00!3.92!!0.00
PL!5303D!VZ!Dulcolax!!21264011000036101!bisacodyl!!!27141011000036109!bisacodyl 10 mg suppository, 10!!!12160011000036106!Dulcolax 10 mg suppository, 10!!3!3!3.92!0.00!4.32!!
PL!5304E!PP!Petrus Bisacodyl Suppositories!!21264011000036101!bisacodyl!!!27142011000036103!bisacodyl 10 mg suppository, 12!!!12474011000036108!Bisacodyl (Petrus) 10 mg suppository, 12!!3!3!3.21!0.00!3.21!!
PL!5363G!NV!Voltaren 100!!21288011000036105!diclofenac!!!27064011000036105!diclofenac sodium 100 mg suppository, 20!!!12328011000036108!Voltaren 100 mg suppository, 20!!2!40!7.64!0.00!7.64!!
PL!5361E!EA!Diclofenac AN!!21288011000036105!diclofenac!!!27884011000036109!diclofenac sodium 25 mg enteric tablet, 50!!!670631000168109!Diclofenac Sodium (AN) 25 mg enteric tablet, 50!!2!100!1.37!0.00!1.37!!0.00
PL!5361E!SZ!Diclofenac Sandoz!!21288011000036105!diclofenac!!!27884011000036109!diclofenac sodium 25 mg enteric tablet, 50!!!933226221000036106!Diclofenac Sodium (Sandoz) 25 mg enteric tablet, 50!!2!100!1.37!0.00!1.37!!0.00
PL!5361E!ED!Diclofenac Amneal!!21288011000036105!diclofenac!!!27884011000036109!diclofenac sodium 25 mg enteric tablet, 50!!!952111000168109!Diclofenac (Amneal) 25 mg enteric tablet, 50!!2!100!1.37!0.00!1.37!!0.00
PL!5361E!AF!Fenac 25!!21288011000036105!diclofenac!!!27884011000036109!diclofenac sodium 25 mg enteric tablet, 50!!!930788011000036107!Fenac 25 mg enteric tablet, 50!!2!100!1.37!0.00!1.37!!0.00
PL!5361E!TX!APO-Diclofenac!!21288011000036105!diclofenac!!!27884011000036109!diclofenac sodium 25 mg enteric tablet, 50!!!82187011000036103!Diclofenac Sodium (Apo) 25 mg enteric tablet, 50!!2!100!1.37!0.00!1.37!!0.00
PL!5361E!RW!Clonac 25!!21288011000036105!diclofenac!!!27884011000036109!diclofenac sodium 25 mg enteric tablet, 50!!!13638011000036108!Clonac 25 mg enteric tablet, 50!!2!100!1.37!0.00!1.37!!0.00
PL!5361E!NV!Voltaren 25!!21288011000036105!diclofenac!!!27884011000036109!diclofenac sodium 25 mg enteric tablet, 50!!!11416011000036108!Voltaren 25 mg enteric tablet, 50!!2!100!1.37!0.00!2.97!!
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!5362F!ED!Diclofenac Amneal!!21288011000036105!diclofenac!!!27885011000036108!diclofenac sodium 50 mg enteric tablet, 50!!!952191000168100!Diclofenac (Amneal) 50 mg enteric tablet, 50!!1!50!1.91!0.00!1.91!!0.00
PL!5362F!RW!Clonac 50!!21288011000036105!diclofenac!!!27885011000036108!diclofenac sodium 50 mg enteric tablet, 50!!!13637011000036107!Clonac 50 mg enteric tablet, 50!!1!50!1.91!0.00!1.91!!0.00
PL!5362F!NV!Voltaren 50!!21288011000036105!diclofenac!!!27885011000036108!diclofenac sodium 50 mg enteric tablet, 50!!!11417011000036106!Voltaren 50 mg enteric tablet, 50!!1!50!1.91!0.00!5.12!!
PL!5362F!TX!APO-Diclofenac!!21288011000036105!diclofenac!!!27885011000036108!diclofenac sodium 50 mg enteric tablet, 50!!!84042011000036107!Diclofenac Sodium (Apo) 50 mg enteric tablet, 50!!1!50!1.91!0.00!1.91!!0.00
PL!5362F!SZ!Diclofenac Sandoz!!21288011000036105!diclofenac!!!27885011000036108!diclofenac sodium 50 mg enteric tablet, 50!!!933226211000036104!Diclofenac Sodium (Sandoz) 50 mg enteric tablet, 50!!1!50!1.91!0.00!1.91!!0.00
PL!5362F!AF!Fenac!!21288011000036105!diclofenac!!!27885011000036108!diclofenac sodium 50 mg enteric tablet, 50!!!12365011000036107!Fenac 50 mg enteric tablet, 50!!1!50!1.91!0.00!1.91!!0.00
PL!5362F!EA!Diclofenac AN!!21288011000036105!diclofenac!!!27885011000036108!diclofenac sodium 50 mg enteric tablet, 50!!!670661000168101!Diclofenac Sodium (AN) 50 mg enteric tablet, 50!!1!50!1.91!0.00!1.91!!0.00
PL!5378C!AS!Indocid!!21301011000036107!indometacin!!!26600011000036106!indometacin 100 mg suppository, 20!!!11311011000036105!Indocid 100 mg suppository, 20!!2!40!6.50!0.00!6.50!!
PL!5346J!IX!Naprosyn!!21304011000036105!naproxen!!!27554011000036104!naproxen 500 mg tablet, 50!!!13112011000036101!Naprosyn 500 mg tablet, 50!!1!50!4.99!0.00!4.99!!
PL!5359C!AF!Alodorm!!21647011000036102!nitrazepam!!!27314011000036105!nitrazepam 5 mg tablet, 25!!!12724011000036100!Alodorm 5 mg tablet, 25!!2!50!2.00!0.00!2.00!!
PL!5389P!AE!lax-sachets!!32631011000036109!macrogol-3350 + sodium chloride + bicarbonate + potassium chloride!!!669081000168100!macrogol-3350 13.125 g + sodium chloride 350.7 mg + sodium bicarbonate 178.5 mg + potassium chloride 46.6 mg powder for oral liquid, 30 sachets!!!674291000168101!Lax-Sachets powder for oral liquid, 30 sachets!!2!2!7.04!0.00!7.04!!
PL!5301B!AE!Lax-Tab!!21264011000036101!bisacodyl!!!27705011000036106!bisacodyl 5 mg enteric tablet, 200!!!11603011000036102!Lax-Tab 5 mg enteric tablet, 200!!1!200!5.57!0.00!5.57!!
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!605.17!605.17!605.17!605.17!
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!518.72!518.72!518.72!518.72!
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!605.17!605.17!605.17!605.17!
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!518.72!518.72!518.72!518.72!
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!605.17!605.17!605.17!605.17!
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!518.72!518.72!518.72!518.72!
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!605.17!605.17!605.17!605.17!
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!518.72!518.72!518.72!518.72!
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!172.91!172.91!172.91!172.91!
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!518.72!518.72!518.72!518.72!
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!172.91!172.91!172.91!172.91!
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!518.72!518.72!518.72!518.72!
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!172.91!172.91!172.91!172.91!
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!518.72!518.72!518.72!518.72!
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!605.17!605.17!605.17!605.17!
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!518.72!518.72!518.72!518.72!
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!605.17!605.17!605.17!605.17!
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!518.72!518.72!518.72!518.72!
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!605.17!605.17!605.17!605.17!
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!518.72!518.72!518.72!518.72!
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!605.17!605.17!605.17!605.17!
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!518.72!518.72!518.72!518.72!
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!172.91!172.91!172.91!172.91!
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!518.72!518.72!518.72!518.72!
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!172.91!172.91!172.91!172.91!
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!518.72!518.72!518.72!518.72!
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!172.91!172.91!172.91!172.91!
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!518.72!518.72!518.72!518.72!
CA!10365M!RO!Fuzeon!!21744011000036100!enfuvirtide!!!28193011000036107!enfuvirtide 90 mg injection [60 vials] (&) inert substance diluent [60 x 1.1 mL vials], 1 pack!!!14177011000036107!Fuzeon (60 x 90 mg vials, 60 x 1.1 mL inert diluent vials), 1 pack!!2!2!1797.51!0.00!1797.51!!
CA!10287K!JC!Prezista!!32622011000036101!darunavir!!!86436011000036108!darunavir 150 mg tablet, 240!!!85693011000036109!Prezista 150 mg tablet, 240!!1!240!672.48!0.00!672.48!!
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!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!!
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!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!!
