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5 Abacavir (A) + Lamivudine (B) Tablet 600 mg (A)+ 1 Tablet 86.22 0.95905 82.69 1039(E) 01.04.2017
300 mg (B)
6 Abacavir (A) + Lamivudine (B) Tablet 60 mg (A) + 1 Tablet 19.00 0.95905 18.22 1008(E) 31.3.2017
30 mg (B)
7 Acetazolamide Tablet 250 mg 1 Tablet 3.32 0.95905 3.18 1039(E) 01.04.2017
13 Acetylsalicylic acid Tablet 100 mg 1 Tablet 0.16865 0.95905 0.16174 1039(E) 01.04.2017
40 Amoxicillin (A) + Clavulanic acid (B) Dry Syrup 125 mg 1 ml 2.04 0.95905 1.96 1039(E) 01.04.2017
(A) + 31.25 (B)/5
ml
41 Amoxicillin (A) + Clavulanic acid (B) Tablet 500 mg (A) 1 Tablet 16.46 0.95905 15.79 1039(E) 01.04.2017
+ 125 mg (B)
42 Amoxicillin (A) + Clavulanic acid (B) Powder for Each Pack 116.16 0.95905 111.40 1039(E) 01.04.2017
Injection 1 gm (A)
+200 mg (B)
43 Amoxicillin (A) + Clavulanic acid (B) Oral Liquid 200 mg 1 ml 1.71 0.95905 1.64 1039(E) 01.04.2017
(A) + 28.5 mg
(B)/5ml
44 Amoxicillin (A) + Clavulanic acid (B) Powder for Each Pack 85.18 0.95905 81.69 1039(E) 01.04.2017
Injection 500 mg
(A) + 100 mg (B)
Page 4
Sl Medicines Dosage form Unit Existing Multiplication CP wef Existing Existing
No and Strength Ceiling factor 1.7.2017 SO No SO date
Price
45 Amphotericin B Conventional Powder for Each Pack 281.05 1 281.05 1039(E) 01.04.2017
Injection 50 mg
46 Amphotericin B Lipid/ Liposomal Powder for Each Pack 3,394.25 1 3,394.25 1039(E) 01.04.2017
Injection 50 mg
47 Ampicillin Powder for Each Pack 20.20 0.95905 19.37 1039(E) 01.04.2017
Injection 1 gm
48 Ampicillin Powder for Each Pack 12.44 0.95905 11.93 1039(E) 01.04.2017
Injection 500 mg
49 Anti-rabies immunoglobulin Injection 150 1 ml 2,517.40 1 2,517.40 1009(E) 31.3.2017
IU/ml
50 Anti-rabies immunoglobulin Injection 300 1 ml 88.75 1 88.75 1008(E) 31.3.2017
IU/ml
51 Artemether (A) + Lumefantrine (B) Tablet 20 mg (A) + 1 Tablet 11.85 0.95905 11.36 1039(E) 01.04.2017
120 mg (B)
52 Artemether (A) + Lumefantrine (B) Tablet 40 mg (A) + 1 Tablet 15.27 0.95905 14.64 1039(E) 01.04.2017
240 mg (B)
53 Artemether (A) + Lumefantrine (B) Tablet 80 mg (A) + 1 Tablet 21.92 0.95905 21.02 1039(E) 01.04.2017
480 mg (B)
54 Artemether (A) + Lumefantrine (B) Oral Liquid 80 mg 1 ml 3.82 0.95905 3.66 1008(E) 31.3.2017
(A) +480 mg (B)
/5ml
55 Artesunate Powder for Each Pack 377.59 1 377.59 1039(E) 01.04.2017
Injection 120 mg
56 Artesunate Powder for Each Pack 198.33 1 198.33 1039(E) 01.04.2017
Injection 60 mg
57 Artesunate (A) + Sulphadoxine - 1 Tablet 50 mg (A) Combi Pack 20.08 0.95905 19.26 1039(E) 01.04.2017
Pyrimethamine (B) + 1 Tablet (500 mg
+ 25 mg) (B)
58 Ascorbic Acid (Vitamin C) Tablet 500 mg 1 Tablet 0.86 0.95905 0.82 1039(E) 01.04.2017
59 Atazanavir (A) + Ritonavir (B) Tablet 300 mg (A) 1 Tablet 93.41 0.95905 89.58 1039(E) 01.04.2017
+ 100 mg (B)
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Sl Medicines Dosage form Unit Existing Multiplication CP wef Existing Existing
No and Strength Ceiling factor 1.7.2017 SO No SO date
Price
60 Atenolol Tablet 50 mg 1 Tablet 1.69 0.95905 1.62 1039(E) 01.04.2017
65 Atracurium Injection 10 mg/ml Each Pack 49.59 0.95905 47.56 1039(E) 01.04.2017
75 Azithromycin Powder for Each Pack 180.39 0.95905 173.00 1039(E) 01.04.2017
Injection 500 mg
76 Baclofen Tablet 10 mg 1 Tablet 9.75 1 9.75 1039(E) 01.04.2017
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Sl Medicines Dosage form Unit Existing Multiplication CP wef Existing Existing
No and Strength Ceiling factor 1.7.2017 SO No SO date
Price
77 Baclofen Tablet 20 mg 1 Tablet 13.43 1 13.43 1039(E) 01.04.2017
79 Benzathine benzylpenicillin Powder for Each Pack 11.49 0.95905 11.02 1039(E) 01.04.2017
Injection 12 lac
units
80 Benzathine benzylpenicillin Powder for Each Pack 7.61 0.95905 7.30 1039(E) 01.04.2017
Injection 6 lac
units
81 Benzoyl Peroxide Gel 2.5% 1 gm 3.55 0.95905 3.40 1039(E) 01.04.2017
89 Bleomycin Powder for Each Pack 563.26 0.95905 540.19 1039(E) 01.04.2017
Injection 15 Units
90 Bortezomib Powder for Each Pack 11,636.60 0.95905 11,160.08 1039(E) 01.04.2017
Injection 2 mg
91 Budesonide Inhalation 1 Dose 1.24 0.95905 1.19 1039(E) 01.04.2017
(MDI/DPI) 100
mcg/dose
Page 7
Sl Medicines Dosage form Unit Existing Multiplication CP wef Existing Existing
No and Strength Ceiling factor 1.7.2017 SO No SO date
Price
92 Budesonide Inhalation 1 Dose 1.53 0.95905 1.47 1039(E) 01.04.2017
(MDI/DPI) 200
mcg/dose
93 Budesonide Respiratory 1 ml 10.13 0.95905 9.72 1039(E) 01.04.2017
Solution for use in
Nebulizer 0.5
mg/ml
94 Budesonide Respiratory 1 ml 12.22 0.95905 11.72 1039(E) 01.04.2017
Solution for use in
Nebulizer 1 mg/ml
95 Budesonide Nasal Spray 100 1 Dose 0.85 0.95905 0.82 1333(E) 27.04.2017
mcg/dose
96 Budesonide Nasal Spray 50 1 Dose 0.96 0.95905 0.92 1333(E) 27.04.2017
mcg/dose
97 Budesonide (A)+ Formoterol (B) Inhalation 1 Dose 2.79 0.95905 2.68 1039(E) 01.04.2017
(MDI/DPI) 400
mcg (A) + 6 mcg
(B)
98 Budesonide (A)+ Formoterol (B) Inhalation 1 Dose 2.23 0.95905 2.14 1039(E) 01.04.2017
(MDI/DPI) 200
mcg (A) + 6 mcg
(B)
99 Budesonide (A)+ Formoterol (B) Inhalation 1 Dose 1.77 0.95905 1.70 1039(E) 01.04.2017
(MDI/DPI) 100
mcg (A) + 6 mcg
(B)
100 Bupivacaine Injection 0.25% 1 ml 2.31 0.95905 2.22 1039(E) 01.04.2017
106 Calcium folinate Tablet 15 mg 1 Tablet 37.02 0.95905 35.50 1039(E) 01.04.2017
107 Capecitabine Tablet 500 mg 1 Tablet 119.58 0.95905 114.68 1039(E) 01.04.2017
108 Capreomycin Powder for Each Pack 327.72 0.95905 314.30 1039(E) 01.04.2017
Injection 1 gm
109 Carbamazepine CR Tablet 200 mg 1 Tablet 1.47 0.95905 1.41 1039(E) 01.04.2017
110 Carbamazepine CR Tablet 400 mg 1 Tablet 2.89 0.95905 2.77 1039(E) 01.04.2017
111 Carbamazepine Tablet 400 mg 1 Tablet 3.13 0.95905 3.00 1039(E) 01.04.2017
112 Carbamazepine Tablet 200 mg 1 Tablet 1.31 0.95905 1.26 1039(E) 01.04.2017
113 Carbamazepine Oral Liquid 100 1 ml 0.18355 0.95905 0.17603 1039(E) 01.04.2017
mg/5ml
114 Carbamazepine Tablet 100 mg 1 Tablet 0.65 0.95905 0.62 1039(E) 01.04.2017
121 Cefadroxil Oral Liquid 125 1 ml 0.59 0.95905 0.57 1039(E) 01.04.2017
mg/5ml
122 Cefadroxil Capsule 500 mg 1 Capsule 6.77 0.95905 6.49 1039(E) 01.04.2017
124 Cefazolin Powder for Each Pack 23.23 0.95905 22.28 1039(E) 01.04.2017
Injection 1 gm
125 Cefazolin Powder for Each Pack 14.72 0.95905 14.12 1039(E) 01.04.2017
Injection 500 mg
126 Cefixime Tablet 400 mg 1 Tablet 20.88 0.95905 20.02 1039(E) 01.04.2017
127 Cefixime Oral Liquid 100 1 ml 2.03 0.95905 1.95 1039(E) 01.04.2017
mg/5ml
128 Cefixime Oral Liquid 50 1 ml 1.37 0.95905 1.31 1039(E) 01.04.2017
mg/5ml
129 Cefixime Tablet 200 mg 1 Tablet 8.65 0.95905 8.30 1039(E) 01.04.2017
130 Cefixime Capsule 400 mg 1 Capsule 27.66 0.95905 26.53 1039(E) 01.04.2017
131 Cefixime Capsule 200 mg 1 Capsule 13.65 0.95905 13.09 1039(E) 01.04.2017
132 Cefotaxime Powder for Each Pack 32.48 0.95905 31.15 1039(E) 01.04.2017
Injection 1 gm
133 Cefotaxime Powder for Each Pack 19.42 0.95905 18.62 1039(E) 01.04.2017
Injection 500 mg
134 Cefotaxime Powder for Each Pack 14.76 0.95905 14.16 1039(E) 01.04.2017
Injection 250 mg
135 Ceftazidime Powder for Each Pack 61.58 0.95905 59.06 1039(E) 01.04.2017
Injection 250 mg
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No and Strength Ceiling factor 1.7.2017 SO No SO date
Price
136 Ceftazidime Powder for Each Pack 198.02 0.95905 189.91 1039(E) 01.04.2017
Injection 1 gm
137 Ceftriaxone Powder for Each Pack 121.24 0.95905 116.28 1039(E) 01.04.2017
Injection 2 gm
138 Ceftriaxone Powder for Each Pack 42.65 0.95905 40.90 1039(E) 01.04.2017
Injection 500 mg
139 Ceftriaxone Powder for Each Pack 48.74 0.95905 46.74 1271(E) 21.04.2017
Injection 1 gm
140 Ceftriaxone Powder for Each Pack 23.35 0.95905 22.39 1039(E) 01.04.2017
Injection 250 mg
141 Cetirizine Oral Liquid 5 1 ml 0.56 0.95905 0.54 1039(E) 01.04.2017
mg/5ml
142 Cetirizine Tablet 10 mg 1 Tablet 1.56 0.95905 1.50 1039(E) 01.04.2017
150 Cholecalciferol Tablet 1000 IU 1 Tablet 3.55 0.95905 3.40 1039(E) 01.04.2017
151 Cholecalciferol Oral Liquid 400 1 ml 2.23 0.95905 2.14 1039(E) 01.04.2017
IU/ml
Page 11
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No and Strength Ceiling factor 1.7.2017 SO No SO date
Price
152 Cholecalciferol Capsule 1000 IU 1 Capsule 4.51 0.95905 4.33 1039(E) 01.04.2017
153 Cholecalciferol Tablet 60000 IU 1 Tablet 22.94 0.95905 22.00 1039(E) 01.04.2017
154 Cholecalciferol Capsule 60000 IU 1 Capsule 27.94 0.95905 26.80 1039(E) 01.04.2017
155 Ciprofloxacin Tablet 250 mg 1 Tablet 1.65 0.95905 1.58 1039(E) 01.04.2017
156 Ciprofloxacin Tablet 500 mg 1 Tablet 3.37 0.95905 3.23 1039(E) 01.04.2017
160 Ciprofloxacin Oral Liquid 250 1 ml 0.59 0.95905 0.57 1008(E) 31.3.2017
mg/5ml
161 Cisplatin Injection 1 mg/ml 1 ml 6.52 0.95905 6.25 1039(E) 01.04.2017
162 Clarithromycin Tablet 250 mg 1 Tablet 26.49 0.95905 25.41 1039(E) 01.04.2017
163 Clarithromycin Tablet 500 mg 1 Tablet 46.69 0.95905 44.78 1039(E) 01.04.2017
164 Clarithromycin Oral Liquid 125 1 ml 4.09 0.95905 3.92 1039(E) 01.04.2017
mg/5ml
165 Clindamycin Capsule 150 mg 1 Capsule 13.13 0.95905 12.59 1039(E) 01.04.2017
166 Clindamycin Capsule 300 mg 1 Capsule 21.43 0.95905 20.55 1039(E) 01.04.2017
167 Clindamycin Tablet 300 mg 1 Tablet 13.83 0.95905 13.26 1039(E) 01.04.2017
173 Clomiphene Capsule 100 mg 1 Capsule 52.66 0.95905 50.50 1039(E) 01.04.2017
175 Clomiphene Tablet 100 mg 1 Tablet 11.07 0.95905 10.62 1039(E) 01.04.2017
179 Clonazepam Tablet 0.25 mg 1 Tablet 1.73 0.95905 1.66 1039(E) 01.04.2017
180 Clonazepam Tablet 0.5 mg 1 Tablet 2.94 0.95905 2.82 1039(E) 01.04.2017
187 Clozapine Tablet 100 mg 1 Tablet 7.33 0.95905 7.03 1039(E) 01.04.2017
190 Coagulation factor VIII Powder for Each pack 3,389.14 1 3,389.14 1039(E) 01.04.2017
Injection 250 IU
191 Coagulation factor VIII Powder for Each Pack 8,316.70 1 8,316.70 1687(E) 24.05.2017
Injection 500 IU
192 Colchicine Tablet 0.5 mg 1 Tablet 2.94 0.95905 2.82 1039(E) 01.04.2017
194 Drug Eluting Stents (DES) including 30,180.00 1 30,180.00 1041(E) 01.04.2017
metallic DES and Bioresorbable
Vascular Scaffold (BVS)/
Biodegradable Stents
195 Co-trimoxazole Oral Liquid 200 mg 1 ml 0.20394 0.95905 0.19559 1039(E) 01.04.2017
(Sulphamethoxazole (A)+40 mg (B)/5ml
(A)+Trimethoprim (B)]
196 Co-trimoxazole Tablet 400 mg 1 Tablet 0.49 0.95905 0.47 1039(E) 01.04.2017
(Sulphamethoxazole (A)+80 mg (B)
(A)+Trimethoprim (B)]
197 Co-trimoxazole Tablet 800 mg 1 Tablet 1.00 0.95905 0.96 1039(E) 01.04.2017
(Sulphamethoxazole (A)+160 mg (B)
(A)+Trimethoprim (B)]
198 Cyclophosphamide Tablet 50 mg 1 Tablet 3.68 1 3.68 1039(E) 01.04.2017
199 Cyclophosphamide Powder for Each Pack 72.42 1 72.42 1039(E) 01.04.2017
Injection 500 mg
Page 14
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No and Strength Ceiling factor 1.7.2017 SO No SO date
Price
200 Cycloserine Capsule 250 mg 1 Capsule 51.37 0.95905 49.27 1039(E) 01.04.2017
201 Cycloserine Tablet 250 mg 1 Tablet 44.16 0.95905 42.35 1039(E) 01.04.2017
207 Cytosine arabinoside Powder for Each Pack 464.71 0.95905 445.68 1039(E) 01.04.2017
Injection 500 mg
208 Cytosine arabinoside Injection 100 Each Pack 180.27 0.95905 172.89 1039(E) 01.04.2017
mg/ml
209 Cytosine arabinoside Powder for Each Pack 972.31 0.95905 932.49 1039(E) 01.04.2017
Injection 1000 mg
210 Dacarbazine Powder for Each Pack 415.65 0.95905 398.63 1039(E) 01.04.2017
Injection 200 mg
211 Dacarbazine Powder for Each Pack 937.67 0.95905 899.27 1039(E) 01.04.2017
Injection 500 mg
212 Dapsone Tablet 100 mg 1 Tablet 0.21414 0.95905 0.20537 1009(E) 31.3.2017
213 Darunavir Tablet 600 mg 1 Tablet 157.93 0.95905 151.46 1039(E) 01.04.2017
214 Dexamethasone Tablet 0.5 mg 1 Tablet 0.18355 0.95905 0.17603 1039(E) 01.04.2017
215 Dexamethasone Injection 4 mg/ml Each Pack (2 5.38 0.95905 5.16 1039(E) 01.04.2017
ml)
Page 15
Sl Medicines Dosage form Unit Existing Multiplication CP wef Existing Existing
No and Strength Ceiling factor 1.7.2017 SO No SO date
Price
216 Dexamethasone Injection 4 mg/ml Each Pack (30 33.38 0.95905 32.01 1039(E) 01.04.2017
ml)
217 Dexamethasone Injection 4 mg/ml Each Pack (20 24.97 0.95905 23.95 1039(E) 01.04.2017
ml)
218 Dexamethasone Injection 4 mg/ml Each Pack (10 13.03 0.95905 12.50 1039(E) 01.04.2017
ml)
219 Diazepam Tablet 2 mg 1 Tablet 1.42 0.95905 1.36 1039(E) 01.04.2017
230 Diethylcarbamazine Oral Liquid 120 1 ml 0.44 0.95905 0.42 1039(E) 01.04.2017
mg/5ml
231 Diethylcarbamazine Tablet 50 mg 1 Tablet 0.51 0.95905 0.49 1039(E) 01.04.2017
Page 16
Sl Medicines Dosage form Unit Existing Multiplication CP wef Existing Existing
No and Strength Ceiling factor 1.7.2017 SO No SO date
Price
232 Digoxin Tablet 0.25 mg 1 Tablet 1.13 0.95905 1.08 1039(E) 01.04.2017
240 Dobutamine Injection 50 mg/ml Each Pack 35.48 0.95905 34.03 1039(E) 01.04.2017
241 Docetaxel Powder for Each Pack 2,832.12 0.95905 2,716.14 1039(E) 01.04.2017
Injection 20 mg
242 Docetaxel Powder for Each Pack 10,767.88 0.95905 10,326.94 1039(E) 01.04.2017
Injection 80 mg
243 Domperidone Tablet 10 mg 1 Tablet 2.28 0.95905 2.19 1039(E) 01.04.2017
249 Doxycycline Capsule 100 mg 1 Capsule 2.37 0.95905 2.27 1039(E) 01.04.2017
250 Doxycycline Tablet 100 mg 1 Tablet 0.92 0.95905 0.88 1039(E) 01.04.2017
251 DPT + Hib + Hep B vaccine Per 0.1 ml 72.87 1 72.87 1687(E) 24.05.2017
257 Enalapril Tablet 2.5 mg 1 Tablet 1.82 0.95905 1.75 1039(E) 01.04.2017
263 Erythropoietin Injection 10000 Each pack 2,461.35 1 2,461.35 1271(E) 21.04.2017
IU/ml
264 Erythropoietin Injection 2000 Each pack 582.98 1 582.98 1271(E) 21.04.2017
IU/ml
Page 18
Sl Medicines Dosage form Unit Existing Multiplication CP wef Existing Existing
No and Strength Ceiling factor 1.7.2017 SO No SO date
Price
265 Escitalopram Tablet 10 mg 1 Tablet 7.67 0.95905 7.36 1039(E) 01.04.2017
268 Ethambutol Tablet 800 mg 1 Tablet 3.84 0.95905 3.68 1039(E) 01.04.2017
269 Ethambutol Tablet 600 mg 1 Tablet 3.21 0.95905 3.08 1039(E) 01.04.2017
270 Ethambutol Tablet 400 mg 1 Tablet 2.18 0.95905 2.09 1039(E) 01.04.2017
271 Ethambutol Tablet 200 mg 1 Tablet 0.96 0.95905 0.92 1039(E) 01.04.2017
272 Ethinylestradiol Tablet 0.01 mg 1 Tablet 2.14 0.95905 2.05 1039(E) 01.04.2017
273 Ethinylestradiol Tablet 0.05 mg 1 Tablet 3.40 0.95905 3.26 1039(E) 01.04.2017
274 Ethinylestradiol (A) + Tablet 0.03 mg (A) 1 Tablet 3.13 0.95905 3.00 1039(E) 01.04.2017
Levonorgestrel (B) + 0.15 mg (B)
275 Ethionamide Tablet 250 mg 1 Tablet 14.94 0.95905 14.33 1039(E) 01.04.2017
280 Fluconazole Tablet 400 mg 1 Tablet 29.56 0.95905 28.35 1039(E) 01.04.2017
281 Fluconazole Injection 200 mg Each Pack 100.69 0.95905 96.57 1039(E) 01.04.2017
/100 ml
Page 19
Sl Medicines Dosage form Unit Existing Multiplication CP wef Existing Existing
No and Strength Ceiling factor 1.7.2017 SO No SO date
Price
282 Fluconazole Tablet 200 mg 1 Tablet 17.77 0.95905 17.04 1039(E) 01.04.2017
283 Fluconazole Capsule 100 mg 1 Capsule 23.90 0.95905 22.92 1039(E) 01.04.2017
284 Fluconazole Capsule 200 mg 1 Capsule 34.54 0.95905 33.13 1039(E) 01.04.2017
285 Fluconazole Capsule 150 mg 1 Capsule 17.55 0.95905 16.83 1688(E) 24.05.2017
286 Fluconazole Tablet 150 mg 1 Tablet 11.21 0.95905 10.75 1039(E) 01.04.2017
287 Fluconazole Tablet 100 mg 1 Tablet 7.55 0.95905 7.24 1039(E) 01.04.2017
300 Folic Acid Capsule 5 mg 1 Capsule 5.33 0.95905 5.11 1039(E) 01.04.2017
302 Furosemide Injection 10 mg/ml Each Pack 1.03 0.95905 0.99 1039(E) 01.04.2017
304 Ganciclovir Powder for Each Pack 1,531.30 0.95905 1,468.59 1039(E) 01.04.2017
Injection 500 mg
305 Ganciclovir Capsule 250 mg 1 Capsule 109.09 0.95905 104.62 1008(E) 31.3.2017
306 Gefitinib Tablet 250 mg 1 Tablet 405.52 0.95905 388.91 1039(E) 01.04.2017
307 Gemcitabine Powder for Each Pack 5,019.49 0.95905 4,813.94 1039(E) 01.04.2017
Injection 1 gm
308 Gemcitabine Powder for Each Pack 1,090.42 0.95905 1,045.77 1039(E) 01.04.2017
Injection 200 mg
309 Gentamicin Injection 40 mg/ml Each Pack (20 25.77 0.95905 24.71 1039(E) 01.04.2017
ml)
310 Gentamicin Injection 40 mg/ml Each Pack (10 17.00 0.95905 16.30 1039(E) 01.04.2017
ml)
311 Gentamicin Injection 40 mg/ml Each Pack (2 4.56 0.95905 4.37 1039(E) 01.04.2017
ml)
312 Gentamicin Injection 40 mg/ml Each Pack (30 28.20 0.95905 27.05 1039(E) 01.04.2017
ml)
313 Gentamicin Drops 0.3% 1 ml 0.86 0.95905 0.82 1039(E) 01.04.2017
317 Glucose Injection 5% 100ml Glass 17.06 0.95905 16.36 1039(E) 01.04.2017
318 Glucose Injection 5% 250ml Glass 23.57 0.95905 22.60 1039(E) 01.04.2017
319 Glucose Injection 5% 500ml Glass 33.45 0.95905 32.08 1039(E) 01.04.2017
320 Glucose Injection 5% 1000ml Glass 60.78 0.95905 58.29 1039(E) 01.04.2017
321 Glucose Injection 5% 100ml Non- 15.44 0.95905 14.81 1039(E) 01.04.2017
Glass
322 Glucose Injection 5% 250ml Non- 21.29 0.95905 20.42 1039(E) 01.04.2017
Glass
323 Glucose Injection 5% 500ml Non- 28.87 0.95905 27.69 1039(E) 01.04.2017
Glass
324 Glucose Injection 5% 1000ml Non- 49.04 0.95905 47.03 1039(E) 01.04.2017
Glass
325 Glucose Injection 25% 1 ml 0.16268 0.95905 0.15602 1039(E) 01.04.2017
326 Glucose Injection 10% Each Pack 26.58 0.95905 25.49 1688(E) 24.05.2017
(500 ml)
327 Glucose Injection 10% Each Pack 24.43 0.95905 23.43 1688(E) 24.05.2017
(1000 ml)
328 Glucose (A) + Sodium Chloride (B) Injection 5% (A) + 100ml Glass 17.11 0.95905 16.41 1039(E) 01.04.2017
0.9% (B)
329 Glucose (A) + Sodium Chloride (B) Injection 5% (A) + 250ml Glass 23.67 0.95905 22.70 1039(E) 01.04.2017
0.9% (B)
330 Glucose (A) + Sodium Chloride (B) Injection 5% (A) + 500ml Glass 33.62 0.95905 32.24 1039(E) 01.04.2017
0.9% (B)
Page 22
Sl Medicines Dosage form Unit Existing Multiplication CP wef Existing Existing
No and Strength Ceiling factor 1.7.2017 SO No SO date
Price
331 Glucose (A) + Sodium Chloride (B) Injection 5% (A) + 1000ml Glass 61.15 0.95905 58.65 1039(E) 01.04.2017
0.9% (B)
332 Glucose (A) + Sodium Chloride (B) Injection 5% (A) + 100ml Non- 15.46 0.95905 14.83 1039(E) 01.04.2017
0.9% (B) Glass
333 Glucose (A) + Sodium Chloride (B) Injection 5% (A) + 250ml Non- 21.38 0.95905 20.50 1039(E) 01.04.2017
0.9% (B) Glass
334 Glucose (A) + Sodium Chloride (B) Injection 5% (A) + 500ml Non- 29.04 0.95905 27.85 1039(E) 01.04.2017
0.9% (B) Glass
335 Glucose (A) + Sodium Chloride (B) Injection 5% (A) + 1000ml Non- 49.42 0.95905 47.40 1039(E) 01.04.2017
0.9% (B) Glass
336 Glucose (A) + Sodium Chloride (B) Injection 5% (A) + 500ml Non 64.99 0.95905 62.33 1051(E) 01.04.2017
0.9% (B) Glass with
special
features
337 Glucose (A) + Sodium Chloride (B) Injection 5% (A) + 1000ml Non 75.96 0.95905 72.85 1051(E) 01.04.2017
0.9% (B) Glass with
special
features
338 Glucose Injection 5% 500ml Non 62.53 0.95905 59.97 1051(E) 01.04.2017
Glass with
special
features
339 Glucose Injection 5% 1000ml Non 72.28 0.95905 69.32 1051(E) 01.04.2017
Glass with
special
features
340 Glyceryl Trinitrate Injection 5 mg/ml 1 ml 6.21 0.95905 5.96 1334(E) 27.04.2017
341 Glyceryl Trinitrate Sublingual Tablet 1 Tablet 1.71 0.95905 1.64 1039(E) 01.04.2017
0.5 mg
342 Glycopyrrolate Injection 0.2 1 ml 11.63 0.95905 11.15 1039(E) 01.04.2017
mg/ml
Page 23
Sl Medicines Dosage form Unit Existing Multiplication CP wef Existing Existing
No and Strength Ceiling factor 1.7.2017 SO No SO date
Price
343 Griseofulvin Tablet 250 mg 1 Tablet 1.51 0.95905 1.45 1039(E) 01.04.2017
344 Griseofulvin Tablet 375 mg 1 Tablet 4.08 0.95905 3.91 1039(E) 01.04.2017
345 Haloperidol Tablet 1.5 mg 1 Tablet 1.56 0.95905 1.50 1039(E) 01.04.2017
349 Haloperidol Oral Liquid 2 mg/ 1 ml 1.95 0.95905 1.87 1039(E) 01.04.2017
5ml
350 Haloperidol Injection 5 mg/ml 1 ml 5.52 0.95905 5.29 1039(E) 01.04.2017
356 Hormone releasing IUD Contains 52 mg of 1 IUD 3,509.95 0.95905 3,366.22 1334(E) 27.04.2017
Levonorgestrel
357 Human chorionic Gonadotropin Injection 1000 IU Each Pack 192.84 1 192.84 1039(E) 01.04.2017
358 Human chorionic Gonadotropin Injection 5000 IU Each Pack 378.71 1 378.71 1039(E) 01.04.2017
361 Hydrochlorothiazide Tablet 12.5 mg 1 Tablet 0.93 0.95905 0.89 1039(E) 01.04.2017
363 Hydrocortisone Powder for Each Pack 35.31 1 35.31 1039(E) 01.04.2017
Injection 100 mg
364 Hydrocortisone Injection 100 mg Each Pack 35.31 1 35.31 1039(E) 01.04.2017
365 Hydrocortisone Injection 200 mg Each Pack 54.44 1 54.44 1039(E) 01.04.2017
368 Hydroxychloroquine Tablet 400 mg 1 Tablet 11.30 0.95905 10.84 1039(E) 01.04.2017
369 Hydroxychloroquine Tablet 200 mg 1 Tablet 5.61 0.95905 5.38 1039(E) 01.04.2017
371 Hydroxyurea Capsule 500 mg 1 Capsule 11.63 0.95905 11.15 1039(E) 01.04.2017
372 Hyoscine Butylbromide Tablet 10 mg 1 Tablet 2.82 0.95905 2.70 1039(E) 01.04.2017
373 Hyoscine butylbromide Injection 20 mg/ml 1 ml 9.86 0.95905 9.46 1039(E) 01.04.2017
374 Ibuprofen Tablet 200 mg 1 Tablet 0.36 0.95905 0.35 1039(E) 01.04.2017
375 Ibuprofen Tablet 400 mg 1 Tablet 0.66 0.95905 0.63 1039(E) 01.04.2017
376 Ibuprofen Oral Liquid 100 1 ml 0.18 0.95905 0.17 1039(E) 01.04.2017
mg/5ml
Page 25
Sl Medicines Dosage form Unit Existing Multiplication CP wef Existing Existing
No and Strength Ceiling factor 1.7.2017 SO No SO date
Price
377 Ibuprofen Capsule 400 mg 1 Capsule 1.00 0.95905 0.96 1687(E) 24.05.2017
378 Imatinib Tablet 400 mg 1 Tablet 217.53 0.95905 208.62 1039(E) 01.04.2017
379 Imatinib Capsule 100 mg 1 Capsule 73.45 0.95905 70.44 1039(E) 01.04.2017
380 Imatinib Capsule 400 mg 1 Capsule 241.66 0.95905 231.76 1039(E) 01.04.2017
381 Imatinib Tablet 100 mg 1 Tablet 75.15 0.95905 72.07 1010(E) 30.03.2017
383 Intermediate Acting (NPH) Insulin Injection 40 IU/ml 1 ml 13.66 1 13.66 1039(E) 01.04.2017
388 Isosorbide dinitrate Tablet 10 mg 1 Tablet 0.70 0.95905 0.67 1039(E) 01.04.2017
389 Isosorbide dinitrate Tablet 5 mg 1 Tablet 0.72 0.95905 0.69 1039(E) 01.04.2017
398 Kanamycin Powder for Each Pack 36.99 0.95905 35.48 1039(E) 01.04.2017
Injection 1 gm
399 Kanamycin Powder for Each Pack 34.48 0.95905 33.07 1039(E) 01.04.2017
Injection 750 mg
400 Kanamycin Powder for Each Pack 20.19 0.95905 19.36 1039(E) 01.04.2017
Injection 500 mg
401 Ketamine Injection 50 mg/ml 1 ml 9.88 0.95905 9.48 1039(E) 01.04.2017
412 Letrozole Tablet 2.5 mg 1 Tablet 37.00 0.95905 35.48 1039(E) 01.04.2017
413 Levetiracetam ER Tablet 750 mg 1 Tablet 16.45 0.95905 15.78 1039(E) 01.04.2017
414 Levetiracetam Tablet 250 mg 1 Tablet 5.54 0.95905 5.31 1039(E) 01.04.2017
415 Levetiracetam Tablet 500 mg 1 Tablet 11.19 0.95905 10.73 1039(E) 01.04.2017
416 Levetiracetam Tablet 750 mg 1 Tablet 17.19 0.95905 16.49 1039(E) 01.04.2017
425 Levofloxacin Tablet 500 mg 1 Tablet 6.35 0.95905 6.09 1039(E) 01.04.2017
426 Levofloxacin Tablet 750 mg 1 Tablet 10.34 0.95905 9.92 1039(E) 01.04.2017
427 Levonorgestrel Tablet 0.75 mg 1 Tablet 21.78 0.95905 20.89 1008(E) 31.3.2017
428 Levothyroxine Tablet 100 mcg 1 Tablet 1.13 0.95905 1.08 1039(E) 01.04.2017
429 Levothyroxine Tablet 12.5 mcg 1 Tablet 1.28 0.95905 1.23 1039(E) 01.04.2017
430 Levothyroxine Tablet 125 mcg 1 Tablet 1.45 0.95905 1.39 1039(E) 01.04.2017
431 Levothyroxine Tablet 150 mcg 1 Tablet 1.46 0.95905 1.40 1039(E) 01.04.2017
432 Levothyroxine Tablet 25 mcg 1 Tablet 1.24 0.95905 1.19 1039(E) 01.04.2017
433 Levothyroxine Tablet 50 mcg 1 Tablet 0.93 0.95905 0.89 1039(E) 01.04.2017
434 Levothyroxine Tablet 75 mcg 1 Tablet 1.23 0.95905 1.18 1039(E) 01.04.2017
435 Levothyroxine Tablet 88 mcg 1 Tablet 1.45 0.95905 1.39 1039(E) 01.04.2017
437 Lignocaine Injection 1% Each Pack 7.51 0.95905 7.20 1039(E) 01.04.2017
443 Lithium Tablet 300 mg 1 Tablet 1.38 0.95905 1.32 1039(E) 01.04.2017
446 Lopinavir (A) + Ritonavir (B) Tablet 200 mg (A) 1 Tablet 43.12 0.95905 41.35 1039(E) 01.04.2017
+ 50 mg (B)
447 Lopinavir (A) + Ritonavir (B) Tablet 100 mg (A) 1 Tablet 22.25 0.95905 21.34 1008(E) 31.3.2017
+ 25 mg (B)
448 Lorazepam Tablet 1 mg 1 Tablet 1.96 0.95905 1.88 1039(E) 01.04.2017
451 Magnesium Sulphate Injection 500 1 ml 4.52 0.95905 4.33 1009(E) 31.3.2017
mg/ml
452 Mannitol Injection 20% 1 ml 0.28 0.95905 0.27 1039(E) 01.04.2017
453 Mebendazole Tablet 100 mg 1 Tablet 2.77 0.95905 2.66 1039(E) 01.04.2017
454 Mebendazole Oral Liquid 100 1 ml 0.74 0.95905 0.71 1039(E) 01.04.2017
mg/5ml
455 Medroxyprogesteroneacetate Tablet 10 mg 1 Tablet 5.09 0.95905 4.88 1039(E) 01.04.2017
Page 30
Sl Medicines Dosage form Unit Existing Multiplication CP wef Existing Existing
No and Strength Ceiling factor 1.7.2017 SO No SO date
Price
456 Mefenamic acid Oral Liquid 100 1 ml 0.49 0.95905 0.47 1039(E) 01.04.2017
mg/5ml
457 Mefenamic acid Tablet 500 mg 1 Tablet 2.31 0.95905 2.22 1039(E) 01.04.2017
458 Mefenamic acid Tablet 250 mg 1 Tablet 1.82 0.95905 1.75 1039(E) 01.04.2017
459 Mefloquine Tablet 250 mg 1 Tablet 48.24 0.95905 46.26 1039(E) 01.04.2017
460 Meglumine Diatrizoate Injection 60%w/v 1 ml 7.82 0.95905 7.50 1009(E) 31.3.2017
461 Meglumine Diatrizoate Injection 76%w/v 1 ml 9.03 0.95905 8.66 1009(E) 31.3.2017
477 Methyldopa Tablet 250 mg 1 Tablet 2.30 0.95905 2.21 1039(E) 01.04.2017
478 Methyldopa Tablet 500 mg 1 Tablet 4.42 0.95905 4.24 1039(E) 01.04.2017
494 Metronidazole Tablet 400 mg 1 Tablet 0.76 0.95905 0.73 1039(E) 01.04.2017
495 Metronidazole Tablet 200 mg 1 Tablet 0.41 0.95905 0.39 1039(E) 01.04.2017
496 Metronidazole Oral Liquid 200 1 ml 0.28 0.95905 0.27 1039(E) 01.04.2017
mg/5ml
497 Metronidazole Injection 500 1 ml 0.12276 0.95905 0.11773 1039(E) 01.04.2017
mg/100 ml
498 Midazolam Injection 5 mg/ml 1 ml 13.73 0.95905 13.17 1039(E) 01.04.2017
500 Mifepristone Tablet 200 mg 1 Tablet 304.38 0.95905 291.92 1039(E) 01.04.2017
501 Misoprostol Tablet 200 mcg 1 Tablet 15.80 0.95905 15.15 1039(E) 01.04.2017
502 Misoprostol Tablet 100 mcg 1 Tablet 8.24 0.95905 7.90 1039(E) 01.04.2017
506 Moxifloxacin Tablet 400 mg 1 Tablet 23.97 0.95905 22.99 1039(E) 01.04.2017
507 Mycophenolate mofetil Tablet 250 mg 1 Tablet 37.67 1 37.67 1039(E) 01.04.2017
508 Mycophenolate mofetil Tablet 500 mg 1 Tablet 74.53 1 74.53 1039(E) 01.04.2017
515 Nevirapine Tablet 200 mg 1 Tablet 13.54 0.95905 12.99 1039(E) 01.04.2017
528 Omeprazole Powder for oral 1 gm 1.16 0.95905 1.11 1039(E) 01.04.2017
Liquid 20 mg
529 Omeprazole Tablet 10 mg 1 Tablet 4.19 0.95905 4.02 1039(E) 01.04.2017
542 Paracetamol Tablet 650 mg 1 Tablet 1.74 0.95905 1.67 1039(E) 01.04.2017
543 Paracetamol Tablet 500 mg 1 Tablet 0.85 0.95905 0.82 1039(E) 01.04.2017
544 Paracetamol Oral Liquid 250 1 ml 0.57 0.95905 0.55 1039(E) 01.04.2017
mg/5ml
545 Paracetamol Oral Liquid 120 1 ml 0.50 0.95905 0.48 1039(E) 01.04.2017
mg/5ml
546 Paracetamol Suppository 80 mg Each 6.16 0.95905 5.91 1039(E) 01.04.2017
Suppository
547 Paracetamol Suppository 170 Each 7.28 0.95905 6.98 1039(E) 01.04.2017
mg Suppository
548 Paracetamol Oral Liquid 125 1 ml 0.32 0.95905 0.31 1039(E) 01.04.2017
mg/5ml
549 Paracetamol Injection 150 Each Pack (2 6.10 0.95905 5.85 1039(E) 01.04.2017
mg/ml ml)
550 Paracetamol Injection 150 Each Pack ( 2.90 0.95905 2.78 1687(E) 24.05.2017
mg/ml 0.5 ml)
551 Paracetamol Injection 150 Each Pack (1 3.97 0.95905 3.81 1687(E) 24.05.2017
mg/ml ml)
552 Paracetamol Injection 150 Each Pack (3 8.24 0.95905 7.90 1687(E) 24.05.2017
mg/ml ml)
553 Paracetamol Injection 150 Each Pack (4 10.37 0.95905 9.95 1687(E) 24.05.2017
mg/ml ml)
Page 36
Sl Medicines Dosage form Unit Existing Multiplication CP wef Existing Existing
No and Strength Ceiling factor 1.7.2017 SO No SO date
Price
554 Paracetamol Injection 150 Each Pack (5 12.51 0.95905 12.00 1687(E) 24.05.2017
mg/ml ml)
555 Paracetamol Injection 150 Each Pack (7 16.78 0.95905 16.09 1687(E) 24.05.2017
mg/ml ml)
556 Paracetamol Oral Liquid 150 1 ml 0.55 0.95905 0.53 1039(E) 01.04.2017
mg/5ml
557 Paracetamol Oral Liquid 100 1 ml 0.48 0.95905 0.46 1039(E) 01.04.2017
mg/5ml
558 Paracetamol Oral Liquid 650 1 ml 0.49 0.95905 0.47 1039(E) 01.04.2017
mg/5ml
559 Paracetamol Oral Liquid 500 1 ml 0.60 0.95905 0.58 1039(E) 01.04.2017
mg/5ml
560 Pegylated interferon alfa 2a Injection 180mcg Each Pack 7,486.68 1 7,486.68 1008(E) 31.3.2017
561 Pegylated interferon alfa 2b Injection 100mcg Each Pack 14,802.08 1 14,802.08 1039(E) 01.04.2017
562 Pegylated interferon alfa 2b Injection 80mcg Each Pack 11,833.84 1 11,833.84 1039(E) 01.04.2017
563 Pegylated interferon alfa 2b Injection 120mcg Each Pack 13,784.92 1 13,784.92 1008(E) 31.3.2017
564 Penicillamine Capsule 250 mg 1 Capsule 13.49 0.95905 12.94 1039(E) 01.04.2017
577 Phenytoin Tablet 300 mg 1 Tablet 4.48 0.95905 4.30 1039(E) 01.04.2017
580 Phenytoin Oral Liquid 125 1 ml 0.84 0.95905 0.81 1039(E) 01.04.2017
mg/5ml
581 Phenytoin Capsule 300 mg 1 Capsule 3.61 0.95905 3.46 1039(E) 01.04.2017
582 Phenytoin ERCapsule 300 mg 1 Capsule 3.61 0.95905 3.46 1039(E) 01.04.2017
583 Phenytoin Capsule 100 mg 1 Capsule 1.44 0.95905 1.38 1039(E) 01.04.2017
588 Piperacillin (A) + Tazobactam (B) Powder for Each Pack 83.64 0.95905 80.21 1039(E) 01.04.2017
Injection 1 g (A) +
125 mg (B)
589 Piperacillin (A) + Tazobactam (B) Powder for Each Pack 197.86 0.95905 189.76 1039(E) 01.04.2017
Injection 2 g (A) +
250 mg (B)
590 Piperacillin (A) + Tazobactam (B) Powder for Each Pack 415.63 0.95905 398.61 1039(E) 01.04.2017
Injection 4 g (A) +
500 mg (B)
591 Potassium chloride Injection 150 1 ml 2.29 0.95905 2.20 1039(E) 01.04.2017
mg/ml
592 Potassium chloride Oral Liquid 500 1 ml 0.27 0.95905 0.26 1039(E) 01.04.2017
mg/5ml
593 Povidone iodine Solution 7.5% 1 ml 0.74 0.95905 0.71 1039(E) 01.04.2017
596 Povidone iodine Solution 10% 1 ml 0.67 0.95905 0.64 1039(E) 01.04.2017
597 Pralidoxime chloride (2-PAM) Injection 25 mg/ml 1 ml 3.52 0.95905 3.38 1039(E) 01.04.2017
609 Primaquine Tablet 7.5 mg 1 Tablet 2.00 0.95905 1.92 1039(E) 01.04.2017
610 Primaquine Tablet 2.5 mg 1 Tablet 1.47 0.95905 1.41 1039(E) 01.04.2017
621 Pyrazinamide Tablet 500 mg 1 Tablet 3.84 0.95905 3.68 1039(E) 01.04.2017
622 Pyrazinamide Tablet 750 mg 1 Tablet 5.84 0.95905 5.60 1039(E) 01.04.2017
623 Pyrazinamide Tablet 1000 mg 1 Tablet 8.56 0.95905 8.21 1039(E) 01.04.2017
624 Pyrazinamide Tablet 1500 mg 1 Tablet 9.47 0.95905 9.08 1039(E) 01.04.2017
625 Pyrazinamide Oral Liquid 250 1 ml 0.56 0.95905 0.54 1008(E) 31.3.2017
mg/5ml
626 Pyridoxine Tablet 100 mg 1 Tablet 5.30 0.95905 5.08 1039(E) 01.04.2017
627 Quinine Tablet 300 mg 1 Tablet 5.19 0.95905 4.98 1039(E) 01.04.2017
630 Raltegravir Tablet 400 mg 1 Tablet 142.00 0.95905 136.19 1039(E) 01.04.2017
631 Ramipril Tablet 2.5 mg 1 Tablet 4.70 0.95905 4.51 1039(E) 01.04.2017
633 Ramipril Capsule 2.5 mg 1 Capsule 4.47 0.95905 4.29 1039(E) 01.04.2017
639 Rifampicin Capsule 600 mg 1 Capsule 10.98 0.95905 10.53 1039(E) 01.04.2017
640 Rifampicin Oral Liquid 100 1 ml 0.37 0.95905 0.35 1010(E) 30.03.2017
mg/5ml
641 Rifampicin Capsule 150 mg 1 Capsule 1.90 0.95905 1.82 1010(E) 30.03.2017
642 Rifampicin Capsule 300 mg 1 Capsule 3.60 0.95905 3.45 1010(E) 30.03.2017
643 Rifampicin Tablet 150 mg 1 Tablet 1.53 0.95905 1.47 1688(E) 24.05.2017
644 Rifampicin Tablet 300 mg 1 Tablet 2.77 0.95905 2.66 1039(E) 01.04.2017
645 Rifampicin Capsule 450 mg 1 Capsule 4.67 0.95905 4.48 1010(E) 30.03.2017
651 Ritonavir Capsule 100 mg 1 Capsule 26.70 0.95905 25.61 1039(E) 01.04.2017
Page 42
Sl Medicines Dosage form Unit Existing Multiplication CP wef Existing Existing
No and Strength Ceiling factor 1.7.2017 SO No SO date
Price
652 Rituximab Injection 10 mg/ml 1 ml 717.63 0.95905 688.24 1039(E) 01.04.2017
660 Snake venom antiserum - Injection 10 ml Pack 351.44 0.95905 337.05 1334(E) 27.04.2017
Soluble/liquid polyvalent
661 Snake venom antiserum- Powder for 10 ml Pack 527.21 0.95905 505.62 1688(E) 24.05.2017
Lyophilized polyvalent Injection
662 Sodium Bicarbonate Injection 8.4% 1 ml 1.22 0.95905 1.17 1039(E) 01.04.2017
663 Sodium Bicarbonate Injection 7.5% 1 ml 1.32 0.95905 1.27 1039(E) 01.04.2017
664 Sodium Chloride Injection 0.9% 100ml Glass 16.61 0.95905 15.93 1039(E) 01.04.2017
665 Sodium Chloride Injection 0.9% 250ml Glass 22.39 0.95905 21.47 1039(E) 01.04.2017
666 Sodium Chloride Injection 0.9% 500ml Glass 31.12 0.95905 29.85 1039(E) 01.04.2017
Page 43
Sl Medicines Dosage form Unit Existing Multiplication CP wef Existing Existing
No and Strength Ceiling factor 1.7.2017 SO No SO date
Price
667 Sodium Chloride Injection 0.9% 1000ml Glass 56.15 0.95905 53.85 1039(E) 01.04.2017
668 Sodium Chloride Injection 0.9% 100ml Non- 14.96 0.95905 14.35 1039(E) 01.04.2017
Glass
669 Sodium Chloride Injection 0.9% 250ml Non- 20.11 0.95905 19.29 1039(E) 01.04.2017
Glass
670 Sodium Chloride Injection 0.9% 500ml Non- 26.51 0.95905 25.42 1039(E) 01.04.2017
Glass
671 Sodium Chloride Injection 0.9% 1000ml Non- 44.29 0.95905 42.48 1039(E) 01.04.2017
Glass
672 Sodium Chloride Injection 0.9% 100ml Non 31.97 0.95905 30.66 1051(E) 01.04.2017
Glass with
special
features
673 Sodium Chloride Injection 0.9% 250ml Non 47.19 0.95905 45.26 1051(E) 01.04.2017
Glass with
special
features
674 Sodium Chloride Injection 0.9% 500ml Non 66.84 0.95905 64.10 1051(E) 01.04.2017
Glass with
special
features
675 Sodium Chloride Injection 0.9% 1000ml Non 74.86 0.95905 71.79 1051(E) 01.04.2017
Glass with
special
features
676 Sodium Nitroprusside Injection 10 mg/ml 1 ml 24.42 0.95905 23.42 1039(E) 01.04.2017
677 Sodium Valproate Tablet 300 mg 1 Tablet 3.76 0.95905 3.61 1039(E) 01.04.2017
678 Sodium Valproate Tablet 200 mg 1 Tablet 2.93 0.95905 2.81 1569(E) 15.05.2017
Page 44
Sl Medicines Dosage form Unit Existing Multiplication CP wef Existing Existing
No and Strength Ceiling factor 1.7.2017 SO No SO date
Price
679 Sodium Valproate Tablet 500 mg 1 Tablet 6.56 0.95905 6.29 1039(E) 01.04.2017
680 Sodium Valproate CR Tablet 500 mg 1 Tablet 8.82 0.95905 8.46 1687(E) 24.05.2017
681 Sodium Valproate CR Tablet 300 mg 1 Tablet 5.73 0.95905 5.50 1687(E) 24.05.2017
682 Sodium Valproate Injection 100 1 ml 5.45 0.95905 5.23 1039(E) 01.04.2017
mg/ml
683 Sodium Valproate Oral Liquid 200 1 ml 0.55 0.95905 0.53 1039(E) 01.04.2017
mg/5ml
684 Sofosbuvir Tablet 400 mg 1 Tablet 631.52 0.95905 605.66 1039(E) 01.04.2017
685 Somatostatin Powder for Each pack 1,438.04 0.95905 1,379.15 1039(E) 01.04.2017
Injection 3 mg
686 Spironolactone Tablet 25 mg 1 Tablet 1.80 0.95905 1.73 1039(E) 01.04.2017
688 Stavudine (A) + Lamivudine (B) Tablet 30 mg (A) 1 Tablet 9.03 0.95905 8.66 1039(E) 01.04.2017
+150 mg (B)
689 Streptokinase Injection 7,50,000 Each Pack 1,191.15 0.95905 1,142.37 1039(E) 01.04.2017
IU
690 Streptokinase Injection Each Pack 1,693.59 0.95905 1,624.24 1039(E) 01.04.2017
15,00,000 IU
691 Streptomycin Powder for Each Pack 7.97 1 7.97 1039(E) 01.04.2017
Injection 750 mg
692 Streptomycin Powder for Each Pack 9.46 1 9.46 1039(E) 01.04.2017
Injection 1 gm
693 Succinyl Choline Injection 50 mg/ml 1 ml 4.58 0.95905 4.39 1009(E) 31.3.2017
695 Sulfasalazine Tablet 500 mg 1 Tablet 3.77 0.95905 3.62 1039(E) 01.04.2017
Page 45
Sl Medicines Dosage form Unit Existing Multiplication CP wef Existing Existing
No and Strength Ceiling factor 1.7.2017 SO No SO date
Price
696 Tacrolimus Capsule 2 mg 1 Capsule 72.40 0.95905 69.44 1039(E) 01.04.2017
697 Tacrolimus Capsule 0.5 mg 1 Capsule 20.92 0.95905 20.06 1010(E) 30.03.2017
704 Temozolomide Capsule 100 mg 1 Capsule 1,971.40 0.95905 1,890.67 1039(E) 01.04.2017
706 Temozolomide Capsule 250 mg 1 Capsule 4,434.02 0.95905 4,252.45 1039(E) 01.04.2017
708 Temozolomide Tablet 100 mg 1 Tablet 1,463.33 0.95905 1,403.41 1039(E) 01.04.2017
709 Temozolomide Tablet 250 mg 1 Tablet 3,621.90 0.95905 3,473.58 1039(E) 01.04.2017
710 Tenofovir Tablet 300 mg 1 Tablet 44.65 0.95905 42.82 1039(E) 01.04.2017
711 Tenofovir (A) + Lamivudine (B) Tablet 300 mg (A) 1 Tablet 40.73 0.95905 39.06 1039(E) 01.04.2017
+ 300 mg (B)
712 Tenofovir (A) + Lamivudine (B) + Tablet 300 mg (A) 1 Tablet 93.52 0.95905 89.69 1039(E) 01.04.2017
Efavirenz (C) + 300 mg (B) + 600
Page 46
Sl Medicines Dosage form Unit Existing Multiplication CP wef Existing Existing
No and Strength Ceiling factor 1.7.2017 SO No SO date
Price
mg (C)
713 Tetanus Toxoid Injection Each Pack (5 24.89 1 24.89 1039(E) 01.04.2017
ml)
714 Tetanus Toxoid Injection Each Pack 5.64 1 5.64 1039(E) 01.04.2017
(0.5ml)
715 Thalidomide Capsule 100 mg 1 Capsule 57.80 0.95905 55.43 1039(E) 01.04.2017
719 Thiopentone Powder for Each Pack 46.76 0.95905 44.85 1039(E) 01.04.2017
Injection 1 gm
720 Thiopentone Powder for Each Pack 38.54 0.95905 36.96 1039(E) 01.04.2017
Injection 0.5 gm
721 Timolol Drops 0.5% 1 ml 11.28 0.95905 10.82 1039(E) 01.04.2017
723 Tiotropium Inhalation (DPI) 18 1 Dose 2.34 0.95905 2.24 1039(E) 01.04.2017
mcg/dose
724 Tiotropium Inhalation (MDI) 9 1 Dose 2.20 0.95905 2.11 1039(E) 01.04.2017
mcg/dose
725 Tramadol Tablet 100 mg 1 Tablet 18.61 0.95905 17.85 1039(E) 01.04.2017
731 Tranexamic acid Tablet 500 mg 1 Tablet 15.76 0.95905 15.11 1039(E) 01.04.2017
732 Tranexamic acid Injection 100 1 ml 13.55 0.95905 13.00 1039(E) 01.04.2017
mg/ml
733 Trastuzumab Injection 440 Each Pack 56,912.83 0.95905 54,582.25 1039(E) 01.04.2017
mg/50 ml
734 Trihexyphenidyl Tablet 2 mg 1 Tablet 1.15 0.95905 1.10 1039(E) 01.04.2017
736 Vancomycin Powder for Each Pack 431.83 0.95905 414.15 1039(E) 01.04.2017
Injection 1 gm
737 Vancomycin Powder for Each Pack 259.74 0.95905 249.10 1039(E) 01.04.2017
Injection 500 mg
738 Vancomycin Powder for Each Pack 201.20 0.95905 192.96 1333(E) 27.04.2017
Injection 250 mg
739 Vecuronium Powder for Each Pack 171.56 0.95905 164.53 1039(E) 01.04.2017
Injection 10 mg
740 Vecuronium Powder for Each Pack 82.80 0.95905 79.41 1039(E) 01.04.2017
Injection 4 mg
741 Verapamil Injection 2.5 1 ml 1.10 0.95905 1.05 1039(E) 01.04.2017
mg/ml
742 Verapamil Tablet 40 mg 1 Tablet 0.71 0.95905 0.68 1039(E) 01.04.2017
751 Water for Injection Injection Each Pack (5 2.13 0.95905 2.04 1039(E) 01.04.2017
ml)
752 Water for Injection Injection Each Pack (10 2.21 0.95905 2.12 1039(E) 01.04.2017
ml)
753 Xylometazoline Nasal Drops 0.1% 1 ml 4.92 0.95905 4.72 1039(E) 01.04.2017
754 Xylometazoline Nasal Drops 0.05% 1 ml 3.72 0.95905 3.57 1039(E) 01.04.2017
757 Zidovudine (A) + Lamivudine (B) + Tablet 300 mg (A) 1 Tablet 19.06 0.95905 18.28 1039(E) 01.04.2017
Nevirapine (C) + 150 mg (B) + 200
mg(C)
758 Zoledronic Acid Powder for Each Pack 3,812.10 0.95905 3,655.99 1008(E) 31.3.2017
Injection 4 mg
759 Zolpidem Tablet 10 mg 1 Tablet 7.99 0.95905 7.66 1039(E) 01.04.2017