FARMASI NON-FORMULARI Price List 23.5.

25
PACK PRICE/ PRICE/
BIL ITEM NOTES
SIZE BOX UNIT
1 ABIRATERONE ACETATE 250MG TAB (ARTESTO) - 120 1,034.00 -
2 ABIRATERONE ACETATE 500MG TAB (ZYTIGA) PRE-ORDER 60 6,458.00 -
3 AGOMELATINE 25MG TAB (VALDOXAN) - 28 125.70 4.50
4 ALPHA LIPOIC ACID + VIT B1, B6, B12 TAB (BIONERV) - 60 108.00 1.80
ALVERINE CITRATE 60MG+SIMETHICONE 300MG CAP
5 - 30 34.50 1.20
(METEOSPASMYL)
6 AMLODIPINE 10MG + ATORVASTATIN 40MG TAB (CADUET) - 30 159.90 5.40
7 AMLODIPINE 5MG + ATORVASTATIN 10MG TAB (CADUET) - 30 122.50 4.10
8 AMLODIPINE 10MG + VALSARTAN 160MG TAB (EXFORGE) - 28 23.80 0.90
9 AMLODIPINE 5MG + VALSARTAN 160MG TAB (EXFORGE) - 28 23.80 0.90
10 AMLODIPINE 5MG + VALSARTAN 80MG TAB (EXFORGE) - 28 23.80 0.90
AMLODIPINE 10MG + VALSARTAN 160MG + HCTZ 12.5MG TAB
11 - 28 37.80 1.40
(EXFORGE-HCT)
AMLODIPINE 10MG + VALSARTAN 160MG + HCTZ 25MG TAB
12 - 28 37.80 1.40
(EXFORGE-HCT)
AMLODIPINE 5MG + VALSARTAN 160MG+ HCTZ 12.5MG TAB
13 - 28 37.80 1.40
(EXFORGE-HCT)
14 APIXABAN 2.5MG TAB (ELIQUIS) - 30 144.00 4.80
15 APIXABAN 2.5MG TAB (HEMAPIX) - 30 50.00 -
16 APIXABAN 5MG TAB (ELIQUIS) - 60 272.00 4.60
17 APIXABAN 5MG TAB (GENEXIBAN) - 60 72.00 -
18 APREPITANT 125MG/80MG CAP 3'S (EMEND) - 1 256.90 -
19 ARIPIPRAZOLE 400MG INJ (ABILIFY MAINTENA) PRE-ORDER 1 1,144.00 -
20 ASPIRIN 100MG + GLYCINE 45MG TAB (CARDIPRIN-100) - 90 49.00 0.60
21 ATORVASTATIN 10MG TAB (LIPITOR) - 30 80.60 2.70
22 ATORVASTATIN 20MG TAB (LIPITOR) - 30 80.60 2.70
23 ATORVASTATIN 40MG TAB (LIPITOR) - 30 110.20 3.70
24 AVANAFIL 200MG TAB (SPEDRA) - 4 168.00 -
25 AVORAL EFF GRANULES 4G - 12 6.80 0.60
26 AZACITIDINE 100MG INJ (AZADINE) PRE-ORDER 1 160.00 -
AZELASTINE 137MCG + FLUTICASONE 50MCG NASAL SPRAY 120D
27 - 1 76.00 -
(DYMISTA)
BECLOMETASONE 100MCG+ FORMOTEROL I6MCG MDI 120D
28 - 1 79.40 -
(FOSTER)
29 BENDAMUSTINE HCL 100MG INJ (RIBOMUSTIN) PRE-ORDER 1 1,292.00 -
30 BENDAMUSTINE HCL 25MG INJ (RIBOMUSTIN) PRE-ORDER 1 323.00 -
31 BEVACIZUMAB 100MG/4ML INJ (AVASTIN) PRE-ORDER 1 1,488.00 -
32 BEVACIZUMAB 100MG/4ML INJ (MVASI) - 1 392.00 -
 PACK PRICE/ PRICE/
BIL ITEM NOTES
SIZE BOX UNIT
33 BEVACIZUMAB 400MG/16ML INJ (MVASI) - 1 1,568.00 -
34 BICALUTAMIDE 50MG TAB (CASODEX) - 28 298.00 -
35 BILASTINE 20MG TAB (BILAXTEN) - 50 70.00 -
36 BORTEZOMIB 3.5MG INJ (BORTEBIN) - 1 271.00 -
37 BREXPIPRAZOLE 2MG TAB (REXULTI) PRE-ORDER 28 527.60 -
38 BREXPIPRAZOLE 4MG TAB (REXULTI) PRE-ORDER 28 527.60 -
39 BRIMONIDINE 0.1% EYE DROPS 5ML (ALPHAGAN-P) - 1 48.20 -
BRINZOLAMIDE 1% + BRIMONIDINE 0.2% EYE DROPS 5ML
40 - 1 74.70 -
(SIMBRINZA)
41 BROLUCIZUMAB 120MG/ML INTRAOCULAR INJ (PAGENAX) PRE-ORDER 1 2,466.00 -
42 BUDESONIDE 0.5MG/ML RESPULES 2ML (PULMICORT) PRE-ORDER 30 263.00 -
43 BUDESONIDE 9MG PR-TAB (CORTIMENT) - 30 587.00 19.60
44 BUMETANIDE 1MG TAB (BUMET) - 100 100.00 1.00
45 CALCIUM DOBESILATE 500MG CAP (DOXIUM) - 30 65.00 2.20
46 CANAGLIFLOZIN-FC 300MG TAB (INVOKANA) - 30 190.00 6.40
47 CARBIMAZOLE 5MG TAB (NEO-MERCAZOLE) - 100 33.00 -
48 CELECOXIB 200MG CAP (CELEBREX) - 100 116.20 1.20
49 CETUXIMAB 5MG/ML 20ML INJ (ERBITUX) PRE-ORDER 1 646.00 -
50 CHOLECALCIFEROL 25,000IU ORAL SOLN (D-CURE) - 4 37.20 -

51 CHORIOGONADOTROPIN ALFA 250MCG/0.5ML PF INJ (OVIDREL) - 1 100.00 -

52 CLOPIDOGREL 75MG + ASPIRIN 100MG TAB (COPLAVIX) - 14 52.20 -

53 CLOPIDOGREL 75MG TAB (PLAVIX) - 14 41.00 -
54 CLOSTRIDIUM BOTULINUM TYPE A TOXIN 100IU INJ (BOTOX) - 1 1,213.00 -
55 CLOSTRIDIUM BOTULINUM TYPE A TOXIN 500IU INJ (DYSPORT) - 1 1,874.00 -
56 COENZYME Q10 UBIQUINOL 100MG SOFTGELS (VITAMODE) - 30 54.50 -
57 CX PAIN GEL ROLL ON 75ML (COOL-X) - 1 80.00 -
58 DABIGATRAN 110MG CAP (PRADAXA) - 30 136.90 4.60
59 DABIGATRAN 150MG CAP (PRADAXA) - 30 136.90 4.60
DAPAGLIFLOZIN 10MG + METFORMIN-XR 1000MG TAB (XIGDUO-
60 - 28 122.30 4.40
XR)
61 DAPAGLIFLOZIN 10MG TAB (DAPIGA) - 30 27.50 1.00
62 DAPAGLIFLOZIN 10MG TAB (FORXIGA) - 28 68.50 2.50

63 DAPAGLIFLOZIN 5MG + METFORMIN-XR 1000MG TAB (XIGDUO-XR) - 56 122.30 2.20

64 DAPOXETINE 30MG TAB (PRILIGY) - 6 229.00 -

65 DAPOXETINE 60MG TAB (PRILIGY) - 6 308.00 -
66 DASATINIB 70MG FC TAB (TAZATRED) PRE-ORDER 60 2,252.00 -
 PACK PRICE/ PRICE/
BIL ITEM NOTES
SIZE BOX UNIT
67 DEFERIPRONE 500MG TAB (FERRIPROX) - 100 430.30 -
68 DEGARELIX 120MG INJ (FIRMAGON) - 2 1,052.00 -
69 DEGARELIX 80MG INJ (FIRMAGON) - 1 581.00 -
70 DENOSUMAB 120MG/1.7ML INJ (XGEVA) - 1 1,401.00 -
71 DENOSUMAB 60MG INJ (PROLIA) - 1 770.00 -
72 DERMACYN EZYMA HYDROGEL 45G - 1 39.00 -
73 DERMACYN SCARLESS HYDROGEL 45G - 1 58.00 -
74 DERMACYN WOUND CARE SOLUTION 500ML - 1 32.00 -
75 DERMACYN WOUND CARE SPRAY 100ML - 1 16.00 -
76 DEXLANSOPRAZOLE 60MG CAP (DEXILANT) - 14 26.00 -
77 DILTIAZEM HCL GEL 2% 30G (CREMA GEL) - 1 29.00 -
78 DIMETHICONE 100MG CAP (CUPLATON) - 100 60.00 -

79 DIOSMINE 900MG + HESPERIDIN 100MG TAB (DAFLON 1000MG) - 30 104.00 3.50

80 DULAGLUTIDE 0.75MG/0.5ML PF INJ (TRULICITY) PRE-ORDER 4 552.00 -

81 DULAGLUTIDE 1.5MG/0.5ML PF INJ (TRULICITY) - 4 552.00 138.00
82 DURVALUMAB 500MG INJ 10ML (IMFINZI) PRE-ORDER 1 8,262.00 -

83 DUTASTERIDE 0.5MG + TAMSULOSIN HCL 0.4MG CAP (DUODART) - 30 205.00 -

84 DUTASTERIDE 0.5MG + TAMSULOSIN HCL 0.4MG CAP (DUORIDE-T) - 30 152.50 -

85 EDOXABAN 30MG TAB (LIXIANA) - 28 246.70 8.90

86 EDOXABAN 60MG TAB (LIXIANA) - 28 246.70 8.90
87 ELTROMBOPAG 25MG TAB (REVOLADE) - 28 2,507.00 89.60
88 EMPAGLIFLOZIN 10MG TAB (JARDIANCE) - 30 70.80 2.40
89 EMPAGLIFLOZIN 25MG TAB (JARDIANCE) - 30 86.70 2.90
EMPAGLIFLOZIN 12.5MG + METFORMIN 1000MG TAB (JARDIANCE
90 - 60 153.50 2.60
DUO)
EMPAGLIFLOZIN 12.5MG + METFORMIN 850MG TAB (JARDIANCE-
91 - 60 153.50 2.60
DUO)
92 EMPAGLIFLOZIN 25MG + LINAGLIPTIN 5MG TAB (GLYXAMBI) - 30 191.80 6.40
93 ENZALUTAMIDE 40MG CAP (XTANDI) PRE-ORDER 112 6,135.00 -
94 ERIBULIN MESYLATE 1MG INJ 2ML (HALAVEN) PRE-ORDER 1 1,162.00 -
95 ERLOTINIB HYDROCHLORIDE 150MG TAB (TARCEVA) PRE-ORDER 30 4,672.00 -
96 ESOMEPRAZOLE 40MG TAB (NEXIUM) - 14 34.20 -
97 ETHIODIZED OIL- IODINE 480MG/ML 10ML INJ (LIPIODOL) - 1 2,054.00 -
98 EVEROLIMUS 10MG TAB (AFINITOR) PRE-ORDER 30 5,555.00 -
99 EVOLOCUMAB 140MG/ML INJ (REPATHA) - 1 651.50 -
 PACK PRICE/ PRICE/
BIL ITEM NOTES
SIZE BOX UNIT
100 EXEMESTINE 25MG TAB (AROMASIN) PRE-ORDER 30 659.00 -
101 EZETIMIBE 10MG + ATORVASTATIN 40MG TAB (ATOZET) - 30 164.60 5.50
102 EZETIMIBE 10MG + SIMVASTATIN 10MG TAB (VYTORIN) - 30 139.90 4.70
103 EZETIMIBE 10MG + SIMVASTATIN 20MG TAB (VYTORIN) - 30 139.90 4.70
104 EZETIMIBE 10MG + SIMVASTATIN 40MG TAB (VYTORIN) - 30 139.90 4.70
105 EZETIMIBE 10MG TAB (EZETROL) - 30 101.00 3.40
106 FEBUXOSTAT 80MG TAB (FEBURIC) - 30 281.00 9.40
107 FERRIC DERISOMALTOSE 1000MG/10ML INJ (MONOFER) - 2 1,244.00 622.00
108 FIBRIN SEALANT FROZEN SOLN 2ML (TISSEEL) - 1 1,301.00 -
109 FIBRIN SEALANT FROZEN SOLN 4ML (TISSEEL) - 1 1,697.00 -
110 FLECAINIDE 100MG TAB (TAMBOCOR) - 60 324.00 5.40
111 FLUBIPROFEN 40MG PATCH 6'S (ACUSTOP) - 1 15.90 -
112 FLUROMETHOLONE 0.1% EYE DROPS 5ML (FML) - 1 10.30 -
FOLLITROPIN ALFA 300IU + LUTROPIN ALFA 150IU PF INJ
113 - 1 755.00 -
(PERGOVERIS)
114 FOLLITROPIN DELTA 72MCG/2.16ML PF INJ (REKOVELLE) - 1 1,602.00 -
115 FORTEND FC TABLET - 20 136.00 -
116 FOSFOMYCIN 3G GRANULES (MONUROL) - 1 52.20 -
117 FULVESTRANT 250MG/5ML INJ (ERANFU FULVESTRANT) - 2 1,137.00 -
118 GAVISCON ADVANCE SUSP 150ML - 1 31.00 -
119 GAVISCON DOUBLE ACTION SUSP 150ML - 1 36.00 -
120 GEFITINIB 250MG TAB (GEFITINIB INTEGA) PRE-ORDER 30 585.00 -
121 GLUCOSAMINE SULPHATE 1500MG SACHET (VIARTRIL-S) - 30 115.00 -
122 GLUCOSAMINE SULPHATE 500MG CAP (VIARTRIL-S) - 90 102.10 -
123 GOSERELIN ACETATE 10.8MG INJ (ZOLADEX LA) - 1 938.00 -
124 GOSERELIN ACETATE 3.6MG INJ (ZOLADEX) - 1 346.00 -

125 HEPASPHERE MICROSPHERE 25MG COMBO KIT (SZ:30-60 MICRON) - 1 5,184.00 -

126 HEPASPHERE MICROSPHERE 25MG COMBO KIT (SZ:50-100 MICRON) - 1 5,184.00 -

127 HUMAN ERYTHROPOIETIN 2000IU INJ (RECORMON) - 6 115.60 19.30

HUMAN ERYTHROPOIETIN RECOMBINANT 40,000IU/ML PFS INJ
128 PRE-ORDER 1 1,347.00 -
(EPREX)
129 HYPERTONIC SEA WATER SOLN ADULTS 125ML (SINOMARIN ADULT) - 1 46.00 -

130 HYPERTONIC SEA WATER SOLN CHILD 100ML (SINOMARIN CHILD) - 1 38.00 -

131 IBANDRONIC ACID 150MG TAB (BONVIVA) - 1 99.80 -

132 IBERET FOLIC 500 TAB - 30 24.80 -
 PACK PRICE/ PRICE/
BIL ITEM NOTES
SIZE BOX UNIT
133 IMATINIB MESYLATE 400MG TAB (IMATERO) PRE-ORDER 30 420.00 -
134 INCLISIRAN SODIUM 284MG/1.5ML SOLN INJ (SYBRAVA) PRE-ORDER 1 4,728.00 -
INDACATEROL 110MCG + GLYCOPYRRONIUM 50MCG BREEZHALER
135 - 1 100.00 -
CAP (ULTIBRO)
136 INDACATEROL 150MCG BREEZHALER CAP 30'S (ONBREZ) - 1 51.60 -
INSULIN DEGLUDEC + INSULIN ASPART 100IU/ML PF 3ML (RYZODEG
137 - 5 339.00 67.80
70/30)
INSULIN GLARGINE 100IU + LIXISENATIDE 33MCG INJ 3ML
138 - 3 431.50 143.90
(SOLIQUA 100/33) (30-60)
INSULIN GLARGINE 100IU + LIXISENATIDE 50MCG INJ 3ML
139 PRE-ORDER 3 431.50 -
(SOLIQUA 100/50) (10-40)
140 IRBESARTAN 150MG + HCTZ 12.5MG TAB (CO-APROVEL) - 28 57.80 2.10
141 IRBESARTAN 300MG + HCTZ 12.5MG TAB (CO-APROVEL) - 28 73.10 2.70
IRON POLYMALTOSE 370MG (100MG/10ML ELEMENTAL IRON)
142 - 1 21.40 -
SYRUP (MALTOFER) 150ML
143 ISOSORBIDE-5-MONONITRATE 30MG TAB (IMDUR-CR) - 30 31.00 1.10
144 ISOSORBIDE-5-MONONITRATE 60MG TAB (IMDUR-CR) - 30 52.00 1.80
145 IVABRADINE 5MG TAB (CORALAN) - 56 166.00 3.00
146 KETOPROFEN 30MG PATCH (KETOTOP) - 7 7.00 -
147 KETOROLAC TROMETHAMINE 0.5% EYE DROPS 5ML (ACULAR) - 1 19.00 -
148 KETOSTERIL TAB - 100 284.50 2.90
149 LEFLUNOMIDE 10MG TAB (ARAVA) - 30 399.00 -
150 LEFLUNOMIDE 20MG TAB (ARAVA) - 30 584.00 -
151 LEMBOREXANT 5MG TAB (DAYVIGO) - 28 202.20 -
152 LENALIDOMIDE 10MG CAP (LENANGIO) - 21 937.00 -
153 LENALIDOMIDE 25MG CAP (LENANGIO) - 21 937.00 -
154 LENVATINIB 10MG CAP (LENVIMA) PRE-ORDER 20 4,398.00 -
155 LENVATINIB 4MG CAP (LENVIMA) PRE-ORDER 20 1,991.00 -
156 LEUPRORELIN ACEATATE 22.5MG INJ (ELIGARD) - 1 929.50 -
157 LEUPRORELIN ACETATE 45MG INJ (ELIGARD) - 1 1,460.00 -
158 LEVETIRACETAM 1000MG TAB (KEPPRA) - 100 965.00 9.70
159 LEVETIRACETAM 500MG TAB (KEPPRA) - 100 660.00 6.60
160 LEVOFLOXACIN 500MG TAB (LOCIKLINE) - 30 64.00 2.20
161 LIGNOCAINE HCL 2% VISCOUS SOLN 100ML (VIGNOCAINE) - 1 69.00 -
162 LINAGLIPTIN 5MG TAB (TRAJENTA) - 30 80.00 2.70
163 LIRAGLUTIDE 6MG/ML INJ 3ML (SAXENDA) PRE-ORDER 3 828.00 -
164 LUSEOGLIFLOZIN 2.5MG TAB (LUSEFI) - 100 140.10 1.50
165 LUSEOGLIFLOZIN 5MG TAB (LUSEFI) - 100 210.00 2.10
166 MACROGOL 4000 10G SACH (FORLAX) - 20 46.50 2.40
 PACK PRICE/ PRICE/
BIL ITEM NOTES
SIZE BOX UNIT
167 METFORMIN 500MG + GLIBENCLAMIDE 2.5MG TAB (GLUCOVANCE) - 120 15.40 0.20

168 METFORMIN 500MG + GLIBENCLAMIDE 5MG TAB (GLUCOVANCE) - 120 15.40 0.20
METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA 150MCG/0.3ML
169 - 1 335.00 -
INJ (MIRCERA)
170 MIRABEGRON-PR 25MG TAB (BETMIGA-PR) - 30 186.90 6.30
171 MIRABEGRON-PR 50MG TAB (BETMIGA-PR) - 30 186.90 6.30
172 MOBITHRON ADVANCE CAP - 30 133.00 -
173 N-ACETYLCYSTEINE 600MG EFF TAB (STENAC) - 30 28.20 1.00
NALTREXONE HCL 8MG+BUPROPION HCL 90MG TAB (CONTRAVE-
174 - 120 483.00 -
PR)
175 NEBIVOLOL HCL 5MG TAB (NEBILET) - 28 40.00 1.50
176 NEILMED SINUS RINSE MIXED SACHET 60'S - 60 59.60 -
177 NEILMED SINUS RINSE STARTER KIT (10'S) - 1 32.70 -
178 NEPAFENAC 0.1% OPTH SUSP 5ML (NEVANAC) - 1 25.00 -
179 NETUPITANT 300MG + PALONOSETRON 0.5MG CAP (AKYNZEO) - 1 446.00 -
180 NEUROAID II (MLC 901) CAP - 180 2,318.00 12.90
181 NICOTINE 15MG PATCH (NICORETTE) - 7 67.00 -
182 NICOTINE 25MG PATCH (NICORETTE) - 7 67.00 -
183 NICOTINE 2MG CHEWING GUM (NICORETTE) - 105 112.00 1.10

184 NICOTINIE QUICKMIST 1MG/SPRAY MOUTHSPRAY (NICORETTE) - 1 93.00 -

185 OESTRADIOL 0.06% GEL 80G (OESTROGEL) - 1 67.00 -

186 PACLITAXEL 100MG INJ (ABRAXANE) PRE-ORDER 1 1,620.00 -
187 PALBOCICLIB 100MG TAB (IBRANCE) - 7 684.00 -
188 PALBOCICLIB 125MG TAB (IBRANCE) - 7 900.00 -
189 PALIPERIDONE PALMITATE 100MG INJ (INVEGA SUSTENNA) PRE-ORDER 1 1,058.00 -
190 PALIPERIDONE PALMITATE 150MG INJ (INVEGA SUSTENNA) PRE-ORDER 1 1,058.00 -

191 PALIPERIDONE PALMITATE 350MG/1.75ML INJ (INVEGA TRINZA) PRE-ORDER 1 2,812.00 -

192 PANTOPRAZOLE 40MG TAB (CONTROLOC) - 14 26.00 -

193 PARACETAMOL 1000MG INJ 100ML (B.BRAUN) - 10 53.00 5.30
194 PARECOXIB 40MG INJ (DYNASTAT) - 10 330.00 33.00
195 PAZOPANIB 200MG TAB (VOTRIENT) PRE-ORDER 30 1,925.00 -
196 PAZOPANIB 400MG TAB (VOTRIENT) PRE-ORDER 30 3,607.00 -
197 PEGFILGRASTIM 6MG/0.6ML INJ (NEULASTIM) - 1 675.00 -
198 PEMBROLIZUMAB 100MG INJECTION (KEYTRUDA) PRE-ORDER 1 14,200.00 -
199 PEMETREXED DISODIUM 500MG INJ (ONTREX) - 1 229.00 -
 PACK PRICE/ PRICE/
BIL ITEM NOTES
SIZE BOX UNIT
200 PERAMPANEL 2MG TAB (FYCOMPA) - 28 109.00 -
201 PERAMPANEL 4MG TAB (FYCOMPA) - 28 220.00 -

202 PERINDOPRIL ARGININE 5MG + AMLODIPINE 5MG TAB (COVERAM) - 30 72.50 -

PERINDOPRIL ARGININE 5MG + INDAPAMIDE 1.25MG +
203 - 30 76.70 -
AMLODIPINE 5MG TAB (TRIPLIXAM)
204 PERTUZUMAB 420MG/14ML INJ (PERJETA) PRE-ORDER 1 11,259.00 -
205 PIASCLEDINE 300 MG CAP - 30 105.20 -
206 PNEUMOCOCCAL VACCINE INJ (PREVENAR 13) PRE-ORDER 1 171.00 -
207 PREGABALIN 50MG CAP (LYRICA) - 56 132.00 2.40
208 PREGABALIN 75MG CAP (LYRICA) - 56 131.00 2.40
209 PRIMOVIST 0.25 MMOL/ML INJ 10ML - 1 1,035.00 -
210 PROFORTIL VEGE CAP PRE-ORDER 60 356.00 -
211 PROPIVERINE HCL 15MG TAB (MICTONORM) - 56 122.00 2.20
212 PRUCALOPRIDE 2MG TAB (RESOLOR) - 28 165.20 5.90
213 RANIBIZUMAB 10MG/ML INJ (ACCENTRIX) PRE-ORDER 1 1,326.00 -
214 RANOLAZINE 375MG TAB (RANEXA-PR) - 60 200.00 -
215 RANOLAZINE 500MG TAB (RANEXA-PR) - 60 200.00 -
216 RIBOCICLIB 200MG TAB (KRYXANA) - 63 3,716.00 -
217 RIFAXIMIN 550MG TAB (RIFAXIZONE) - 100 219.00 2.20
218 RIMEGEPANT 75MG TAB (NURTEC) - 2 150.00 -
219 RITUXIMAB 100MG/10ML INJ (MABTHERA) - 2 1,924.00 962.00
220 RITUXIMAB 100MG/10ML INJ (TRUXIMA) - 2 984.00 492.00
221 RITUXIMAB 1400MG INJ (S/C) (MABTHERA) - 1 3,660.00 -
222 RITUXIMAB 500MG/50ML INJ (MABTHERA) - 1 3,675.00 -
223 RITUXIMAB 500MG/50ML INJ (TRUXIMA) - 1 2,243.00 -
224 RIVAROXABAN 10MG TAB (XARELTO) - 28 245.00 8.80
225 RIVAROXABAN 15MG TAB (XARELTO) - 28 245.00 8.80
226 RIVAROXABAN 20MG TAB (XARELTO) - 28 245.00 8.80
227 ROMOSOZUMAB 105MG/1.17ML PF INJ (EVENITY) PRE-ORDER 2 1,648.00 -
228 ROSUVASTATIN 10MG TAB (CRESTOR) - 28 88.00 3.20
229 ROSUVASTATIN 10MG TAB (VASTICURE) - 30 17.80 -
230 ROSUVASTATIN 20MG TAB (CRESTOR) - 28 131.00 4.70
231 RUXOLITINIB 5MG TAB (JAKAVI) (1 + FOC 1) PRE-ORDER 56 7,784.00 -
232 SACCHAROMYCES BOULARDII 250MG CAP (BIOFLOR) - 30 75.90 2.60
233 SACCHAROMYCES BOULARDII 250MG SACH (BIOFLOR) - 10 25.30 -
234 SACUBITRIL 24MG + VALSARTAN 26MG TAB (ENTRESTO 50MG) - 30 155.00 5.20
 PACK PRICE/ PRICE/
BIL ITEM NOTES
SIZE BOX UNIT
235 SACUBITRIL 49MG + VALSARTAN 51MG TAB (ENTRESTO 100MG) - 60 310.00 5.20

236 SACUBITRIL 97MG + VALSARTAN 103MG TAB (ENTRESTO 200MG) - 60 310.00 5.20

237 SAXAGLIPTIN 5MG + DAPAGLIFLOZIN 10MG TAB (QTERN) - 28 175.30 6.30

238 SEMAGLUTIDE 0.25MG, 0.5MG/DOSE INJ (2MG/1.5ML) (OZEMPIC) - 1 617.00 -

239 SEMAGLUTIDE 1MG/DOSE INJ (4MG/3ML) (OZEMPIC) - 1 617.00 -

240 SEMAGLUTIDE 3MG TAB (RYBELSUS) - 30 475.30 -
241 SEMAGLUTIDE 7MG TAB (RYBELSUS) - 30 572.50 -
242 SEMAGLUTIDE 14MG TAB (RYBELSUS) - 30 572.50 -
243 SEVELAMER CARBONATE 800MG TAB (RENVELA) PRE-ORDER 180 657.00
244 SILDENAFIL 100MG TAB (IQNYDE) - 4 35.00 -
245 SILDENAFIL 50MG TAB (IQNYDE) - 4 25.00 -
246 SILODOSIN 4MG TAB (URIEF) - 30 41.00 1.40
247 SILYMARIN 140MG CAP (LEGALON) - 30 43.50 1.50
248 SITAGLIPTIN 100MG TAB (JANUVIA) - 28 88.00 3.20
249 SITAGLIPTIN 50MG TAB (JANUVIA) - 28 88.00 3.20
250 SITAGLIPTIN 50MG + METFORMIN 1000MG TAB (JANUMET) - 56 88.00 1.60
251 SODIUM HYALURONATE 0.1% EYE DROPS 10ML (HYLO COMOD) - 1 37.00 -

252 SODIUM HYALURONATE 0.18% EYE DROPS 0.3ML X 20'S (VISMED) - 20 37.20 -
SODIUM HYALURONATE 0.2% EYE DROPS 0.5ML X 30'S (ARTELAC
253 - 30 22.00 -
SPLASH)
SODIUM HYALURONATE 0.2%+ ECTOINE 2% EYE DROPS 10ML
254 - 1 52.80 -
(HYLO DUAL INTENSE)
SODIUM HYALURONATE 0.3% EYE DROPS 0.45ML X 20'S (VISMED
255 - 20 45.40 -
GEL)
256 SODIUM HYALURONATE 1% GEL (V-HYAL) 30G - 1 59.00 -
257 SODIUM HYALURONATE 2% EYE DROPS 10ML (HYLO GEL) - 1 39.00 -
258 SOFOSBUVIR 400MG+ VELPATASAVIR 100MG TAB (MYHEP ALL) PRE-ORDER 28 1,750.00 -
259 SOLIFENACIN SUCCINATE 5MG TAB (VESICARE) - 30 162.30 5.50
260 SOMATROPIN 12MG (36IU) INJ (GENOTROPIN) PRE-ORDER 1 626.00 -
261 SOMATROPIN 5.3MG (16IU) INJ (GENOTROPIN) PRE-ORDER 1 286.00 -
262 SORAFENIB 200MG TAB (NEXAVAR) PRE-ORDER 60 8,512.00 -
263 SULBUTIAMINE 200MG TAB (ARCALION) - 30 70.20 2.40
264 SUNITINIB 12.5MG CAP (SUTENT) PRE-ORDER 28 2,438.00 -
265 TADALAFIL 20MG TAB (CIALIS) 8'S - 8 362.00 -
266 TADALAFIL 20MG TAB (TADIGRA) 8'S - 8 50.00 -
267 TADALAFIL 5MG TAB (CIALIS) - 28 329.50 -
 PACK PRICE/ PRICE/
BIL ITEM NOTES
SIZE BOX UNIT
268 TADALAFIL 5MG TAB (TADIGRA) - 30 150.00 -
269 TALCUM PLEURODESIS 4G TALC VIAL (STERITALC) - 4 1,036.00 259.00
270 TAMSULOSIN HCL 400MCG TAB (HARNAL OCAS) - 30 14.40 0.50
271 TEARS NATURALE FREE EYE DROPS 0.8ML (ATPF) 32'S - 32 41.90 -
272 TEGAFUR 100MG + URACIL 224MG CAP (UFUR) - 70 319.40 -
273 TELMISARTAN 40MG TAB (MICARDIS) - 30 37.00 1.30
274 TELMISARTAN 80MG TAB (MICARDIS) - 30 42.60 1.50
275 TELMISARTAN 40MG + HCTZ 12.5MG TAB (MICARDIS PLUS) - 30 37.00 1.30
276 TELMISARTAN 80MG + HCTZ 12.5MG TAB (MICARDIS PLUS) - 30 42.60 1.50
277 TELMISARTAN 80MG + AMLODIPINE 10MG TAB (TWYNSTA) - 30 41.20 1.40
278 TELMISARTAN 80MG + AMLODIPINE 5MG TAB (TWYNSTA) - 30 41.20 1.40
279 TEMOZOLOMIDE 100MG CAP (TEMODAL) PRE-ORDER 5 1,113.00 -
280 TEMOZOLOMIDE 20MG CAP (TEMODAL) PRE-ORDER 5 585.00 -
281 TENOFOVIR 300MG TAB (RICOVIR) - 30 186.60 -
282 TENOFOVIR ALAFENAMIDE 25MG TAB (MYTAFF) - 30 182.00 -
283 TERIPARATIDE 250MCG INJ 2.4ML (FORTEO) PRE-ORDER 1 1,689.00 -
284 TESTOSTERONE 1000MG INJ (NEBIDO) - 1 534.00 -
285 TESTOSTERONE 50MG TOPICAL GEL SACHET (ANDROGEL) - 30 342.00 -
286 THYROTROPIN ALFA 1.1MG INJ (THYROGEN) PRE-ORDER 2 6,778.00 -
287 TICAGRELOR 90MG TAB (BRILINTA) - 60 313.60 5.30
288 TIMOLOL MALEATE 0.5% EYE DROPS 10ML (PF) (TIMO-COMOD) - 1 25.30 -

289 TRAMADOL HCL 37.5MG + PARACETAMOL 325MG TAB (ULTRACET) - 30 56.00 1.90

290 TRASTUZUMAB 440MG INJ (HERCEPTIN) PRE-ORDER 1 3,271.00 -

291 TRASTUZUMAB 440MG INJ (HERZUMA) - 1 1,455.00 -
292 TRASTUZUMAB 600MG/5ML INJ (HERCEPTIN) PRE-ORDER 1 3,683.00 -
TRAVOPROST 40MCG + TIMOLOL 5MG EYE DROPS 2.5ML
293 - 1 59.70 -
(DUOTRAV)
294 TRIFLUSAL 300MG CAP (TRIFLUSAL CINFA) - 50 180.00 3.60
295 TRIMETAZIDINE DIHCL 35MG TAB (VASTAREL-MR) - 60 91.30 1.60
296 TRIMETAZIDINE DIHCL-XR 80MG CAP (VASTAREL-XR) - 30 94.30 3.20
297 TRIPTORELIN ACETATE 0.1MG INJ (DECAPEPTYL) - 7 305.00 43.60
298 URAL EFF GRAN 4G SACHETS - 28 38.50 1.40
299 URSODEOXYCHOLIC ACID 250MG CAP (URSOFALK) - 100 309.20 3.10

300 VILDAGLIPTIN 50MG + METFORMIN 1000MG TAB (GALVUS MET) - 60 70.30 1.20

301 VILDAGLIPTIN 50MG TAB (GALVUS) - 56 81.80 1.50

 PACK PRICE/ PRICE/
BIL ITEM NOTES
SIZE BOX UNIT
302 VONOPRAZAN 20MG TAB (VOCINTI) - 30 247.00 8.30
303 VORTIOXETINE 10MG TAB (BRINTELLIX) - 28 189.00 6.80

PACKSI PRICE/ PRICE/

BIL ITEM NOTES
ZE BOX UNIT
1 UNIFINE PEN NEEDLES 31G X 5MM - 100 56.00 0.60
2 UNIFINE PEN NEEDLES 31G X 6MM - 100 56.00 0.60
3 UNIFINE PEN NEEDLES 32G X 4MM - 100 60.00 0.60