08/2021 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 3825 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 60 598 L A Acenocoumarol 1mg tablets 100 462 C Sinthrome Acetazolamide 250mg modified- 30 1666 C Diamox SR release capsules Acetazolamide 250mg tablets 112 663 M Acetic acid 2% ear spray S 5ml 410 C EarCalm Acetone liquid 50 ml 128 L 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 3647 C Ilube Acetylcysteine 600mg capsules 30 5720 K A Acetylcysteine 600mg effervescent 30 550 C tablets sugar free (2xS15) Aciclovir 200mg dispersible tablets 25 182 A Aciclovir 200mg tablets 25 163 M Aciclovir 200mg/5ml oral 125 ml 3578 A suspension sugar free Aciclovir 3% eye ointment S 4.5 g 4500 C Agepha Pharma s.r.o. Aciclovir 400mg dispersible tablets 56 1199 A Aciclovir 400mg tablets 56 325 M Aciclovir 400mg/5ml oral 100 ml 3949 A suspension sugar free Aciclovir 5% cream S 2g 135 A S 10 g 677 A Aciclovir 800mg dispersible tablets 35 1099 A Aciclovir 800mg tablets 35 397 M Acipimox 250mg capsules 90 4633 C Olbetam Acitretin 10mg capsules 60 2761 L A Acitretin 25mg capsules 60 4375 A Aclidinium bromide 375micrograms/ S 60 dose 3250 C Eklira dose dry powder inhaler 225 08/2021 Part VIIIA 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 Activated charcoal 200mg/ml oral S 250 ml 1188 C Charcodote suspension sugar free Activated charcoal 300mg tablets 100 247 C J.L. Bragg's Medicinal Charcoal 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 Adapalene 0.3% / Benzoyl peroxide S 45 g 1953 C Epiduo 2.5% gel Adefovir 10mg tablets S 30 25222 C Hepsera Adrenaline (base) 100micrograms/ 10 9259 C Martindale 1ml (1 in 10,000) dilute solution Pharmaceuticals Ltd for injection ampoules Adrenaline (base) 10mg/10ml (1 in 10 11132 C Martindale 1,000) solution for injection Pharmaceuticals Ltd ampoules Adrenaline (base) 150micrograms/ S 13430CJext 0.15ml (1 in 1,000) solution for injection pre-filled disposable devices Adrenaline (base) 150micrograms/ S 13430CEpiPen Jr. 0.3ml (1 in 2,000) solution for injection pre-filled disposable devices 26860CEpiPen Jr. Adrenaline (base) 1mg/1ml (1 in 10 1034 A 1,000) solution for injection ampoules Adrenaline (base) 1mg/1ml (1 in S 11347A 1,000) solution for injection pre-filled syringes Adrenaline (base) 300micrograms/ S 13430C 0.3ml (1 in 1,000) solution for injection pre-filled disposable devices Adrenaline (base) 500micrograms/ 10 9306 A 0.5ml (1 in 1,000) solution for injection ampoules 226 08/2021 Part VIIIA BASIC PRICES OF DRUGS Drug Quantity Basic Price Category Adrenaline (base) 500micrograms/ S 12699CEmerade 0.5ml (1 in 1,000) solution for injection pre-filled disposable devices Adrenaline (base) 500micrograms/ 10 9864 C Martindale 5ml (1 in 10,000) dilute solution Pharmaceuticals Ltd for injection ampoules Adrenaline (base) 5mg/5ml (1 in 10 11349 C Martindale 1,000) solution for injection Pharmaceuticals Ltd ampoules Agomelatine 25mg tablets 28 2298 L A Alclometasone 0.05% cream S 50 g 1687 K A Alendronic acid 10mg tablets 28 648 M Alendronic acid 70mg / S 4425CBentexo Colecalciferol 140microgram tablets Alendronic acid 70mg / S 42280CFosavance Colecalciferol 70microgram tablets Alendronic acid 70mg effervescent S 41160L C Binosto tablets sugar free Alendronic acid 70mg tablets S 490M Alendronic acid 70mg/100ml oral 42858A solution unit dose sugar free Alfacalcidol 1microgram capsules S 30 441 M Alfacalcidol 1micrograms/0.5ml 10 2157 C One-Alpha solution for injection ampoules Alfacalcidol 250nanogram capsules S 30 493 A Alfacalcidol 2micrograms/1ml 10 4113 C One-Alpha solution for injection ampoules 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 51600CRapifen injection ampoules 10 2980 C hameln pharma 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 60 159 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 227 08/2021 Part VIIIA BASIC PRICES OF DRUGS Drug Quantity Basic Price Category 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 Allantoin 0.5% / Lidocaine 0.5% S 25 g 303 C Anodesyn ointment Allantoin 10.25mg / Lidocaine 12 311 C Anodesyn 10.25mg suppositories Allopurinol 100mg tablets 28 106 M Allopurinol 300mg tablets 28 154 M Almotriptan 12.5mg tablets 3 816 L A 61632L A 92448L 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 6967 K C Alliance 5ml oral suspension Pharmaceuticals Ltd § Alprostadil 10microgram powder S 21655CViridal Duo and solvent for solution for Continuation Pack injection cartridges § Alprostadil 10microgram powder S 22013CViridal Duo Starter and solvent for solution for Pack injection cartridges with device § Alprostadil 10microgram powder 21470CCaverject Dual and solvent for solution for Chamber injection pre-filled disposable devices § Alprostadil 10microgram powder S 1924CCaverject and solvent for solution for injection vials § Alprostadil 1mg urethral sticks S 11156CMuse § Alprostadil 20microgram powder S 22139CViridal Duo and solvent for solution for Continuation Pack injection cartridges § Alprostadil 20microgram powder S 22454CViridal Duo Starter and solvent for solution for Pack injection cartridges with device § Alprostadil 20microgram powder 21900CCaverject Dual and solvent for solution for Chamber injection pre-filled disposable devices 228 08/2021 Part VIIIA BASIC PRICES OF DRUGS Drug Quantity Basic Price Category § Alprostadil 20microgram powder S 11194CCaverject and solvent for solution for injection vials § Alprostadil 3mg/g cream 4 4000 C Vitaros § Alprostadil 40microgram powder S 22722CViridal Duo and solvent for solution for Continuation Pack injection cartridges § Alprostadil 40microgram powder S 22983CViridal Duo Starter and solvent for solution for Pack injection cartridges with device § Alprostadil 40microgram powder S 12158CCaverject and solvent for solution for injection vials § Alprostadil 500microgram urethral S 11130CMuse sticks Alum powder 500 g 672 C J M Loveridge Ltd Aluminium chloride 20% solution S 20 ml 395 C Driclor S 60 ml 251 C Anhydrol Forte Aluminium chloride 20% spray S 30 ml 733 C Odaban Alverine 120mg capsules 60 642 M Alverine 60mg / Simeticone 300mg 90 1100 C SimAlvia capsules Alverine 60mg capsules 100 615 M Amantadine 100mg capsules 56 2260 M Amantadine 50mg/5ml oral solution 150 ml 14000 K C Northumbria Pharma sugar free Ltd Ambrisentan 10mg tablets 30 161808 C Ambrisentan 5mg tablets 30 161808 C Amiloride 5mg / Bumetanide 1mg 28 5600 A tablets Amiloride 5mg tablets 28 3036 M Amiloride 5mg/5ml oral solution 150 ml 4645 A sugar free Aminophylline 250mg/10ml solution 10 1078 C hameln pharma Ltd for injection ampoules 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 28 192 L A Amiodarone 200mg tablets 28 227 M Amiodarone 300mg/10ml solution S 11541A for injection pre-filled syringes Amisulpride 100mg tablets 60 540 M Amisulpride 100mg/ml oral solution S 60 ml 10445 L A sugar free Amisulpride 200mg tablets 60 797 M Amisulpride 400mg tablets 60 4208 A Amisulpride 50mg tablets 60 298 M Amitriptyline 10mg tablets 28 97 M Amitriptyline 10mg/5ml oral solution 150 ml 13647 A sugar free 229 08/2021 Part VIIIA BASIC PRICES