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
CT!12673B!JC!Darzalex SC!!1037741000168102!daratumumab!!!1577201000168107!daratumumab 1.8 g/15 mL injection, 15 mL vial!!!1577211000168105!Darzalex SC 1.8 g/15 mL injection, 15 mL vial!!1!1!7010.28!0.00!7010.28!!
GE!1606M!AS!Physeptone!!21357011000036109!methadone!!!26632011000036100!methadone hydrochloride 10 mg/mL injection, 5 x 1 mL ampoules!!!11397011000036103!Physeptone 10 mg/mL injection, 5 x 1 mL ampoules!!1!5!33.18!0.00!33.18!!
GE!1763T!NO!Mixtard 30/70 Penfill 3 mL!!33639011000036103!insulin neutral human + insulin isophane human!!!27770011000036107!insulin neutral human 30 units/mL + insulin isophane human 70 units/mL injection, 5 x 3 mL cartridges!!!12509011000036106!Mixtard 30/70 Penfill injection, 5 x 3 mL cartridges!!5!5!23.49!0.00!23.49!!
GE!2676W!NT!Alfare!!50746011000036108!protein hydrolysate formula with medium chain triglycerides!!!51428011000036108!protein hydrolysate formula with medium chain triglycerides powder for oral liquid, 400 g!!!49470011000036106!Alfare powder for oral liquid, 400 g!!8!8!14.21!0.00!14.21!!
GE!3104J!DX!Diastix!!50762011000036101!glucose indicator urine!!!51569011000036103!glucose indicator urine diagnostic strip, 50!!!49710011000036106!Diastix diagnostic strip, 50!!2!2!3.42!0.00!3.42!!
GE!9210R!PP!Optifresh eye gel!!35685011000036104!carbomer-980!!!35770011000036107!carbomer-980 0.2% eye gel, 10 g!!!169691000036100!Optifresh 0.2% eye gel, 10 g!!1!1!3.12!0.00!3.12!!0.00
GE!9210R!UO!Viscotears!!35685011000036104!carbomer-980!!!35770011000036107!carbomer-980 0.2% eye gel, 10 g!!!35573011000036103!Viscotears Liquid 0.2% eye gel, 10 g!!1!1!3.12!0.00!6.70!!
GE!9210R!UL!PAA!!35685011000036104!carbomer-980!!!35770011000036107!carbomer-980 0.2% eye gel, 10 g!!!35559011000036103!PAA 0.2% eye gel, 10 g!!1!1!3.12!0.00!3.12!!0.00
GE!9214Y!AF!Methopt!!35690011000036109!hypromellose!!!35759011000036104!hypromellose 0.5% eye drops, 15 mL!!!35558011000036106!Methopt Tears 0.5% eye drops, 15 mL!!1!1!3.50!0.00!3.50!!
GE!9216C!AQ!Tears Naturale!!35686011000036106!dextran-70 + hypromellose!!!35766011000036100!dextran-70 0.1% + hypromellose 0.3% eye drops, 15 mL!!!35569011000036108!Tears Naturale 0.1% / 0.3% eye drops, 15 mL!!1!1!3.50!0.00!7.22!!
GE!9216C!IQ!Poly-Tears!!35686011000036106!dextran-70 + hypromellose!!!35766011000036100!dextran-70 0.1% + hypromellose 0.3% eye drops, 15 mL!!!35563011000036105!Poly-Tears 0.1% / 0.3% eye drops, 15 mL!!1!1!3.50!0.00!3.50!!0.00
GE!9217D!IQ!Poly Visc!!35692011000036108!paraffin!!!35762011000036104!paraffin 1 g/g eye ointment, 3.5 g!!!35562011000036103!Poly Visc 1 g/g eye ointment, 3.5 g!!2!2!3.58!0.00!3.58!!
GE!9218E!VE!Refresh Night Time!!35692011000036108!paraffin!!!35761011000036105!paraffin 1 g/g eye ointment, 2 x 3.5 g!!!138691000036103!Refresh Night Time 1 g/g eye ointment, 2 x 3.5 g!!1!1!6.86!0.00!7.88!!
GE!9218E!IQ!Poly Visc!!35692011000036108!paraffin!!!35761011000036105!paraffin 1 g/g eye ointment, 2 x 3.5 g!!!35561011000036109!Poly Visc 1 g/g eye ointment, 2 x 3.5 g!!1!1!6.86!0.00!6.86!!
GE!9219F!AQ!Systane!!11731000144100!polyethylene glycol-400 + propylene glycol!!!53311000144100!polyethylene glycol-400 0.4% + propylene glycol 0.3% eye drops, 15 mL!!!63341000144105!Systane 0.4% / 0.3% eye drops, 15 mL!!1!1!2.31!0.00!2.31!!
GE!9219F!PP!Optix!!11731000144100!polyethylene glycol-400 + propylene glycol!!!53311000144100!polyethylene glycol-400 0.4% + propylene glycol 0.3% eye drops, 15 mL!!!553531000144100!Optix 0.4% / 0.3% eye drops, 15 mL!!1!1!2.31!0.00!2.31!!
GE!9249T!GO!Questran Lite!!21442011000036101!colestyramine!!!1479511000168105!colestyramine 4 g powder for oral liquid, 50 sachets!!!1479521000168103!Questran Lite 4 g powder for oral liquid, 50 sachets!!2!2!32.28!0.00!32.28!!
GE!9308X!VF!ProZero!!83419011000036102!triglycerides long chain with glucose polymer!!!745341000168106!triglycerides long chain with glucose polymer oral liquid, 18 x 250 mL cartons!!!745351000168108!Prozero oral liquid, 18 x 250 mL cartons!!6!6!41.80!0.00!41.80!!
GE!2928D!NT!Alfamino!!926972011000036102!amino acid synthetic formula supplemented with long chain polyunsaturated fatty acids and medium chain triglycerides!!!927290011000036108!amino acid synthetic formula supplemented with long chain polyunsaturated fatty acids and medium chain triglycerides powder for oral liquid, 400 g!!!149831000036107!Alfamino powder for oral liquid, 400 g!!8!8!34.14!0.00!34.14!!
GE!2900P!NT!Alfamino!!926972011000036102!amino acid synthetic formula supplemented with long chain polyunsaturated fatty acids and medium chain triglycerides!!!927290011000036108!amino acid synthetic formula supplemented with long chain polyunsaturated fatty acids and medium chain triglycerides powder for oral liquid, 400 g!!!149831000036107!Alfamino powder for oral liquid, 400 g!!8!8!34.14!0.00!34.14!!
GE!10024N!AP!Symbicort Rapihaler 50/3!!21281011000036101!budesonide + formoterol!!!149961000036108!budesonide 50 microgram/actuation + formoterol fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations!!!149951000036105!Symbicort Rapihaler 50/3 inhalation, 120 actuations!!2!2!12.79!0.00!12.79!!
GE!10650M!BY!Jardiamet 5 mg/500 mg!!743221000168107!empagliflozin + metformin!!!743461000168101!empagliflozin 5 mg + metformin hydrochloride 500 mg tablet, 60!!!743471000168107!Jardiamet 5 mg/500 mg tablet, 60!!1!60!46.15!0.00!46.15!!
GE!10649L!BY!Jardiamet 5 mg/1000 mg!!743221000168107!empagliflozin + metformin!!!743371000168100!empagliflozin 5 mg + metformin hydrochloride 1 g tablet, 60!!!743381000168102!Jardiamet 5 mg/1000 mg tablet, 60!!1!60!47.56!0.00!47.56!!
GE!10639Y!BY!Jardiamet 12.5 mg/500 mg!!743221000168107!empagliflozin + metformin!!!743551000168102!empagliflozin 12.5 mg + metformin hydrochloride 500 mg tablet, 60!!!743561000168100!Jardiamet 12.5 mg/500 mg tablet, 60!!1!60!46.15!0.00!46.15!!
GE!10640B!BY!Jardiamet 12.5 mg/1000 mg!!743221000168107!empagliflozin + metformin!!!743641000168103!empagliflozin 12.5 mg + metformin hydrochloride 1 g tablet, 60!!!743651000168101!Jardiamet 12.5 mg/1000 mg tablet, 60!!1!60!47.56!0.00!47.56!!
GE!11305B!AP!Qtern 5/10!!1102211000168105!saxagliptin + dapagliflozin!!!1102341000168103!saxagliptin 5 mg + dapagliflozin 10 mg tablet, 28!!!1102351000168101!Qtern 5/10 tablet, 28!!1!28!58.84!0.00!58.84!!
GE!11291G!AP!Forxiga!!91851000036102!dapagliflozin!!!89811000036101!dapagliflozin 10 mg tablet, 28!!!89801000036103!Forxiga 10 mg tablet, 28!!1!28!39.61!0.00!39.61!!
GE!11300R!AP!Xigduo XR 5/1000!!680901000168102!dapagliflozin + metformin!!!681051000168108!dapagliflozin 5 mg + metformin hydrochloride 1 g modified release tablet, 56!!!681061000168105!Xigduo XR 5/1000 modified release tablet, 56!!1!56!42.36!0.00!42.36!!
GE!11313K!AP!Xigduo XR 10/1000!!680901000168102!dapagliflozin + metformin!!!680991000168108!dapagliflozin 10 mg + metformin hydrochloride 1 g modified release tablet, 28!!!681001000168109!Xigduo XR 10/1000 modified release tablet, 28!!1!28!41.03!0.00!41.03!!
GE!11270E!AP!Xigduo XR 10/500!!680901000168102!dapagliflozin + metformin!!!680931000168109!dapagliflozin 10 mg + metformin hydrochloride 500 mg modified release tablet, 28!!!680941000168100!Xigduo XR 10/500 modified release tablet, 28!!1!28!40.32!0.00!40.32!!
GE!11292H!AP!Onglyza!!931810011000036104!saxagliptin!!!652371000168100!saxagliptin 2.5 mg tablet, 28!!!652381000168102!Onglyza 2.5 mg tablet, 28!!1!28!35.80!0.00!35.80!!
GE!11311H!AP!Onglyza!!931810011000036104!saxagliptin!!!932387011000036104!saxagliptin 5 mg tablet, 28!!!930666011000036102!Onglyza 5 mg tablet, 28!!1!28!35.80!0.00!35.80!!
GE!11285Y!AP!Kombiglyze XR 2.5/1000!!160681000036109!saxagliptin + metformin!!!159421000036105!saxagliptin 2.5 mg + metformin hydrochloride 1 g modified release tablet, 56!!!159411000036103!Kombiglyze XR 2.5/1000 modified release tablet, 56!!1!56!38.41!0.00!38.41!!
GE!11299Q!AP!Kombiglyze XR 5/1000!!160681000036109!saxagliptin + metformin!!!159441000036102!saxagliptin 5 mg + metformin hydrochloride 1 g modified release tablet, 28!!!159431000036107!Kombiglyze XR 5/1000 modified release tablet, 28!!1!28!37.28!0.00!37.28!!
GE!11312J!AP!Kombiglyze XR 5/500!!160681000036109!saxagliptin + metformin!!!159481000036106!saxagliptin 5 mg + metformin hydrochloride 500 mg modified release tablet, 28!!!159471000036109!Kombiglyze XR 5/500 modified release tablet, 28!!1!28!36.54!0.00!36.54!!
GE!11310G!BY!Glyxambi!!986711000168104!empagliflozin + linagliptin!!!986771000168107!empagliflozin 10 mg + linagliptin 5 mg tablet, 30!!!986781000168105!Glyxambi 10 mg/5 mg tablet, 30!!1!30!61.36!0.00!61.36!!
GE!11298P!BY!Glyxambi!!986711000168104!empagliflozin + linagliptin!!!986861000168105!empagliflozin 25 mg + linagliptin 5 mg tablet, 30!!!986871000168104!Glyxambi 25 mg/5 mg tablet, 30!!1!30!61.36!0.00!61.36!!
GE!11281R!BY!Jardiance!!682191000168109!empagliflozin!!!682271000168102!empagliflozin 25 mg tablet, 30!!!682281000168104!Jardiance 25 mg tablet, 30!!1!30!44.66!0.00!44.66!!
GE!11314L!BY!Jardiance!!682191000168109!empagliflozin!!!682221000168103!empagliflozin 10 mg tablet, 30!!!682231000168100!Jardiance 10 mg tablet, 30!!1!30!44.44!0.00!44.44!!
GE!11280Q!BY!Trajenta!!933247651000036103!linagliptin!!!933244331000036107!linagliptin 5 mg tablet, 30!!!933244321000036105!Trajenta 5 mg tablet, 30!!1!30!38.36!0.00!38.36!!
GE!11274J!BY!Trajentamet!!166311000036107!linagliptin + metformin!!!163911000036104!linagliptin 2.5 mg + metformin hydrochloride 500 mg tablet, 60!!!163901000036101!Trajentamet 2.5 mg/500 mg tablet, 60!!1!60!40.23!0.00!40.23!!
GE!11282T!BY!Trajentamet!!166311000036107!linagliptin + metformin!!!163951000036100!linagliptin 2.5 mg + metformin hydrochloride 1 g tablet, 60!!!163941000036103!Trajentamet 2.5 mg/1000 mg tablet, 60!!1!60!41.45!0.00!41.45!!
GE!11294K!BY!Trajentamet!!166311000036107!linagliptin + metformin!!!163931000036108!linagliptin 2.5 mg + metformin hydrochloride 850 mg tablet, 60!!!163921000036106!Trajentamet 2.5 mg/850 mg tablet, 60!!1!60!41.01!0.00!41.01!!
GE!11572C!GQ!Sitagliptin Lupin!!39426011000036109!sitagliptin!!!39485011000036105!sitagliptin 25 mg tablet, 28!!!1625631000168103!Sitagliptin (Lupin) 25 mg tablet, 28!!1!28!22.93!0.00!22.93!!
GE!11572C!XW!Januvia!!39426011000036109!sitagliptin!!!39485011000036105!sitagliptin 25 mg tablet, 28!!!39288011000036103!Januvia 25 mg tablet, 28!!1!28!22.93!0.00!22.93!!
GE!11572C!XT!Xelevia!!39426011000036109!sitagliptin!!!39485011000036105!sitagliptin 25 mg tablet, 28!!!1625461000168109!Xelevia 25 mg tablet, 28!!1!28!22.93!0.00!22.93!!
GE!11572C!CR!Sitaglo!!39426011000036109!sitagliptin!!!39485011000036105!sitagliptin 25 mg tablet, 28!!!1629381000168105!Sitaglo 25 mg tablet, 28!!1!28!22.93!0.00!22.93!!
GE!11572C!SZ!Sitagliptin Sandoz Pharma!!39426011000036109!sitagliptin!!!39485011000036105!sitagliptin 25 mg tablet, 28!!!1625491000168102!Sitagliptin (Sandoz Pharma) 25 mg tablet, 28!!1!28!22.93!0.00!22.93!!
GE!11572C!RA!Sitagliptin SUN!!39426011000036109!sitagliptin!!!39485011000036105!sitagliptin 25 mg tablet, 28!!!1625561000168105!Sitagliptin (Sun) 25 mg tablet, 28!!1!28!22.93!0.00!22.93!!
GE!11573D!XT!Xelevia!!39426011000036109!sitagliptin!!!39484011000036106!sitagliptin 50 mg tablet, 28!!!1625761000168103!Xelevia 50 mg tablet, 28!!1!28!22.93!0.00!22.93!!
GE!11573D!GQ!Sitagliptin Lupin!!39426011000036109!sitagliptin!!!39484011000036106!sitagliptin 50 mg tablet, 28!!!1625661000168106!Sitagliptin (Lupin) 50 mg tablet, 28!!1!28!22.93!0.00!22.93!!
GE!11573D!XW!Januvia!!39426011000036109!sitagliptin!!!39484011000036106!sitagliptin 50 mg tablet, 28!!!39287011000036104!Januvia 50 mg tablet, 28!!1!28!22.93!0.00!22.93!!
GE!11573D!RA!Sitagliptin SUN!!39426011000036109!sitagliptin!!!39484011000036106!sitagliptin 50 mg tablet, 28!!!1625591000168103!Sitagliptin (Sun) 50 mg tablet, 28!!1!28!22.93!0.00!22.93!!
GE!11573D!SZ!Sitagliptin Sandoz Pharma!!39426011000036109!sitagliptin!!!39484011000036106!sitagliptin 50 mg tablet, 28!!!1625431000168101!Sitagliptin (Sandoz Pharma) 50 mg tablet, 28!!1!28!22.93!0.00!22.93!!
GE!11573D!CR!Sitaglo!!39426011000036109!sitagliptin!!!39484011000036106!sitagliptin 50 mg tablet, 28!!!1629491000168104!Sitaglo 50 mg tablet, 28!!1!28!22.93!0.00!22.93!!
GE!11576G!RA!Sitagliptin SUN!!39426011000036109!sitagliptin!!!39482011000036102!sitagliptin 100 mg tablet, 28!!!1625531000168102!Sitagliptin (Sun) 100 mg tablet, 28!!1!28!22.93!0.00!22.93!!
GE!11576G!XT!Xelevia!!39426011000036109!sitagliptin!!!39482011000036102!sitagliptin 100 mg tablet, 28!!!1625831000168104!Xelevia 100 mg tablet, 28!!1!28!22.93!0.00!22.93!!
GE!11576G!GQ!Sitagliptin Lupin!!39426011000036109!sitagliptin!!!39482011000036102!sitagliptin 100 mg tablet, 28!!!1625691000168104!Sitagliptin (Lupin) 100 mg tablet, 28!!1!28!22.93!0.00!22.93!!
GE!11576G!CR!Sitaglo!!39426011000036109!sitagliptin!!!39482011000036102!sitagliptin 100 mg tablet, 28!!!1629421000168101!Sitaglo 100 mg tablet, 28!!1!28!22.93!0.00!22.93!!
GE!11576G!SZ!Sitagliptin Sandoz Pharma!!39426011000036109!sitagliptin!!!39482011000036102!sitagliptin 100 mg tablet, 28!!!1625391000168106!Sitagliptin (Sandoz Pharma) 100 mg tablet, 28!!1!28!22.93!0.00!22.93!!
GE!11576G!XW!Januvia!!39426011000036109!sitagliptin!!!39482011000036102!sitagliptin 100 mg tablet, 28!!!39285011000036109!Januvia 100 mg tablet, 28!!1!28!22.93!0.00!22.93!!
GE!11643T!IQ!In a Wink Moisturising!!35690011000036109!hypromellose!!!1259001000168103!hypromellose 0.3% w/w eye drops, 10 mL!!!1259591000168104!In a Wink 0.3% w/w eye drops, 10 mL!!1!1!2.50!0.00!2.50!!0.00
GE!11643T!AQ!Genteal!!35690011000036109!hypromellose!!!1259001000168103!hypromellose 0.3% w/w eye drops, 10 mL!!!1259011000168100!Genteal 0.3% w/w eye drops, 10 mL!!1!1!2.50!0.00!5.88!!
GE!11643T!PP!Revive Tears!!35690011000036109!hypromellose!!!1259001000168103!hypromellose 0.3% w/w eye drops, 10 mL!!!1547111000168101!Revive Tears 0.3% w/w eye drops, 10 mL!!1!1!2.50!0.00!2.50!!0.00
GE!11566R!SZ!Sitagliptin/Metformin Sandoz XR!!79094011000036105!sitagliptin + metformin!!!170141000036100!sitagliptin 100 mg + metformin hydrochloride 1 g tablet: modified release, 28!!!1704141000168101!Sitagliptin/Metformin XR 100/1000 (Sandoz) modified release tablet, 28!!1!28!29.48!0.00!29.48!!
GE!11566R!XW!Janumet XR!!79094011000036105!sitagliptin + metformin!!!170141000036100!sitagliptin 100 mg + metformin hydrochloride 1 g tablet: modified release, 28!!!170131000036105!Janumet XR 100 mg/1000 mg modified release tablet, 28!!1!28!29.48!0.00!29.48!!
GE!11580L!SZ!Sitagliptin/Metformin Sandoz XR!!79094011000036105!sitagliptin + metformin!!!170121000036108!sitagliptin 50 mg + metformin hydrochloride 1 g modified release tablet, 56!!!1704371000168105!Sitagliptin/Metformin XR 50/1000 (Sandoz) modified release tablet, 56!!1!56!30.47!0.00!30.47!!
GE!11580L!XW!Janumet XR!!79094011000036105!sitagliptin + metformin!!!170121000036108!sitagliptin 50 mg + metformin hydrochloride 1 g modified release tablet, 56!!!170111000036101!Janumet XR 50 mg/1000 mg modified release tablet, 56!!1!56!30.47!0.00!30.47!!
GE!11574E!XW!Janumet!!79094011000036105!sitagliptin + metformin!!!79236011000036103!sitagliptin 50 mg + metformin hydrochloride 1 g tablet, 56!!!78845011000036103!Janumet 50 mg/1000 mg tablet, 56!!1!56!24.93!0.00!24.93!!
GE!11574E!XT!Velmetia!!79094011000036105!sitagliptin + metformin!!!79236011000036103!sitagliptin 50 mg + metformin hydrochloride 1 g tablet, 56!!!1625951000168102!Velmetia 50 mg/1000 mg tablet, 56!!1!56!24.93!0.00!24.93!!
GE!11574E!SZ!Sitagliptin/Metformin Sandoz!!79094011000036105!sitagliptin + metformin!!!79236011000036103!sitagliptin 50 mg + metformin hydrochloride 1 g tablet, 56!!!1633681000168103!Sitagliptin/Metformin 50/1000 (Sandoz) tablet, 56!!1!56!24.93!0.00!24.93!!
GE!11574E!RA!SITAGLIPTIN/METFORMIN 50/1000 SUN!!79094011000036105!sitagliptin + metformin!!!79236011000036103!sitagliptin 50 mg + metformin hydrochloride 1 g tablet, 56!!!1710101000168106!Sitagliptin/Metformin 50/1000 (Sun) tablet, 56!!1!56!24.93!0.00!24.93!!
GE!11582N!RA!SITAGLIPTIN/METFORMIN 50/850 SUN!!79094011000036105!sitagliptin + metformin!!!79234011000036106!sitagliptin 50 mg + metformin hydrochloride 850 mg tablet, 56!!!1709941000168100!Sitagliptin/Metformin 50/850 (Sun) tablet, 56!!1!56!24.65!0.00!24.65!!
GE!11582N!XW!Janumet!!79094011000036105!sitagliptin + metformin!!!79234011000036106!sitagliptin 50 mg + metformin hydrochloride 850 mg tablet, 56!!!78843011000036104!Janumet 50 mg/850 mg tablet, 56!!1!56!24.65!0.00!24.65!!
GE!11582N!SZ!Sitagliptin/Metformin Sandoz!!79094011000036105!sitagliptin + metformin!!!79234011000036106!sitagliptin 50 mg + metformin hydrochloride 850 mg tablet, 56!!!1633641000168108!Sitagliptin/Metformin 50/850 (Sandoz) tablet, 56!!1!56!24.65!0.00!24.65!!
GE!11582N!XT!Velmetia!!79094011000036105!sitagliptin + metformin!!!79234011000036106!sitagliptin 50 mg + metformin hydrochloride 850 mg tablet, 56!!!1625891000168100!Velmetia 50 mg/850 mg tablet, 56!!1!56!24.65!0.00!24.65!!
GE!11586T!XT!Velmetia!!79094011000036105!sitagliptin + metformin!!!79232011000036102!sitagliptin 50 mg + metformin hydrochloride 500 mg tablet, 56!!!1625781000168107!Velmetia 50 mg/500 mg tablet, 56!!1!56!23.96!0.00!23.96!!
GE!11586T!SZ!Sitagliptin/Metformin Sandoz!!79094011000036105!sitagliptin + metformin!!!79232011000036102!sitagliptin 50 mg + metformin hydrochloride 500 mg tablet, 56!!!1633601000168106!Sitagliptin/Metformin 50/500 (Sandoz) tablet, 56!!1!56!23.96!0.00!23.96!!
GE!11586T!RA!SITAGLIPTIN/METFORMIN 50/500 SUN!!79094011000036105!sitagliptin + metformin!!!79232011000036102!sitagliptin 50 mg + metformin hydrochloride 500 mg tablet, 56!!!1709851000168106!Sitagliptin/Metformin 50/500 (Sun) tablet, 56!!1!56!23.96!0.00!23.96!!
GE!11586T!XW!Janumet!!79094011000036105!sitagliptin + metformin!!!79232011000036102!sitagliptin 50 mg + metformin hydrochloride 500 mg tablet, 56!!!78841011000036100!Janumet 50 mg/500 mg tablet, 56!!1!56!23.96!0.00!23.96!!
GE!12604J!SW!Praluent!!886881000168108!alirocumab!!!887051000168105!alirocumab 150 mg/mL injection, 2 x 1 mL pen devices!!!887061000168107!Praluent 150 mg/mL injection, 2 x 1 mL pen devices!!1!2!435.06!0.00!435.06!!
GE!12613W!SW!Praluent!!886881000168108!alirocumab!!!886941000168107!alirocumab 75 mg/mL injection, 2 x 1 mL pen devices!!!886951000168109!Praluent 75 mg/mL injection, 2 x 1 mL pen devices!!1!2!435.06!0.00!435.06!!
GE!12117R!AP!Calquence!!1435531000168101!acalabrutinib!!!1435561000168109!acalabrutinib 100 mg capsule, 56!!!1435571000168103!Calquence 100 mg capsule, 56!!1!56!7251.97!0.00!7251.97!!
GE!12608N!SW!Praluent!!886881000168108!alirocumab!!!887051000168105!alirocumab 150 mg/mL injection, 2 x 1 mL pen devices!!!887061000168107!Praluent 150 mg/mL injection, 2 x 1 mL pen devices!!1!2!435.06!0.00!435.06!!
GE!12607M!SW!Praluent!!886881000168108!alirocumab!!!886941000168107!alirocumab 75 mg/mL injection, 2 x 1 mL pen devices!!!886951000168109!Praluent 75 mg/mL injection, 2 x 1 mL pen devices!!1!2!435.06!0.00!435.06!!
GE!12100W!AP!Symbicort Rapihaler 50/3!!21281011000036101!budesonide + formoterol!!!149961000036108!budesonide 50 microgram/actuation + formoterol fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations!!!149951000036105!Symbicort Rapihaler 50/3 inhalation, 120 actuations!!2!2!12.79!0.00!12.79!!
GE!12645M!EU!Ocaliva!!1243401000168108!obeticholic acid!!!1243511000168107!obeticholic acid 5 mg tablet, 30!!!1243521000168100!Ocaliva 5 mg tablet, 30!!1!30!3631.00!0.00!3631.00!!
GE!12631T!EU!Ocaliva!!1243401000168108!obeticholic acid!!!1243431000168101!obeticholic acid 10 mg tablet, 30!!!1243441000168105!Ocaliva 10 mg tablet, 30!!1!30!3631.00!0.00!3631.00!!
GE!12704P!JC!Darzalex SC!!1037741000168102!daratumumab!!!1577201000168107!daratumumab 1.8 g/15 mL injection, 15 mL vial!!!1577211000168105!Darzalex SC 1.8 g/15 mL injection, 15 mL vial!!1!1!7010.28!0.00!7010.28!!
GE!12826C!AP!Calquence!!1435531000168101!acalabrutinib!!!1435561000168109!acalabrutinib 100 mg capsule, 56!!!1435571000168103!Calquence 100 mg capsule, 56!!1!56!7251.97!0.00!7251.97!!
GE!13092C!GK!Zejula!!1432101000168105!niraparib!!!1432191000168104!niraparib 100 mg capsule, 84!!!1432201000168101!Zejula 100 mg capsule, 84!!1!84!9712.26!0.00!9712.26!!
GE!13079J!GK!Zejula!!1432101000168105!niraparib!!!1432191000168104!niraparib 100 mg capsule, 84!!!1432201000168101!Zejula 100 mg capsule, 84!!1!84!9712.26!0.00!9712.26!!
GE!13089X!GK!Zejula!!1432101000168105!niraparib!!!1432161000168106!niraparib 100 mg capsule, 56!!!1432171000168100!Zejula 100 mg capsule, 56!!1!56!6474.84!0.00!6474.84!!
GE!13112D!GK!Zejula!!1432101000168105!niraparib!!!1432161000168106!niraparib 100 mg capsule, 56!!!1432171000168100!Zejula 100 mg capsule, 56!!1!56!6474.84!0.00!6474.84!!
GE!14104H!GK!Zejula!!1432101000168105!niraparib!!!1432191000168104!niraparib 100 mg capsule, 84!!!1432201000168101!Zejula 100 mg capsule, 84!!1!84!9712.26!0.00!9712.26!!
GE!14098B!GK!Zejula!!1432101000168105!niraparib!!!1432191000168104!niraparib 100 mg capsule, 84!!!1432201000168101!Zejula 100 mg capsule, 84!!1!84!9712.26!0.00!9712.26!!
GE!14088L!GK!Zejula!!1432101000168105!niraparib!!!1432161000168106!niraparib 100 mg capsule, 56!!!1432171000168100!Zejula 100 mg capsule, 56!!1!56!6474.84!0.00!6474.84!!
GE!14094T!GK!Zejula!!1432101000168105!niraparib!!!1432161000168106!niraparib 100 mg capsule, 56!!!1432171000168100!Zejula 100 mg capsule, 56!!1!56!6474.84!0.00!6474.84!!
PL!12481X!AS!Physeptone!!21357011000036109!methadone!!!26632011000036100!methadone hydrochloride 10 mg/mL injection, 5 x 1 mL ampoules!!!11397011000036103!Physeptone 10 mg/mL injection, 5 x 1 mL ampoules!!24!120!33.18!0.00!33.18!!
