2016 DPRI | Fourth Edition 0|Page

ACKNOWLEDGEMENTS

The Fourth Edition of the Drug Price Reference Index (DPRI) is a product of the hard work, dedication and team
efforts of the Department of Health (DOH) Pharmaceutical Divisions DPRI Team headed by Mr. Jeffrey T. Castro
together with his team members namely: Mr. Achilles V. Aragona, Ms. Priscilla Margarette H. Alimario, Mr. Lester
M. Custodio, and Ms. Geny C. Belmonte and also the guidance and supervision of the System Support Unit Head, Ms.
Vanessa J. Saulog - Obera;
Mr. Adell R. Azuelo, for the layout and hard copy of this publication;
Mr. Aris G. Posadas and Mr. Peter R. Emmans Palma for enhancing the DPRI database and website;
To all NDP compliance officers and EDPMS Helpdesks who aid in the implementation of the DPRI and to the
DOH Pharmaceutical Division family for their support;
All DOH Retained / Specialty Hospitals and Regional Offices for contributing their data to the Department of
Health.
We also acknowledge Dr. Paulyn Jean B. Rosell Ubial, our Secretary of Health and Assistant Secretary Agnette
P. Peralta for their unwavering support and commitment to enforce the DPRI in the government.

18 November 2016 Manila, Philippines

Anna Melissa S. Guerrero, MD, MPH (HTA)

Chief, Pharmaceutical Division

2016 DPRI | Fourth Edition 1|Page

Overview

The high and extremely variable prices of medicines in the Philippines impact on access to effective, efficient and
equitable health care. In 2009, a study conducted by Health Action International revealed that there was extreme
variability in the procurement prices of essential medicines in the national and local public health facilities in the country.
On average, originator brands and generic equivalents were procured almost 16 times and 3 times higher, respectively,
compared to prices available on the international market. 1

The DOH-Central Office Bids and Awards Committee (DOH-COBAC) and DOH hospitals were shown to have more
efficient procurement prices compared to provincial and municipal health facilities, thus leading to variability in access
to essential medicines across the Philippines.

Republic Act (RA) 9502 or the Universally Accessible Cheaper and Quality Medicines Act of 2008 gave the DOH
instruments to monitor and regulate the prices of drugs and medicines to protect consumers and the public procuring
entities from excessive mark-ups applied to prices of medicines resulting from information asymmetry and the lack of
effective market competition.

To address these issues, the DOH Pharmaceutical Division (formerly NCPAM) established a Drug Price Reference
Index (DPRI) for all essential medicines to guide all national and local government health facilities in the efficient
sourcing of pharmaceutical products in the public sector.

What is the Drug Price Reference Index (DPRI)?

The DPRI lists the ceiling prices of essential medicines for government bidding and procurement set by the DOH for
all National and Local Government Health Facilities and Government Agencies. Winning bid prices of essential
medicines within the DPRI ceiling reflect efficient and effective procurement in the government. Their transparencies
and enforcement ensure consumer access to medicines and protection from excessive price mark-ups on medicines.

The DPRI only reflects the acquisition costs including landed cost, packaging, drug content, quality assurance,
manufacturing overheads and Food and Drug Administration (FDA) fees. The DPRI excludes other costs such as
pharmacy services, preparation and storage fees, and other reasonable pharmacy mark-ups, which are now being
evaluated by the DOH.

The DPRI aims to improve the efficiency and good governance in the pricing and procurement of medicines in the
public sector through establishing a transparent and publicly available reference price for affordable and quality
medicines. It also aims to guide the Philippine Health Insurance Corporation (PHIC) in setting reimbursement caps for
medicines both for inpatient and outpatient services.

Who should use the DPRI?

All government entities should be guided by the DPRI when procuring medicines. It shall be applied to all forms of
procurement such as public bidding, direct contracting, shopping, negotiated procurement, emergency
procurement and consignment to ensure that the government achieves the best value for money in sourcing essential
medicines.

____________________________________
1 Douglas B, Tisocki K (2009) Public Procurement Prices of Medicines in the Philippines. Health Action International.

2016 DPRI | Fourth Edition 2|Page

What are the sources of the Price Data?

The DPRI is computed based on the prevailing public tender prices of the previous year (2015) reflected in the actual
Purchase Orders (POs) submitted by the DOH Retained Hospitals, ROs, Central Office Bids and Awards Committee
(COBAC) and Philippine Pharma Procurement Inc. (PPPI) to the DOH.

Only data coming from reputable suppliers are considered in the database which means that they should be licensed by
the Philippine Food and Drug Administration (FDA) and have a certificate of Good Manufacturing Practice issued by
the FDA.

How is the Drug Price Reference (DPR) determined?

In general, the drug price reference is set at the Median or the 50th percentile across the range of prevailing tender prices
of essential medicines for each preparation and strength. However, for drugs and medicines with only 1 participating
manufacturer, the DPR is set at the lowest winning bid from a reputable supplier. Projected inflationary cost (3% per
annum) and testing for interchangeability (bioavailability and bioequivalence) for certain drugs based on the latest
data provided by FDA have already been considered in the calculation of the DPR.

For innovator drugs approved for inclusion in the Philippine National Formulary, the price may be set by referencing
with relevant international markets particularly those with similar income status (i.e. Thailand, India) and through
international reference price (MSH). It may also be informed by economic evaluations conducted in the Philippines used
by the DOH to value their claimed clinical benefits and negotiate tender prices where an innovative pharmaceutical
product has only one supplier.

How often is the DPRI updated?

The DPRI is being updated annually. All DOH hospitals and ROs submits a copy of their latest purchase orders to the
DOH Pharmaceutical Division for annual collection and analyzation of price data. The updated DPRI is based on the
procurement price data of medicines from the previous year.

2016 DPRI | Fourth Edition 3|Page

 Lowest to Highest DPR (Php)
Generic Name Strength / Form / Volume Tender Price (Php) (Ceiling Price)
A
1. Acarbose 50 mg Tablet 5.92 - 12.00 10.14
2. Acetazolamide 250 mg Tablet 17.00 - 20.00 20.00
3. Acetylcysteine 100 mg Sachet 8.00 - 15.00 8.24
4. Acetylcysteine 200 mg Sachet 6.34 - 19.99 9.27
5. Acetylcysteine 200 mg/mL, 25 mL Bottle 1,500.00 - 1,742.72 1,545.00
6. Acetylcysteine 600 mg Effervescent Tablet 11.00 - 45.00 27.81
7. Aciclovir 200 mg Tablet 2.33 - 53.20 5.04
8. Aciclovir 25 mg/mL, 10 mL Vial 699.00 - 928.00 751.87
9. Aciclovir 400 mg Tablet 2.70 - 88.49 15.44
10. Aciclovir 800 mg Tablet 22.00 - 215.15 75.53
11. Adenosine 3 mg/mL, 2 mL Vial 149.89 - 1,880.00 583.04
12. Albendazole 400 mg Chewable Tablet 1.00 1.03
13. Albumin, Human 20%, 50 mL Bottle 1,840.00 - 3,699.00 2,523.50
14. Alcohol, Ethyl 70% solution, 500 mL Bottle 47.18 - 90.00 51.40
15. Alfuzosin 10 mg Tablet 24.76 - 67.02 41.07
16. All-in-One Admixtures ("3-in-1" "3 in 1" 1400 Kcal Bottle 2,400.00 - 4,834.72 3,311.97
or "dual energy" solutions)
17. Allopurinol 100 mg Tablet 0.43 - 6.53 0.69
18. Allopurinol 300 mg Tablet 0.92 - 18.56 1.62
19. Alprazolam 250 mcg Tablet 4.00 - 15.39 4.12
20. Alprazolam 500 mcg Tablet 5.00 - 24.75 9.79
21. Aluminum Hydroxide + 200 mg + 100 mg Tablet - 1.50*
Magnesium Hydroxide
22. Aluminum Hydroxide + 225 mg + 200 mg/5 mL, 120 18.00 - 85.00 29.66
Magnesium Hydroxide mL Suspension
23. Aluminum Hydroxide + 225 mg + 200 mg/5 mL, 180 230.01 - 249.23 236.91
Magnesium Hydroxide mL Suspension
24. Aluminum Hydroxide + 225 mg + 200 mg/5 mL, 60 19.00 - 35.10 29.15
Magnesium Hydroxide mL Suspension
25. Amikacin (as Sulfate) 100 mg/mL, 2 mL Vial 19.98 - 69.75 20.58
26. Amikacin (as Sulfate) 125 mg/mL, 2 mL Vial 17.79 - 218.77 18.32
27. Amikacin (as Sulfate) 250 mg/mL, 2 mL Ampule 47.00 - 493.36 409.94
28. Amikacin (as Sulfate) 250 mg/mL, 2 mL Vial 16.29 - 195.00 22.93
29. Amikacin (as Sulfate) 50 mg/mL, 2 mL Ampule 43.00 - 518.03 138.48
30. Amikacin (as Sulfate) 50 mg/ml, 2 ml Vial 16.89 - 94.45 26.46
31. Amino Acid Solutions for Hepatic 8%, 500 mL Bottle 293.55 - 798.00 302.36
Failure
32. Amino Acid Solutions for Infants 6%, 100 mL Bottle 362.00 - 492.80 372.86
33. Amino Acid Solutions for Renal 7%, 500 mL Bottle 400.00 - 1,200.00 484.10
Conditions
34. Amino Acids, Crystalline Standard 5%, 500 mL Glass Bottle 400.00 - 421.34 412.00
35. Amino Acids, Crystalline Standard 9.12%, 20 mL Ampule 187.00 - 280.00 280.00
36. Aminophylline 25 mg/mL, 10 mL Ampule 10.49 - 79.09 17.81
__________________________________
*
The Reference Price was based on the cheapest price gathered through market survey

The Reference Price was based from the Thailand Drug Reference Price

2016 DPRI | Fourth Edition 4|Page

 Lowest to Highest DPR (Php)
Generic Name Strength / Form / Volume Tender Price (Php) (Ceiling Price)
37. Amiodarone 200 mg Tablet 5.04 - 45.00 19.13
38. Amiodarone 50 mg/mL, 3 mL Ampule 130.00 - 274.79 236.90
39. Amlodipine 10 mg Tablet 0.22 - 8.00 3.71
40. Amlodipine 5 mg Tablet 0.22 - 4.00 2.05
41. Amoxicillin 100 mg/mL, 10 mL Drops 11.98 - 72.00 14.30
42. Amoxicillin 100 mg/mL, 15 mL Drops 11.80 - 47.50 28.45
43. Amoxicillin 125 mg/5 mL, 60 mL 12.90 - 21.00 15.22
Suspension
44. Amoxicillin 250 mg Capsule 0.85 - 5.00 1.05
45. Amoxicillin 250 mg/5 mL, 60 mL 13.80 - 97.50 16.22
Suspension
46. Amoxicillin 500 mg Capsule 1.00 - 6.60 1.33
47. Amphotericin B (Lipid Complex) 50 mg Vial 2,299.00 - 6,495.44 2,678.00
48. Ampicillin 1 g Vial 7.27 - 59.00 10.80
49. Ampicillin 250 mg Vial 1.15 - 58.44 7.02
50. Ampicillin 500 mg Vial 4.05 - 30.00 6.50
51. Ampicillin + Sulbactam 1.5 g Vial 41.78 - 953.67 122.97
52. Ampicillin + Sulbactam 250 mg + 125 mg Vial 79.98 - 272.99 87.44
53. Ampicillin + Sulbactam 500mg + 250 mg Vial 19.99 - 295.00 30.58
54. Artesunate 50 mg Suppository - 24.77+
55. Artesunate 60 mg Vial - 90.93+
56. Ascorbic Acid (Vitamin C) 100 mg/5 mL, 120 mL Syrup 12.75 - 99.50 25.65
57. Ascorbic Acid (Vitamin C) 100 mg/5 mL, 60 mL Syrup 9.68 - 39.00 14.14
58. Ascorbic Acid (Vitamin C) 100 mg/ml, 15 mL Oral 11.57 - 58.93 14.14
Drops
59. Ascorbic Acid (Vitamin C) 250 mg/mL, 2 mL Ampule 22.00 - 26.15 22.66
60. Ascorbic Acid (Vitamin C) 500 mg Tablet 0.34 - 2.50 0.67
61. Aspirin 80 mg Tablet 0.72 - 4.40 0.92
62. Atenolol 100 mg Tablet 1.95 - 8.33 5.48
63. Atenolol 50 mg Tablet 1.25 - 5.15 2.04
64. Atorvastatin 10 mg Tablet - 6.40*
65. Atorvastatin 20 mg Tablet - 14.00*
66. Atorvastatin 40 mg Tablet - 20.00*
67. Atorvastatin 80 mg Tablet - 23.00*
68. Atracurium 10 mg/mL, 2.5 mL Ampule 61.79 - 377.00 91.67
69. Atropine 1 mg/mL, 1 mL Ampule 2.43 - 50.00 6.50
70. Azithromycin 200 mg/5 mL, 15 mL 135.00 - 345.21 313.74
Suspension
71. Azithromycin 500 mg Tablet 12.38 - 149.00 38.86
72. Azithromycin 500 mg Vial 246.85 - 801.44 660.39
B
73. Baclofen 10 mg Tablet 10.00 - 19.00 17.00
74. Basiliximab 20 mg Vial 78,291.82 - 80,640.57
86,991.65

__________________________________
*
The Reference Price was based lon the cheapest price gathered through market survey
+
The Reference Price was based from the International Reference Price Indicator Guide

2016 DPRI | Fourth Edition 5|Page

 Lowest to Highest DPR (Php)
Generic Name Strength / Form / Volume Tender Price (Php) (Ceiling Price)
75. Beractant 25 mg/mL, 4 mL Vial 10,073.92 - 10,376.14
11,070.25
76. Betahistine 24 mg Tablet 16.10 - 64.22 47.25
77. Betahistine 8 mg Tablet 7.75 - 26.00 14.42
78. Betamethasone Cream 0.1%, 5 g Tube 38.56 39.72
79. Biperiden Hydrochloride 2 mg Tablet 2.99 - 15.80 4.01
80. Bisacodyl 10 mg Suppository 11.80 - 42.08 21.80
81. Bisacodyl 5 mg MR Tablet 0.90 - 27.40 7.36
82. Bisacodyl 5 mg Suppository 10.75 - 40.00 25.40
83. Bisacodyl 5 mg Tablet 0.75 - 28.50 1.53
84. Bisoprolol 5 mg Tablet 19.15 - 24.07 19.72
85. Brimonidine Tartrate 0.15%, 5 mL Bottle 563.00 - 589.78 579.89
86. Budesonide 250 mcg/mL, 2 mL 10.00 - 74.89 18.76
Respiratory Solution
(Nebule)
87. Budesonide 500mcg/mL,2mL 15.89 - 49.00 18.03
Respiratory Solution
(Nebule)
88. Budesonide + Formoterol 160 mcg + 4.5 mcg x 120 772.06 - 847.45 795.22
doses Dry Powder Inhaler
89. Budesonide + Formoterol 160 mcg + 4.5 mcg x 60 749.99 - 862.89 772.49
doses Dry Powder Inhaler
90. Bumetanide 1 mg Tablet 21.88 - 22.19 22.19
91. Bumetanide 500mcg/mL, 4mL Ampule 243.00 - 409.20 409.20
92. Bupivacaine 0.5% (isobaric), 5 mL 63.99 - 359.00 114.71
(spinal) (as hydrochloride)
Ampule
93. Bupivacaine 0.5%, 10 mL Ampule 63.99 - 270.19 84.20
94. Bupivacaine 0.5%, 10 mL Vial 105.00 - 221.55 133.90
95. Bupivacaine 0.5%, 4 mL (spinal) with 8% 68.49 - 689.00 181.69
Dextrose (as hydrochloride)
Ampule
96. Butamirate Citrate 50mg MR Tablet 9.00 - 20.00 13.80
97. Butorphanol (as Tartrate) 2 mg/mL, 1 mL Vial 338.50 - 515.00 436.21
C
98. Calamine, Plain 8%, 60 mL Bottle 29.00 29.87
99. Calcium Carbonate 500 mg Chewable Tablet 4.38 - 7.86 4.52
100. Calcium Carbonate 500 mg Tablet 0.56 - 7.80 3.09
101. Calcium Carbonate + 1.25 g (equiv. to 500 mg 3.45 - 4.00 3.91
Cholecalciferol (Vit. D3) elemental calcium) + 250 IU
Tablet
102. Calcium Carbonate + 600 mg elementa Ca + 400 3.73 - 8.16 3.84
Cholecalciferol (Vit. D3) IU Vit. D3 Tablet
103. Calcium Carbonate + 600 mg elemental Ca + 200 3.95 - 4.00 4.00
Cholecalciferol (Vit. D3) IU Vit. D3 Tablet
104. Calcium Folinate (Leucovorin 10 mg/mL, 5 mL Vial 162.00 - 450.00 261.62
Calcium)
105. Calcium Gluconate 10%, 10 mL Ampule 7.09 - 55.69 15.34
106. Calcium Gluconate 10%, 10 mL Vial 6.95 - 21.92 16.48
107. Candesartan Cilexetil 16 mg Tablet 13.48 - 57.92 20.52
2016 DPRI | Fourth Edition 6|Page
 Lowest to Highest DPR (Php)
Generic Name Strength / Form / Volume Tender Price (Php) (Ceiling Price)
108. Candesartan Cilexetil 8 mg Tablet 8.00 - 39.00 10.82
109. Capecitabine 500 mg Tablet 87.80 - 157.28 91.05
110. Captopril 25 mg Tablet 0.40 - 4.00 0.60
111. Carbamazepine 200 mg Tablet 0.98 - 29.95 1.74
112. Carboplatin 10 mg/mL, 15 mL Vial 782.00 - 1,465.00 1,109.10
113. Carboplatin 10 mg/mL, 45 mL Vial 1,290.00 - 4,000.00 2,659.46
114. Carvedilol 25 mg Tablet 3.15 - 23.65 4.76
115. Carvedilol 6.25 mg Tablet 0.92 - 17.99 1.93
116. Cefadroxil 500 mg Capsule 13.50 - 25.00 22.63
117. Cefalexin 100 mg/mL, 10 mL Drops 14.00 - 56.00 16.01
118. Cefalexin 100 mg/mL, 15 mL Drops 14.90 - 34.00 17.33
119. Cefalexin 125 mg/5 mL, 60 mL Bottle 13.85 - 38.00 20.31
120. Cefalexin 250 mg Capsule 1.19 - 2.90 1.23
121. Cefalexin 250 mg/5 mL, 60 mL Bottle 10.90 - 90.00 23.01
122. Cefalexin 500 mg Capsule 0.71 - 17.00 2.16
123. Cefazolin 1 g Vial 14.89 - 150.00 17.74
124. Cefazolin 500 mg Vial 25.49 - 110.00 45.65
125. Cefepime 1 g Vial 71.25 - 1,195.00 161.20
126. Cefepime 2 g Vial 250.00 - 1,279.99 442.39
127. Cefepime 500 mg Vial 129.49 - 845.00 154.08
128. Cefixime 100 mg Capsule 15.50 - 57.77 47.38
129. Cefixime 100 mg/5 mL, 30 mL 135.00 - 404.88 329.60
Suspension
130. Cefixime 100 mg/5 mL, 60 mL 88.00 - 600.00 195.70
Suspension
131. Cefixime 20 mg/mL, 10 mL 107.00 - 248.00 154.50
Suspension
132. Cefixime 200 mg Capsule 2.38 - 83.00 14.42
133. Cefotaxime 1 g Vial 23.89 - 438.00 35.49
134. Cefotaxime 500 mg Vial 48.29 - 549.55 49.74
135. Cefoxitin 1 g Vial 163.23 - 479.89 272.32
136. Ceftazidime 1 g Vial 29.49 - 430.00 39.81
137. Ceftazidime 500 mg Vial 37.64 - 228.00 57.11
138. Ceftriaxone 1 g + 10 mL diluent Vial 11.82 - 208.00 20.23
139. Ceftriaxone 500 mg + 5 mL diluent Vial 39.85 - 270.00 47.78
140. Cefuroxime 125 mg/5 mL, 50 mL 110.00 - 360.00 157.33
Suspension
141. Cefuroxime 125 mg/5 mL, 70 mL 50.00 - 295.00 177.68
Suspension
142. Cefuroxime 250 mg Vial 28.82 - 74.50 56.65
143. Cefuroxime 250 mg/5 mL, 60 mL 90.00 - 380.00 195.70
Suspension
144. Cefuroxime 500 mg Tablet 1.80 - 27.14 9.23
145. Cefuroxime 750 mg Vial 13.49 - 397.00 18.54
146. Celecoxib 100 mg Capsule 2.50 - 8.33 5.67
147. Celecoxib 200 mg Capsule 0.25 - 17.08 6.18
148. Celecoxib 400 mg Capsule 12.35 - 30.00 17.51
149. Cetirizine 1 mg/mL, 30 mL Bottle 31.85 - 146.88 83.70

2016 DPRI | Fourth Edition 7|Page

 Lowest to Highest DPR (Php)
Generic Name Strength / Form / Volume Tender Price (Php) (Ceiling Price)
150. Cetirizine 1 mg/mL, 60 mL Bottle 70.00 - 85.00 77.25
151. Cetirizine 10 mg Tablet 0.35 - 13.80 0.49
152. Cetirizine 10 mg/mL, 10 mL Oral 36.00 - 156.40 128.75
Drops
153. Chloramphenicol 1 g Vial 13.79 - 69.99 22.13
154. Chloramphenicol 125 mg/5 mL, 60 mL 14.00 - 99.50 22.43
Suspension
155. Chloramphenicol 500 mg Capsule 1.90 - 2.50 2.06
156. Chlorphenamine 10 mg/mL,1 mL Ampule 10.98 - 29.00 14.64
(Chlorpheniramine)
157. Chlorphenamine 4 mg Tablet 0.21 - 4.35 0.77
(Chlorpheniramine)
158. Chlorpromazine 100 mg Tablet 0.67 - 4.98 1.16
159. Chlorpromazine 200 mg Tablet 1.33 - 5.00 1.64
160. Cilostazol 100 mg (20% w/w), 0.5 g - 29.79
Sachet
161. Cilostazol 100 mg Tablet 5.53 - 22.77 9.89
162. Cilostazol 50 mg (20% w/w), 0.25 g - 17.78
Sachet
163. Cilostazol 50 mg Tablet 3.10 - 16.00 7.14
164. Cinnarizine 25 mg Tablet 0.69 - 30.50 1.15
165. Cinnarizine 75 mg Capsule 16.40 - 100.00 91.67
166. Ciprofloxacin 2 mg/mL, 200 mL Vial 21.69 - 1,187.85 393.82
167. Ciprofloxacin 2 mg/mL, 50 mL Vial 20.89 - 567.00 549.66
168. Ciprofloxacin 2 mg/mL,100 mL Vial 16.29 - 697.84 20.72
169. Ciprofloxacin 500 mg Tablet 1.12 - 11.00 1.37
170. Cisplatin 1 mg/mL, 50 mL Vial 388.88 - 497.60 452.69
171. Clarithromycin 125 mg/5 mL, 25 mL 118.00 - 250.00 142.60
Suspension
172. Clarithromycin 125 mg/5 mL, 50 mL 108.10 - 473.00 144.20
Suspension
173. Clarithromycin 125 mg/5 mL, 70 mL 167.50 - 488.00 274.50
Suspension
174. Clarithromycin 250 mg/5 mL, 70 mL 450.00 - 500.00 499.55
Suspension
175. Clarithromycin 500 mg Tablet 1.32 - 43.00 11.11
176. Clindamycin 150 mg Capsule 1.78 - 15.25 2.01
177. Clindamycin 150 mg/mL, 2 mL Ampule 102.40 - 1,159.00 118.66
178. Clindamycin 150 mg/mL, 4 mL Ampule 15.00 - 411.37 115.87
179. Clindamycin 300 mg Capsule 2.11 - 33.00 2.78
180. Clindamycin 75 mg/5 mL, 60 mL 85.75 - 343.01 205.36
Suspension
181. Clonazepam 2 mg Tablet 2.00 - 10.80 7.93
182. Clonidine 150 mcg Tablet 4.29 - 38.07 15.45
183. Clonidine 150 mcg/mL, 1 mL Ampule 88.89 - 169.00 117.72
184. Clonidine 75 mcg Tablet 3.75 - 38.88 15.14
185. Clopidogrel 75 mg Tablet 1.22 - 18.50 2.87
__________________________________

The Reference Price was based on the proposed list price of the pharmaceutical company upon its inclusion in the Philippine National Formulary

2016 DPRI | Fourth Edition 8|Page

 Lowest to Highest DPR (Php)
Generic Name Strength / Form / Volume Tender Price (Php) (Ceiling Price)
186. Clotrimazole Ear Drops 1%, 20 mL - 287.00*
187. Cloxacillin (as Sodium) 125 mg/5 mL, 60 mL Bottle 15.68 - 40.00 20.60
188. Cloxacillin (as Sodium) 250 mg/5 mL, 60 mL Bottle 21.75 - 120.00 36.05
189. Cloxacillin (as Sodium) 500 mg Capsule 1.86 - 15.00 2.71
190. Clozapine 100 mg Tablet 2.95 - 35.00 13.12
191. Co-Amoxiclav (Amoxicillin + 1 g Tablet 13.99 - 24.29 19.04
Potassium Clavulanate)
192. Co-Amoxiclav (Amoxicillin + 200 mg + 28.5 mg/5 mL, 70 120.00 - 229.60 160.18
Potassium Clavulanate) mL Suspension
193. Co-Amoxiclav (Amoxicillin + 250 mg + 125 mg Tablet 11.76 - 16.00 14.42
Potassium Clavulanate)
194. Co-Amoxiclav (Amoxicillin + 250 mg + 62.5 mg/5 mL, 100 98.00 - 275.00 187.46
Potassium Clavulanate) mL Suspension
195. Co-Amoxiclav (Amoxicillin + 250 mg + 62.5 mg/5 mL, 60 107.01 - 280.00 173.53
Potassium Clavulanate) mL Suspension
196. Co-Amoxiclav (Amoxicillin + 400 mg + 57 mg/5 mL, 70 170.00 - 300.00 241.84
Potassium Clavulanate) mL Suspension
197. Co-Amoxiclav (Amoxicillin + 500 mg + 125 mg Tablet 0.20 - 35.00 9.10
Potassium Clavulanate)
198. Colchicine 500 mcg Tablet 0.36 - 4.50 2.68
199. Combined Amino Acids Sorbitol 500 mL Bottle 458.00 - 1,080.00 723.06
200. Cotrimoxazole (Sulfamethoxazole 200 mg + 40 mg/5 mL, 60 9.74 - 38.00 14.09
+ Trimethoprim) mL Suspension
201. Cotrimoxazole (Sulfamethoxazole 400 mg + 80 mg Tablet 0.65 - 1.15 0.79
+ Trimethoprim)
202. Cotrimoxazole (Sulfamethoxazole 400 mg + 80 mg/5 mL, 60 14.00 - 43.66 18.03
+ Trimethoprim) mL Suspension
203. Cotrimoxazole (Sulfamethoxazole 800 mg+160 mg Tablet 0.52 - 9.50 1.19
+ Trimethoprim)
204. Cyclophosphamide 500 mg powder Vial 150.00 - 300.00 231.75
205. Cytarabine 100 mg powder Vial 101.90 - 227.00 104.96
D
206. Dacarbazine 200 mg Vial 785.00 - 1,900.00 808.55
207. Deferasirox 125 mg Dispersible Tablet - 337.26
208. Deferasirox 250 mg Dispersible Tablet - 674.52
209. Dexamethasone 4 mg Tablet 5.00 - 25.04 17.63
210. Dexamethasone 4 mg/mL, 2 mL Ampule 16.66 - 62.00 32.64
211. Dexamethasone 4 mg/mL, 2 mL Vial 13.00 - 41.75 30.99
212. Dexamethasone 4 mg/mL,1 mL Ampule 29.82 - 83.00 56.65
213. Dexamethasone 5 mg/mL,1 mL Ampule 26.82 - 72.00 37.44
214. Dextran, High Molecular Weight 6%, Dextran 70 in 5% 400.00 - 930.00 412.00
(Dextran 70) Dextrose 500 mL Bottle
215. Diazepam 10 mg Tablet 6.99 - 14.03 7.51
216. Diazepam 5 mg Tablet 5.98 - 11.20 7.20
__________________________________

The Reference Price was based on the proposed list price of the pharmaceutical company upon its inclusion in the Philippine National Formulary
*
The Reference Price was based on the cheapest price gathered through market survey

2016 DPRI | Fourth Edition 9|Page

 Lowest to Highest DPR (Php)
Generic Name Strength / Form / Volume Tender Price (Php) (Ceiling Price)
217. Diazepam 5 mg/mL, 2 mL Ampule 12.63 - 331.50 63.85
218. Diclofenac 100 mg MR Tablet 6.87 - 23.00 7.08
219. Diclofenac 25 mg/mL, 3 mL Ampule 12.79 - 119.00 31.21
220. Diclofenac 50 mg MR Tablet 0.88 - 20.21 1.00
221. Diclofenac 50 mg Tablet 0.29 - 22.00 0.81
222. Dicycloverine (Dicyclomine) 10 mg Tablet 0.24 - 11.50 0.52
223. Dicycloverine (Dicyclomine) 10 mg/5 mL, 60 mL Syrup 9.99 - 34.26 17.00
224. Diethylcarbamazine 50 mg Tablet 0.69 0.71
225. Digoxin 250 mcg Tablet 2.80 - 6.20 4.54
226. Digoxin 250 mcg/mL, 2 mL Ampule 87.00 - 260.00 147.29
227. Digoxin 50mcg/mL, 60mL Elixir 627.00 - 728.75 645.81
228. Diloxanide 500 mg Tablet 3.75 - 23.40 3.86
229. Diltiazem 30 mg Tablet 2.62 - 20.09 15.40
230. Diltiazem 60 mg Tablet 25.00 - 47.50 31.75
231. Diphenhydramine (as 12.5 mg/ 5 mL, 60 mL Syrup 9.70 - 108.00 18.08
Hydrochloride)
232. Diphenhydramine (as 50 mg Capsule 0.50 - 7.25 0.93
Hydrochloride)
233. Diphenhydramine (as 50 mg/mL, 1 mL Ampule 29.89 - 198.99 39.64
Hydrochloride)
234. Dobutamine 1 mg/mL, 250 mL D5W Pre- 350.00 - 833.00 360.50
mixed
235. Dobutamine 12.5 mg/mL, 20 mL Vial 15.00 - 495.00 107.12
236. Dobutamine 2 mg/mL, 250 mL D5W Pre- 142.88 - 1,025.00 750.87
mixed
237. Dobutamine 50 mg/mL, 5 mL Ampule 135.00 - 487.00 195.32
238. Docetaxel 20 mg/0.5 mL, 0.5 mL Vial 1,680.00 - 3,500.00 1,936.40
239. Docetaxel 40 mg/mL, 2 mL Vial 5,328.00 - 8,116.40
12,000.00
240. Domperidone 1 mg/mL, 60 mL 115.00 - 196.87 149.35
Suspension
241. Domperidone 10 mg Tablet 1.25 - 22.00 3.08
242. Dopamine 1.6 mg/mL, 250 mL D5W 198.49 - 525.55 286.84
Pre-mixed
243. Dopamine 3.2 mg/mL, 250 mL D5W 196.88 - 399.89 202.79
Pre-mixed
244. Dopamine 40 mg/mL, 5 mL Ampule 34.92 - 152.00 46.16
245. Dopamine 800 mcg/mL, 250 mL D5W 155.00 - 455.55 246.52
Pre-mixed
246. Doxorubicin 10 mg powder Vial 158.25 - 261.25 163.00
247. Doxorubicin 2 mg/mL, 5 mL Vial 336.00 - 650.00 401.70
248. Doxorubicin 50 mg powder Vial 688.00 - 878.75 708.64
249. Doxycycline (as Hyclate) 100 mg Capsule 0.75 - 122.20 0.98
250. Dydrogesterone 10 mg Tablet 42.00 - 73.00 43.26
E
251. Enalapril 10 mg Tablet 1.40 - 12.00 4.02
252. Enalapril 20 mg Tablet 5.60 - 12.00 9.66
253. Enalapril 5 mg Tablet 1.90 - 21.79 3.86
254. Enoxaparin 100 mg/mL, 0.2 mL Pre- 394.40 - 440.00 406.23
filled syringe

2016 DPRI | Fourth Edition 10 | P a g e

 Lowest to Highest DPR (Php)
Generic Name Strength / Form / Volume Tender Price (Php) (Ceiling Price)
255. Enoxaparin 100 mg/mL, 0.4 mL Pre- 221.50 - 599.99 244.11
filled syringe
256. Enoxaparin 100 mg/mL, 0.6 mL Pre- 349.00 - 785.00 390.77
filled syringe
257. Enteral Nutrition - Adult 400 g Can 525.00 - 544.17 543.84
Polymeric
258. Eperisone Hydrochloride 50 mg Tablet - 21.32
259. Ephedrine 50 mg/mL, 1 mL Ampule 48.00 - 179.99 61.80
260. Epinephrine 1 mg/mL, 1 mL Ampule 29.99 - 98.49 41.92
261. Epoetin Alfa (recombinant human 10,000 IU/mL Pre-filled 1,550.00 - 1,585.00 1,585.00
erythropoietin) syringe
262. Epoetin Alfa (recombinant human 2000 IU/0.5 mL Pre-filled 290.00 - 597.60 365.65
erythropoietin) syringe
263. Epoetin Alfa (recombinant human 4000 IU/0.4 mL Pre-filled 389.00 - 1,350.00 463.50
erythropoietin) syringe
264. Epoetin Alfa (recombinant human 4000 IU/mL, 1 mL Pre-filled 380.00 - 750.00 487.19
erythropoietin) Glass Syringe
265. Epoetin Alfa (recombinant human 4000 IU/mL, 1 mL Vial 339.99 - 449.99 350.19
erythropoietin)
266. Epoetin Beta (recombinant 2000 IU/ 0.3 mL Pre-filled 395.80 - 554.12 407.67
erythropoietin) syringe
267. Epoetin Beta (recombinant 5000IU/0.3ml Pre-filled 950.10 - 1,076.78 978.60
erythropoietin) syringe
268. Ertapenem (as Sodium) 1 g Vial 2,262.02 - 3,016.02 2,329.88
269. Erythromycin 200 mg/5 mL, 60 mL 35.00 - 54.23 44.03
Suspension
270. Erythromycin 500 mg Tablet 3.35 - 4.42 4.12
271. Erythromycin Eye Ointment 0.5%, 3.5 g Tube 99.50 - 143.33 126.04
272. Erythromycin Eye Ointment 0.5%, 5 g Tube 139.00 - 170.00 158.62
273. Escitalopram (as Oxalate) 10 mg Tablet 4.29 - 14.50 4.91
274. Ethambutol Hydrochloride 400 mg Tablet 1.92 - 12.00 7.35
275. Ethinylestradiol + Levonorgestrel 30 mcg + 150 mcg Cycle 16.25 - 21.66 19.52
276. Etoposide 100 mg Vial 330.00 - 450.00 339.90
F
277. Famotidine 20 mg Lyophilized Powder 93.99 - 150.00 100.85
Vial
278. Felodipine 10 mg MR Tablet 3.50 - 28.66 14.73
279. Felodipine 5 mg MR Tablet 3.25 - 15.18 7.73
280. Fenofibrate 145 mg Tablet 25.86 - 39.84 26.64
281. Fenofibrate 160 mg Tablet 20.91 - 35.79 26.78
282. Fenofibrate 200 mg Capsule 6.00 - 22.00 14.24
283. Fentanyl 50mcg/mL, 10mL Ampule 64.89 - 450.00 206.52
284. Fentanyl 50mcg/mL, 2mL Ampule 62.49 - 240.00 70.04
285. Ferrous Salt (equiv. to 15 mg elemental 9.08 - 40.00 18.54
iron/0.6 mL), 15 mL Drops

__________________________________

The Reference Price was based on the proposed list price of the pharmaceutical company upon its inclusion in the Philippine National Formulary

2016 DPRI | Fourth Edition 11 | P a g e

 Lowest to Highest DPR (Php)
Generic Name Strength / Form / Volume Tender Price (Php) (Ceiling Price)
286. Ferrous Salt (equiv. to 30 mg elemental 10.00 - 79.00 21.60
iron/5 mL), 60 mL Syrup
287. Ferrous Salt equiv. to 60 mg elemental 0.42 - 6.50 3.09
iron Tablet
288. Ferrous Sulfate + Folic Acid 60 mg elemental iron + 400 0.38 - 6.99 0.74
mcg folic acid Film coated
tablet
289. Filgrastim 300 mcg/0.5 mL Pre-filled - 990.00
Syringe
290. Filgrastim 300 mcg/1.2 mL Vial 1,050.00 - 1,538.00 1,081.50
291. Filgrastim 300 mcg/mL Vial 1,199.00 - 2,940.00 1,493.50
292. Finasteride 5 mg Tablet 7.35 - 48.59 22.92
293. Fluconazole 150 mg Capsule 25.00 - 519.83 94.31
294. Fluconazole 2 mg/mL, 100 mL Vial 45.00 - 3,517.93 401.69
295. Fluconazole 200 mg Capsule 100.00 - 660.78 256.42
296. Fluconazole 50 mg Capsule 49.29 - 187.27 88.96
297. Fluorouracil 50 mg/mL, 10 mL Vial 67.25 - 148.00 82.40
298. Fluoxetine 20 mg Capsule 2.19 - 32.25 6.17
299. Fluoxetine 20 mg Dispersible Tablet 4.89 - 35.00 23.45
300. Fluphenazine (as Decanoate) 25 mg/mL, 10 mL Vial 354.49 - 600.00 400.67
301. Fluticasone + Salmeterol 100 mcg + 50 mcg x 60 doses 320.00 - 613.90 513.97
Dry Powder Inhaler
302. Fluticasone + Salmeterol 125 mcg + 25 mcg x 120 194.00 - 440.00 281.86
doses Metered Dose Inhaler
303. Fluticasone + Salmeterol 250 mcg + 25 mcg x 120 250.00 - 619.00 410.97
doses Metered Dose Inhaler
304. Fluticasone + Salmeterol 250 mcg + 50 mcg x 60 391.00 - 894.60 654.67
doses Dry Powder Inhaler
305. Fluticasone + Salmeterol 500 mcg + 50 mcg x 60 1,100.00 - 1,186.50 1,156.82
doses Dry Powder Inhaler
306. Fluticasone + Salmeterol 50mcg + 25mcg x 120 doses 190.00 - 235.00 200.85
Metered Dose Inhaler
307. Folic Acid 5 mg Capsule 1.58 - 6.50 3.32
308. Folic Acid 5 mg Tablet 0.72 - 5.00 2.37
309. Fondaparinux 2.5 mg/0.5 mL Solution 1,120.00 - 1,391.50 1,153.60
310. Furosemide 10 mg/mL, 2 mL Ampule 2.12 - 30.00 5.15
311. Furosemide 20 mg Tablet 0.50 - 2.00 1.08
312. Furosemide 40 mg Tablet 0.44 - 12.66 1.60
313. Fusidate Sodium/Fusidic Acid 2%, 5 g Tube 50.89 - 78.88 60.00
Cream
314. Fusidate Sodium/Fusidic Acid 2%, 15 g Tube 90.00 - 115.00 110.21
Ointment
315. Fusidate Sodium/Fusidic Acid 2%, 5 g Tube 38.00 - 328.00 211.25
Ointment

__________________________________

The Reference Price was based on the proposed list price of the pharmaceutical company upon its inclusion in the Philippine National Formulary

The Reference Price was based from the Thailand Drug Reference Price

2016 DPRI | Fourth Edition 12 | P a g e

 Lowest to Highest DPR (Php)
Generic Name Strength / Form / Volume Tender Price (Php) (Ceiling Price)
G
316. Gabapentin 100 mg Capsule 7.00 - 25.75 10.30
317. Gabapentin 300 mg Capsule 6.90 - 23.36 11.85
318. Gemcitabine 1 g Vial 3,860.00 - 6,900.00 5,665.00
319. Gemcitabine 200 mg Vial 129.00 - 1,400.00 1,344.15
320. Gentamicin 40 mg/mL, 2 mL Ampule 1.78 - 15.00 3.39
321. Gentamicin 40 mg/mL, 2 mL Vial 40.00 - 44.00 44.00
322. Gentamicin Eye Drops 0.3%, 5 mL Bottle 110.00 - 200.00 113.30
323. Glibenclamide 5 mg Tablet 0.27 - 10.81 0.82
324. Gliclazide 30 mg MR Tablet 0.57 - 4.20 2.78
325. Gliclazide 60 mg MR Tablet 11.00 - 20.00 11.33
326. Gliclazide 80 mg Tablet 1.94 - 7.00 3.09
327. Glipizide 5 mg Tablet 6.30 - 14.09 8.14
328. Glucose (Dextrose) 50%, 50 mL Vial 11.42 - 75.49 26.27
329. Glyceryl Trinitrate 5 mg Patch 50.00 - 100.00 51.50
(Nitroglycerine)
H
330. Haloperidol 20 mg Tablet 11.80 - 34.00 15.97
331. Haloperidol 5 mg Tablet 2.11 - 5.00 2.91
332. Heparin (as Sodium) 1000 IU/mL, 5 mL Vial 48.50 - 110.00 73.27
333. Heparin (as Sodium) 5000 IU/mL, 5 mL Vial 48.50 - 228.00 215.01
334. Hydralazine 20 mg/mL, 1 mL Ampule 68.88 - 359.00 169.18
335. Hydrochlorothiazide 25 mg Tablet 1.00 - 2.95 2.95
336. Hydrocortisone 100 mg powder, Vial 19.12 - 159.49 22.55
337. Hydrocortisone 125 mg/mL, 2 mL Vial 128.00 - 428.84 131.84
338. Hydrocortisone 250 mg powder, Vial 40.29 - 398.00 66.73
339. Hydrocortisone 50 mg/mL, 2 mL Vial 111.64 - 239.23 114.99
340. Hydrocortisone 500 mg powder, Vial 83.49 - 118.50 85.99
341. Hydrocortisone Cream 1%, 5 g Tube 82.00 - 143.00 103.00
342. Hydrogen Peroxide 3%, 120 mL Bottle 12.00 - 38.00 22.66
343. Hydroxyethyl Starch 6%, 500 mL Bottle 399.00 - 850.00 493.89
344. Hydroxyurea 500 mg Capsule 16.00 - 26.00 16.48
345. Hydroxyzine 10 mg Tablet 5.00 - 11.00 9.30
346. Hydroxyzine 25 mg Tablet 9.20 - 24.48 17.83
347. Hyoscine (as N-butyl bromide) 10 mg Tablet 1.57 - 17.67 1.90
348. Hyoscine (as N-butyl bromide) 20 mg/mL, 1 mL Ampule 8.78 - 65.00 11.62
I
349. I.V. Fluids, 0.9% Sodium Chloride 1 L Plastic Bottle 25.00 - 95.80 45.00
350. I.V. Fluids, 0.9% Sodium Chloride 100 mL Plastic Bottle 44.95 - 95.00 45.00
351. I.V. Fluids, 0.9% Sodium Chloride 20 mL Ampule 16.00 - 40.66 16.48
352. I.V. Fluids, 0.9% Sodium Chloride 50 mL Bottle 17.00 - 58.45 27.81
353. I.V. Fluids, 0.9% Sodium Chloride 500 mL Plastic Bottle 27.00 - 98.00 45.00
354. I.V. Fluids, 10% Dextrose in Water 1 L Plastic Bottle 34.70 - 50.00 45.00
355. I.V. Fluids, 10% Dextrose in Water 500 mL Plastic Bottle 29.95 - 99.45 45.00
356. I.V. Fluids, 5% Dextrose in 0.3% 1 L Plastic Bottle 33.39 - 65.89 45.00
Sodium Chloride

2016 DPRI | Fourth Edition 13 | P a g e

 Lowest to Highest DPR (Php)
Generic Name Strength / Form / Volume Tender Price (Php) (Ceiling Price)
357. I.V. Fluids, 5% Dextrose in 0.3% 500 mL Plastic Bottle 23.99 - 103.00 45.00
Sodium Chloride
358. I.V. Fluids, 5% Dextrose in 0.9% 1 L Plastic Bottle 23.96 - 95.80 45.00
Sodium Chloride
359. I.V. Fluids, 5% Dextrose in 0.9% 500 mL Plastic Bottle 29.95 - 60.00 45.00
Sodium Chloride
360. I.V. Fluids, 5% Dextrose in 1 L Plastic Bottle 22.31 - 95.80 45.00
Lactated Ringer's
361. I.V. Fluids, 5% Dextrose in 500 mL Plastic Bottle 29.95 - 82.00 45.00
Lactated Ringer's
362. I.V. Fluids, 5% Dextrose in Water 1 L Plastic Bottle 16.08 - 69.89 45.00
363. I.V. Fluids, 5% Dextrose in Water 250 mL Plastic Bottle 60.00 - 136.50 45.00
364. I.V. Fluids, 5% Dextrose in Water 500 mL Plastic Bottle 29.89 - 90.45 45.00
365. I.V. Fluids, Balanced Multiple 1 L Plastic Bottle 30.49 - 74.00 45.00
Maintenance Solution with 5%
Dextrose for Adult
366. I.V. Fluids, Balanced Multiple 500 mL Plastic Bottle 29.95 - 110.00 45.00
Maintenance Solution with 5%
Dextrose for Pedia
367. I.V. Fluids, Balanced Multiple 1 L Plastic Bottle 34.12 - 55.00 45.00
Replacement Solution with 5%
Dextrose
368. I.V. Fluids, Lactated Ringer's 1 L Plastic Bottle 30.00 - 95.80 45.00
Solution
369. I.V. Fluids, Lactated Ringer's 500 mL Plastic Bottle 29.95 - 56.45 45.00
Solution
370. Ibuprofen 100 mg/5 mL, 60 mL Bottle 20.00 - 75.00 34.92
371. Ibuprofen 200 mg Tablet 0.60 - 5.00 0.94
372. Ibuprofen 200 mg/5 mL, 60 mL Bottle 33.90 - 115.00 73.13
373. Ibuprofen 400 mg Tablet 0.70 - 20.00 0.96
374. Ifosfamide 1 g Vial 1,650.00 - 2,000.00 1,854.00
375. Ifosfamide 2 g Vial 2,105.00 - 2,500.00 2,394.75
376. Immunoglobulin, Hepatitis B 0.5 mL Vial 128.00 - 1,163.00 175.57
(human)
377. Immunoglobulin, Normal, 50 mg/mL, 50 mL Vial 6,650.00 - 8,118.00 7,094.64
Human (IGIV)
378. Immunoglobulin, Tetanus 250 IU/mL, 1 mL Pre-filled 760.00 1,000.00 955.33
(Human) syringe
379. Immunoglobulin, Tetanus 250 units/mL, 1 mL Vial 679.00 - 1,099.00 751.90
(Human)
380. Insulin, Biphasic Isophane 70% isophane suspension + 124.69 - 250.00 176.65
Human 70/30 (recombinant 30% soluble insulin in 100
DNA) IU/mL, 10 mL Vial
381. Insulin, Isophane Human 100 IU/mL, 10 mL Vial 158.12 - 498.00 179.99
382. Insulin, Regular (Recombinant 100 IU/mL, 10 mL Vial 160.00 - 790.00 216.30
DNA, human)
383. Intraocular Irrigating Solution 500 mL Bottle 380.00 - 485.00 391.40
(balanced salt solution)
384. Iodized Oil Fluid 500 mg Soft Gel Capsule 40.00 41.20

2016 DPRI | Fourth Edition 14 | P a g e

 Lowest to Highest DPR (Php)
Generic Name Strength / Form / Volume Tender Price (Php) (Ceiling Price)
385. Iopamidol 612 mg/mL equiv. to 300 mg 1,298.78 - 2,300.00 1,474.96
iodine, 100 mL Vial
386. Iopamidol 612 mg/mL equiv. to 300 mg 509.00 - 1,350.00 719.97
iodine, 50 mL Vial
387. Iopamidol 755 mg/mL equiv. to 370 1,6000.00 - 2,213.47
mg iodine, 100 mL Vial 2,700.00
388. Iopamidol 755 mg/mL equiv. to 370 990.00 - 1,600.00 1,019.70
mg iodine, 50 mL Vial
389. Ioversol 741 mg/mL equiv. to 350 1,280.00 - 1,800.00 1,318.40
mg/mL iodine, 50 mL Vial
390. Ipratropium + Salbutamol 500 mcg + 2.5 mg x 2.5 mL 4.98 - 41.25 10.83
(unit dose) Respiratory
Solution
391. Irbesartan 150 mg Tablet 2.57 - 23.75 11.33
392. Irbesartan 300 mg Tablet 14.00 - 35.00 17.77
393. Irbesartan + Hydrochlorothiazide 150 mg + 12.5 mg Tablet 12.10 - 22.71 18.25
394. Irbesartan + Hydrochlorothiazide 300 mg + 12.5 mg Tablet 19.00 - 40.00 29.88
395. Iron Sucrose 20 mg/mL, 5 mL Ampule - 139.50
396. Isoflurane 100 mL Bottle 619.00 - 4,750.00 2,616.20
397. Isoniazid 200 mg/5 mL, 120 mL Syrup 49.00 - 178.00 74.11
398. Isoniazid 300 mg Tablet 1.05 - 2.15 1.80
399. Isoniazid + Rifampicin 75 mg + 150 mg Tablet 4.46 - 5.60 5.15
400. Isoniazid + Rifampicin + 75 mg + 150 mg + 275 mg 5.00 - 7.22 5.15
Ethambutol Tablet
401. Isoniazid + Rifampicin + 75 mg + 150 mg + 400 mg + 3.98 - 7.40 5.51
Pyrazinamide + Ethambutol 275 mg Tablet
402. Isosorbide Dinitrate 1 mg/mL, 10 mL Ampule 398.80 - 770.00 410.76
403. Isosorbide Dinitrate 10 mg Tablet 1.08 - 12.30 10.52
404. Isosorbide Dinitrate 5 mg Tablet 1.10 - 29.00 8.70
405. Isosorbide-5-Mononitrate 20 mg Tablet 4.00 - 11.33 5.02
406. Isosorbide-5-Mononitrate 30 mg MR Capsule 8.44 - 12.50 8.69
407. Isosorbide-5-Mononitrate 30 mg MR Tablet 6.00 - 22.84 13.80
408. Isosorbide-5-Mononitrate 60 mg MR Tablet 4.05 - 41.49 6.70
409. Isoxsuprine Hydrochloride 10 mg Tablet 3.00 - 300.00 7.51
410. Isoxsuprine Hydrochloride 5 mg/mL, 2 mL Ampule 110.85 - 300.00 114.18
411. Itraconazole 100 mg Capsule 16.50 - 43.66 39.22
K
412. Ketamine 50 mg/mL, 10 mL Vial 589.00 - 1,095.00 795.15
413. Ketoconazole 2%, 15 g Tube 50.00 - 104.65 72.10
414. Ketorolac 30 mg/mL, 1mL Ampule 5.79 - 300.00 23.99
L
415. Lactulose 3.3 g/5 mL, 120 mL Syrup 52.00 - 230.00 66.84
416. Lagundi 300 mg Tablet 1.00 - 3.10 1.96
417. Lagundi 300 mg/5 mL, 120 mL Syrup 76.50 - 90.00 81.37
418. Lagundi 300 mg/5 mL, 60 mL Syrup 48.37 - 67.50 61.80

__________________________________
The Reference Price was based from the previous procurement price of National Kidney and Transplant Institute

2016 DPRI | Fourth Edition 15 | P a g e

 Lowest to Highest DPR (Php)
Generic Name Strength / Form / Volume Tender Price (Php) (Ceiling Price)
419. Lagundi 600 mg Tablet 3.00 - 5.50 3.09
420. Lansoprazole 30 mg Capsule 9.80 - 15.00 10.30
421. Lansoprazole 30 mg MR Tablet 21.00 - 86.66 30.90
422. L-Asparaginase 10,000 IU Vial 1,500.00 - 2,933.77 2,043.76
423. Levodopa + Carbidopa 250 mg + 25 mg Tablet 23.85 - 60.14 45.93
424. Levofloxacin 5 mg/mL,100 mL Vial 139.50 - 999.00 257.50
425. Levofloxacin 500 mg Tablet 6.25 - 200.00 8.18
426. Levofloxacin 750 mg Tablet 13.99 - 82.00 18.42
427. Levothyroxine 100 mcg Tablet 7.22 - 9.37 8.81
428. Levothyroxine 150 mcg Tablet 10.50 - 11.00 10.82
429. Levothyroxine 25 mcg Tablet 1.65 - 3.46 2.96
430. Levothyroxine 50mcg Tablet 2.25 - 4.74 3.86
431. Lidocaine 10%, 50 mL Spray 1,950.75 - 3,100.00 2,009.27
432. Lidocaine 2%, 1.8mL w/ epinephrine 14.16 - 27.36 18.54
Carpule
433. Lidocaine 2%, 5 mL Ampule 3.29 - 52.00 8.76
434. Lidocaine 2%, 50 mL Vial 7.00 - 48.49 28.07
435. Lipids 10%, 500 mL Bottle 780.00 - 1,750.00 803.40
436. Lithium Carbonate 450 mg MR Tablet 4.20 - 7.00 4.33
437. Loperamide 2 mg Capsule 0.38 - 18.00 0.44
438. Loratadine 10 mg Tablet 1.25 - 21.85 2.27
439. Loratadine 5 mg/5 mL, 30 mL Syrup 34.50 - 84.00 40.17
440. Losartan 100 mg Tablet 0.79 - 23.71 2.90
441. Losartan 50 mg Tablet 0.27 - 8.95 0.93
442. Losartan + Hydrochlorothiazide 100 mg + 25 mg Tablet 3.00 - 20.82 6.18
443. Losartan + Hydrochlorothiazide 50mg +12.5 mg Tablet 1.39 - 15.00 1.92
444. Lynestrenol 500 mcg Cycle 64.32 - 90.00 66.95
M
445. Magnesium Sulfate 250 mg/mL, 10 mL Ampule 5.39 - 37.00 15.22
446. Magnesium Sulfate 250 mg/mL, 20 mL Vial 8.00 - 90.00 26.78
447. Mannitol 20%, 250 mL Bottle 68.49 - 110.00 74.68
448. Mannitol 20%, 500 mL Bottle 55.00 - 240.00 92.17
449. Mebendazole 100 mg/5 mL, 30 mL 11.50 - 42.08 16.48
Suspension
450. Mebendazole 100 mg/5 mL, 60 mL 14.20 - 28.00 14.63
Suspension
451. Mecobalamin 500 mcg Tablet 8.64 - 17.72 11.98
452. Mecobalamin 500 mcg/mL, 1 mL Ampule 168.50 - 289.56 217.72
453. Medroxyprogesterone 10 mg Tablet 32.33 - 120.00 33.30
454. Medroxyprogesterone 150 mg/mL, 1 mL Vial 37.98 - 57.00 50.32
455. Medroxyprogesterone 50 mg/mL, 3 mL Vial + 49.95 - 144.50 59.74
Syringe
456. Mefenamic Acid 250 mg Capsule 0.38 - 3.51 0.48
457. Mefenamic Acid 50 mg/5 mL, 60 mL 12.00 - 120.00 19.34
Suspension
458. Mefenamic Acid 500 mg Capsule 0.47 - 16.43 0.56
459. Mefenamic Acid 500 mg Tablet 0.35 - 4.50 0.47
460. Mercaptopurine 50 mg Tablet 17.50 - 33.08 20.60

2016 DPRI | Fourth Edition 16 | P a g e

 Lowest to Highest DPR (Php)
Generic Name Strength / Form / Volume Tender Price (Php) (Ceiling Price)
461. Meropenem 1 g Vial 139.00 - 2,200.00 286.68
462. Meropenem 500 mg Vial 55.00 - 800.00 179.73
463. Mesna 100 mg/mL, 4 mL Ampule 160.00 - 166.67 164.80
464. Metformin Hydrochloride 500 mg Film coated tablet 0.48 - 5.52 0.65
465. Metformin Hydrochloride 500 mg Tablet 0.48 - 4.90 1.03
466. Metformin Hydrochloride 850 mg Tablet 1.50 - 15.85 7.17
467. Methotrexate 2.5 mg Tablet 2.85 - 11.00 11.00
468. Methotrexate 25 mg/mL, 2 mL Vial 110.75 - 218.00 133.51
469. Methyldopa 250 mg Tablet 6.00 - 21.31 12.36
470. Methylergometrine 125 mcg Tablet 0.84 - 15.00 2.58
471. Methylergometrine 200 mcg/mL, 1 mL Ampule 8.12 - 219.00 13.69
472. Methylprednisolone 1 g/16 mL + Diluent Vial 995.45 - 3,270.30 2,866.11
473. Methylprednisolone 125 mg/mL, 2 mL + diluent 606.02 - 798.98 624.20
Vial
474. Methylprednisolone 16 mg Tablet 12.69 - 30.24 16.85
475. Methylprednisolone 4 mg Tablet 5.00 - 9.76 6.64
476. Methylprednisolone 40 mg ( single dose) Vial 216.52 - 567.20 223.02
477. Methylprednisolone 500 mg/8.0 mL + diluent 1,109.68 - 3,286.03 1,142.97
vial Vial
478. Metoclopramide 10 mg Tablet 0.90 - 7.96 1.71
479. Metoclopramide 5 mg/5 mL, 60 mL Syrup 18.00 - 36.00 18.54
480. Metoclopramide 5 mg/mL, 2 mL Ampule 1.82 - 35.87 3.08
481. Metoprolol (as Tartrate) 100 mg Tablet 0.50 - 4.75 1.56
482. Metoprolol (as Tartrate) 50 mg Tablet 0.40 - 3.70 1.55
483. Metronidazole 125 mg/5 mL, 60 mL 12.60 - 70.00 15.19
Suspension
484. Metronidazole 5 mg/mL, 100 mL Vial 10.12 - 99.00 12.46
485. Metronidazole 500 mg Tablet 0.55 - 20.81 0.99
486. Micronutrient Powder 1 g Sachet 1.18 1.22
487. Midazolam 1 mg/mL, 5 mL Ampule 91.62 - 101.80 94.37
488. Midazolam 15 mg Tablet 23.50 - 24.74 24.21
489. Midazolam 5 mg/mL, 3 mL Ampule 73.88 - 199.89 113.22
490. Midazolam 5 mg/mL,1 mL Ampule 64.89 - 168.00 80.12
491. Modified Fluid Gelatin (Formerly 4% solution, 500 mL Bottle 500.00 - 900.00 515.00
Polymerisate of Degraded
Succinylated Gelatin)
492. Monobasic Sodium Phosphate, 19 g/ 7 g solution per 133 180.00 - 216.00 185.40
Dibasic Sodium Phosphate mL Bottle
493. Monobasic Sodium Phosphate, 48 g/18 g per 45 mL solution 180.00 - 212.73 185.40
Dibasic Sodium Phosphate Bottle
494. Montelukast 10 mg Tablet 7.00 - 25.20 10.30
495. Montelukast 4 mg Chewable Tablet 4.49 - 12.25 7.13
496. Montelukast 5 mg Chewable Tablet 5.40 - 65.00 8.11
497. Morphine (As Sulfate) 10 mg MR Tablet 18.30 - 24.95 20.61
498. Morphine (As Sulfate) 10 mg Tablet 17.93 - 25.00 21.01
499. Morphine (As Sulfate) 10 mg/mL,1 mL Ampule 33.00 - 81.00 51.50
500. Morphine (As Sulfate) 30 mg MR Tablet 44.50 - 62.73 45.84
501. Morphine (As Sulfate) 30 mg Tablet 50.00 - 63.06 51.50
2016 DPRI | Fourth Edition 17 | P a g e
 Lowest to Highest DPR (Php)
Generic Name Strength / Form / Volume Tender Price (Php) (Ceiling Price)
502. Multivitamins for adults Capsule 0.63 - 22.00 1.03
503. Multivitamins for adults Tablet 0.64 - 22.00 2.32
504. Multivitamins per 1 mL ,15 mL Drops 12.00 - 71.22 22.56
505. Multivitamins per 5 mL, 120 mL Syrup 18.00 - 124.00 43.21
506. Multivitamins per 5 mL, 60 mL Syrup 10.48 - 78.00 18.54
507. Mupirocin Ointment 2%, 15 g Tube 96.40 - 245.00 167.38
508. Mupirocin Ointment 2%, 5 g Tube 52.33 - 250.00 60.14
509. Mycophenolate Mofetil 500 mg Tablet 53.48 - 102.29 60.77
510. Mycophenolic Acid ( As 360 mg Tablet 93.61 - 110.11 97.22
Mycophenolate Sodium)
N
511. Nalbuphine 10 mg/mL, 1 mL Ampule 24.49 - 149.99 64.50
512. Naloxone 20 mcg/mL, 2 mL Ampule 200.00 - 360.00 309.00
513. Naloxone 400 mcg/mL, 1 mL Ampule 95.00 - 392.00 392.00
514. Naproxen Sodium 500 mg MR Tablet 2.97 - 7.50 3.71
515. Naproxen Sodium 550 mg Tablet 2.18 - 2.59 2.59
516. Neomycin + Polymyxin B + 3.5 mg neomycin + 10,000 150.00 - 319.93 190.55
Fluocinolone Acetonide Ear Drops units polymyxin B + 0.025%
floucinolone acetonide/mL,
5 mL Bottle
517. Neostigmine 500 mcg/mL, 1 mL Ampule 90.99 - 123.49 93.72
518. Nepafenac 1 mg/mL, 5 mL Bottle 542.61 558.89
519. Nicardipine 1 mg/mL, 10 mL Ampule 445.00 - 1,760.00 628.30
520. Nicardipine 1 mg/mL, 2 mL Ampule 82.00 - 1,342.00 150.38
521. Nifedipine 10 mg Capsule 1.95 - 15.00 3.50
522. Nifedipine 20 mg MR Tablet 3.00 - 34.47 23.46
523. Nifedipine 30 mg MR Tablet 28.42 - 41.58 34.80
524. Nifedipine 5 mg Capsule 1.30 - 38.00 1.89
525. Norepinephrine 1 mg/mL, 10 mL Ampule 1,162.18 - 1,844.73 1,197.05
526. Norepinephrine 1 mg/mL, 2 mL Ampule 131.20 - 530.00 188.89
527. Norepinephrine 1 mg/mL, 4 mL Ampule 355.00 - 1190.00 544.48
528. Norfloxacin 400 mg Tablet 1.45 - 1.80 1.49
529. Nystatin 100,000 units/mL, 30 mL 105.00 - 335.00 198.28
Suspension
O
530. Octreotide 100 mcg/mL, 1 mL Ampule 500.00 - 600.00 515.00
531. Ofloxacin 2 mg/mL, 100 mL Vial 145.00 - 1,100.00 393.98
532. Ofloxacin 200 mg Tablet 2.11 - 37.85 4.12
533. Ofloxacin 400 mg Tablet 3.29 - 25.00 7.83
534. Ofloxacin Ear Drops 0.3%, 5 mL Bottle 135.00 - 396.00 219.61
535. Ofloxacin Eye Drops 0.3%, 5 mL Bottle 118.44 - 180.00 130.75
536. Olanzapine 10 mg Tablet 4.09 - 86.66 27.81
537. Omeprazole 10 mg Capsule 1.20 - 19.64 20.23
538. Omeprazole 20 mg Capsule 0.85 - 9.50 1.01
539. Omeprazole 40 mg Capsule 1.50 - 35.00 10.30
540. Omeprazole 40 mg powder vial + 10 mL 27.00 - 460.00 39.13
solvent Ampule
541. Ondansetron (as Hydrochloride) 2 mg/mL, 2 mL Ampule 124.00 - 450.00 309.00
2016 DPRI | Fourth Edition 18 | P a g e
 Lowest to Highest DPR (Php)
Generic Name Strength / Form / Volume Tender Price (Php) (Ceiling Price)
542. Ondansetron (as Hydrochloride) 2 mg/mL, 4 mL Ampule 122.48 - 550.00 225.57
543. Oral Rehydration Salts (ORS 75- 20.5 g Sachet 2.79 - 75.00 3.29
replacement)
544. Oral Rehydration Salts (ORS 75- 5.125 g Sachet 2.60 - 16.00 2.68
replacement)
545. Oseltamivir 75 mg Capsule 33.00 33.99
546. Oxacillin 500 mg Vial 19.28 - 140.00 21.09
547. Oxaliplatin 2 mg/mL, 50 mL Vial 3,995.00 - 5,950.00 4,635.00
548. Oxycodone 10 mg Tablet 95.85 - 148.18 127.16
549. Oxycodone 10 mg/mL, 1 mL Ampule 990.00 - 1,075.00 1,019.70
550. Oxycodone 5 mg Capsule 124.11 - 130.32 127.83
551. Oxytocin 10 IU/mL, 1 mL Ampule 4.97 - 116.88 9.89
P
552. Paclitaxel 6 mg/mL, 16.7 mL Vial 1,589.00 - 7,500.00 2,163.00
553. Paclitaxel 6 mg/mL, 25 mL Vial 3,018.00 - 3,108.54
11,500.00
554. Paclitaxel 6 mg/mL, 5 mL Vial 1,179.00 - 4,885.00 1,348.27
555. Paracetamol 10 mg/mL, 100 mL Vial 40.00 - 379.50 306.16
556. Paracetamol 100 mg/ml, 15 mL Drops 9.09 - 59.00 12.10
557. Paracetamol 120 mg/5 mL (125 mg/5 9.94 - 24.00 12.10
mL), 60 mL Bottle
558. Paracetamol 125 mg Suppository 12.50 - 29.88 19.82
559. Paracetamol 150 mg/mL, 2 mL Ampule 3.12 - 65.00 5.67
560. Paracetamol 250 mg Suppository 13.20 - 28.95 22.54
561. Paracetamol 250 mg/5 mL, 60 mL Bottle 9.66 - 79.70 12.88
562. Paracetamol 500 mg Tablet 0.13 - 3.12 0.23
563. Penicillin G Benzathine 1,200,000 units Vial 41.89 - 167.53 55.21
(benzathine benzylpenicillin)
564. Penicillin G Crystalline 1 MU Vial 3.89 - 14.00 5.27
565. Penicillin G Crystalline 5 MU Vial 7.49 - 49.49 15.37
566. Peritoneal Dialysis Solution Sterile with 1.5% dextrose, 1 69.65 - 74.00 71.74
L Bottle
567. Pethidine 50 mg/mL, 2 mL Ampule 113.62 - 225.88 189.85
568. Pethidine 50 mg/mL, 30 mL Vial 2,400.00 - 2,719.74 2,472.00
569. Phenobarbital 120 mg/mL (130 mg/mL), 1 377.00 - 870.00 489.79
mL Ampule
570. Phenytoin 100 mg Capsule 7.50 - 27.36 11.44
571. Phenytoin 30 mg/5 mL, 120 mL 153.65 - 465.61 158.26
Suspension
572. Phenytoin 50 mg/mL, 2 mL Ampule 111.49 - 595.00 211.15
573. Phenytoin 50 mg/mL, 5 mL Ampule 270.00 - 857.63 278.10
574. Phytomenadione 10 mg/mL, 1 mL Ampule 13.49 - 92.48 18.42
575. Piperacillin + Tazobactam 2 g + 250 mg Vial 34.00 - 500.00 74.79
576. Piperacillin + Tazobactam 4 g + 500 mg Vial 50.00 - 936.00 104.84
577. Potassium Chloride 2 mEq/mL, 20 mL Vial 9.00 - 87.50 20.60
578. Potassium Chloride 750 mg durules (equiv. to 18.85 - 68.00 24.01
approximately 10 mEq)
Tablet

2016 DPRI | Fourth Edition 19 | P a g e

 Lowest to Highest DPR (Php)
Generic Name Strength / Form / Volume Tender Price (Php) (Ceiling Price)
579. Potassium Citrate 10 mEq Tablet 7.00 - 13.50 11.85
580. Povidone Iodine (Oral Antiseptic) 1%, 60 mL Bottle 50.00 - 105.00 77.25
581. Povidone Iodine (Solution) 10%, 1 gallon Bottle 420.00 - 749.40 659.20
582. Povidone Iodine (Solution) 10%, 60 mL Bottle 25.00 - 60.00 37.08
583. Praziquantel 600 mg Tablet 9.88 10.18
584. Prednisolone 20 mg Tablet 2.90 - 5.50 2.99
585. Prednisolone 5 mg Tablet 0.54 - 4.90 1.13
586. Prednisolone Eye Drops 1%, 5 mL Bottle 117.00 - 221.00 161.71
587. Prednisone 10 mg Tablet 1.16 - 15.00 4.12
588. Prednisone 10 mg/5 mL, 60 mL 60.00 - 128.00 92.70
Suspension
589. Prednisone 20 mg Tablet 3.00 - 10.50 4.94
590. Prednisone 5 mg Tablet 0.47 - 4.65 0.81
591. Propofol 10 mg/mL, 20 mL Ampule 70.00 - 790.00 90.11
592. Propofol 10 mg/mL, 20 mL Vial 84.99 - 430.00 110.98
593. Propofol 10 mg/mL, 50 mL Pre-filled 1,196.84 - 1,249.98 1,232.75
syringe
594. Propofol 10 mg/mL, 50 mL Vial 449.00 - 850.00 616.97
595. Propranolol 10 mg Tablet 1.20 - 11.98 9.99
596. Propranolol 40 mg Tablet 1.40 - 19.14 13.97
597. Propylthiouracil 50 mg Tablet 1.85 - 14.95 8.94
598. Pyrazinamide 250 mg/5 mL, 120 mL 62.40 - 119.00 77.25
Suspension
599. Pyrazinamide 500 mg Tablet 1.90 - 5.50 4.02
Q
600. Quetiapine (as Fumarate) 100 mg Tablet 24.10 - 85.87 24.82
601. Quetiapine (as Fumarate) 200 mg Tablet 27.55 - 68.13 37.40
602. Quetiapine (as Fumarate) 300 mg Tablet 24.00 - 84.18 66.74
R
603. Ranitidine 150 mg Tablet 0.59 - 23.60 0.93
604. Ranitidine 25 mg/mL, 2 mL Ampule 1.05 - 85.00 3.42
605. Ranitidine 300 mg Tablet 1.34 - 11.50 2.09
606. Recombinant Tissue Plasminogen 50 mg powder, Vial 30,000.00 30,000.00
Activator (rTPA)
607. Rifampicin 200 mg/5 mL, 120 mL 120.00 - 298.00 162.23
Suspension
608. Risperidone 1 mg Tablet 8.90 - 19.21 15.60
609. Risperidone 2 mg Tablet 1.43 - 55.10 14.83
610. Risperidone 4 mg Tablet 3.24 - 13.50 9.01
611. Rocuronium 10 mg/mL, 2.5 mL Vial 219.00 - 450.00 309.00
612. Rocuronium 10 mg/mL, 5 mL Ampule 205.00 - 418.88 314.15
613. Rocuronium 10 mg/mL, 5 mL Vial 189.99 - 410.00 252.35
614. Ropivacaine 10 mg/mL, 10 mL Ampule 341.04 - 400.00 351.27
615. Rosuvastatin (as Calcium) 10 mg Tablet 5.75 - 31.50 8.42
616. Rosuvastatin (as Calcium) 20 mg Tablet 8.00 - 38.31 11.77
S
617. Salbutamol 1 mg/mL, 2.5 mL (unit 1.61 - 9.00 4.40
dose) Nebule

2016 DPRI | Fourth Edition 20 | P a g e

 Lowest to Highest DPR (Php)
Generic Name Strength / Form / Volume Tender Price (Php) (Ceiling Price)
618. Salbutamol 100 mcg/dose x 200 doses 69.42 - 277.00 97.43
Metered Dose Inhaler
619. Salbutamol 2 mg Tablet 0.15 - 2.50 0.23
620. Salbutamol 2 mg/5mL, 60 mL Syrup 8.15 - 42.00 11.69
621. Salbutamol 2 mg/mL, 2.5 mL (unit 4.28 - 20.00 6.39
dose) Nebule
622. Sambong 250 mg Tablet 1.78 - 5.50 1.83
623. Sambong 500 mg Tablet 3.00 - 9.00 6.08
624. Sertraline 50 mg Tablet 3.00 - 59.74 8.03
625. Serum, Anti-rabies (equine) 200 IU/mL, 5 mL Vial 900.00 - 2,050.00 1,076.29
626. Serum, Anti-rabies (equine) 400 IU/mL, 5 mL Vial 1,100.00 - 1,200.00 1,200.00
627. Serum, Anti-tetanus (ATS) 1500 IU/mL, 1 mL Ampule 18.75 - 72.00 56.87
(equine)
628. Sevoflurane 250 mL Bottle 5,439.00 - 7,585.95
13,128.76
629. Silver Sulfadiazine Cream 1%, 15 g Tube 81.88 - 138.50 96.30
630. Silver Sulfadiazine Cream 1%, 20 g Tube 86.95 - 508.14 113.29
631. Silver Sulfadiazine Cream 1%, 25 g Tube 68.00 - 130.00 86.36
632. Silver Sulfadiazine Cream 1%, 500 g Jar 795.00 - 3,042.90 875.50
633. Simvastatin 10 mg Tablet 1.80 - 4.00 3.61
634. Simvastatin 20 mg Tablet 0.42 - 6.00 0.82
635. Simvastatin 40 mg Tablet 2.28 - 10.00 3.89
636. Sodium Bicarbonate 1 meq/mL, 50 mL Ampule 49.39 - 226.00 64.78
637. Sodium Bicarbonate 1 meq/mL, 50 mL Vial 64.00 - 108.86 65.92
638. Sodium Chloride 2.5 mEq/mL, 20 mL Vial 12.71 - 80.00 29.87
639. Sodium Hypochlorite 1.25%, 100 mL Bottle 45.00 46.35
640. Somatostatin 3 mg Vial 3,300.00 - 5,062.55 4,391.10
641. Spironolactone 100 mg Tablet 23.36 - 51.38 24.06
642. Spironolactone 25 mg Tablet 8.44 - 18.41 9.96
643. Spironolactone 50 mg Tablet 12.26 - 29.00 25.50
644. Standard Senna Concentrate 187 mg Tablet 6.18 - 8.83 6.37
645. Sterile Water For injection 100 mL Bottle 19.00 - 47.00 45.32
646. Sterile Water For injection 20 mL Ampule 10.50 - 42.00 25.24
647. Sterile Water For injection 50 mL Bottle 10.90 - 48.00 22.15
648. Streptokinase 1,500,000 IU Vial 2,479.00 - 5,300.00 3,914.00
649. Streptomycin 1 g Vial 7.42 - 38.00 10.55
650. Sucralfate 1 g Tablet 28.98 - 51.14 29.85
651. Sugammadex 100 mg/mL, 2 mL Vial 4,731.35 - 5,257.07 4,873.29
652. Sulfur (Ointment) 5%, 15 g Tube 31.00 - 65.00 47.38
653. Suxamethonium (Succinylcholine) 20 mg/mL, 10 mL Vial 151.29 - 595.00 185.40
T
654. Tacrolimus 1 mg Capsule 142.50 - 198.42 169.95
655. Tamoxifen 20 mg Tablet 3.77 - 25.00 10.09
656. Tamsulosin 200 mcg Capsule 17.50 - 53.88 51.93
657. Tamsulosin 200 mcg Orally 16.25 - 53.88 38.05
Disintegrating Tablet
658. Telmisartan 40 mg Tablet 2.52 - 22.92 20.62
659. Telmisartan 80 mg Tablet 29.90 - 39.63 30.80

2016 DPRI | Fourth Edition 21 | P a g e

 Lowest to Highest DPR (Php)
Generic Name Strength / Form / Volume Tender Price (Php) (Ceiling Price)
660. Telmisartan + 40 mg + 12.5 mg Tablet 14.00 - 23.63 20.38
Hydrochlorothiazide
661. Telmisartan + 80 mg + 12.5 mg Tablet 30.10 - 38.81 31.00
Hydrochlorothiazide
662. Terbutaline 500 mcg/mL, 1 mL Ampule 16.68 - 42.29 17.18
663. Thiamazole (Methimazole) 5 mg Tablet 3.00 - 6.50 5.15
664. Thiopental Sodium 1 g + 50 mL diluent Vial 949.89 - 1,499.00 978.39
665. Timolol Eye Drops 0.5%, 5 mL Bottle 290.00 - 700.00 298.70
666. Tinzaparin Sodium 10,000 anti-XA IU/mL, 2 mL 1,289.74 -1,357.62 1,328.43
Vial
667. Tiotropium 18 mcg/dose Dry Powder 67.50 - 197.25 74.53
Inhaler
668. Tobramycin + Dexamethasone 0.3% + 0.1%, 5 mL Bottle 157.00 -430.20 236.90
Eye Drops
669. Tobramycin + Dexamethasone 0.3% + 0.1%, 3.5 g Tube 367.41 - 426.19 378.43
Eye Ointment
670. Tobramycin Eye Drops 0.3%, 5 mL Bottle 110.00 - 406.80 316.65
671. Topiramate 50 mg Tablet 12.60 - 36.00 12.98
672. Tramadol 100 mg MR Tablet 70.56 - 77.82 72.68
673. Tramadol 50 mg Capsule 0.78 - 15.00 2.03
674. Tramadol 50 mg/ml, 1 ml Ampule 3.85 - 138.60 9.22
675. Tramadol 50 mg/ml, 2 ml Ampule 3.00 - 178.11 5.04
676. Tranexamic Acid 100 mg/mL, 5 mL Ampule 3.79 - 81.00 12.65
677. Tranexamic Acid 500 mg Capsule 3.60 - 15.85 5.15
678. Tranexamic Acid 500 mg Tablet 5.45 - 10.00 6.44
679. Trimetazidine 20 mg Tablet 5.00 - 12.50 7.21
680. Trimetazidine 35 mg Tablet 4.50 - 15.16 9.25
681. Tropicamide Eye Drops 0.5%, 5 mL Bottle 341.55 351.80
682. Tuberculin, Purified Protein 2 TU/0.1 mL, 1 mL Vial 500.00 - 2,095.00 515.00
Derivative (PPD)
U
683. Ursodeoxycholic Acid 250 mg Capsule 34.14 - 58.04 35.16
V
684. Vaccine, Bacillus Calmette-Gurin 500 mcg/mL + 1 mL 143.40 147.70
(BCG) diluent, 20 doses Vial +
Ampule
685. Vaccine, Diphtheria - Tetanus 2 IU Diphtheria Toxoid + 14.68 14.68
Toxoid (Td) 40 IU Tetanus Toxoid, per
dose
686. Vaccine, Diphtheria, Tetanus, 0.5 mL Vial 98.70 101.66
Pertussis, Hepatitis B
Recombinant and Haemophilus
Influenza Type B (Hib) Combined
687. Vaccine, Hepatitis B (recombinant 10 mcg/0.5 mL (pediatric) 139.50 - 300.00 175.10
DNA) Monodose Vial
688. Vaccine, Hepatitis B (recombinant 20 mcg/mL, 1 mL Vial 189.48 - 380.00 220.42
DNA)

__________________________________

The Reference Price was based from the 2016 Procurement Price of DOH COBAC

2016 DPRI | Fourth Edition 22 | P a g e

 Lowest to Highest DPR (Php)
Generic Name Strength / Form / Volume Tender Price (Php) (Ceiling Price)
689. Vaccine, Human Papillomavirus 0.5 mL in 3 mL (monodose) - 440.00 (PAHO)
Bivalent (types 16 and 18) Vial
690. Vaccine, Human Papillomavirus 0.5 mL Suspension Glass 675.00 - 2,225.00 695.25
Quadrivalent Recombinant (Type Pre-filled Syringe
6, 11, 16 and 18)
691. Vaccine, Inactivated Poliomyelitis 0.5 mL, 5 mL Vial 1,019.99 1,050.59
(Type 1, 2 & 3)
692. Vaccine, Influenza Polyvalent 0.5 mL Suspension Pre-filled 300.00 - 530.00 360.50
syringe
693. Vaccine, Influenza Polyvalent 15 mcg/0.5 mL, 5 mL 1,700.00 1,751.00
multidose Glass Vial
694. Vaccine, Live Attenuated Trivalent 2 mL (20 doses) Vial 160.00 164.80
Oral Polio
695. Vaccine, Pneumococcal 13 Valent 0.5 mL single dose vial 800.00 824.00
Conjugate
696. Vaccine, Pneumococcal Polyvalent 25 mcg/0.5 mL, 0.5 mL Vial 445.00 - 650.00 535.60
697. Vaccine, Pneumococcal Polyvalent 25 mcg/0.5 mL, 2.5 mL 342.00 352.26
(multidose) Vial
698. Vaccine, Rabies Chick Embryo 2.5 IU/mL, 1 dose + 1 mL 730.00 - 2,510.00 751.90
Cell (Purified Inactivated) diluent Vial
699. Vaccine, Tetanus Toxoid 0.5 mL Ampule 23.32 - 110.00 46.35
700. Vaccine, Vero Cell (purified) 2.5 IU/0.5 mL Vial + diluent 365.00 - 1,248.00 751.90
701. Valaciclovir 500 mg Tablet 98.00 - 150.01 100.94
702. Valproate Disodium/Valproic 250 mg Tablet 22.83 - 32.57 24.59
Acid
703. Valproic Acid 250 mg/5 mL, 120 mL Syrup 285.50 2,087.73 515.00
704. Valproic Acid 500 mg/5 mL, 5 mL Vial 1,701.13 - 2,456.16 1,752.16
705. Valproic Acid + Sodium Valproate 500 mg Controlled Release - 33.75*
Tablet
706. Valsartan 160 mg Tablet 16.33 - 60.50 43.26
707. Valsartan 80 mg Tablet 11.00 - 42.55 22.92
708. Valsartan + Hydrochlorothiazide 80 mg + 12.5 mg Tablet 17.00 - 49.81 26.06
709. Vancomycin 500 mg Vial 95.00 -1,400.00 162.74
710. Verapamil 2.5mg/ml, 2mL Ampule 126.40 - 191.93 130.19
711. Verapamil 80 mg Tablet 30.25 - 50.00 44.45
712. Vitamin A 200,000 IU Soft Gel Capsule 1.10 - 5.01 1.13
713. Vitamin B1 B6 B12 100 mg + 100 mg + 1 mg, 3 26.00 - 247.00 63.71
mL Ampule
714. Vitamin B1 B6 B12 100 mg + 5 mg + 50 mcg 0.78 - 3.00 0.80
Capsule
715. Vitamin B1 B6 B12 100 mg + 5 mg + 50 mcg 0.42 - 6.00 1.29
Tablet
716. Vitamin B1 B6 B12 250 mg + 250 mg + 1000 0.90 - 10.50 3.04
mcg Tablet

__________________________________
*
The Reference Price was based on the cheapest price gathered through market survey

The data for Bivalent HPV Vaccine can be availed at Pan American Health Organization (PAHO), you may download their Vaccine Price Data at
www.paho.org/hq/index.php?option=com_docman&task=doc_download&gid=34166&Itemid=270&lang=en

2016 DPRI | Fourth Edition 23 | P a g e

 Lowest to Highest DPR (Php)
Generic Name Strength / Form / Volume Tender Price (Php) (Ceiling Price)
W
717. Warfarin 1 mg Tablet 7.00 - 14.70 9.63
718. Warfarin 2.5 mg Tablet 7.50 - 21.35 10.71
719. Warfarin 5 mg Tablet 9.00 - 35.00 14.83
Z
720. Zinc 27.5 mg/mL (Equiv. to 10 22.50 - 85.20 39.14
mg Elemental Zinc), 15 mL
Oral Drops
721. Zinc 55 mg/5 mL (Equiv. to 20 14.88 - 68.00 42.23
mg Elemental Zinc), 60 mL
Syrup
722. Zolpidem 10 mg Tablet 38.39 - 50.00 50.00

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