2018 DPRI Booklet (April 2019) PDF

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ACKNOWLEDGEMENTS

The 2018 Edition of the Drug Price Reference Index (DPRI) is a product of
hard work and dedication of the Department of Health (DOH) Pharmaceutical
Division headed by Dr. Anna Melissa S. Guerrero, team efforts of the System
Support Unit supervised by Ms. Vanessa J. Saulog – Obera, and led by Mr. Achilles
V. Aragona together with the team members namely: Mr. Jeffrey T. Castro, Ms.
Priscilla Margarette H. Alimario, Mr. Christian M. Villostas, Mr. John Lester M.
Custodio, Ms. Geny C. Belmonte, Mr. Jaldrin Ivan M. Bunag, Ms. Wilma C. Abrilla
and Mr. Christian Joel M. Tambong.

The technical contributions of other staff are also acknowledged in particulars:


Ms. Anna Patricia D. Tiosejo for assuring all medicines in this price list are in
accordance with the current Philippine National Formulary (PNF), Mr. Aris M.
Posadas for continuously enhancing the DPRI website and database and Mr. Adell R.
Azuelo for the processing of DPRI booklet printing.

Special thanks also to all NDP Compliance Officers and EDPMS Helpdesks
who aided in the implementation of the DPRI and to the DOH-Pharmaceutical
Division family. All DOH Retained / Specialty Hospitals and Centers for Health
Development (CHDs) for contributing their data to the Department of Health.

Lastly, we thank our Undersecretary for Health Regulation Rolando Enrique


D. Domingo and Health Secretary Francisco T. Duque III for their unwavering
support and commitment in the implementation of the program.

2018 DPRI | Sixth Edition P a g e |1


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 across
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 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 transparency and

2|Page 2018 DPRI | Sixth Edition


enforcement ensure consumer access to medicines and protection from
excessive price mark-ups on medicines.

It 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.

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.

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.

What are the sources of Price Data?

The DPRI is computed based on the prevailing tender prices of the


previous year (2017) reflected in the actual Purchase Orders (POs)
submitted by the DOH Retained Hospitals, Centers for Health
Development (CHDs), Central Office Bids and Awards Committee
(COBAC) and Philippine Pharma Procurement Inc. (PPPI) to the DOH.

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

2018 DPRI | Sixth Edition P a g e |3


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

How the Drug Price Reference Index (DPRI) determined?

The reference price 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 two
entries the reference price was set to lowest. Health facilities may add an
allowable margin up to 10% to account for the inflation.

How often is the DPRI updated?

The DPRI is updated annually. All DOH hospitals and CHDs submit a
copy of their latest Purchase Orders to the DOH Pharmaceutical Division
for annual collection and analysis of price data. The updated DPRI is based
on the procurement price data of medicines from the previous year.

Occurrence of Bid Failure

In case of failed biddings, provision of RA 9184 and its IRR shall be


applied. All procuring entities are advised to submit the list of medicines
that resulted in bid failure to the DOH-PD. The report should comply the
template provided by DOH-PD which can be downloaded at their website
at www.dpri.doh.gov.ph.

4|Page 2018 DPRI | Sixth Edition


Lowest -
Drugname 2018 DPRI
Highest
A
1. Acetazolamide 250 mg Tablet 10.50 - 20.00 20.00
2. Acetylcysteine 100 mg Sachet 8.00 - 12.00 8.00
3. Acetylcysteine 100 mg/5 mL, 150 mL 262.08 - 337.40 262.08
Suspension
4. Acetylcysteine 200 mg Sachet 7.00 - 15.80 9.26
5. Acetylcysteine 200 mg/mL, 25 mL Bottle 1,280.00 - 1,280.00
1,801.80
6. Acetylcysteine 600 mg Effervescent Tablet 8.20 - 35.00 25.22
7. Aciclovir 200 mg Tablet 2.18 - 53.20 3.64
8. Aciclovir 25 mg/mL, 10 mL Vial 695.00 - 938.00 695.00
9. Aciclovir 400 mg Tablet 4.39 - 14.89 9.22
10. Aciclovir 800 mg Tablet 14.21 - 49.88 40.00
11. Adenosine 3 mg/mL, 2 mL Vial 188.14 - 612.00 236.27
12. Albumin, Human 20%, 50 mL Bottle 798.00 - 2,097.50
3,200.00
13. Albumin, Human 25%, 50 mL Bottle 2,300.00 - 2,790.00
3,900.00
14. Alcohol, Ethyl 70% solution, 500 mL Bottle 46.40 - 61.75 51.00
15. Alendronate Sodium 70 mg Tablet 34.00 - 199.92 120.00
16. Alfuzosin 10 mg Tablet 30.75 - 42.00 40.00
17. All-in-One Admixtures ("3-in-1" or "dual energy" 2,000.00 - 2,049.00
solutions) "3 in 1" 1000 Kcal Bottle 3,400.00
18. All-in-One Admixtures ("3-in-1" or "dual energy" 1,749.80 - 2,149.00
solutions) "3 in 1" 1400 Kcal Bottle 3,400.00
19. All-in-One Admixtures ("3-in-1" or "dual energy" 3,500.00 - 3,500.00
solutions) "3 in 1" 1500 Kcal Bottle 4,800.00
20. All-in-One Admixtures ("3-in-1" or "dual energy" 2,545.00 - 3,200.00
solutions) "3 in 1" 1900 Kcal Bottle 5,100.00
21. Allopurinol 100 mg Tablet 0.50 - 5.00 0.75
22. Allopurinol 300 mg Tablet 0.95 - 15.00 1.50
23. Alprazolam 250 mcg Tablet 4.00 - 9.80 4.45
24. Alprazolam 500 mcg Tablet 5.35 - 13.25 7.90
25. Aluminum Hydroxide + Magnesium Hydroxide 0.60 - 4.00 1.25
200 mg + 100 mg Tablet
26. Aluminum Hydroxide + Magnesium Hydroxide 18.50 - 31.50 27.99
225 mg + 200 mg/5 mL, 120 mL Suspension
27. Aluminum Hydroxide + Magnesium Hydroxide 17.86 - 103.00 26.30
225 mg + 200 mg/5 mL, 60 mL Suspension
28. Amikacin (as Sulfate) 100 mg powder Vial 14.12 - 28.33 14.12

2018 DPRI | Sixth Edition P a g e |5


Lowest -
Drugname 2018 DPRI
Highest
29. Amikacin (as Sulfate) 125 mg/mL, 2 mL Ampule 15.49 - 22.43 15.49
30. Amikacin (as Sulfate) 125 mg/mL, 2 mL Vial 15.89 - 23.39 15.89
31. Amikacin (as Sulfate) 250 mg/mL, 2 mL Ampule 18.12 - 24.49 18.12
32. Amikacin (as Sulfate) 250 mg/mL, 2 mL Vial 15.38 - 69.45 19.11
33. Amikacin (as Sulfate) 250 mg powder Vial 15.43 - 41.00 15.43
34. Amikacin (as Sulfate) 50 mg/mL, 2 mL Ampule 14.98 - 119.64 20.33
35. Amikacin (as Sulfate) 50 mg/ml, 2 ml Vial 15.49 - 85.00 15.49
36. Amikacin (as Sulfate) 500 mg powder Vial 16.34 - 22.49 16.34
37. Amino Acid Solutions for Hepatic Failure 8%, 301.00 - 800.00 301.00
500 mL Bottle
38. Amino Acid Solutions for Infants 6%, 100 mL 360.00 - 400.00 360.00
Bottle
39. Amino Acid Solutions for Renal Conditions 7%, 392.00 - 521.22 392.00
500 mL Bottle
40. Amino Acids, Crystalline Standard 10%, 500 mL 765.00 - 800.00 765.00
Glass Bottle
41. Amino Acids, Crystalline Standard 9.12%, 20 mL 125.00 - 208.00 125.00
Ampule
42. Aminophylline 25 mg/mL, 10 mL Ampule 8.22 - 82.33 17.24
43. Amiodarone 200 mg Tablet 5.35 - 36.00 18.19
44. Amiodarone 50 mg/mL, 3 mL Ampule 134.66 - 306.00 230.00
45. Amlodipine 10 mg Tablet 0.31 - 3.00 0.72
46. Amlodipine 5 mg Tablet 0.23 - 6.86 0.49
47. Amoxicillin 100 mg/mL, 15 mL Drops 12.29 - 28.00 16.94
48. Amoxicillin 250 mg Capsule 0.85 - 1.25 0.98
49. Amoxicillin 250 mg/5 mL, 60 mL Suspension 13.65 - 59.64 16.25
50. Amoxicillin 500 mg Capsule 0.98 - 2.75 1.20
51. Amphotericin B (Lipid Complex) 50 mg Vial 1,488.88 - 9,978.80
11,988.00
52. Amphotericin B (Non-Lipid Complex) 50 mg 1,018.00 - 1,488.88
Vial 2,875.00
53. Ampicillin + Sulbactam 1.5 g Vial 45.11 - 123.00 62.75
54. Ampicillin + Sulbactam 500mg + 250 mg Vial 16.44 - 265.00 22.49
55. Ampicillin 1 g Vial 7.99 - 59.00 9.98
56. Ampicillin 250 mg Vial 5.88 - 38.00 7.58
57. Ampicillin 500 mg Vial 5.45 - 62.94 7.94
58. Aripiprazole 10 mg Orally Disintegrating Tablet 196.80 - 222.03 196.80
59. Ascorbic Acid (Vitamin C) 100 mg/5 mL, 120 17.23 - 99.50 23.00
mL Syrup

6|Page 2018 DPRI | Sixth Edition


Lowest -
Drugname 2018 DPRI
Highest
60. Ascorbic Acid (Vitamin C) 100 mg/5 mL, 60 mL 10.15 - 32.00 14.00
Syrup
61. Ascorbic Acid (Vitamin C) 100 mg/ml, 15 mL 13.75 - 72.00 14.77
Oral Drops
62. Ascorbic Acid (Vitamin C) 100 mg/ml, 60 mL 14.70 - 30.50 16.80
Oral Drops
63. Ascorbic Acid (Vitamin C) 250 mg/mL, 2 mL 16.50 - 42.88 26.78
Ampule
64. Ascorbic Acid (Vitamin C) 500 mg Tablet 0.33 - 7.50 0.62
65. Asparaginase 10,000 IU Vial 1,678.00 - 1,678.00
1,828.00
66. Aspirin 80 mg Tablet 0.48 - 1.70 0.78
67. Atenolol 100 mg Tablet 3.50 - 3.81 3.50
68. Atenolol 50 mg Tablet 1.23 - 2.90 1.81
69. Atorvastatin 10 mg Tablet 2.49 - 10.00 5.50
70. Atorvastatin 20 mg Tablet 2.02 - 16.00 7.93
71. Atorvastatin 40 mg Tablet 4.05 - 28.00 12.50
72. Atorvastatin 80 mg Tablet 9.60 - 25.00 21.35
73. Atracurium 10 mg/mL, 2.5 mL Ampule 58.12 - 280.00 79.50
74. Atropine 1 mg/mL, 1 mL Ampule 5.23 - 28.88 6.93
75. Azithromycin 200 mg/5 mL, 15 mL Suspension 160.00 - 313.74 275.00
76. Azithromycin 500 mg Tablet 7.88 - 90.00 13.98
77. Azithromycin 500 mg Vial 13.33 - 707.16 546.10
B
78. Baclofen 10 mg Tablet 10.25 - 22.10 15.00
79. Basiliximab 20 mg Vial 43,495.83 - 43,495.83
86,991.65
80. Beractant 25 mg/mL, 4 mL Vial 10,073.00 - 10,073.00
10,500.00
81. Betahistine 16 mg Tablet 4.31 - 30.00 12.00
82. Betahistine 24 mg Tablet 18.75 - 59.80 40.00
83. Betahistine 8 mg Tablet 4.76 - 19.57 12.00
84. Betamethasone Cream 0.1%, 5 g Tube 38.50 - 140.00 43.00
85. Betamethasone Ointment 0.1%, 5 g Tube 52.00 - 140.00 110.00
86. Biperiden Hydrochloride 2 mg Tablet 3.40 - 7.45 4.89
87. Bisacodyl 10 mg Suppository 10.49 - 28.34 18.89
88. Bisacodyl 5 mg Suppository 29.72 - 39.00 29.72
89. Bisacodyl 5 mg Tablet 0.55 - 13.48 1.25
90. Bleomycin (as Sulfate) 15 mg Vial 1,410.00 - 1,945.00
4,375.00

2018 DPRI | Sixth Edition P a g e |7


Lowest -
Drugname 2018 DPRI
Highest
91. Budesonide + Formoterol 160 mcg + 4.5 mcg x 793.00 - 924.69 793.00
120 doses Dry Powder Inhaler
92. Budesonide + Formoterol 160 mcg + 4.5 mcg x 681.25 - 973.35 681.25
60 doses Dry Powder Inhaler
93. Budesonide + Formoterol 80 mcg + 4.5 mcg x 664.85 - 755.51 664.85
60 doses Dry Powder Inhaler
94. Budesonide 250 mcg/mL, 2 mL Respiratory 18.03 - 54.52 26.69
Solution (Nebule)
95. Bumetanide 1 mg Tablet 21.08 - 23.52 21.08
96. Bupivacaine 0.5% (isobaric), 5 mL (spinal) (as 53.22 - 238.00 53.22
hydrochloride) Ampule
97. Bupivacaine 0.5%, 10 mL Ampule 51.89 - 197.45 95.97
98. Bupivacaine 0.5%, 10 mL Vial 57.88 - 150.00 100.00
99. Bupivacaine 0.5%, 4 mL (spinal) with 8% 46.34 - 1,002.00 117.44
Dextrose (as hydrochloride) Ampule
100. Bupivacaine 0.5%, 5 mL Ampule 67.33 - 180.18 109.44
101. Bupivacaine 0.5%, 5 mL Vial 98.88 - 240.00 139.40
102. Butamirate Citrate 50mg MR Tablet 9.00 - 16.00 12.50
103. Butorphanol (as Tartrate) 2 mg/mL, 1 mL 363.44 - 550.00 400.00
Ampule
104. Butorphanol (as Tartrate) 2 mg/mL, 1 mL Vial 182.33 - 565.00 420.00
C
105. Calcipotriol (as Hydrate) + Betamethasone (as 1,630.00 - 1,630.00
Dipropionate) 50 mcg + 500 mcg/g, 30 g Tube 1,853.00
106. Calcitriol 0.25 mcg Capsule 24.00 - 25.44 24.00
107. Calcium Carbonate + Cholecalciferol (Vit. D3) 2.45 - 4.00 2.45
600 mg elementa Ca + 400 IU Vit. D3 Tablet
108. Calcium Carbonate 500 mg Chewable Tablet 3.80 - 4.30 4.00
109. Calcium Carbonate 500 mg Tablet 0.75 - 8.40 1.38
110. Calcium Carbonate 600 mg Tablet 2.58 - 4.00 4.00
111. Calcium Folinate (Leucovorin Calcium) 10 128.75 - 338.00 215.75
mg/mL, 5 mL Ampule
112. Calcium Folinate (Leucovorin Calcium) 10 128.75 - 470.00 178.00
mg/mL, 5 mL Vial
113. Calcium Gluconate 10%, 10 mL Ampule 11.70 - 35.95 16.00
114. Calcium Gluconate 10%, 10 mL Vial 13.98 - 14.39 13.98
115. Candesartan Cilexetil 16 mg Tablet 12.00 - 26.67 19.88
116. Candesartan Cilexetil 8 mg Tablet 6.65 - 11.00 10.00
117. Capecitabine 500 mg Tablet 54.55 - 95.00 65.00
118. Captopril 25 mg Tablet 0.41 - 2.25 0.63
8|Page 2018 DPRI | Sixth Edition
Lowest -
Drugname 2018 DPRI
Highest
119. Captopril 50 mg Tablet 2.22 - 2.70 2.22
120. Carbamazepine 200 mg Tablet 1.31 - 9.00 1.73
121. Carbetocin 100 mcg/mL, 1 mL ampule - 933.00•
122. Carbetocin 100 mcg/mL, 1 mL Vial - 933.00•
123. Carboplatin 10 mg/mL, 15 mL Vial 664.00 - 897.88
1,750.00
124. Carboplatin 10 mg/mL, 45 mL Vial 800.00 - 2,300.00
3,800.00
125. Carboplatin 150 mg powder Vial 664.00 - 868.75
1,260.00
126. Carboplatin 450 mg powder Vial 1,180.00 - 2,495.00
2,650.00
127. Carboprost 125 mcg/0.5 mL Solution 178.00 - 488.88 229.50
128. Carboprost 250 mcg/mL Solution 270.00 - 745.00 356.00
129. Carvedilol 25 mg Tablet 3.00 - 9.80 4.13
130. Carvedilol 6.25 mg Tablet 0.38 - 10.33 1.34
131. Cefalexin 100 mg/mL, 10 mL Drops 14.38 - 111.50 16.28
132. Cefalexin 250 mg/5 mL, 60 mL Bottle 19.75 - 174.96 23.00
133. Cefalexin 500 mg Capsule 1.73 - 5.00 2.06
134. Cefazolin 1 g Vial 15.21 - 62.00 18.39
135. Cefazolin 500 mg Vial 16.99 - 28.32 16.99
136. Cefepime 1 g Vial 61.12 - 296.00 83.22
137. Cefepime 2 g Vial 114.22 - 950.00 256.61
138. Cefepime 500 mg Vial 104.21 - 248.00 136.61
139. Cefixime 100 mg Capsule 18.00 - 38.00 22.00
140. Cefixime 100 mg/5 mL, 60 mL Suspension 76.00 - 325.00 155.00
141. Cefixime 20 mg/mL, 10 mL Suspension 100.00 - 183.00 145.00
142. Cefixime 200 mg Capsule 5.25 - 62.00 11.21
143. Cefixime 400 mg Capsule 38.75 - 85.00 38.75
144. Cefotaxime 500 mg Vial 44.39 - 59.33 47.38
145. Cefoxitin 1 g Vial 78.50 - 380.00 107.22
146. Ceftazidime 1 g Vial 17.39 - 220.00 35.67
147. Ceftazidime 500 mg Vial 54.39 - 229.00 60.97
148. Ceftriaxone (as Sodium/ Disodium) 1 g Vial 16.29 - 1,000.00 18.49
149. Ceftriaxone (as Sodium/ Disodium) 500 mg Vial 28.12 - 58.48 28.12
150. Ceftriaxone 1 g + 10 mL diluent Vial 15.38 - 149.00 18.94
__________________________________
•The Reference Price was based on the proposed list price of the pharmaceutical company upon its
inclusion in the Philippine National Formulary (excluded from the maximum 10% inflationary cost)
2018 DPRI | Sixth Edition P a g e |9
Lowest -
Drugname 2018 DPRI
Highest
151. Cefuroxime 1.5 g Vial 91.22 - 138.33 119.22
152. Cefuroxime 125 mg/5 mL, 70 mL Suspension 137.50 - 228.00 171.50
153. Cefuroxime 250 mg Vial 48.45 - 150.00 48.45
154. Cefuroxime 500 mg Tablet 7.50 - 45.00 9.00
155. Cefuroxime 750 mg Vial 14.98 - 75.50 17.19
156. Celecoxib 100 mg Capsule 0.50 - 5.95 4.50
157. Celecoxib 200 mg Capsule 1.85 - 10.30 3.75
158. Celecoxib 400 mg Capsule 1.99 - 21.00 15.00
159. Cetirizine (as Dihydrochloride) 2.5 mg/mL, 78.10 - 130.00 78.10
10mL Syrup
160. Cetirizine 1 mg/mL, 30 mL Bottle 69.00 - 96.00 73.50
161. Cetirizine 1 mg/mL, 60 mL Bottle 26.22 - 95.00 68.00
162. Cetirizine 10 mg Tablet 0.28 - 15.80 0.44
163. Cetirizine 10 mg/mL, 10 mL Oral Drops 2.28 - 130.64 70.00
164. Cetirizine 5 mg/5 mL, 30 mL Syrup 36.98 - 98.00 64.50
165. Chloramphenicol 1 g Vial 15.00 - 39.00 24.89
166. Chloramphenicol 125 mg/5 mL, 60 mL 14.00 - 44.20 23.40
Suspension
167. Chloramphenicol 500 mg Capsule 2.00 - 2.50 2.10
168. Chlorhexidine Gluconate 0.12%, 120 mL Bottle 100.00 - 120.00 100.00
169. Chlorphenamine (Chlorpheniramine) 10 6.12 - 17.24 10.88
mg/mL,1 mL Ampule
170. Chlorphenamine (Chlorpheniramine) 4 mg 0.25 - 2.00 0.42
Tablet
171. Chlorpromazine 100 mg Tablet 0.33 - 4.90 1.49
172. Chlorpromazine 200 mg Tablet 1.79 - 6.00 2.11
173. Cilostazol 100 mg Tablet 4.86 - 23.72 11.45
174. Cilostazol 50 mg Tablet 2.77 - 13.45 6.87
175. Cinnarizine 25 mg Tablet 0.49 - 1.20 1.00
176. Ciprofloxacin 2 mg/mL, 200 mL Vial 1,187.85 - 1,187.85
1,332.65
177. Ciprofloxacin 2 mg/mL,100 mL Vial 15.75 - 745.29 22.39
178. Ciprofloxacin 500 mg Tablet 1.04 - 31.00 1.26
179. Cisplatin 1 mg/mL, 10 mL Vial 142.77 - 257.00 170.00
180. Cisplatin 1 mg/mL, 50 mL Vial 32.12 - 700.00 369.34
181. Clarithromycin 125 mg/5 mL, 50 mL Suspension 97.50 - 175.00 127.50
182. Clarithromycin 250 mg Tablet 9.50 - 27.00 9.50
183. Clarithromycin 500 mg Tablet 4.60 - 20.00 9.97
184. Clindamycin 150 mg Capsule 2.49 - 12.02 2.65

10 | P a g e 2018 DPRI | Sixth Edition


Lowest -
Drugname 2018 DPRI
Highest
185. Clindamycin 150 mg/mL, 2 mL Ampule 64.22 - 1,173.00 109.00
186. Clindamycin 150 mg/mL, 4 mL Ampule 53.22 - 225.00 80.11
187. Clindamycin 300 mg Capsule 1.08 - 21.75 5.25
188. Clindamycin 75 mg/5 mL, 60 mL Suspension 99.00 - 284.26 99.00
189. Clobetasol Cream 0.05%, 5 g Tube 74.00 - 120.00 88.85
190. Clobetasol Ointment 0.05%, 5 g Tube 120.00 - 169.68 120.00
191. Clonazepam 2 mg Tablet 3.00 - 10.00 3.00
192. Clonidine 150 mcg Tablet 4.08 - 23.46 14.88
193. Clonidine 150 mcg/mL, 1 mL Ampule 7.05 - 108.22 100.84
194. Clonidine 75 mcg Tablet 4.78 - 17.88 8.00
195. Clopidogrel 75 mg Tablet 0.53 - 60.67 1.89
196. Cloxacillin (as Sodium) 250 mg/5 mL, 60 mL 32.00 - 42.57 36.00
Bottle
197. Cloxacillin (as Sodium) 500 mg Capsule 1.76 - 5.20 2.53
198. Clozapine 100 mg Tablet 4.50 - 13.00 8.00
199. Co-Amoxiclav (Amoxicillin + Potassium 16.18 - 192.00 136.85
Clavulanate) 200 mg + 28.5 mg/5 mL, 70 mL
Suspension
200. Co-Amoxiclav (Amoxicillin + Potassium 110.00 - 314.00 180.00
Clavulanate) 400 mg + 57 mg/5 mL, 70 mL
Suspension
201. Co-Amoxiclav (Amoxicillin + Potassium 7.20 - 90.00 7.92
Clavulanate) 500 mg + 125 mg Tablet
202. Colchicine 500 mcg Tablet 1.27 - 3.20 2.25
203. Combined Amino Acids Sorbitol 500 mL Bottle 400.00 - 780.00 458.00
204. Cotrimoxazole (Sulfamethoxazole + 0.60 - 1.02 0.77
Trimethoprim) 400 mg + 80 mg Tablet
205. Cotrimoxazole (Sulfamethoxazole + 14.08 - 23.80 18.00
Trimethoprim) 400 mg + 80 mg/5 mL, 60 mL
Suspension
206. Cotrimoxazole (Sulfamethoxazole + 0.94 - 3.70 1.28
Trimethoprim) 800 mg+160 mg Tablet
207. Cyclophosphamide 1 g powder Vial 160.00 - 358.98 270.50
208. Cyclophosphamide 500 mg powder Vial 130.00 - 254.00 164.00
209. Cytarabine 100 mg/mL, 1 mL Vial 100.88 - 150.00 100.88
210. Cytarabine 100 mg/mL, 10 mL Vial 1,075.00 - 1,075.00
1,275.00
211. Cytarabine 100 mg/mL, 5 mL Vial 118.99 - 579.00 118.99
212. Cytarabine 20 mg/mL, 5 mL Ampule 125.00 - 198.00 138.60

2018 DPRI | Sixth Edition P a g e | 11


Lowest -
Drugname 2018 DPRI
Highest
D
213. Dacarbazine 200 mg Vial 568.77 - 750.00 697.78
214. Dexamethasone 4 mg/mL, 2 mL Ampule 7.62 - 39.00 22.16
215. Dexamethasone 4 mg/mL, 2 mL Vial 11.22 - 32.22 25.23
216. Dexamethasone 5 mg/mL,1 mL Ampule 15.98 - 48.00 29.88
217. Dextran, High Molecular Weight (Dextran 70) 412.00 - 535.60 412.00
6%, Dextran 70 in 5% Dextrose 500 mL Glass
Bottle
218. Diazepam 5 mg Tablet 6.22 - 9.15 6.89
219. Diazepam 5 mg/mL, 2 mL Ampule 39.34 - 158.00 61.51
220. Diclofenac 100 mg MR Tablet 10.80 - 15.00 10.80
221. Diclofenac 25 mg/mL, 3 mL Ampule 9.88 - 60.00 16.88
222. Diclofenac 50 mg Tablet 0.29 - 1.29 0.69
223. Dicycloverine (Dicyclomine) 10 mg Tablet 0.24 - 0.65 0.37
224. Dicycloverine (Dicyclomine) 10 mg/5 mL, 60 11.00 - 22.00 12.60
mL Syrup
225. Digoxin 250 mcg Tablet 3.40 - 5.90 3.83
226. Digoxin 250 mcg/mL, 2 mL Ampule 93.22 - 178.44 113.55
227. Digoxin 50mcg/mL, 60mL Elixir 568.42 - 710.00 568.42
228. Diloxanide 500 mg Tablet 10.00 - 19.50 18.00
229. Diltiazem 60 mg Tablet 3.27 - 25.00 3.27
230. Diphenhydramine (as Hydrochloride) 12.5 mg/ 5 9.25 - 58.00 15.15
mL, 60 mL Syrup
231. Diphenhydramine (as Hydrochloride) 25 mg 1.00 - 5.00 1.00
Capsule
232. Diphenhydramine (as Hydrochloride) 50 mg 0.53 - 68.00 0.90
Capsule
233. Diphenhydramine (as Hydrochloride) 50 mg/mL, 18.22 - 150.00 27.43
1 mL Ampule
234. Dobutamine 2 mg/mL, 250 mL D5W Pre-mixed 687.00 - 988.00 687.00
235. Dobutamine 50 mg/mL, 5 mL Ampule 90.85 - 172.62 154.50
236. Docetaxel 20 mg/0.5 mL, 0.5 mL Vial 820.00 - 1,498.00
3,000.00
237. Docetaxel 40 mg/mL, 2 mL Vial 3,145.75 - 4,000.00
12,500.00
238. Domperidone 1 mg/mL, 60 mL Suspension 35.10 - 288.00 107.00
239. Domperidone 10 mg Tablet 0.63 - 5.55 1.39
240. Donepezil Hydrochloride 5 mg Tablet 16.88 - 65.00 16.88
241. Dopamine 1.6 mg/mL, 250 mL D5W Pre-mixed 202.79 - 545.33 338.77
242. Dopamine 40 mg/mL, 5 mL Ampule 26.36 - 90.00 38.67
12 | P a g e 2018 DPRI | Sixth Edition
Lowest -
Drugname 2018 DPRI
Highest
243. Dopamine 800 mcg/mL, 250 mL D5W Pre- 200.00 - 334.00 309.94
mixed
244. Doxorubicin 10 mg powder Vial 152.10 - 238.00 178.79
245. Doxorubicin 2 mg/mL, 25 mL Vial 547.31 - 848.75
1,000.00
246. Doxorubicin 2 mg/mL, 5 mL Vial 152.10 - 231.67 152.10
247. Doxorubicin 50 mg powder Vial 160.00 - 890.00 619.37
248. Doxycycline (as Hyclate) 100 mg Capsule 0.74 - 15.00 0.98
249. Dydrogesterone 10 mg Tablet 43.00 - 55.95 43.00

E
250. Enalapril 20 mg Tablet 3.11 - 9.66 8.00
251. Enalapril 5 mg Tablet 2.00 - 4.88 3.45
252. Enoxaparin 100 mg/mL, 0.2 mL Pre-filled 402.00 - 422.60 402.00
syringe
253. Enoxaparin 100 mg/mL, 0.4 mL Pre-filled 184.33 - 620.00 198.43
syringe
254. Enoxaparin 100 mg/mL, 0.6 mL Pre-filled 258.00 - 655.00 291.64
syringe
255. Enteral Nutrition - Adult Polymeric 400 g Can 275.00 - 416.50 298.00
256. Enteral Nutrition - Disease-Specific (Diabetes) 275.00 - 583.50 455.00
400 g Can
257. Enteral Nutrition - Fiber-Containing 400 g Can 443.50 - 520.00 443.50
258. Eperisone Hydrochloride 50 mg Tablet 10.00 - 32.29 16.80
259. Ephedrine 50 mg/mL, 1 mL Ampule 55.00 - 88.28 60.75
260. Epinephrine 1 mg/mL, 1 mL Ampule 3.57 - 49.44 29.73
261. Epirubicin 10 mg Vial 692.00 - 979.28 805.63
262. Epirubicin 50 mg Vial 1,560.00 - 2,777.00
2,897.00
263. Epoetin Alfa (recombinant human 324.22 - 1,280.00
erythropoietin) 10,000 IU/mL Pre-filled syringe 1,555.00
264. Epoetin Alfa (recombinant human 290.00 - 388.00 290.00
erythropoietin) 2000 IU/0.5 mL Pre-filled syringe
265. Epoetin Alfa (recombinant human 289.00 - 650.00 372.11
erythropoietin) 4000 IU/0.4 mL Pre-filled syringe
266. Epoetin Alfa (recombinant human 288.22 - 590.00 309.33
erythropoietin) 4000 IU/mL, 1 mL Vial

2018 DPRI | Sixth Edition P a g e | 13


Lowest -
Drugname 2018 DPRI
Highest
267. Epoetin Beta (recombinant erythropoietin) 10000 3,201.00 - 3,201.00
IU/0.6 mL Pre-filled syringe 3,300.00
268. Epoetin Beta (recombinant erythropoietin) 2000 407.67 - 475.31 407.67
IU/ 0.3 mL Pre-filled syringe
269. Epoetin Beta (recombinant erythropoietin) 978.60 - 978.60
5000IU/0.3ml Pre-filled syringe 1,600.00
270. Ertapenem (as Sodium) 1 g Vial 2,262.00 - 2,262.00
2,562.71
271. Erythromycin 200 mg/5 mL, 60 mL Suspension 39.70 - 45.00 43.03
272. Erythromycin 500 mg Tablet 3.06 - 4.38 3.97
273. Erythromycin Eye Ointment 0.5%, 3.5 g Tube 108.00 - 141.39 122.40
274. Erythromycin Eye Ointment 0.5%, 5 g Tube 112.22 - 158.33 112.22
275. Escitalopram (as Oxalate) 10 mg Tablet 3.45 - 8.50 4.34
276. Esmolol 10 mg/mL, 10 mL Vial 800.00 - 923.00
1,000.00
277. Ethambutol Hydrochloride 400 mg Tablet 2.42 - 8.50 3.35
278. Etoposide 100 mg Vial 307.50 - 510.00 338.00
279. Etoposide 20 mg/mL, 5 mL Ampule 320.00 - 399.50 320.00
280. Etoposide 20 mg/mL, 5 mL Vial 270.00 - 597.00 340.00
F
281. Felodipine 10 mg MR Tablet 6.19 - 20.33 11.00
282. Felodipine 5 mg MR Tablet 4.05 - 8.20 7.20
283. Fenofibrate 160 mg Tablet 20.91 - 33.80 31.00
284. Fenofibrate 200 mg Capsule 5.25 - 16.86 11.00
285. Fentanyl 50mcg/mL, 10mL Ampule 79.99 - 525.44 406.54
286. Fentanyl 50mcg/mL, 2mL Ampule 53.33 - 206.15 63.88
287. Ferrous Fumarate 60 mg elemental iron Tablet 0.85 - 2.00 1.54
288. Ferrous Salt (equiv. to 15 mg elemental iron/0.6 11.80 - 24.00 18.85
mL), 15 mL Drops
289. Ferrous Salt (equiv. to 30 mg elemental iron/5 24.70 - 28.00 24.70
mL), 60 mL Syrup
290. Ferrous Salt equiv. to 60 mg elemental iron 0.46 - 2.50 0.85
Tablet
291. Ferrous Sulfate + Folic Acid 60 mg elemental 0.62 - 2.00 0.73
iron + 400 mcg folic acid Capsule
292. Ferrous Sulfate + Folic Acid 60 mg elemental 0.58 - 1.19 0.72
iron + 400 mcg folic acid Film coated tablet
293. Ferrous Sulfate + Folic Acid 60 mg elemental 0.47 - 2.75 0.47
iron + 400 mcg folic acid Tablet

14 | P a g e 2018 DPRI | Sixth Edition


Lowest -
Drugname 2018 DPRI
Highest
294. Ferrous Sulfate 15 mg elemental iron/0.6 mL, 15 17.48 - 24.00 18.00
mL Drops
295. Ferrous Sulfate 30 mg elemental iron/5 mL, 60 18.44 - 28.00 18.44
mL Syrup
296. Ferrous Sulfate 60 mg elemental iron Tablet 0.85 - 1.75 1.31
297. Filgrastim 300 mcg/0.5 mL Pre-filled syringe 724.32 - 1,299.00
2,000.00
298. Filgrastim 300 mcg/1.2 mL Vial 895.00 - 1,000.00
1,900.00
299. Filgrastim 300 mcg/mL Vial 818.33 - 973.50
2,400.00
300. Finasteride 5 mg Tablet 9.45 - 28.00 11.50
301. Fluconazole 150 mg Capsule 22.75 - 120.00 75.00
302. Fluconazole 2 mg/mL, 100 mL Vial 67.12 - 2,100.00 363.17
303. Fluconazole 200 mg Capsule 85.00 - 500.00 250.00
304. Fluconazole 50 mg Capsule 51.42 - 115.50 72.87
305. Fluocinolone Acetonide + Polymixin B sulfate 155.00 - 180.00 155.00
Neomycin Sulfate 5 mL Bottle
306. Fluorouracil 50 mg/mL, 10 mL Vial 65.00 - 110.00 77.00
307. Fluoxetine 20 mg Capsule 3.45 - 6.12 4.89
308. Fluoxetine 20 mg Dispersible Capsule 3.45 - 10.86 6.00
309. Flupentixol 20 mg/mL, 1 mL Ampule 350.00 - 364.50 350.00
310. Fluphenazine (as Decanoate) 25 mg/mL, 10 mL 388.00 - 575.00 472.04
Vial
311. Fluticasone + Salmeterol 125 mcg + 25 mcg x 171.50 - 400.00 255.50
120 doses Metered Dose Inhaler
312. Fluticasone + Salmeterol 250 mcg + 25 mcg x 172.00 - 586.00 390.00
120 doses Metered Dose Inhaler
313. Fluticasone + Salmeterol 250 mcg + 50 mcg x 60 415.00 - 971.25 702.34
doses Dry Powder Inhaler
314. Fluticasone + Salmeterol 500 mcg + 50 mcg x 60 465.00 - 477.50
doses Dry Powder Inhaler 1,186.50
315. Fluticasone + Salmeterol 50mcg + 25mcg x 120 120.00 - 261.00 171.10
doses Metered Dose Inhaler
316. Fluticasone 0.05% dose x 120 doses Nasal 394.00 - 500.00
Aqueous Solution 1,224.00
317. Fluticasone 125 mcg/dose x 120 doses Metered 281.85 - 367.08 281.85
Dose Inhaler
318. Fluticasone 50 mcg/dose x 120 doses Metered 265.00 - 600.00 265.00
Dose Inhaler
319. Folic Acid 5 mg Capsule 1.67 - 4.00 3.10
2018 DPRI | Sixth Edition P a g e | 15
Lowest -
Drugname 2018 DPRI
Highest
320. Folic Acid 5 mg Tablet 1.42 - 4.98 2.73
321. Fondaparinux 2.5 mg/0.5 mL Solution 1,120.00 - 1,120.00
1,268.96
322. Furosemide 10 mg/mL, 2 mL Ampule 2.95 - 51.75 6.49
323. Furosemide 20 mg Tablet 0.52 - 4.75 0.93
324. Furosemide 40 mg Tablet 0.45 - 6.00 1.50
325. Fusidate Sodium/Fusidic Acid Cream 2%, 5 g 60.00 - 308.32 185.00
Tube
G
326. Gabapentin 100 mg Capsule 4.35 - 12.16 7.00
327. Gabapentin 300 mg Capsule 4.95 - 13.05 8.13
328. Gadoteric acid 0.5 mmol/mL Solution for - 2,860.00•
Injection, 10 mL glass Vial
329. Gemcitabine 1 g Vial 2,900.00 - 3,195.45
6,400.00
330. Gemcitabine 200 mg Vial 795.00 - 850.00
1,700.00
331. Gentamicin 40 mg/mL, 2 mL Ampule 1.25 - 53.00 4.12
332. Gentamicin 40 mg/mL, 2 mL Vial 4.11 - 44.00 37.61
333. Gliclazide 30 mg MR Tablet 1.67 - 3.90 2.69
334. Gliclazide 60 mg MR Tablet 5.49 - 19.00 12.70
335. Gliclazide 80 mg Tablet 2.00 - 4.95 2.97
336. Glucose (Dextrose) 50%, 50 mL Vial 25.00 - 52.00 25.00
337. Glyceryl Trinitrate (Nitroglycerine) 1 mg/mL, 10 390.00 - 940.00 390.00
mL Ampule
H
338. Haloperidol 5 mg Tablet 2.24 - 5.00 3.62
339. Haloperidol 5 mg/mL, 1 mL Ampule 450.00 - 725.00 450.00
340. Heparin (as Sodium) 1000 IU/mL, 5 mL Vial 48.88 - 208.00 57.45
341. Heparin (as Sodium) 5000 IU/mL, 5 mL Vial 52.98 - 185.00 155.54
342. Hydralazine 20 mg/mL, 1 mL Ampule 14.89 - 225.00 63.44
343. Hydrochlorothiazide 25 mg Tablet 2.95 - 3.10 3.00
344. Hydrocortisone 100 mg powder, Vial 18.89 - 190.00 21.83
345. Hydrocortisone 125 mg/mL, 2 mL Vial 62.33 - 285.00 84.01
__________________________________
•The Reference Price was based on the proposed list price of the pharmaceutical company upon its
inclusion in the Philippine National Formulary (excluded from the maximum 10% inflationary cost)

16 | P a g e 2018 DPRI | Sixth Edition


Lowest -
Drugname 2018 DPRI
Highest
346. Hydrocortisone 250 mg powder, Vial 22.88 - 396.00 61.28
347. Hydrocortisone 500 mg powder, Vial 77.92 - 94.33 77.92
348. Hydrocortisone Cream 1%, 5 g Tube 65.00 - 102.31 98.00
349. Hydrogen Peroxide 3%, 120 mL Bottle 15.00 - 40.00 22.00
350. Hydroxyethyl Starch 6%, 500 mL Bottle 347.00 - 630.00 440.00
351. Hydroxyurea 500 mg Capsule 12.90 - 16.00 15.95
352. Hydroxyzine 25 mg Tablet 13.95 - 25.25 13.95
353. Hyoscine (as N-butyl bromide) 10 mg Tablet 1.73 - 6.00 5.17
354. Hyoscine (as N-butyl bromide) 20 mg/mL, 1 mL 10.89 - 90.00 26.32
Ampule
355. Hypromellose Ophthalmic Solution 0.3%, 10 mL 180.00 - 375.00 180.00
Bottle
I
356. I.V. Fluids, 0.9% Sodium Chloride 1 L Bottle 32.48 - 72.00 42.44
357. I.V. Fluids, 0.9% Sodium Chloride 100 mL Bottle 41.99 - 75.00 75.00
358. I.V. Fluids, 0.9% Sodium Chloride 20 mL 14.25 - 35.00 26.93
Ampule
359. I.V. Fluids, 0.9% Sodium Chloride 50 mL Bottle 19.95 - 40.00 24.22
360. I.V. Fluids, 0.9% Sodium Chloride 500 mL Bottle 34.98 - 95.00 44.00
361. I.V. Fluids, 0.9% Sodium Chloride 500 mL Glass 110.88 - 110.88 110.88
Bottle
362. I.V. Fluids, 10% Dextrose in Water 1 L Bottle 42.35 - 45.00 44.98
363. I.V. Fluids, 10% Dextrose in Water 500 mL 39.89 - 65.98 44.79
Bottle
364. I.V. Fluids, 5% Dextrose in 0.3% Sodium 35.00 - 57.85 44.83
Chloride 1 L Bottle
365. I.V. Fluids, 5% Dextrose in 0.3% Sodium 34.95 - 59.98 43.10
Chloride 500 mL Bottle
366. I.V. Fluids, 5% Dextrose in 0.3% Sodium 76.80 - 100.00 79.80
Chloride 500 mL Glass Bottle
367. I.V. Fluids, 5% Dextrose in 0.9% Sodium 35.00 - 57.95 45.00
Chloride 1 L Bottle
368. I.V. Fluids, 5% Dextrose in 0.9% Sodium 40.50 - 115.51 43.39
Chloride 500 mL Bottle
369. I.V. Fluids, 5% Dextrose in Lactated Ringer's 1 L 35.00 - 72.00 44.24
Bottle
370. I.V. Fluids, 5% Dextrose in Lactated Ringer's 1 L 42.98 - 43.45 42.98
Glass Bottle
371. I.V. Fluids, 5% Dextrose in Lactated Ringer's 500 36.60 - 57.95 43.89
mL Bottle

2018 DPRI | Sixth Edition P a g e | 17


Lowest -
Drugname 2018 DPRI
Highest
372. I.V. Fluids, 5% Dextrose in Water 1 L Bottle 34.85 - 57.95 44.83
373. I.V. Fluids, 5% Dextrose in Water 250 mL Bottle 43.44 - 96.10 69.89
374. I.V. Fluids, 5% Dextrose in Water 250 mL Glass 80.00 - 96.10 80.00
Bottle
375. I.V. Fluids, 5% Dextrose in Water 500 mL Bottle 32.95 - 57.95 42.89
376. I.V. Fluids, 5% Dextrose in Water 500 mL Glass 40.00 - 41.98 40.00
Bottle
377. I.V. Fluids, Balanced Multiple Maintenance 34.85 - 55.00 44.89
Solution with 5% Dextrose for Adult 1 L Bottle
378. I.V. Fluids, Balanced Multiple Maintenance 34.89 - 57.95 43.36
Solution with 5% Dextrose for Pedia 500 mL
Bottle
379. I.V. Fluids, Balanced Multiple Replacement 35.00 - 56.65 45.00
Solution with 5% Dextrose 1 L Bottle
380. I.V. Fluids, Lactated Ringer's Solution 1 L Bottle 39.45 - 72.00 44.50
381. I.V. Fluids, Lactated Ringer's Solution 500 mL 34.98 - 53.89 44.22
Bottle
382. Ibuprofen 100 mg/5 mL, 60 mL Bottle 22.62 - 61.86 28.20
383. Ibuprofen 200 mg Tablet 0.60 - 0.94 0.88
384. Ibuprofen 200 mg/5 mL, 60 mL Bottle 47.00 - 115.00 73.26
385. Ibuprofen 400 mg Tablet 0.75 - 5.52 1.00
386. Idarubicin 5 mg Vial 6,645.00 - 6,645.00
7,000.26
387. Ifosfamide 1 g Vial 1,600.00 - 1,750.00
2,100.00
388. Ifosfamide 2 g Vial 2,457.00 - 2,457.00
2,467.00
389. Immunoglobulin, Hepatitis B (human) 0.5 mL 1,200.00 - 1,200.00
Vial 1,900.00
390. Immunoglobulin, Normal, Human (IGIV) 50 1,600.00 - 1,600.00
mg/mL, 10 mL Vial 1,611.00
391. Immunoglobulin, Normal, Human (IGIV) 50 10,449.00 - 13,500.00
mg/mL, 100 mL Vial 17,500.00
392. Immunoglobulin, Normal, Human (IGIV) 50 5,199.32 - 5,432.00
mg/mL, 50 mL Vial 7,488.00
393. Immunoglobulin, Rabies (human) 150 IU/mL, 2 3,100.00 - 3,100.00
mL Ampule 4,800.00
394. Immunoglobulin, Rabies (human) 150 IU/mL, 2 3,100.00 - 3,100.00
mL Vial 3,194.00
395. Immunoglobulin, Rabies (human) 150 IU/mL, 5 1,038.00 - 1,320.00
mL Vial 3,900.00

18 | P a g e 2018 DPRI | Sixth Edition


Lowest -
Drugname 2018 DPRI
Highest
396. Immunoglobulin, Tetanus (Human) 250 IU/mL, 700.00 - 900.00 875.00
1 mL Ampule
397. Immunoglobulin, Tetanus (Human) 250 IU/mL, 670.00 - 875.00 700.00
1 mL Pre-filled syringe
398. Immunoglobulin, Tetanus (Human) 250 IU/mL, 778.00 - 875.00 778.00
2 mL Ampule
399. Immunoglobulin, Tetanus (Human) 250 685.00 - 800.00 685.00
units/mL, 1 mL Vial
400. Insulin, Biphasic Isophane Human 70/30 125.00 - 169.45 125.00
(recombinant DNA) 100 IU/mL (Equiv. to 3.571
mg/mL), 5 mL Vial
401. Insulin, Biphasic Isophane Human 70/30 97.16 - 228.00 160.00
(recombinant DNA) 70% isophane suspension +
30% soluble insulin in 100 IU/mL, 10 mL Vial
402. Insulin, Isophane Human 100 IU/mL, 10 mL 120.00 - 320.00 160.00
Vial
403. Insulin, Regular (Recombinant DNA, human) 118.97 - 230.00 160.00
100 IU/mL, 10 mL Vial
404. Intraocular Irrigating Solution (balanced salt 370.00 - 500.00 370.00
solution) 500 mL Bottle
405. Iohexol 300 mg iodine/mL, 50 mL Vial 988.50 - 1,090.34
1,190.00
406. Iohexol 350 mg iodine/mL, 50 mL Vial 1,448.50 - 1,448.50
1,495.00
407. Iopamidol 612 mg/mL equiv. to 300 mg iodine, 983.12 - 1,189.16
100 mL Vial 3,450.00
408. Iopamidol 612 mg/mL equiv. to 300 mg iodine, 545.23 - 708.50
50 mL Vial 2,450.00
409. Iopamidol 755 mg/mL equiv. to 370 mg iodine, 1,588.00 - 1,792.00
100 mL Vial 2,200.00
410. Iopamidol 755 mg/mL equiv. to 370 mg iodine, 929.00 - 1,003.50
50 mL Vial 1,165.00
411. Iopromide 300 mg/mL equiv. to 623 mg iodine, 708.00 - 735.00
50 mL Vial 1,200.00
412. Iopromide 370 mg/mL equiv. to 769 mg iodine, 1,900.00 - 2,200.00
100 mL Vial 2,300.00
413. Iopromide 370 mg/mL equiv. to 769 mg iodine, 950.00 - 1,200.00
50 mL Vial 1,700.00
414. Ioversol 636 mg/mL equiv. to 300 mg/mL 2,000.00 - 2,000.00
iodine, 100 mL Vial 2,100.00

2018 DPRI | Sixth Edition P a g e | 19


Lowest -
Drugname 2018 DPRI
Highest
415. Ioversol 636 mg/mL equiv. to 300 mg/mL 1,200.00 - 1,200.00
iodine, 50 mL Vial 1,300.00
416. Ioversol 741 mg/mL equiv. to 350 mg/mL 1,300.00 - 1,300.00
iodine, 50 mL Vial 1,800.00
417. Ipratropium + Salbutamol 500 mcg + 2.5 mg x 6.88 - 29.44 9.50
2.5 mL (unit dose) Respiratory Solution
418. Ipratropium 250 mcg/mL, 2 mL (unit dose) 75.33 - 85.00 75.33
Respiratory Solution
419. Irbesartan + Hydrochlorothiazide 150 mg + 12.5 4.23 - 20.00 10.25
mg Tablet
420. Irbesartan 150 mg Tablet 2.49 - 19.50 4.74
421. Irbesartan 300 mg Tablet 6.28 - 29.40 13.77
422. Irinotecan 100 mg/5 mL concentrate Vial 3,299.00 - 3,400.00
4,000.00
423. Iron Sucrose 20 mg/mL, 5 mL Ampule 75.75 - 210.00 127.47
424. Isoflurane 100 mL Bottle 598.88 - 1,688.00
2,612.22
425. Isoniazid + Rifampicin + Ethambutol 75 mg + 4.10 - 5.50 5.45
150 mg + 275 mg Tablet
426. Isoniazid + Rifampicin + Pyrazinamide + 4.10 - 9.50 5.80
Ethambutol 75 mg + 150 mg + 400 mg + 275
mg Tablet
427. Isoniazid 200 mg/5 mL, 120 mL Syrup 45.99 - 138.00 74.00
428. Isosorbide Dinitrate 1 mg/mL, 10 mL Ampule 398.80 - 600.00 410.76
429. Isosorbide Dinitrate 10 mg Tablet 0.74 - 11.80 8.20
430. Isosorbide Dinitrate 5 mg Tablet 3.25 - 18.13 7.50
431. Isosorbide-5-Mononitrate 30 mg MR Capsule 8.00 - 10.75 8.00
432. Isosorbide-5-Mononitrate 30 mg MR Tablet 6.40 - 18.00 11.20
433. Isosorbide-5-Mononitrate 60 mg MR Tablet 3.69 - 18.88 6.20
434. Isotonic Electrolyte Sodium Chloride 1 L Bottle 185.00 - 185.00 185.00
435. Isoxsuprine Hydrochloride 10 mg Tablet 1.89 - 18.50 4.24
436. Isoxsuprine Hydrochloride 5 mg/mL, 2 mL 100.00 - 300.00 147.42
Ampule
437. Itraconazole 100 mg Capsule 17.80 - 40.24 29.50
K
438. Ketamine 50 mg/mL, 10 mL Vial 299.00 - 548.50
1,030.00
439. Ketoconazole 2%, 15 g aluminum tube 69.00 - 71.00 71.00
440. Ketorolac 30 mg/mL, 1mL Ampule 7.12 - 100.00 16.11

20 | P a g e 2018 DPRI | Sixth Edition


Lowest -
Drugname 2018 DPRI
Highest
L
441. Lactulose 3.3 g/5 mL, 120 mL Syrup 48.00 - 149.88 66.50
442. Lagundi 300 mg Tablet 1.25 - 3.00 1.63
443. Lagundi 300 mg/5 mL, 120 mL Syrup 75.00 - 79.88 75.00
444. Lagundi 300 mg/5 mL, 60 mL Syrup 39.10 - 61.50 50.20
445. Lagundi 600 mg Tablet 2.08 - 3.15 2.64
446. Lamotrigine 100 mg Tablet 25.00 - 42.00 25.00
447. Lamotrigine 50 mg Tablet 16.80 - 27.00 19.00
448. Lansoprazole 30 mg Capsule 19.00 - 25.00 19.00
449. Lansoprazole 30 mg MR Tablet 9.50 - 17.00 9.50
450. L-Asparaginase 10,000 IU Vial 1,450.00 - 1,780.00
1,888.00
451. Latanoprost 50mcg/mL, 2.5mL Bottle 824.10 - 894.99 824.10
452. Letrozole 2.5 mg Tablet 12.98 - 80.00 76.00
453. Leuproreline 11.25 mg powder depot solution 13,500.00 - 13,500.00
Vial + Syringe 13,800.00
454. Levodopa + Carbidopa 250 mg + 25 mg Tablet 25.00 - 72.06 37.59
455. Levofloxacin 500 mg Tablet 3.88 - 15.00 8.51
456. Levofloxacin 750 mg Tablet 7.34 - 60.00 13.45
457. Levofloxacin 5 mg/mL, 100 mL Vial 110.00 - 780.00 164.33
458. Levofloxacin 5 mg/mL, 150 mL Vial - 1,356.00•
459. Levothyroxine 100 mcg Tablet 5.52 - 8.81 6.59
460. Levothyroxine 150 mcg Tablet 9.62 - 11.00 9.62
461. Levothyroxine 50mcg Tablet 1.89 - 5.00 3.60
462. Lidocaine 10%, 50 mL Spray 2,461.62 - 2,461.62
2,953.00
463. Lidocaine 2%, 1.8mL w/ epinephrine Carpule 11.02 - 23.84 14.00
464. Lidocaine 2%, 20 mL Ampule 10.98 - 33.00 10.98
465. Lidocaine 2%, 5 mL Ampule 8.50 - 54.00 11.35
466. Lidocaine 2%, 50 mL Vial 21.00 - 69.00 36.00
467. Linezolid 2 mg/mL (600 mg/300 mL) Solution 3,655.00 - 3,655.00
4,160.86
468. Linezolid 600 mg Tablet - 3,961.69•
469. Lipids 10%, 500 mL Bottle 600.00 - 800.00 600.00
470. Lipids 20%, 100 mL Bottle 860.00 - 860.00
1,222.00
__________________________________
•The Reference Price was based on the proposed list price of the pharmaceutical company upon its
inclusion in the Philippine National Formulary (excluded from the maximum 10% inflationary cost)

2018 DPRI | Sixth Edition P a g e | 21


Lowest -
Drugname 2018 DPRI
Highest
471. Lipids 20%, 250 mL Bottle 950.00 - 1,155.00
1,350.00
472. Lithium Carbonate 450 mg MR Tablet 4.33 - 5.00 4.33
473. Loperamide 2 mg Capsule 0.33 - 2.91 0.45
474. Loratadine 10 mg Film coated tablet 1.68 - 1.79 1.68
475. Loratadine 10 mg Tablet 0.94 - 13.31 1.82
476. Loratadine 5 mg/5 mL, 30 mL Syrup 52.00 - 119.70 89.87
477. Losartan + Hydrochlorothiazide 50mg +12.5 mg 1.17 - 4.12 1.70
Tablet
478. Losartan 100 mg Tablet 0.59 - 15.40 2.15
479. Losartan 50 mg Tablet 0.63 - 6.50 0.82
M
480. Magnesium Sulfate 250 mg/mL, 10 mL Ampule 14.98 - 55.45 19.88
481. Magnesium Sulfate 250 mg/mL, 10 mL Vial 8.29 - 29.56 19.32
482. Magnesium Sulfate 250 mg/mL, 20 mL Vial 26.00 - 35.00 26.00
483. Mannitol 20%, 250 mL Bottle 84.33 - 228.33 84.33
484. Mannitol 20%, 500 mL Bottle 69.95 - 110.00 84.27
485. Mebendazole 100 mg/5 mL, 60 mL Suspension 10.00 - 19.00 14.00
486. Mebendazole 500 mg Tablet 1.73 - 3.00 1.73
487. Mecobalamin 500 mcg Tablet 8.00 - 15.91 12.80
488. Mecobalamin 500 mcg/mL, 1 mL Ampule 188.50 - 281.86 259.18
489. Medroxyprogesterone 150 mg/mL, 1 mL Vial 49.25 - 111.00 57.18
490. Mefenamic Acid 250 mg Capsule 0.43 - 1.00 0.55
491. Mefenamic Acid 250 mg Tablet 0.50 - 7.00 0.50
492. Mefenamic Acid 500 mg Capsule 0.45 - 1.04 0.56
493. Mefenamic Acid 500 mg Tablet 0.46 - 2.80 0.55
494. Meropenem 1 g Vial 116.00 - 175.17
1,688.00
495. Meropenem 500 mg Vial 98.42 - 180.00 113.16
496. Mesna 100 mg/mL, 4 mL Ampule 148.00 - 162.50 160.00
497. Metformin Hydrochloride 500 mg Film coated 0.46 - 2.50 0.83
tablet
498. Metformin Hydrochloride 500 mg Tablet 0.41 - 4.56 0.89
499. Metformin Hydrochloride 850 mg Tablet 5.40 - 5.59 5.40
500. Methotrexate 100 mg/mL, 10 mL Vial 3,950.00 - 3,950.00
5,000.00
501. Methotrexate 2.5 mg Tablet 4.30 - 13.55 8.97
502. Methotrexate 25 mg/mL, 2 mL Ampule 145.75 - 154.75 145.75
503. Methotrexate 25 mg/mL, 2 mL Vial 106.00 - 160.50 120.87
504. Methyldopa 250 mg Tablet 5.36 - 16.07 9.73
22 | P a g e 2018 DPRI | Sixth Edition
Lowest -
Drugname 2018 DPRI
Highest
505. Methylergometrine 200 mcg/mL, 1 mL Ampule 6.99 - 100.00 11.39
506. Methylprednisolone 1 g lyophilized powder Vial 2,325.63 - 2,325.63
3,435.59
507. Methylprednisolone 1 g/16 mL + Diluent Vial 2,054.07 - 2,875.00
3,152.72
508. Methylprednisolone 125 mg/mL, 2 mL + diluent 600.00 - 750.00 600.00
Vial
509. Methylprednisolone 16 mg Tablet 7.90 - 25.30 12.80
510. Methylprednisolone 4 mg Tablet 0.30 - 8.52 5.00
511. Methylprednisolone 40 mg ( single dose) Vial 189.30 - 552.25 283.95
512. Methylprednisolone 500 mg lyophilized powder 1,155.00 - 1,155.00
Vial 2,368.08
513. Methylprednisolone 500 mg/8.0 mL + diluent 1,161.00 - 1,161.00
vial Vial 2,368.08
514. Methylprednisolone 500mg/7.7mL + Diluent 1,071.10 - 1,071.10
Vial 2,378.28
515. Metoclopramide 10 mg Tablet 0.65 - 8.20 1.73
516. Metoclopramide 5 mg/5 mL, 60 mL Syrup 17.50 - 32.20 23.43
517. Metoclopramide 5 mg/mL, 2 mL Ampule 2.18 - 32.00 3.12
518. Metoprolol (as Tartrate) 100 mg Tablet 1.12 - 2.36 1.45
519. Metoprolol (as Tartrate) 50 mg Tablet 0.46 - 2.58 0.90
520. Metronidazole 125 mg/5 mL, 60 mL Suspension 1.25 - 64.00 15.00
521. Metronidazole 5 mg/mL, 100 mL Vial 10.88 - 75.00 15.11
522. Metronidazole 500 mg Tablet 0.58 - 2.80 0.85
523. Midazolam 1 mg/mL, 5 mL Ampule 75.00 - 93.00 82.80
524. Midazolam 5 mg/mL, 3 mL Ampule 90.00 - 136.33 100.12
525. Midazolam 5 mg/mL,1 mL Ampule 48.34 - 87.11 69.88
526. Modified Fluid Gelatin (Formerly Polymerisate 515.00 - 660.00 515.00
of Degraded Succinylated Gelatin) 4% solution,
500 mL Bottle
527. Monobasic Sodium Phosphate, Dibasic Sodium 150.00 - 216.00 180.00
Phosphate 19 g/ 7 g solution per 133 mL Bottle
528. Monobasic Sodium Phosphate, Dibasic Sodium 180.00 - 348.00 198.00
Phosphate 48 g/18 g per 100 mL solution, 45 mL
Bottle
529. Montelukast 10 mg Tablet 2.50 - 17.98 8.50
530. Montelukast 4 mg Chewable Tablet 4.00 - 11.75 7.00
531. Montelukast 4 mg Sachet 8.08 - 10.60 8.08
532. Montelukast 5 mg Chewable Tablet 4.95 - 13.18 8.00
533. Morphine (As Sulfate) 10 mg MR Tablet 17.65 - 24.24 17.65

2018 DPRI | Sixth Edition P a g e | 23


Lowest -
Drugname 2018 DPRI
Highest
534. Morphine (As Sulfate) 10 mg Tablet 5.09 - 24.24 20.60
535. Morphine (As Sulfate) 10 mg/mL,1 mL Ampule 39.00 - 150.00 51.37
536. Morphine (As Sulfate) 30 mg MR Tablet 48.79 - 58.87 48.79
537. Morphine (As Sulfate) 30 mg Tablet 48.00 - 66.05 48.00
538. Moxifloxacin Hydrochloride 5 mg/mL (0.5% - 543.75•
w/v) sterile ophthalmic solution, 5 mL Bottle
539. Multivitamins for adults Capsule 0.17 - 6.89 1.20
540. Multivitamins for adults Tablet 0.95 - 2.80 1.99
541. Multivitamins per 1 mL ,15 mL Drops 11.31 - 60.00 17.04
542. Multivitamins per 5 mL, 120 mL Syrup 18.00 - 130.00 42.94
543. Multivitamins per 5 mL, 60 mL Syrup 11.61 - 47.00 17.65
544. Mupirocin Cream 2%, 15 g Tube 64.29 - 268.18 138.44
545. Mupirocin Cream 2%, 5 g Sachet 54.33 - 125.00 60.00
546. Mupirocin Ointment 2%, 15 g Tube 49.22 - 210.00 145.50
547. Mupirocin Ointment 2%, 5 g Tube 46.00 - 255.00 56.54
548. Mycophenolate Mofetil 500 mg Tablet 50.00 - 70.00 57.39
N
549. Nalbuphine 10 mg/mL, 1 mL Ampule 33.00 - 99.89 51.98
Naloxone 400 mcg/mL, 1 mL Ampule 212.00 - 509.00 307.31
550. Naproxen Sodium 550 mg Tablet 2.38 - 17.00 3.38
551. Neomycin + Polymyxin B + Fluocinolone 179.00 - 294.34 220.00
Acetonide Ear Drops 3.5 mg neomycin + 10,000
units polymyxin B + 0.025% floucinolone
acetonide/mL, 5 mL Bottle
552. Nicardipine 1 mg/mL, 10 mL Ampule 198.00 - 382.84
1,735.00
553. Nicardipine 1 mg/mL, 2 mL Ampule 74.22 - 144.86 82.12
554. Nifedipine 10 mg Capsule 2.00 - 4.45 3.30
555. Nifedipine 30 mg MR Tablet 24.95 - 45.24 24.95
556. Nimodipine 30 mg Tablet 35.04 - 38.00 35.04
557. Nitrofurantoin 100 mg Capsule 3.57 - 52.37 20.00
558. Norepinephrine 1 mg/mL, 10 mL Ampule 775.00 - 1,022.93
1,235.04
559. Norepinephrine 1 mg/mL, 2 mL Ampule 89.99 - 463.00 108.61
560. Norepinephrine 1 mg/mL, 4 mL Ampule 98.00 - 1,063.37 298.00
__________________________________
•The Reference Price was based on the proposed list price of the pharmaceutical company upon its
inclusion in the Philippine National Formulary (excluded from the maximum 10% inflationary cost)

24 | P a g e 2018 DPRI | Sixth Edition


Lowest -
Drugname 2018 DPRI
Highest
561. Norepinephrine 2 mg/mL, 4 mL Ampule - 1,650.00•
562. Nystatin 100,000 units/mL, 30 mL Suspension 90.00 - 300.00 225.00
O
563. Octreotide 100 mcg/mL, 1 mL Ampule 540.00 - 830.00 540.00
564. Ofloxacin 200 mg Tablet 3.50 - 18.50 4.50
565. Ofloxacin Ear Drops 0.3%, 5 mL Bottle 125.00 - 299.26 230.00
566. Ofloxacin Eye Drops 0.3%, 5 mL Bottle 98.45 - 250.00 154.60
567. Olanzapine 10 mg Tablet 3.68 - 68.80 9.98
568. Omeprazole 20 mg Capsule 0.72 - 5.05 0.92
569. Omeprazole 40 mg Capsule 2.50 - 18.89 9.13
570. Omeprazole 40 mg powder vial + 10 mL solvent 22.39 - 237.60 28.22
Ampule
571. Ondansetron (as Hydrochloride) 2 mg/mL, 2 mL 143.29 - 450.00 242.87
Ampule
572. Ondansetron (as Hydrochloride) 2 mg/mL, 4 mL 117.22 - 289.00 132.45
Ampule
573. Ondansetron (as Hydrochloride) 8 mg Tablet 65.00 - 150.00 87.00
574. Oral Rehydration Salts (ORS 75-replacement) 2.89 - 5.98 4.25
20.5 g Sachet
575. Oral Rehydration Salts (ORS 75-replacement) 2.23 - 4.60 2.23
5.125 g Sachet
576. Oral Rehydration Salts (ORS 75-replacement) 75 2.25 - 5.00 2.25
replacement 2.17 g Sachet
577. Oxacillin 500 mg Vial 16.11 - 140.00 18.88
578. Oxaliplatin 50 mg powder Vial 919.88 - 2,770.00
4,500.00
579. Oxycodone 10 mg Tablet 123.46 - 142.43 123.46
580. Oxycodone 10 mg/mL, 1 mL Ampule 1,019.70 - 1,019.70
1,107.25
581. Oxycodone 10 mg/mL, 2 mL Ampule 1,720.00 - 1,720.00
1,771.60
582. Oxycodone 5 mg Capsule 110.25 - 130.32 110.25
583. Oxycodone Hydrochloride/Naloxone - 113.94•
Hydrochloride 5 mg + 2.5 mg Prolonged Release
Tablet

__________________________________
•The Reference Price was based on the proposed list price of the pharmaceutical company upon its
inclusion in the Philippine National Formulary (excluded from the maximum 10% inflationary cost)

2018 DPRI | Sixth Edition P a g e | 25


Lowest -
Drugname 2018 DPRI
Highest
584. Oxytocin 10 IU/mL, 1 mL Ampule 5.34 - 140.00 7.12
P
585. Paclitaxel 6 mg/mL, 25 mL Vial 3,744.00 - 3,744.00
9,800.00
586. Paclitaxel 6 mg/mL, 43.4 mL Vial 3,418.00 - 4,327.50
6,670.00
587. Paclitaxel 6 mg/mL, 5 mL Vial 397.00 - 712.00
1,990.00
588. Paracetamol 10 mg/mL, 100 mL Vial 133.48 - 295.00 173.16
589. Paracetamol 10 mg/mL, 50 mL Vial 198.00 - 250.00 198.00
590. Paracetamol 100 mg/ml, 15 mL Drops 8.93 - 40.00 11.97
591. Paracetamol 120 mg/5 mL (125 mg/5 mL), 60 10.30 - 60.00 12.73
mL Bottle
592. Paracetamol 125 mg Suppository 12.90 - 24.90 17.95
593. Paracetamol 150 mg/mL, 2 mL Ampule 2.99 - 12.88 4.47
594. Paracetamol 250 mg Suppository 15.40 - 30.00 22.10
595. Paracetamol 250 mg/5 mL, 60 mL Bottle 9.05 - 95.00 12.88
596. Paracetamol 500 mg Tablet 0.19 - 2.00 0.23
597. Penicillin G Benzathine (benzathine 43.49 - 125.00 47.16
benzylpenicillin) 1,200,000 units Vial
598. Penicillin G Crystalline 1 MU Vial 3.98 - 42.00 5.22
599. Penicillin G Crystalline 5 MU Vial 10.67 - 28.00 15.22
600. Peritoneal Dialysis Solution Sterile with 1.5% 240.00 - 248.00 240.00
dextrose, 2 L Bottle
601. Permethrin Lotion 5%, 60 mL Bottle 200.00 - 240.00 200.00
602. Pethidine 50 mg/mL, 2 mL Ampule 148.53 - 188.01 148.53
603. Phenobarbital 120 mg/mL (130 mg/mL), 1 mL 377.00 - 699.00 377.00
Ampule
604. Phenobarbital 30 mg Tablet 2.50 - 8.75 2.50
605. Phenobarbital 60 mg Tablet 4.76 - 9.00 4.76
606. Phenobarbital 90 mg Tablet 9.75 - 11.31 9.75
607. Phenytoin 100 mg Capsule 1.10 - 28.88 10.14
608. Phenytoin 30 mg/5 mL, 120 mL Suspension 142.98 - 385.00 142.98
609. Phenytoin 50 mg/mL, 2 mL Ampule 57.33 - 320.00 95.11
610. Phenytoin 50 mg/mL, 5 mL Ampule 399.00 - 843.30 399.00
611. Phytomenadione 10 mg/mL, 1 mL Ampule 6.24 - 59.00 17.12
612. Phytomenadione 2 mg/0.2 mL Pediatric Ampule 20.10 - 42.80 20.10
613. Piperacillin + Tazobactam 2 g + 250 mg Vial 34.00 - 505.50 78.22
614. Piperacillin + Tazobactam 4 g + 500 mg Vial 50.00 - 390.00 98.00

26 | P a g e 2018 DPRI | Sixth Edition


Lowest -
Drugname 2018 DPRI
Highest
615. Potassium Chloride 2 mEq/mL, 20 mL Vial 18.33 - 34.70 24.00
616. Potassium Chloride 750 mg durules (equiv. to 6.99 - 24.00 19.90
approximately 10 mEq) Tablet
617. Potassium Citrate 10 mEq Tablet 5.45 - 17.62 8.50
618. Povidone Iodine (Oral Antiseptic) 1%, 120 mL 126.65 - 134.10 126.65
Bottle
619. Povidone Iodine (Oral Antiseptic) 1%, 60 mL 36.00 - 89.00 36.00
Bottle
620. Povidone Iodine (Solution) 10%, 1 gallon Bottle 595.00 - 749.40 616.50
621. Povidone Iodine (Solution) 10%, 15 mL Bottle 36.80 - 41.40 36.80
622. Povidone Iodine (Solution) 10%, 60 mL Bottle 30.00 - 48.00 30.35
623. Povidone Iodine (Surgical Skin Cleanser) 7.5%, 1 595.00 - 700.00 595.00
gallon Bottle
624. Prednisolone Eye Drops 0.5%, 5 mL Bottle 200.00 - 200.00 200.00
625. Prednisolone Eye Drops 1%, 5 mL Bottle 134.00 - 245.00 150.00
626. Prednisone 10 mg Tablet 1.16 - 4.08 2.62
627. Prednisone 10 mg/5 mL, 60 mL Suspension 60.00 - 120.00 102.20
628. Prednisone 20 mg Tablet 2.46 - 4.20 2.95
629. Prednisone 5 mg Tablet 0.44 - 1.32 0.59
630. Propofol 10 mg/mL, 20 mL Ampule 47.22 - 899.00 59.61
631. Propofol 10 mg/mL, 20 mL Vial 55.00 - 230.00 59.09
632. Propofol 10 mg/mL, 50 mL Vial 385.00 - 659.00 550.00
633. Propranolol 10 mg Tablet 0.75 - 23.88 6.50
634. Propranolol 40 mg Tablet 0.55 - 28.00 15.11
635. Propylthiouracil 50 mg Tablet 8.94 - 11.00 9.40
636. Pyrazinamide 250 mg/5 mL, 120 mL Suspension 44.58 - 100.20 78.38
637. Pyrazinamide 500 mg Tablet 0.99 - 2.38 2.00
638. Pyridostigmine 60 mg Tablet 29.18 - 32.82 29.18
Q
639. Quetiapine (as Fumarate) 100 mg Tablet 26.85 - 88.88 84.94
640. Quetiapine (as Fumarate) 200 mg Tablet 23.00 - 73.06 35.42
641. Quetiapine (as Fumarate) 25 mg Tablet 18.88 - 28.00 20.42
642. Quetiapine (as Fumarate) 300 mg Tablet 24.80 - 60.00 56.00
R
643. Rabeprazole (as Sodium) 20 mg Tablet 15.72 - 41.00 15.72
644. Ranitidine 150 mg Tablet 0.63 - 4.00 0.74
645. Ranitidine 25 mg/mL, 2 mL Ampule 2.12 - 40.00 3.38
646. Ranitidine 300 mg Tablet 1.46 - 2.75 1.99

2018 DPRI | Sixth Edition P a g e | 27


Lowest -
Drugname 2018 DPRI
Highest
647. Remifentanil 1 mg Lyophilized powder - 1,500.00•
648. Remifentanil 2 mg Lyophilized powder - 3,000.00•
649. Rifampicin 200 mg/5 mL, 120 mL Suspension 91.67 - 250.00 157.00
650. Risperidone 1 mg Tablet 8.30 - 13.50 12.50
651. Risperidone 2 mg Orodispersible tab 45.00 - 48.00 46.80
652. Risperidone 2 mg Tablet 1.12 - 18.00 5.00
653. Risperidone 4 mg Tablet 9.00 - 23.07 12.00
654. Rituximab 10 mg/mL, 10 mL Vial 16,754.12 - 16,754.12*
16,754.12
655. Rituximab 10 mg/mL, 50 mL Vial 82,127.48 - 82,127.48*
82,127.48
656. Rocuronium 10 mg/mL, 5 mL Vial 179.22 - 548.80 199.88
657. Ropivacaine 10 mg/mL, 10 mL Ampule 404.99 - 426.30 404.99
658. Rosuvastatin (as Calcium) 10 mg Tablet 2.78 - 27.00 4.22
659. Rosuvastatin (as Calcium) 20 mg Tablet 4.02 - 13.00 8.35
S
660. Sacubitril/Valsartan 50 mg Tablet - 56.25•
661. Sacubitril/Valsartan 100 mg Tablet - 56.25•
662. Sacubitril/Valsartan 200 mg Tablet - 56.25•
663. Salbutamol 1 mg/mL, 2.5 mL (unit dose) Nebule 3.69 - 8.95 4.85
664. Salbutamol 100 mcg/dose x 200 doses Metered 57.12 - 320.00 73.22
Dose Inhaler
665. Salbutamol 2 mg/5mL, 60 mL Syrup 8.18 - 60.00 11.58
666. Salbutamol 2 mg/mL, 2.5 mL (unit dose) Nebule 4.79 - 22.00 7.00
667. Sambong 500 mg Tablet 4.13 - 7.50 5.25
668. Sertraline 50 mg Tablet 5.00 - 32.00 7.40
669. Serum, Anti-rabies (equine) 200 IU/mL, 5 mL 100.00 - 1,080.00
Vial 1,560.00
670. Serum, Anti-tetanus (ATS) (equine) 1500 IU/0.7 65.00 - 104.00 73.10
mL, 0.7 mL Ampule
671. Serum, Anti-tetanus (ATS) (equine) 1500 IU/mL, 55.00 - 175.00 62.40
1 mL Ampule
672. Serum, Anti-tetanus (ATS) (equine) 1500 IU/mL, 55.00 - 74.00 59.00
1 mL Vial
673. Sevelamer Carbonate 800 mg Tablet - 65.63•
__________________________________
• The Reference Price was based on the proposed list price of the pharmaceutical company upon its
inclusion in the Philippine National Formulary (excluded from the maximum 10% inflationary cost)
* Excluded from the maximum 10% inflationary cost

28 | P a g e 2018 DPRI | Sixth Edition


Lowest -
Drugname 2018 DPRI
Highest
674. Sevelamer Carbonate 800 mg powder for - 87.00•
Suspension
675. Sevoflurane 250 mL Bottle 4,167.22 - 5,305.00
15,500.00
676. Silver Sulfadiazine Cream 1%, 15 g Tube 72.38 - 74.33 72.38
677. Silver Sulfadiazine Cream 1%, 25 g Tube 65.12 - 98.33 79.88
678. Silver Sulfadiazine Cream 1%, 500 g Jar 799.00 - 850.00
1,138.15
679. Simvastatin 20 mg Tablet 0.75 - 4.88 1.28
680. Simvastatin 40 mg Tablet 1.70 - 10.71 3.84
681. Sodium Bicarbonate 1 meq/mL, 50 mL Ampule 58.00 - 129.50 62.95
682. Sodium Bicarbonate 1 meq/mL, 50 mL Vial 59.88 - 99.55 82.50
683. Sodium Bicarbonate 650 mg Tablet 0.47 - 2.18 1.19
684. Sodium Chloride 2.5 mEq/mL, 20 mL Vial 28.00 - 45.00 28.00
685. Sodium Chloride 2.5 mEq/mL, 50 mL Vial 42.90 - 47.50 42.90
686. Somatostatin 250 mcg Vial 638.34 - 798.00 758.10
687. Somatostatin 3 mg Vial 4,263.20 - 4,391.10
5,062.55
688. Spironolactone 25 mg Tablet 8.00 - 22.50 9.90
689. Spironolactone 50 mg Tablet 26.75 - 36.43 32.14
690. Standard Senna Concentrate 187 mg Tablet 6.26 - 8.09 6.26
691. Standard Senna Concentrate 374 mg Tablet 7.50 - 19.50 7.50
692. Sterile Water For injection 1 L Bottle 54.25 - 103.00 54.25
693. Sterile Water For injection 100 mL Bottle 47.00 - 95.00 77.00
694. Sterile Water For injection 50 mL Bottle 14.99 - 47.88 20.45
695. Streptokinase 1,500,000 IU Vial 3,500.00 - 3,888.00
6,300.00
696. Streptomycin 1 g Vial 8.88 - 14.24 10.33
697. Sucralfate 1 g Tablet 26.10 - 58.00 30.00
698. Sugammadex 100 mg/mL, 2 mL Vial 4,731.35 - 4,731.35
5,257.07
699. Suxamethonium (Succinylcholine) 20 mg/mL, 10 103.43 - 298.00 134.76
mL Vial
T
700. Tacrolimus 1 mg Capsule 145.00 - 198.42 149.00
701. Tafluprost 15 mcg/mL, 0.3 mL single dose - 991.00•
ophthalmic solution Bottle
__________________________________
•The Reference Price was based on the proposed list price of the pharmaceutical company upon its
inclusion in the Philippine National Formulary (excluded from the maximum 10% inflationary cost)

2018 DPRI | Sixth Edition P a g e | 29


Lowest -
Drugname 2018 DPRI
Highest
702. Tamoxifen 20 mg Tablet 3.68 - 23.98 6.50
703. Tamsulosin 200 mcg Capsule 15.50 - 61.58 30.00
704. Tamsulosin 200 mcg Orally Disintegrating Tablet 43.11 - 61.58 43.11
705. Tamsulosin 400 mcg MR Film Coated Tablet 11.67 - 30.00 23.75
706. Telmisartan + Hydrochlorothiazide 40 mg + 12.5 10.65 - 21.21 19.08
mg Tablet
707. Telmisartan 40 mg Tablet 9.45 - 23.57 17.04
708. Telmisartan 80 mg Tablet 10.65 - 36.00 26.74
709. Terbutaline 500 mcg/mL, 1 mL Ampule 41.32 - 98.00 41.32
710. Tetracycline 500 mg Capsule 2.29 - 2.35 2.29
711. Thiamazole (Methimazole) 5 mg Tablet 4.00 - 5.75 4.73
712. Thiopental Sodium 1 g + 50 mL diluent Vial 978.29 - 978.29
1,198.44
713. Thiopental Sodium 1 g Vial 1,198.00 - 1,198.00
1,198.48
714. Timolol Eye Drops 0.5%, 5 mL Bottle 234.00 - 370.00 278.25
715. Tinzaparin Sodium 10,000 anti-XA IU/mL, 0.35 387.73 - 432.62 387.73
mL Pre-filled syringe
716. Tinzaparin Sodium 10,000 anti-XA IU/mL, 2 mL 1,289.74 - 1,289.74
Vial 1,439.08
717. Tiotropium 18 mcg/dose Dry Powder Inhaler 63.28 - 74.50 63.28
718. Tobramycin + Dexamethasone Eye Drops 0.3% 85.00 - 355.00 154.00
+ 0.1%, 5 mL Bottle
719. Tobramycin + Dexamethasone Eye Ointment 230.00 - 503.00 394.54
0.3% + 0.1%, 3.5 g Tube
720. Tobramycin Eye Drops 0.3%, 5 mL Bottle 86.60 - 400.00 175.50
721. Tobramycin Eye Ointment 0.3%, 3.5 g Tube 175.00 - 395.00 175.00
722. Topiramate 50 mg Tablet 9.20 - 41.48 11.05
723. Tramadol 100 mg MR Tablet 70.56 - 72.64 70.56
724. Tramadol 50 mg Capsule 1.00 - 7.50 1.96
725. Tramadol 50 mg/ml, 1 ml Ampule 6.49 - 90.00 10.40
726. Tramadol 50 mg/ml, 2 ml Ampule 3.69 - 178.11 6.41
727. Tranexamic Acid 100 mg/mL, 5 mL Ampule 7.59 - 140.00 13.29
728. Tranexamic Acid 500 mg Capsule 2.98 - 14.00 5.00
729. Tranexamic Acid 500 mg Tablet 3.60 - 14.68 3.60
730. Trastuzumab 120 mg/mL, 5 mL Vial - 26,000.00•

__________________________________
•The Reference Price was based on the negotiated price of the company with DPCB upon inclusion
in the BCMAP (excluded from the maximum 10% inflationary cost)

30 | P a g e 2018 DPRI | Sixth Edition


Lowest -
Drugname 2018 DPRI
Highest
731. Trastuzumab 150 mg Lyophilized Powder 13,000.00 - 13,000.00*
38,272.00
732. Trimetazidine 35 mg Tablet 0.95 - 14.50 7.99
733. Tropicamide + Phenylephrine Hydrochloride 5 - 665.00•
mg/5 mg, 10 mL Bottle
U
734. Ursodeoxycholic Acid 250 mg Capsule 8.00 - 50.23 36.07
735. Ursodeoxychloic Acid 500 mg Tablet - 95.00•
V
736. Vaccine, Hepatitis B (recombinant DNA) 10 126.33 - 180.00 137.72
mcg/0.5 mL (pediatric) Monodose Vial
737. Vaccine, Hepatitis B (recombinant DNA) 20 162.00 - 352.33 178.22
mcg/mL, 1 mL Vial
738. Vaccine, Influenza Polyvalent 0.5 mL Suspension 320.00 - 750.00 350.05
Pre-filled syringe
739. Vaccine, Pneumococcal Polyvalent 25 mcg/0.5 450.00 - 520.00 450.00
mL, 0.5 mL Pre-filled syringe
740. Vaccine, Rabies Chick Embryo Cell (Purified 1,400.00 - 1,627.50
Inactivated) 2.5 IU/mL, 1 dose + 1 mL diluent 1,750.00
Vial
741. Vaccine, Tetanus Toxoid 0.5 mL Ampule 21.89 - 109.00 32.12
742. Vaccine, Vero Cell (purified) 2.5 IU/0.5 mL Vial 600.00 - 944.74
+ diluent 1,171.00
743. Vaccine, Vero Cell (purified) 2.5 IU/mL, 1 mL 590.00 - 871.11 590.00
Vial
744. Valaciclovir 500 mg Tablet 166.00 - 187.00 166.00
745. Valproate Disodium/Valproic Acid 250 mg 12.80 - 30.00 23.87
Tablet
746. Valproic Acid + Sodium Valproate 500 mg MR 40.00 - 53.49 40.00
Tablet
747. Valproic Acid 250 mg/5 mL, 120 mL Syrup 314.05 - 515.00 314.05
748. Valproic Acid 500 mg/5 mL, 5 mL Vial 1,701.23 - 1,701.23
2,482.34
749. Valsartan + Hydrochlorothiazide 80 mg + 12.5 9.23 - 16.00 9.23
mg Tablet

__________________________________
* DOH Procurement (excluded from the maximum 10% inflationary cost)
•The Reference Price was based on the proposed list price of the pharmaceutical company upon its
inclusion in the Philippine National Formulary (excluded from the maximum 10% inflationary cost)
2018 DPRI | Sixth Edition P a g e | 31
Lowest -
Drugname 2018 DPRI
Highest
750. Valsartan 160 mg Film coated tablet 15.00 - 60.50 18.83
751. Valsartan 80 mg Film coated tablet 5.33 - 41.31 10.05
752. Vancomycin 1 g Vial 210.00 - 288.00 210.00
753. Vancomycin 500 mg Vial 97.22 - 800.00 148.61
754. Verapamil 2.5mg/ml, 2mL Ampule 126.48 - 169.24 126.48
755. Verapamil 240 mg MR Tablet 20.09 - 28.70 20.09
756. Verapamil 80 mg Tablet 30.25 - 50.13 30.25
757. Vinblastine 10 mg Vial 775.00 - 800.00 775.00
758. Vincristine (As Sulfate) 1 mg/mL, 1 mL Vial 195.00 - 350.00 195.00
759. Vincristine (As Sulfate) 1 mg/mL, 2 mL Vial 300.00 - 697.00 400.00
760. Vitamin B1 B6 B12 100 mg + 100 mg + 1 mg, 3 15.11 - 65.00 29.83
mL Ampule
761. Vitamin B1 B6 B12 100 mg + 5 mg + 50 mcg 0.67 - 3.00 1.10
Tablet
W
762. Warfarin 2.5 mg Tablet 7.50 - 11.59 7.50
763. Warfarin 5 mg Tablet 9.40 - 15.60 11.88
Z
764. Zinc 27.5 mg/mL (Equiv. to 10 mg Elemental 19.39 - 50.00 35.00
Zinc), 15 mL Oral Drops
765. Zinc 55 mg/5 mL (Equiv. to 20 mg Elemental 17.04 - 51.00 39.00
Zinc), 60 mL Syrup
766. Zolpidem 10 mg Tablet 48.02 - 64.00 64.00

32 | P a g e 2018 DPRI | Sixth Edition

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