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!1694E!AF!Adefin 10!!21241011000036108!nifedipine!!!28104011000036106!nifedipine 10 mg tablet, 60!!!14046011000036101!Adefin 10 mg tablet, 60!!1!60!4.64!0.00!4.64!!
GE!1695F!AF!Adefin 20!!21241011000036108!nifedipine!!!28105011000036105!nifedipine 20 mg tablet, 60!!!14047011000036103!Adefin 20 mg tablet, 60!!1!60!5.71!0.00!5.71!!
GE!1914R!VF!MSUD express 20!!50707011000036103!amino acid formula with vitamins and minerals without valine, leucine and isoleucine!!!42751000036106!amino acid formula with vitamins and minerals without valine, leucine and isoleucine powder for oral liquid, 30 x 34 g sachets!!!42741000036108!MSUD Express 20 powder for oral liquid, 30 x 34 g sachets!!4!4!801.64!0.00!801.64!!
GE!2115H!MK!Andriol Testocaps!!21393011000036106!testosterone undecanoate!!!28103011000036109!testosterone undecanoate 40 mg capsule, 60!!!14040011000036104!Andriol Testocap 40 mg capsule, 60!!1!60!20.43!0.00!20.43!!
GE!3179H!PF!Norinyl-1/28!!21651011000036108!norethisterone + mestranol!!!27486011000036108!norethisterone 1 mg + mestranol 50 microgram tablet [21] (&) inert substance tablet [7], 4 x 28!!!12986011000036109!Norinyl-1 28 Day (21 x 1 mg/50 microgram tablets, 7 x inert tablets), 4 x 28!!1!4!8.96!0.00!8.96!!
GE!5259T!SW!Rulide D!!21724011000036103!roxithromycin!!!27333011000036102!roxithromycin 50 mg dispersible tablet, 10!!!12753011000036101!Rulide D 50 mg dispersible tablet, 10!!1!10!5.24!0.00!5.24!!
GE!8129W!SW!Rulide D!!21724011000036103!roxithromycin!!!27333011000036102!roxithromycin 50 mg dispersible tablet, 10!!!12753011000036101!Rulide D 50 mg dispersible tablet, 10!!1!10!5.24!0.00!5.24!!
GE!8334P!SW!Intal Forte CFC-Free!!21253011000036107!cromoglycate!!!27622011000036104!sodium cromoglycate 5 mg/actuation inhalation, 112 actuations!!!13211011000036105!Intal Forte CFC-Free 5 mg/actuation inhalation, 112 actuations!!1!1!25.79!0.00!25.79!!
GE!8767K!SW!Intal CFC-Free!!21253011000036107!cromoglycate!!!28131011000036101!sodium cromoglycate 1 mg/actuation inhalation, 200 actuations!!!14079011000036106!Intal CFC-Free 1 mg/actuation inhalation, 200 actuations!!1!1!21.90!0.00!21.90!!
GE!9317J!WA!Clopidogrel Winthrop!!21802011000036103!clopidogrel!!!27899011000036109!clopidogrel 75 mg tablet, 28!!!87431011000036102!Clopidogrel (Winthrop) 75 mg tablet, 28!!1!28!3.80!0.00!3.80!!
GE!9317J!HX!Clopidogrel Sandoz Pharma!!21802011000036103!clopidogrel!!!27899011000036109!clopidogrel 75 mg tablet, 28!!!1385331000168106!Clopidogrel (Sandoz Pharma) 75 mg tablet, 28!!1!28!3.80!0.00!3.80!!
GE!9317J!AV!Iscover!!21802011000036103!clopidogrel!!!27899011000036109!clopidogrel 75 mg tablet, 28!!!13722011000036101!Iscover 75 mg tablet, 28!!1!28!3.80!0.00!3.80!!
GE!9317J!IB!Blooms the Chemist Clopidogrel!!21802011000036103!clopidogrel!!!27899011000036109!clopidogrel 75 mg tablet, 28!!!787901000168109!Clopidogrel (Blooms The Chemist) 75 mg tablet, 28!!1!28!3.80!0.00!3.80!!
GE!9317J!AF!Piax!!21802011000036103!clopidogrel!!!27899011000036109!clopidogrel 75 mg tablet, 28!!!87510011000036108!Piax 75 mg tablet, 28!!1!28!3.80!0.00!3.80!!
GE!9351E!RZ!ReddyMax Plus D-Cal!!13681000144105!alendronate + colecalciferol (&) calcium carbonate!!!58811000144104!alendronate 70 mg + colecalciferol 140 microgram tablet [4] (&) calcium (as carbonate) 500 mg tablet [48], 1 pack!!!362611000144106!ReddyMax Plus D-Cal (4 x 70 mg/140 microgram tablets, 48 x 1.25 g tablets), 1 pack!!1!1!2.45!0.00!2.45!!
GE!9412J!GO!Creon 40,000!!9341000144106!pancreatic extract!!!44341000144100!pancreatic extract 40 000 units modified release capsule, 100!!!133941000144105!Creon 40 000 units modified release capsule, 100!!2!200!77.63!0.00!77.63!!
GE!9413K!GO!Creon 40,000!!9341000144106!pancreatic extract!!!44341000144100!pancreatic extract 40 000 units modified release capsule, 100!!!133941000144105!Creon 40 000 units modified release capsule, 100!!2!200!77.63!0.00!77.63!!
GE!2275R!JB!BTC Clopidogrel!!21802011000036103!clopidogrel!!!27899011000036109!clopidogrel 75 mg tablet, 28!!!1435781000168106!Clopidogrel (BTC) 75 mg tablet, 28!!1!28!3.80!0.00!3.80!!
GE!2275R!RW!Clovix 75!!21802011000036103!clopidogrel!!!27899011000036109!clopidogrel 75 mg tablet, 28!!!85692011000036102!Clovix 75 mg tablet, 28!!1!28!3.80!0.00!3.80!!
GE!2275R!GQ!Clopidogrel GH!!21802011000036103!clopidogrel!!!27899011000036109!clopidogrel 75 mg tablet, 28!!!7651000036107!Clopidogrel (GH) 75 mg tablet, 28!!1!28!3.80!0.00!3.80!!
GE!2275R!RF!Plidogrel!!21802011000036103!clopidogrel!!!27899011000036109!clopidogrel 75 mg tablet, 28!!!687211000168107!Plidogrel 75 mg tablet, 28!!1!28!3.80!0.00!3.80!!
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!10668L!GI!Harvoni!!717591000168105!ledipasvir + sofosbuvir!!!717621000168107!ledipasvir 90 mg + sofosbuvir 400 mg tablet, 28!!!717631000168105!Harvoni tablet, 28!!1!28!11875.00!0.00!11875.00!!
GE!10628J!GI!Harvoni!!717591000168105!ledipasvir + sofosbuvir!!!717621000168107!ledipasvir 90 mg + sofosbuvir 400 mg tablet, 28!!!717631000168105!Harvoni tablet, 28!!1!28!11875.00!0.00!11875.00!!
GE!10670N!GI!Harvoni!!717591000168105!ledipasvir + sofosbuvir!!!717621000168107!ledipasvir 90 mg + sofosbuvir 400 mg tablet, 28!!!717631000168105!Harvoni tablet, 28!!1!28!11875.00!0.00!11875.00!!
GE!10992M!QH!PKU Bettermilk Lite!!132091000036106!glycomacropeptide and essential amino acids with vitamins and minerals!!!858861000168105!glycomacropeptide and essential amino acids with vitamins and minerals powder for oral liquid, 30 x 51 g sachets!!!858871000168104!PKU Bettermilk Lite powder for oral liquid, 30 x 51 g sachets!!4!4!480.97!0.00!480.97!!
GE!11049M!EA!restore O.R.S.!!7861000144106!sodium chloride + potassium chloride + glucose monohydrate + citric acid!!!28137011000036109!sodium chloride 470 mg + potassium chloride 300 mg (potassium 4 mmol) + glucose monohydrate 3.56 g + sodium acid citrate 530 mg powder for oral liquid, 10 x 4.9 g sachets!!!14085011000036102!Restore O.R.S. powder for oral liquid, 10 x 4.9 g sachets!!30!30!4.47!0.00!4.47!!
GE!11151X!VF!TYR express 20!!50743011000036102!amino acid formula with vitamins and minerals without phenylalanine and tyrosine!!!973171000168105!amino acid formula with vitamins and minerals without phenylalanine and tyrosine powder for oral liquid, 30 x 34 g sachets!!!973181000168108!TYR Express 20 powder for oral liquid, 30 x 34 g sachets!!4!4!799.25!0.00!799.25!!
HB!10661D!GI!Harvoni!!717591000168105!ledipasvir + sofosbuvir!!!717621000168107!ledipasvir 90 mg + sofosbuvir 400 mg tablet, 28!!!717631000168105!Harvoni tablet, 28!!1!28!11875.00!0.00!11875.00!!
HB!10667K!GI!Harvoni!!717591000168105!ledipasvir + sofosbuvir!!!717621000168107!ledipasvir 90 mg + sofosbuvir 400 mg tablet, 28!!!717631000168105!Harvoni tablet, 28!!1!28!11875.00!0.00!11875.00!!
HB!10669M!GI!Harvoni!!717591000168105!ledipasvir + sofosbuvir!!!717621000168107!ledipasvir 90 mg + sofosbuvir 400 mg tablet, 28!!!717631000168105!Harvoni tablet, 28!!1!28!11875.00!0.00!11875.00!!
HB!11549W!AP!Fasenra!!1231151000168102!benralizumab!!!1231201000168105!benralizumab 30 mg/mL injection, 1 mL syringe!!!1231211000168108!Fasenra 30 mg/mL injection, 1 mL syringe!!1!1!3311.00!0.00!3311.00!!
HB!11529T!AP!Fasenra!!1231151000168102!benralizumab!!!1231201000168105!benralizumab 30 mg/mL injection, 1 mL syringe!!!1231211000168108!Fasenra 30 mg/mL injection, 1 mL syringe!!1!1!3311.00!0.00!3311.00!!
HB!11805H!SZ!Riximyo!!21460011000036105!rituximab!!!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!!!1056381000168106!Riximyo 500 mg/50 mL injection, 50 mL vial!500!2!2!339.80!0.00!339.80!339.80!
HB!11805H!PF!Ruxience!!21460011000036105!rituximab!!!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!!!1558111000168104!Ruxience 500 mg/50 mL injection, 50 mL vial!500!2!2!339.80!0.00!339.80!339.80!
HB!11805H!EW!Truxima!!21460011000036105!rituximab!!!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!!!1123871000168101!Truxima 500 mg/50 mL injection, 50 mL vial!500!2!2!339.80!0.00!339.80!339.80!
HB!11830P!AP!Fasenra!!1231151000168102!benralizumab!!!1231201000168105!benralizumab 30 mg/mL injection, 1 mL syringe!!!1231211000168108!Fasenra 30 mg/mL injection, 1 mL syringe!!1!1!3311.00!0.00!3311.00!!
HS!10672Q!GI!Harvoni!!717591000168105!ledipasvir + sofosbuvir!!!717621000168107!ledipasvir 90 mg + sofosbuvir 400 mg tablet, 28!!!717631000168105!Harvoni tablet, 28!!1!28!11875.00!0.00!11875.00!!
HS!10653Q!GI!Harvoni!!717591000168105!ledipasvir + sofosbuvir!!!717621000168107!ledipasvir 90 mg + sofosbuvir 400 mg tablet, 28!!!717631000168105!Harvoni tablet, 28!!1!28!11875.00!0.00!11875.00!!
HS!10679C!GI!Harvoni!!717591000168105!ledipasvir + sofosbuvir!!!717621000168107!ledipasvir 90 mg + sofosbuvir 400 mg tablet, 28!!!717631000168105!Harvoni tablet, 28!!1!28!11875.00!0.00!11875.00!!
HS!11523L!AP!Fasenra!!1231151000168102!benralizumab!!!1231201000168105!benralizumab 30 mg/mL injection, 1 mL syringe!!!1231211000168108!Fasenra 30 mg/mL injection, 1 mL syringe!!1!1!3311.00!0.00!3311.00!!
HS!11504L!AP!Fasenra!!1231151000168102!benralizumab!!!1231201000168105!benralizumab 30 mg/mL injection, 1 mL syringe!!!1231211000168108!Fasenra 30 mg/mL injection, 1 mL syringe!!1!1!3311.00!0.00!3311.00!!
HS!11790M!EW!Truxima!!21460011000036105!rituximab!!!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!!!1123871000168101!Truxima 500 mg/50 mL injection, 50 mL vial!500!2!2!339.80!0.00!339.80!339.80!
HS!11790M!PF!Ruxience!!21460011000036105!rituximab!!!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!!!1558111000168104!Ruxience 500 mg/50 mL injection, 50 mL vial!500!2!2!339.80!0.00!339.80!339.80!
HS!11790M!SZ!Riximyo!!21460011000036105!rituximab!!!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!!!1056381000168106!Riximyo 500 mg/50 mL injection, 50 mL vial!500!2!2!339.80!0.00!339.80!339.80!
HS!11847M!AP!Fasenra!!1231151000168102!benralizumab!!!1231201000168105!benralizumab 30 mg/mL injection, 1 mL syringe!!!1231211000168108!Fasenra 30 mg/mL injection, 1 mL syringe!!1!1!3311.00!0.00!3311.00!!
IN!7257Y!SZ!Riximyo!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1056431000168104!Riximyo 100 mg/10 mL injection, 10 mL vial!1056441000168108!Riximyo 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IN!7257Y!SZ!Riximyo!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1056371000168108!Riximyo 500 mg/50 mL injection, 50 mL vial!1056381000168106!Riximyo 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IN!7257Y!EW!Truxima!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1124031000168106!Truxima 100 mg/10 mL injection, 10 mL vial!1124041000168102!Truxima 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IN!7257Y!EW!Truxima!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1123861000168107!Truxima 500 mg/50 mL injection, 50 mL vial!1123871000168101!Truxima 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IN!7257Y!PF!Ruxience!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!1558141000168100!rituximab 100 mg/10 mL injection, 10 mL vial!1558131000168109!Ruxience 100 mg/10 mL injection, 10 mL vial!1558151000168103!Ruxience 100 mg/10 mL injection, 10 mL vial!100!!800!67.96!67.96!67.96!67.96!
IN!7257Y!PF!Ruxience!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1558101000168102!Ruxience 500 mg/50 mL injection, 50 mL vial!1558111000168104!Ruxience 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IN!7258B!SZ!Riximyo!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1056431000168104!Riximyo 100 mg/10 mL injection, 10 mL vial!1056441000168108!Riximyo 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IN!7258B!SZ!Riximyo!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1056371000168108!Riximyo 500 mg/50 mL injection, 50 mL vial!1056381000168106!Riximyo 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IN!7258B!EW!Truxima!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1124031000168106!Truxima 100 mg/10 mL injection, 10 mL vial!1124041000168102!Truxima 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IN!7258B!EW!Truxima!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1123861000168107!Truxima 500 mg/50 mL injection, 50 mL vial!1123871000168101!Truxima 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IN!7258B!PF!Ruxience!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1558101000168102!Ruxience 500 mg/50 mL injection, 50 mL vial!1558111000168104!Ruxience 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IN!7258B!PF!Ruxience!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!1558141000168100!rituximab 100 mg/10 mL injection, 10 mL vial!1558131000168109!Ruxience 100 mg/10 mL injection, 10 mL vial!1558151000168103!Ruxience 100 mg/10 mL injection, 10 mL vial!100!!800!67.96!67.96!67.96!67.96!
IN!7259C!SZ!Riximyo!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1056431000168104!Riximyo 100 mg/10 mL injection, 10 mL vial!1056441000168108!Riximyo 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IN!7259C!SZ!Riximyo!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1056371000168108!Riximyo 500 mg/50 mL injection, 50 mL vial!1056381000168106!Riximyo 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IN!7259C!EW!Truxima!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1124031000168106!Truxima 100 mg/10 mL injection, 10 mL vial!1124041000168102!Truxima 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IN!7259C!EW!Truxima!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1123861000168107!Truxima 500 mg/50 mL injection, 50 mL vial!1123871000168101!Truxima 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IN!7259C!PF!Ruxience!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!1558141000168100!rituximab 100 mg/10 mL injection, 10 mL vial!1558131000168109!Ruxience 100 mg/10 mL injection, 10 mL vial!1558151000168103!Ruxience 100 mg/10 mL injection, 10 mL vial!100!!800!67.96!67.96!67.96!67.96!
IN!7259C!PF!Ruxience!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1558101000168102!Ruxience 500 mg/50 mL injection, 50 mL vial!1558111000168104!Ruxience 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IN!10193L!SZ!Riximyo!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1056431000168104!Riximyo 100 mg/10 mL injection, 10 mL vial!1056441000168108!Riximyo 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IN!10193L!SZ!Riximyo!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1056371000168108!Riximyo 500 mg/50 mL injection, 50 mL vial!1056381000168106!Riximyo 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IN!10193L!EW!Truxima!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1124031000168106!Truxima 100 mg/10 mL injection, 10 mL vial!1124041000168102!Truxima 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IN!10193L!EW!Truxima!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1123861000168107!Truxima 500 mg/50 mL injection, 50 mL vial!1123871000168101!Truxima 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IN!10193L!PF!Ruxience!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!1558141000168100!rituximab 100 mg/10 mL injection, 10 mL vial!1558131000168109!Ruxience 100 mg/10 mL injection, 10 mL vial!1558151000168103!Ruxience 100 mg/10 mL injection, 10 mL vial!100!!800!67.96!67.96!67.96!67.96!
IN!10193L!PF!Ruxience!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1558101000168102!Ruxience 500 mg/50 mL injection, 50 mL vial!1558111000168104!Ruxience 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IN!11935E!SZ!Riximyo!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1056371000168108!Riximyo 500 mg/50 mL injection, 50 mL vial!1056381000168106!Riximyo 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IN!11935E!EW!Truxima!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1124031000168106!Truxima 100 mg/10 mL injection, 10 mL vial!1124041000168102!Truxima 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IN!11935E!EW!Truxima!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1123861000168107!Truxima 500 mg/50 mL injection, 50 mL vial!1123871000168101!Truxima 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IN!11935E!SZ!Riximyo!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1056431000168104!Riximyo 100 mg/10 mL injection, 10 mL vial!1056441000168108!Riximyo 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IN!11935E!PF!Ruxience!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!1558141000168100!rituximab 100 mg/10 mL injection, 10 mL vial!1558131000168109!Ruxience 100 mg/10 mL injection, 10 mL vial!1558151000168103!Ruxience 100 mg/10 mL injection, 10 mL vial!100!!800!67.96!67.96!67.96!67.96!
IN!11935E!PF!Ruxience!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1558101000168102!Ruxience 500 mg/50 mL injection, 50 mL vial!1558111000168104!Ruxience 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IP!4613T!SZ!Riximyo!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1056431000168104!Riximyo 100 mg/10 mL injection, 10 mL vial!1056441000168108!Riximyo 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IP!4613T!SZ!Riximyo!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1056371000168108!Riximyo 500 mg/50 mL injection, 50 mL vial!1056381000168106!Riximyo 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IP!4613T!EW!Truxima!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1124031000168106!Truxima 100 mg/10 mL injection, 10 mL vial!1124041000168102!Truxima 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IP!4613T!EW!Truxima!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1123861000168107!Truxima 500 mg/50 mL injection, 50 mL vial!1123871000168101!Truxima 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IP!4613T!PF!Ruxience!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!1558141000168100!rituximab 100 mg/10 mL injection, 10 mL vial!1558131000168109!Ruxience 100 mg/10 mL injection, 10 mL vial!1558151000168103!Ruxience 100 mg/10 mL injection, 10 mL vial!100!!800!67.96!67.96!67.96!67.96!
IP!4613T!PF!Ruxience!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1558101000168102!Ruxience 500 mg/50 mL injection, 50 mL vial!1558111000168104!Ruxience 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IP!4614W!SZ!Riximyo!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1056431000168104!Riximyo 100 mg/10 mL injection, 10 mL vial!1056441000168108!Riximyo 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IP!4614W!SZ!Riximyo!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1056371000168108!Riximyo 500 mg/50 mL injection, 50 mL vial!1056381000168106!Riximyo 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IP!4614W!EW!Truxima!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1124031000168106!Truxima 100 mg/10 mL injection, 10 mL vial!1124041000168102!Truxima 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IP!4614W!EW!Truxima!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1123861000168107!Truxima 500 mg/50 mL injection, 50 mL vial!1123871000168101!Truxima 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IP!4614W!PF!Ruxience!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!1558141000168100!rituximab 100 mg/10 mL injection, 10 mL vial!1558131000168109!Ruxience 100 mg/10 mL injection, 10 mL vial!1558151000168103!Ruxience 100 mg/10 mL injection, 10 mL vial!100!!800!67.96!67.96!67.96!67.96!
IP!4614W!PF!Ruxience!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1558101000168102!Ruxience 500 mg/50 mL injection, 50 mL vial!1558111000168104!Ruxience 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IP!4615X!SZ!Riximyo!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1056431000168104!Riximyo 100 mg/10 mL injection, 10 mL vial!1056441000168108!Riximyo 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IP!4615X!SZ!Riximyo!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1056371000168108!Riximyo 500 mg/50 mL injection, 50 mL vial!1056381000168106!Riximyo 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IP!4615X!EW!Truxima!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1124031000168106!Truxima 100 mg/10 mL injection, 10 mL vial!1124041000168102!Truxima 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IP!4615X!EW!Truxima!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1123861000168107!Truxima 500 mg/50 mL injection, 50 mL vial!1123871000168101!Truxima 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IP!4615X!PF!Ruxience!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!1558141000168100!rituximab 100 mg/10 mL injection, 10 mL vial!1558131000168109!Ruxience 100 mg/10 mL injection, 10 mL vial!1558151000168103!Ruxience 100 mg/10 mL injection, 10 mL vial!100!!800!67.96!67.96!67.96!67.96!
IP!4615X!PF!Ruxience!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1558101000168102!Ruxience 500 mg/50 mL injection, 50 mL vial!1558111000168104!Ruxience 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IP!10179R!SZ!Riximyo!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1056431000168104!Riximyo 100 mg/10 mL injection, 10 mL vial!1056441000168108!Riximyo 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IP!10179R!SZ!Riximyo!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1056371000168108!Riximyo 500 mg/50 mL injection, 50 mL vial!1056381000168106!Riximyo 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IP!10179R!EW!Truxima!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1124031000168106!Truxima 100 mg/10 mL injection, 10 mL vial!1124041000168102!Truxima 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IP!10179R!EW!Truxima!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1123861000168107!Truxima 500 mg/50 mL injection, 50 mL vial!1123871000168101!Truxima 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IP!10179R!PF!Ruxience!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!1558141000168100!rituximab 100 mg/10 mL injection, 10 mL vial!1558131000168109!Ruxience 100 mg/10 mL injection, 10 mL vial!1558151000168103!Ruxience 100 mg/10 mL injection, 10 mL vial!100!!800!67.96!67.96!67.96!67.96!
IP!10179R!PF!Ruxience!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1558101000168102!Ruxience 500 mg/50 mL injection, 50 mL vial!1558111000168104!Ruxience 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IP!11936F!SZ!Riximyo!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1056431000168104!Riximyo 100 mg/10 mL injection, 10 mL vial!1056441000168108!Riximyo 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IP!11936F!SZ!Riximyo!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1056371000168108!Riximyo 500 mg/50 mL injection, 50 mL vial!1056381000168106!Riximyo 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IP!11936F!EW!Truxima!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!27457011000036100!rituximab 100 mg/10 mL injection, 2 x 10 mL vials!1124031000168106!Truxima 100 mg/10 mL injection, 10 mL vial!1124041000168102!Truxima 100 mg/10 mL injection, 2 x 10 mL vials!100!!800!135.92!67.96!135.92!67.96!
IP!11936F!EW!Truxima!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1123861000168107!Truxima 500 mg/50 mL injection, 50 mL vial!1123871000168101!Truxima 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
IP!11936F!PF!Ruxience!1 mg!21460011000036105!rituximab!22804011000036108!rituximab 100 mg/10 mL injection, vial!1558141000168100!rituximab 100 mg/10 mL injection, 10 mL vial!1558131000168109!Ruxience 100 mg/10 mL injection, 10 mL vial!1558151000168103!Ruxience 100 mg/10 mL injection, 10 mL vial!100!!800!67.96!67.96!67.96!67.96!
IP!11936F!PF!Ruxience!1 mg!21460011000036105!rituximab!22805011000036107!rituximab 500 mg/50 mL injection, vial!27458011000036104!rituximab 500 mg/50 mL injection, 50 mL vial!1558101000168102!Ruxience 500 mg/50 mL injection, 50 mL vial!1558111000168104!Ruxience 500 mg/50 mL injection, 50 mL vial!500!!800!339.80!339.80!339.80!339.80!
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!10344K!BY!Aptivus!!21820011000036106!tipranavir!!!26694011000036103!tipranavir 250 mg capsule, 120!!!11572011000036108!Aptivus 250 mg capsule, 120!!2!240!732.56!0.00!732.56!!
