12/2019 Part VIIIA BASIC PRICES OF DRUGS Drug Quantity Basic Price Category Part VIIIA - Basic Prices of Drugs Product List Part VIIIA products A Abacavir 600mg / Lamivudine 30 19000 C Lupin Healthcare 300mg tablets (UK) Ltd Abatacept 125mg/1ml solution for 4 120960 C Orencia ClickJect injection pre-filled disposable devices Abatacept 125mg/1ml solution for 4 120960 C Orencia injection pre-filled syringes Acacia spray dried powder 250 g 1632 C J M Loveridge Ltd Acamprosate 333mg gastro- 168 3770 K A resistant tablets Acarbose 100mg tablets 90 2529 A Acarbose 50mg tablets 90 1458 A Acebutolol 100mg capsules 84 1497 C Sectral Acebutolol 200mg capsules 56 1918 C Sectral Acebutolol 400mg tablets 28 1862 C Sectral Aceclofenac 100mg tablets 60 962 A Acenocoumarol 1mg tablets 100 462 C Sinthrome Acetazolamide 250mg modified- 30 1666 C Diamox SR release capsules Acetazolamide 250mg tablets 112 1029 M Acetic acid 2% ear spray S 5ml 410 C EarCalm Acetone liquid 50 ml 112 A Acetylcysteine 200mg oral powder 30 11250 A sachets sugar free Acetylcysteine 2g/10ml solution for 10 2126 C Martindale infusion ampoules Pharmaceuticals Ltd Acetylcysteine 5% eye drops S 10 ml 3346 C Ilube Acetylcysteine 600mg capsules 30 3998 A Acetylcysteine 600mg effervescent 30 550 C tablets sugar free Aciclovir 200mg dispersible tablets 25 147 A Aciclovir 200mg tablets 25 133 M Aciclovir 200mg/5ml oral 125 ml 3578 A suspension sugar free Aciclovir 3% eye ointment S 4.5 g 934 C Zovirax Aciclovir 400mg dispersible tablets 56 1199 A Aciclovir 400mg tablets 56 310 M Aciclovir 400mg/5ml oral 100 ml 3949 A suspension sugar free Aciclovir 5% cream S 2g 121K A S 10 g 603 K A Aciclovir 800mg dispersible tablets 35 1099 A Aciclovir 800mg tablets 35 430 M Acipimox 250mg capsules 90 4633 C Olbetam Acitretin 10mg capsules 60 2380 A Acitretin 25mg capsules 60 5524 A Aclidinium bromide 375micrograms/ S 60 dose 3250 C Eklira dose dry powder inhaler 173 Part VIIIA 12/2019 BASIC PRICES OF DRUGS Drug Quantity Basic Price Category Aclidinium bromide 396micrograms/ S 60 dose 3250 C Duaklir Genuair dose / Formoterol 11.8micrograms/dose dry powder inhaler Acrivastine 8mg capsules 12 320 C Benadryl Allergy Relief Adalimumab 20mg/0.2ml solution 2 35214 C Humira for injection pre-filled syringes Adalimumab 40mg/0.4ml solution 2 70428 C Humira for injection pre-filled disposable devices Adalimumab 40mg/0.4ml solution 2 70428 C Humira for injection pre-filled syringes Adapalene 0.1% / Benzoyl peroxide S 45 g 1953 C Epiduo 2.5% gel Adapalene 0.1% cream S 45 g 1643 C Differin Adapalene 0.1% gel S 45 g 1643 C Differin Adefovir 10mg tablets S 30 25222 C Hepsera Adrenaline (base) 150micrograms/ S 12399CJext 0.15ml (1 in 1,000) solution for injection pre-filled disposable devices Adrenaline (base) 150micrograms/ S 12645CEpiPen Jr. 0.3ml (1 in 2,000) solution for injection pre-filled disposable devices 25290CEpiPen Jr. Adrenaline (base) 1mg/1ml (1 in 10 897 K A 1,000) solution for injection ampoules Adrenaline (base) 1mg/1ml (1 in S 11188A 1,000) solution for injection pre-filled syringes Adrenaline (base) 300micrograms/ S 12645CEpiPen 0.3ml (1 in 1,000) solution for injection pre-filled disposable devices Adrenaline (base) 500micrograms/ 10 8057 A 0.5ml (1 in 1,000) solution for injection ampoules Adrenaline (base) 500micrograms/ S 12699CEmerade 0.5ml (1 in 1,000) solution for injection pre-filled disposable devices Agomelatine 25mg tablets 28 3056 K A Alendronic acid 10mg tablets 28 189 M Alendronic acid 70mg / S 42280CFosavance Colecalciferol 70microgram tablets Alendronic acid 70mg effervescent S 42280CBinosto tablets sugar free Alendronic acid 70mg tablets S 495M Alendronic acid 70mg/100ml oral 42858A solution unit dose sugar free 174 12/2019 Part VIIIA BASIC PRICES OF DRUGS Drug Quantity Basic Price Category Alfacalcidol 1microgram capsules S 30 1382 A Alfacalcidol 250nanogram capsules S 30 493 A Alfacalcidol 2micrograms/ml oral S 10 ml 2130 C One-Alpha drops sugar free Alfacalcidol 500nanogram capsules S 30 990 A Alfentanil 1mg/2ml solution for 10 634 C Rapifen injection ampoules Alfentanil 5mg/10ml solution for 51450CRapifen injection ampoules 10 2780 C Hameln Pharmaceuticals Ltd Alfentanil 5mg/1ml solution for 10 2319 C Rapifen Intensive injection ampoules Care Alfuzosin 10mg modified-release 30 1251 C tablets Alfuzosin 2.5mg tablets 60 158 M Alginate raft-forming oral 150 ml 258 C Gaviscon Original suspension sugar free Aniseed Relief 300 ml 433 C Gaviscon Original Aniseed Relief 500 ml 195 C Peptac liquid 600 ml 711 C Gaviscon Original Aniseed Relief Alimemazine 10mg tablets 28 11288 A Alimemazine 30mg/5ml oral 100 ml 24351 A solution Alimemazine 7.5mg/5ml oral 100 ml 17958 A solution Alirocumab 150mg/1ml solution for 2 33600 C Praluent injection pre-filled disposable devices Alirocumab 75mg/1ml solution for 2 33600 C Praluent injection pre-filled disposable devices Aliskiren 150mg tablets 28 2851 C Rasilez Aliskiren 300mg tablets 28 3427 C Rasilez Alitretinoin 10mg capsules 30 49372 C Toctino Alitretinoin 30mg capsules 30 49372 C Toctino Allopurinol 100mg tablets 28 134 M Allopurinol 300mg tablets 28 230 M Almond oil liquid 50 ml 95 C Thornton & Ross Ltd Almotriptan 12.5mg tablets 6 1612 K A Alogliptin 12.5mg / Metformin 1g 56 2660 C Vipdomet tablets Alogliptin 12.5mg tablets 28 2660 C Vipidia Alogliptin 25mg tablets 28 2660 C Vipidia Alogliptin 6.25mg tablets 28 2660 C Vipidia Alpha tocopheryl acetate 500mg/ 100 ml 6797 A 5ml oral suspension § Alprostadil 10microgram powder S 1924CCaverject and solvent for solution for injection vials 175 Part VIIIA 12/2019 BASIC PRICES OF DRUGS Drug Quantity Basic Price Category § Alprostadil 1mg urethral sticks S 11156CMuse § Alprostadil 20microgram powder S 11194CCaverject and solvent for solution for injection vials § Alprostadil 250microgram urethral S 11130CMuse sticks § Alprostadil 3mg/g cream 4 4000 C Vitaros § Alprostadil 40microgram powder S 12158CCaverject and solvent for solution for injection vials § Alprostadil 500microgram urethral S 11130CMuse sticks Alum powder 500 g 647 C J M Loveridge Ltd Aluminium chloride 20% solution S 20 ml 351 C Driclor S 60 ml 251 C Anhydrol Forte S 75 ml 348 C Driclor Aluminium chloride 20% spray S 30 ml 669 C Odaban Aluminium hydroxide 475mg 120 1371 C Alu-Cap capsules Alverine 120mg capsules 60 2329 A Alverine 60mg capsules 100 715 M Amantadine 100mg capsules 56 3601 M Amantadine 50mg/5ml oral solution 150 ml 12970 L A sugar free Ambrisentan 10mg tablets 30 161808 C Volibris Ambrisentan 5mg tablets 30 161808 C Volibris Amiloride 5mg / Bumetanide 1mg 28 5600 A tablets Amiloride 5mg tablets 28 1235 M Amiloride 5mg/5ml oral solution 150 ml 4235 A sugar free Aminophylline 250mg/10ml solution 10 850 C Hameln for injection ampoules Pharmaceuticals Ltd Aminophylline hydrate 225mg 56 240 C Phyllocontin modified-release tablets Continus Aminophylline hydrate 350mg 56 422 C Phyllocontin Forte modified-release tablets Continus Aminosalicylic acid gastro-resistant 30 33100 C Granupas granules 4g sachets sugar free Amiodarone 100mg tablets 28 163 A Amiodarone 200mg tablets 28 282 A Amiodarone 300mg/10ml solution S 11468A for injection pre-filled syringes Amisulpride 100mg tablets 60 986 M Amisulpride 100mg/ml oral solution S 60 ml 6497 K A sugar free Amisulpride 200mg tablets 60 1410 M Amisulpride 400mg tablets 60 4208 A Amisulpride 50mg tablets 60 637 M Amitriptyline 10mg tablets 28 101 M Amitriptyline 10mg/5ml oral solution 150 ml 13647 A sugar free 176 12/2019 Part VIIIA BASIC PRICES OF DRUGS Drug Quantity Basic Price Category Amitriptyline 25mg tablets 28 87 M Amitriptyline 25mg/5ml oral solution 150 ml 1800 A sugar free Amitriptyline 50mg tablets 28 201 M Amitriptyline 50mg/5ml oral solution 150 ml 1920 A sugar free Amlodipine 10mg / Valsartan 160mg 28 2651 C Exforge tablets Amlodipine 10mg tablets 28 87 M Amlodipine 10mg/5ml oral solution 150 ml 11573 A sugar free Amlodipine 5mg / Valsartan 160mg 28 2651 C Exforge tablets Amlodipine 5mg / Valsartan 80mg 28 2011 C Exforge tablets Amlodipine 5mg tablets 28 85 M Amlodipine 5mg/5ml oral solution 150 ml 7578 A sugar free Amlodipine 5mg/5ml oral 150 ml 7000 C Essential suspension sugar free Pharmaceuticals Ltd Ammonium bicarbonate powder 500 g 458 C J M Loveridge Ltd Amorolfine 5% medicated nail S 5ml 792 M lacquer Amoxicillin 125mg/1.25ml oral R 20 ml 318 C Amoxil suspension paediatric Amoxicillin 125mg/5ml oral R 100 ml 173 M suspension Amoxicillin 125mg/5ml oral R 100 ml 135 M suspension sugar free Amoxicillin 1g powder for solution 10 1096 C Amoxil for injection vials Amoxicillin 250mg capsules 15 87 M 21 122 M Amoxicillin 250mg/5ml oral R 100 ml 188 M suspension Amoxicillin 250mg/5ml oral R 100 ml 152 M suspension sugar free Amoxicillin 3g oral powder sachets 2999A sugar free Amoxicillin 500mg capsules 15 105 M 21 147 M Amoxicillin 500mg powder for 10 548 C Amoxil solution for injection vials Amphotericin B 50mg powder for S 1388CFungizone solution for infusion vials Intravenous Ampicillin 125mg/5ml oral R 100 ml 2986 A suspension Ampicillin 250mg capsules 28 2050 A Ampicillin 250mg/5ml oral R 100 ml 3886 A suspension Ampicillin 500mg capsules 28 4030 A Ampicillin 500mg powder for 10 7830 A solution for injection vials 177 Part VIIIA 12/2019 BASIC PRICES OF DRUGS Drug Quantity Basic Price Category Anagrelide 500microgram capsules 100 39775 A Anakinra 100mg/0.67ml solution for 7 18361 C Kineret injection pre-filled syringes Anastrozole 1mg tablets 28 194 M Antazoline 0.5% / Xylometazoline S 10 ml 335 C Otrivine-Antistin 0.05% eye drops Apixaban 2.5mg tablets