ACUTE MEDICINE FORMULARY 2019 - FishMed20181120121217 PM) Fishmed_Co… · 758183003 purata 10mg...
Transcript of ACUTE MEDICINE FORMULARY 2019 - FishMed20181120121217 PM) Fishmed_Co… · 758183003 purata 10mg...
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ACUTE MEDICINE FORMULARY
2019
NOTE:
Reference pricing is applied. Patients are advised to discuss the availability of less expensive generics with the pharmacist at the point of dispensing.
If a product is dispensed that is more expensive than the reference price, the patient will need to pay the difference in price at the point of dispensing.
Quantity limits apply to some items on this formulary. Quantities in excess of this limit will need to be funded by the member at the point of dispensing, unless an authorisation
has been obtained for a greater quantity.
The formulary is subject to regular review. MMI Health reserves the right to update and change the formulary when new information becomes available, prices change or when
new medicines are released.
While every effort has been made to ensure that products listed are available on the market, it is possible that some products may be discontinued by the manufacturers during
the course of the year. Should this be the case patients are advised to discuss alternatives with the pharmacist or the prescribing doctor.
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
700722003 ZOPIVANE 7.5MG TABS 1020300 OTHER SEDATIVE HYPNOTICS ZOPICLONE TAB 7.5 MG 30
732494001 IMOVANE 7.5MG TABS 1020300 OTHER SEDATIVE HYPNOTICS ZOPICLONE TAB 7.5 MG 30
857785001 SANDOZ ZOPICLONE TABS 1020300 OTHER SEDATIVE HYPNOTICS ZOPICLONE TAB 7.5 MG 30
867365005 ZOPIMED 7.5MG TABS 1020300 OTHER SEDATIVE HYPNOTICS ZOPICLONE TAB 7.5 MG 30
874728002 ALCHERA 7.5MG TABS 1020300 OTHER SEDATIVE HYPNOTICS ZOPICLONE TAB 7.5 MG 30
894220002 Z-DORM TABS 1020300 OTHER SEDATIVE HYPNOTICS ZOPICLONE TAB 7.5 MG 30
705115001 ZOPIGEN 7.5MG TABS 1020300 OTHER SEDATIVE HYPNOTICS ZOPICLONE TAB 7.5 MG 30
707688001 ZOPICLONE UNICORN 7.5MG TABS 1020300 OTHER SEDATIVE HYPNOTICS ZOPICLONE TAB 7.5 MG 30
712508001 AUSTELL-ZOPICLONE 7.5MG TABS 1020300 OTHER SEDATIVE HYPNOTICS ZOPICLONE TAB 7.5 MG 30
718473001 BIO ZOPICLONE 7.5MG TABS 1020300 OTHER SEDATIVE HYPNOTICS ZOPICLONE TAB 7.5 MG 30
778702006 XANOR 0.25MG TABS 1030100 BENZO ANXIOLYTICS ALPRAZOLAM TAB 0.25 MG 30
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PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
778702014 XANOR 0.25MG TABS 1030100 BENZO ANXIOLYTICS ALPRAZOLAM TAB 0.25 MG 100
821071009 ADCO-ALZAM 0.25MG TABS 1030100 BENZO ANXIOLYTICS ALPRAZOLAM TAB 0.25 MG 30
821071017 ADCO-ALZAM 0.25MG TABS 1030100 BENZO ANXIOLYTICS ALPRAZOLAM TAB 0.25 MG 100
823244008 AZOR 0.25MG TABS 1030100 BENZO ANXIOLYTICS ALPRAZOLAM TAB 0.25 MG 100
826685005 ZOPAX 0.25MG TABS 1030100 BENZO ANXIOLYTICS ALPRAZOLAM TAB 0.25 MG 30
826685013 ZOPAX 0.25MG TABS 1030100 BENZO ANXIOLYTICS ALPRAZOLAM TAB 0.25 MG 100
897929001 CPL ALLIANCE ALPRAZOLAM 0.25MG 1030100 BENZO ANXIOLYTICS ALPRAZOLAM TAB 0.25 MG 100
897965021 MYLAN ALPRAZOLAM 0.25MG TABS 1030100 BENZO ANXIOLYTICS ALPRAZOLAM TAB 0.25 MG 100
778710009 XANOR 0.5MG TABS 1030100 BENZO ANXIOLYTICS ALPRAZOLAM TAB 0.5 MG 30
778710017 XANOR 0.5MG TABS 1030100 BENZO ANXIOLYTICS ALPRAZOLAM TAB 0.5 MG 100
821098004 ADCO-ALZAM 0.5MG TABS 1030100 BENZO ANXIOLYTICS ALPRAZOLAM TAB 0.5 MG 30
821098012 ADCO-ALZAM 0.5MG TABS 1030100 BENZO ANXIOLYTICS ALPRAZOLAM TAB 0.5 MG 100
821098020 ADCO-ALZAM 0.5MG TABS 1030100 BENZO ANXIOLYTICS ALPRAZOLAM TAB 0.5 MG 250
823252019 AZOR 0.5MG TABS 1030100 BENZO ANXIOLYTICS ALPRAZOLAM TAB 0.5 MG 100
826693008 ZOPAX 0.5MG TABS 1030100 BENZO ANXIOLYTICS ALPRAZOLAM TAB 0.5 MG 30
826693016 ZOPAX 0.5MG TABS 1030100 BENZO ANXIOLYTICS ALPRAZOLAM TAB 0.5 MG 100
895173007 MYLAN ALPRAZOLAM 0.5MG TABS 1030100 BENZO ANXIOLYTICS ALPRAZOLAM TAB 0.5 MG 100
895173008 MYLAN ALPRAZOLAM 0.5MG TABS 1030100 BENZO ANXIOLYTICS ALPRAZOLAM TAB 0.5 MG 300
897930002 CPL ALLIANCE ALPRAZOLAM 0.5MG 1030100 BENZO ANXIOLYTICS ALPRAZOLAM TAB 0.5 MG 100
778729001 XANOR 1MG TABS 1030100 BENZO ANXIOLYTICS ALPRAZOLAM TAB 1 MG 30
821101005 ADCO-ALZAM 1MG TABS 1030100 BENZO ANXIOLYTICS ALPRAZOLAM TAB 1 MG 30
821101013 ADCO-ALZAM 1MG TABS 1030100 BENZO ANXIOLYTICS ALPRAZOLAM TAB 1 MG 100
823260003 AZOR 1MG TABS 1030100 BENZO ANXIOLYTICS ALPRAZOLAM TAB 1 MG 100
826707009 ZOPAX 1MG TABS 1030100 BENZO ANXIOLYTICS ALPRAZOLAM TAB 1 MG 30
826707017 ZOPAX 1MG TABS 1030100 BENZO ANXIOLYTICS ALPRAZOLAM TAB 1 MG 100
897968007 MYLAN ALPRAZOLAM 1MG TABS 1030100 BENZO ANXIOLYTICS ALPRAZOLAM TAB 1 MG 100
710784007 SANDOZ BROMAZEPAM 3MG TABS 1030100 BENZO ANXIOLYTICS BROMAZEPAM TAB 3 MG 30
737933003 LEXOTAN 3MG TABS 1030100 BENZO ANXIOLYTICS BROMAZEPAM TAB 3 MG 30
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PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
737933011 LEXOTAN 3MG TABS 1030100 BENZO ANXIOLYTICS BROMAZEPAM TAB 3 MG 90
796999007 BRAZEPAM 3MG TABS 1030100 BENZO ANXIOLYTICS BROMAZEPAM TAB 3 MG 30
796999015 BRAZEPAM 3MG TABS 1030100 BENZO ANXIOLYTICS BROMAZEPAM TAB 3 MG 100
710792018 SANDOZ BROMAZEPAM 6MG TABS 1030100 BENZO ANXIOLYTICS BROMAZEPAM TAB 6 MG 30
737941006 LEXOTAN 6MG TABS 1030100 BENZO ANXIOLYTICS BROMAZEPAM TAB 6 MG 30
737941014 LEXOTAN 6MG TABS 1030100 BENZO ANXIOLYTICS BROMAZEPAM TAB 6 MG 90
800066006 BRAZEPAM 6MG TABS 1030100 BENZO ANXIOLYTICS BROMAZEPAM TAB 6 MG 30
800066014 BRAZEPAM 6MG TABS 1030100 BENZO ANXIOLYTICS BROMAZEPAM TAB 6 MG 100
821616005 BROMAZE 6MG TABS 1030100 BENZO ANXIOLYTICS BROMAZEPAM TAB 6 MG 100
708062024 BETAPAM 5MG TABS 1030100 BENZO ANXIOLYTICS DIAZEPAM TAB 5 MG 1000
721174027 DOVAL 5MG TABS 1030100 BENZO ANXIOLYTICS DIAZEPAM TAB 5 MG 100
753173018 PAX 5MG TABS 1030100 BENZO ANXIOLYTICS DIAZEPAM TAB 5 MG 30
774472006 VALIUM 5MG TABS 1030100 BENZO ANXIOLYTICS DIAZEPAM TAB 5 MG 90
721174028 DOVAL 5MG TABS 1030100 BENZO ANXIOLYTICS DIAZEPAM TAB 5 MG 1000
774472007 VALIUM 5MG TABS 1030100 BENZO ANXIOLYTICS DIAZEPAM TAB 5 MG 100
758183003 PURATA 10MG TABS 1030100 BENZO ANXIOLYTICS OXAZEPAM TAB 10 MG 100
763500003 SEREPAX 10MG TABS 1030100 BENZO ANXIOLYTICS OXAZEPAM TAB 10 MG 100
751758035 SANDOZ OXAZEPAM 15MG TABS 1030100 BENZO ANXIOLYTICS OXAZEPAM TAB 15 MG 250
751758043 SANDOZ OXAZEPAM 15MG TABS 1030100 BENZO ANXIOLYTICS OXAZEPAM TAB 15 MG 30
758191006 PURATA 15MG TABS 1030100 BENZO ANXIOLYTICS OXAZEPAM TAB 15 MG 100
763519006 SEREPAX 15MG TABS 1030100 BENZO ANXIOLYTICS OXAZEPAM TAB 15 MG 100
751766003 SANDOZ OXAZEPAM 30MG TABS 1030100 BENZO ANXIOLYTICS OXAZEPAM TAB 30 MG 100
758205007 PURATA 30MG TABS 1030100 BENZO ANXIOLYTICS OXAZEPAM TAB 30 MG 100
763527009 SEREPAX 30MG TABS 1030100 BENZO ANXIOLYTICS OXAZEPAM TAB 30 MG 100
772003009 TREPILINE 10MG TABS 1040100 TRICYCLICS AMITRIPTYLINE HCL TAB 10 MG 100
772003017 TREPILINE 10MG TABS 1040100 TRICYCLICS AMITRIPTYLINE HCL TAB 10 MG 500
771996004 TREPILINE 25MG TABS 1040100 TRICYCLICS AMITRIPTYLINE HCL TAB 25 MG 100
771996012 TREPILINE 25MG TABS 1040100 TRICYCLICS AMITRIPTYLINE HCL TAB 25 MG 500
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PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
784230005 SANDOZ AMITRIPTYL 25MG TABS 1040100 TRICYCLICS AMITRIPTYLINE HCL TAB 25 MG 100
784230013 SANDOZ AMITRIPTYL 25MG TABS 1040100 TRICYCLICS AMITRIPTYLINE HCL TAB 25 MG 500
718746001 GULF AMITRIPTYLINE 25MG TABS 1040100 TRICYCLICS AMITRIPTYLINE HCL TAB 25 MG 500
724661107 ETHIPRAMINE 10MG TABS 1040100 TRICYCLICS IMIPRAMINE HCL TAB 10 MG 100
724661115 ETHIPRAMINE 10MG TABS 1040100 TRICYCLICS IMIPRAMINE HCL TAB 10 MG 1000
771120001 TOFRANIL 10MG TABS 1040100 TRICYCLICS IMIPRAMINE HCL TAB 10 MG 100
724688102 ETHIPRAMINE 25MG TABS 1040100 TRICYCLICS IMIPRAMINE HCL TAB 25 MG 100
724688110 ETHIPRAMINE 25MG TABS 1040100 TRICYCLICS IMIPRAMINE HCL TAB 25 MG 1000
771139004 TOFRANIL 25MG TABS 1040100 TRICYCLICS IMIPRAMINE HCL TAB 25 MG 100
723037019 EMETROL LIQ 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS
*FRUCTOSE-DEXTROSE-PHOSPHORIC ACID ORAL SOLN*** 200
723037027 EMETROL LIQ 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS
*FRUCTOSE-DEXTROSE-PHOSPHORIC ACID ORAL SOLN*** 100
778265005 VOMIFENE TABS 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS BUCLIZINE-PYRIDOXINE TAB 25-50 MG 20
778265013 VOMIFENE TABS 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS BUCLIZINE-PYRIDOXINE TAB 25-50 MG 100
774626003 VALOID 100MG SUPP 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS CYCLIZINE HCL SUPP 100 MG 6
772135002 TRIAZINE 50MG SUPP 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS CYCLIZINE HCL SUPP 50 MG 6
774618019 VALOID 50MG SUPP 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS CYCLIZINE HCL SUPP 50 MG 6
774642009 VALOID 2.5MG/ML SYRP 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS CYCLIZINE HCL SYRUP 12.5 MG/5ML 50
792225015 ACULOID 12.5MG/5ML SYRP 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS CYCLIZINE HCL SYRUP 12.5 MG/5ML 50
792845005 MEDAZINE-S 2.5MG/ML SYRP 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS CYCLIZINE HCL SYRUP 12.5 MG/5ML 50
796700001 TRIAZINE PEAD SYRP 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS CYCLIZINE HCL SYRUP 12.5 MG/5ML 50
808962019 ADCO-CYCLIZINE 2.5MG SYRP 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS CYCLIZINE HCL SYRUP 12.5 MG/5ML 50
820571008 NAUZINE S 12.5MG/5 SYRP 1080000 ANTI-VERTIGO AND ANTI-EMETIC CYCLIZINE HCL SYRUP 12.5 MG/5ML 50
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PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
AGENTS
702573001 PINALOID 50MG TABS 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS CYCLIZINE HCL TAB 50 MG 10
772143013 TRIAZINE 50MG TABS 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS CYCLIZINE HCL TAB 50 MG 10
774634006 VALOID 50MG TABS 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS CYCLIZINE HCL TAB 50 MG 10
774634014 VALOID 50MG TABS 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS CYCLIZINE HCL TAB 50 MG 20
792853024 MEDAZINE NAUSEA 50MG TABS 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS CYCLIZINE HCL TAB 50 MG 10
799424005 NAUZINE 50MG TABS 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS CYCLIZINE HCL TAB 50 MG 20
808954008 ADCO-CYCLIZINE 50MG TABS 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS CYCLIZINE HCL TAB 50 MG 20
809322005 COVAMET 50MG TABS 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS CYCLIZINE HCL TAB 50 MG 20
811513009 DISCHEM EMITEX 50MG TABS 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS CYCLIZINE HCL TAB 50 MG 20
792217004 ACULOID 50MG TABS 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS CYCLIZINE HCL TAB 50 MG 20
809322014 COVAMET 50MG TABS 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS CYCLIZINE HCL TAB 50 MG 10
792853008 MEDAZINE NAUSEA 50MG TABS 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS CYCLIZINE HCL TAB 50 MG 20
714844004 CLOPAMON 5MG/5ML SYRP 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS
METOCLOPRAMIDE HCL SYRUP 5 MG/5ML 100
740500007 MAXOLON 5MG/5ML SYRP 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS
METOCLOPRAMIDE HCL SYRUP 5 MG/5ML 100
783064004 ADCO-CONTROMET 5MG/5ML 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS
METOCLOPRAMIDE HCL SYRUP 5 MG/5ML 50
700712002 CLOMAX 10MG TABS 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS
METOCLOPRAMIDE HCL TAB 10 MG (SALT EQUIVALENT) 500
714828017 CLOPAMON 10MG TABS 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS
METOCLOPRAMIDE HCL TAB 10 MG (SALT EQUIVALENT) 500
715875124 ADCO-CONTROMET 10MG TABS 1080000 ANTI-VERTIGO AND ANTI-EMETIC METOCLOPRAMIDE HCL TAB 10 MG 500
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PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
AGENTS (SALT EQUIVALENT)
740519018 MAXOLON 10MG TABS 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS
METOCLOPRAMIDE HCL TAB 10 MG (SALT EQUIVALENT) 20
740519026 MAXOLON 10MG TABS 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS
METOCLOPRAMIDE HCL TAB 10 MG (SALT EQUIVALENT) 100
783285035 SETIN 10MG TABS 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS
METOCLOPRAMIDE HCL TAB 10 MG (SALT EQUIVALENT) 1000
787817023 BETACLOPRAMIDE 10MG TABS 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS
METOCLOPRAMIDE HCL TAB 10 MG (SALT EQUIVALENT) 500
717891001 BIO METOCLOPRAMIDE 10MG TABS 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS
METOCLOPRAMIDE HCL TAB 10 MG (SALT EQUIVALENT) 500
784346003 EMEX SYR 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS
PHOSPHORATED CARBOHYDRATE SYRUP 200
784346011 EMEX SYR 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS
PHOSPHORATED CARBOHYDRATE SYRUP 100
744182026 MITIL 5MG TABS 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS
PROCHLORPERAZINE MALEATE TAB 5 MG 250
762849126 SCRIPTO-METIC 5MG TABS 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS
PROCHLORPERAZINE MALEATE TAB 5 MG 500
766542009 STEMETIL 5MG TABS 1080000 ANTI-VERTIGO AND ANTI-EMETIC AGENTS
PROCHLORPERAZINE MALEATE TAB 5 MG 25
791857018 IMIGRAN 100MG TABS 1090000 ANTI-MIGRAINE AGENTS SUMATRIPTAN SUCCINATE TAB 100 MG 4
707088001 MIGREX 100MG TABS 1090000 ANTI-MIGRAINE AGENTS SUMATRIPTAN SUCCINATE TAB 100 MG 4
709897001 IMIGEN 100MG TABS 1090000 ANTI-MIGRAINE AGENTS SUMATRIPTAN SUCCINATE TAB 100 MG 4
711182001 TRIPTAM 100MG TABS 1090000 ANTI-MIGRAINE AGENTS SUMATRIPTAN SUCCINATE TAB 100 MG 4
715853001 ACCORD SUMATRIPTAN 100MG 1090000 ANTI-MIGRAINE AGENTS SUMATRIPTAN SUCCINATE TAB 100 MG 4
815640005 IMIGRAN 50MG TABS 1090000 ANTI-MIGRAINE AGENTS SUMATRIPTAN SUCCINATE TAB 50 MG 2
815640013 IMIGRAN 50MG TABS 1090000 ANTI-MIGRAINE AGENTS SUMATRIPTAN SUCCINATE TAB 50 MG 6
707087001 MIGREX 50MG TABS 1090000 ANTI-MIGRAINE AGENTS SUMATRIPTAN SUCCINATE TAB 50 MG 2
709895001 IMIGEN 50MG TABS 1090000 ANTI-MIGRAINE AGENTS SUMATRIPTAN SUCCINATE TAB 50 MG 2
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PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
709895002 IMIGEN 50MG TABS 1090000 ANTI-MIGRAINE AGENTS SUMATRIPTAN SUCCINATE TAB 50 MG 6
711181001 TRIPTAM 50MG TABS 1090000 ANTI-MIGRAINE AGENTS SUMATRIPTAN SUCCINATE TAB 50 MG 2
711181002 TRIPTAM 50MG TABS 1090000 ANTI-MIGRAINE AGENTS SUMATRIPTAN SUCCINATE TAB 50 MG 6
715852001 ACCORD SUMATRIPTAN 50MG TABS 1090000 ANTI-MIGRAINE AGENTS SUMATRIPTAN SUCCINATE TAB 50 MG 2
703591002 ANETHAINE CREAM 2020100 SURFACE ANAESTHETICS TETRACAINE HCL CREAM 1% 25
703591010 ANETHAINE CREAM 2020100 SURFACE ANAESTHETICS TETRACAINE HCL CREAM 1% 40
799211028 AMETHOCAINE CREAM 2020100 SURFACE ANAESTHETICS TETRACAINE HCL CREAM 1% 25
703118001 PANADO SYRUP STRAWBERRY 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN ELIXIR 120 MG/5ML 50
703118002 PANADO SYRUP STRAWBERRY 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN ELIXIR 120 MG/5ML 100
703349001 PAINBLOK 120MG/5ML (GLASS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN ELIXIR 120 MG/5ML 50
703349002 PAINBLOK 120MG/5ML (GLASS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN ELIXIR 120 MG/5ML 100
703820001 FEVERPAIN (UNBOXED) 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN ELIXIR 120 MG/5ML 100
704093001 ACTAMOL RED (UN-BOXED) 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN ELIXIR 120 MG/5ML 100
704450001 PAINOGESIC SYRP 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN ELIXIR 120 MG/5ML 100
745715028 NAPAMOL 120MG/5ML SYRP 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN ELIXIR 120 MG/5ML 100
752118005 PAINAMOL 120MG/5ML SYRP 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN ELIXIR 120 MG/5ML 100
752118013 PAINAMOL 120MG/5ML SYRP 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN ELIXIR 120 MG/5ML 2500
752118021 PAINAMOL 120MG/5ML SYRP 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN ELIXIR 120 MG/5ML 50
752282018 PANADO SYRUP 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN ELIXIR 120 MG/5ML 100
752282026 PANADO SYRUP 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN ELIXIR 120 MG/5ML 50
758558015 PYRALEN 120MG/5ML SYRP 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN ELIXIR 120 MG/5ML 2500
789526018 BRUNOMOL 120MG/5ML SYRP 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN ELIXIR 120 MG/5ML 100
789526026 BRUNOMOL 120MG/5ML SYRP 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN ELIXIR 120 MG/5ML 2500
792101006 ACTAMOL 120MG/5ML SYRP 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN ELIXIR 120 MG/5ML 100
863742009 FEVERPAIN ELIX 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN ELIXIR 120 MG/5ML 100
889772003 PAINBLOK 120MG/5ML SYRP 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN ELIXIR 120 MG/5ML 100
889772012 PAINBLOK 120MG/5ML SYRP 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN ELIXIR 120 MG/5ML 50
894281003 ADCO-PARACETAMOL ELIX 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN ELIXIR 120 MG/5ML 100
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PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
703820003 FEVERPAIN (UNBOXED) 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN ELIXIR 120 MG/5ML 2500
707562001 PAINAMOL (GLASS BOTTLE) SYRP 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN ELIXIR 120 MG/5ML 50
707583002 PARACETAMOL ELIX (ALC FREE) 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN ELIXIR 120 MG/5ML 2500
707562002 PAINAMOL (G/BOTTLE) 120MG/5ML 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN ELIXIR 120 MG/5ML 100
714708001 PYNGESIC S 120MG/5ML SYRP 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN ELIXIR 120 MG/5ML 100
715111001 GRAYS PARACETAMOL 120MG/5ML 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN ELIXIR 120 MG/5ML 100
819697001 EMPAPED 125MG SUPP 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN SUPPOS 125 MG 10
819700002 EMPAPED 250MG SUPP 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN SUPPOS 250 MG 10
788953001 PANADO(NO ALCOHOL) SYRP 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN SYRUP 120 MG/5ML 100
895199009 GO-PAIN P 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN SYRUP 120 MG/5ML 100
710452001 WOODWARDS PARACETAMOL 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN SYRUP 120 MG/5ML 100
710452002 WOODWARDS PARACETAMOL 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN SYRUP 120 MG/5ML 50
717187001 BARRS PARACETAMOL 120MG/5ML 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN SYRUP 120 MG/5ML 100
701634001 DIS-CHEM PARACETAMOL 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 20
701634002 DIS-CHEM PARACETAMOL 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 100
704465001 PAINOGESIC TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 5000
704643001 CETAPON TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 1000
704719001 MEDI-PARACETAMOL 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 1000
720860008 DOLOROL 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 20
720860016 DOLOROL 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 100
745723136 NAPAMOL 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 5000
752142003 PAINAMOL 500MG TABS WHITE 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 20
752142011 PAINAMOL 500MG TABS WHITE 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 100
752142135 PAINAMOL 500MG TABS WHITE 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 1000
752274015 PANADO 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 50
752274023 PANADO 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 100
752274058 PANADO 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 24
752274066 PANADO 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 12
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PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
752878034 PARAPANE 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 1000
752878042 PARAPANE 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 5000
757403107 PROLIEF 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 5000
757403115 PROLIEF 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 20000
784443009 PARAMED 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 20
784443033 PARAMED 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 24
799629006 PAINAMOL GREEN 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 5000
799629014 PAINAMOL GREEN 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 1000
805467009 ANTALGIC 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 1000
805467017 ANTALGIC 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 5000
824992008 GENCETAMOL 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 1000
824992016 GENCETAMOL 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 5000
826588018 LINK THERA-PAIN TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 20
867950021 GULF PARACETAMOL 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 1000
867969024 PAINBLOK 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 100
867969032 PAINBLOK 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 10
867969033 PAINBLOK 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 24
885863005 VON PARACETAMOL TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 1000
894212006 JP PARACETAMOL TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 1000
710211001 ZYDUS-PARACETAMOL 500MG 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 100
710211002 ZYDUS-PARACETAMOL 500MG 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 5000
784443034 PARAMED 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 10
824992017 GENCETAMOL 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 20
713153001 AUSTELL-PARACETAMOL 500MG 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 10
713153002 AUSTELL-PARACETAMOL 500MG 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 20
714499001 CLICKS PARACETAMOL 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 24
714707001 PYNGESIC T 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 100
715112001 GRAYS PARACETAMOL 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 20
Page 10 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
715112002 GRAYS PARACETAMOL 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 96
715280001 LENNON PARACETAMOL 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 24
715860001 GRAND-PA PARACETAMOL TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 10
715860002 GRAND-PA PARACETAMOL TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 20
752878043 PARAPANE 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 24
716045001 ADCO-NAPAMOL 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 20
717725001 ACTAMOL 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 1000
752142152 PAINAMOL 500MG TABS WHITE 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 24
717725002 ACTAMOL 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 10
717725003 ACTAMOL 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 20
720327001 PANADO 500MG TABS BLISTER PACK 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 24
752274067 PANADO 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 2
716045002 ADCO-NAPAMOL 500MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ACETAMINOPHEN TAB 500 MG 2
700909003 GULF ASPIRIN 300MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ASPIRIN TAB 300 MG 1000
704645001 ASPIRIN TABS 3020000 ANALGESIC AND ANTIPYRETICS ASPIRIN TAB 300 MG 1000
706930002 BAYER ASPIRIN TABS 3020000 ANALGESIC AND ANTIPYRETICS ASPIRIN TAB 300 MG 100
706930010 BAYER ASPIRIN TABS 3020000 ANALGESIC AND ANTIPYRETICS ASPIRIN TAB 300 MG 10
706930029 BAYER ASPIRIN TABS 3020000 ANALGESIC AND ANTIPYRETICS ASPIRIN TAB 300 MG 30
706930037 BAYER ASPIRIN TABS 3020000 ANALGESIC AND ANTIPYRETICS ASPIRIN TAB 300 MG 50
798533013 BE-TABS ASPIRIN 300MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ASPIRIN TAB 300 MG 1000
798533021 BE-TABS ASPIRIN 300MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ASPIRIN TAB 300 MG 5000
700909004 GULF ASPIRIN 300MG TABS 3020000 ANALGESIC AND ANTIPYRETICS ASPIRIN TAB 300 MG 14
719673001 DR DU TOITS PAIN EXPELLER 300M 3020000 ANALGESIC AND ANTIPYRETICS ASPIRIN TAB 300 MG 20
719673002 DR DU TOITS PAIN EXPELLER 300M 3020000 ANALGESIC AND ANTIPYRETICS ASPIRIN TAB 300 MG 30
719673003 DR DU TOITS PAIN EXPELLER 300M 3020000 ANALGESIC AND ANTIPYRETICS ASPIRIN TAB 300 MG 1000
700315001 IBUCINE SUSP 3020000 ANALGESIC AND ANTIPYRETICS IBUPROFEN SUSP 100 MG/5ML 100
700695001 NUROFEN CHILDREN SUGAR FR 3020000 ANALGESIC AND ANTIPYRETICS IBUPROFEN SUSP 100 MG/5ML 100
710857004 BRUFEN PAED SUSP 3020000 ANALGESIC AND ANTIPYRETICS IBUPROFEN SUSP 100 MG/5ML 100
Page 11 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
704781001 IBUGESIC 100MG/5ML SUSP 3020000 ANALGESIC AND ANTIPYRETICS IBUPROFEN SUSP 100 MG/5ML 100
712683001 NUROFEN FOR CHILD STRAWBERRY 3020000 ANALGESIC AND ANTIPYRETICS IBUPROFEN SUSP 100 MG/5ML 100
721335001 INFLAMAX PAED 100MG/5ML SUSP 3020000 ANALGESIC AND ANTIPYRETICS IBUPROFEN SUSP 100 MG/5ML 100
796433003 PONAC 250MG CAPS 3020000 ANALGESIC AND ANTIPYRETICS MEFENAMIC ACID CAP 250 MG 100
797707026 FENAMIN 250MG CAPS 3020000 ANALGESIC AND ANTIPYRETICS MEFENAMIC ACID CAP 250 MG 250
812250001 PONSTEL 250MG CAPS 3020000 ANALGESIC AND ANTIPYRETICS MEFENAMIC ACID CAP 250 MG 20
812250036 PONSTEL 250MG CAPS 3020000 ANALGESIC AND ANTIPYRETICS MEFENAMIC ACID CAP 250 MG 250
883102004 ADCO-MEFENAMIC ACID CAPS 3020000 ANALGESIC AND ANTIPYRETICS MEFENAMIC ACID CAP 250 MG 18
883102012 ADCO-MEFENAMIC ACID CAPS 3020000 ANALGESIC AND ANTIPYRETICS MEFENAMIC ACID CAP 250 MG 250
756148112 PONSTAN 250MG CAPS 3020000 ANALGESIC AND ANTIPYRETICS MEFENAMIC ACID CAP 250 MG 20
807435007 PONSTAN PEAD 125MG SUP 3020000 ANALGESIC AND ANTIPYRETICS MEFENAMIC ACID SUPP 125 MG 5
756156009 PONSTAN 10MG/ML SUSP 3020000 ANALGESIC AND ANTIPYRETICS MEFENAMIC ACID SUSP 50 MG/5ML 100
756156017 PONSTAN 10MG/ML SUSP 3020000 ANALGESIC AND ANTIPYRETICS MEFENAMIC ACID SUSP 50 MG/5ML 200
756156025 PONSTAN 50MG/5ML SUSP 3020000 ANALGESIC AND ANTIPYRETICS MEFENAMIC ACID SUSP 50 MG/5ML 2500
793264006 PONAC 50MG/5ML SUSP 3020000 ANALGESIC AND ANTIPYRETICS MEFENAMIC ACID SUSP 50 MG/5ML 100
793264014 PONAC 50MG/5ML SUSP 3020000 ANALGESIC AND ANTIPYRETICS MEFENAMIC ACID SUSP 50 MG/5ML 200
797014004 FENAMIN 50MG/5ML SUSP 3020000 ANALGESIC AND ANTIPYRETICS MEFENAMIC ACID SUSP 50 MG/5ML 100
810398001 PONSTEL S 50MG/5ML SUSP 3020000 ANALGESIC AND ANTIPYRETICS MEFENAMIC ACID SUSP 50 MG/5ML 100
810398028 PONSTEL S 50MG/5ML SUSP 3020000 ANALGESIC AND ANTIPYRETICS MEFENAMIC ACID SUSP 50 MG/5ML 200
810398036 PONSTEL S 50MG/5ML SUSP 3020000 ANALGESIC AND ANTIPYRETICS MEFENAMIC ACID SUSP 50 MG/5ML 2500
875643019 ADCO-MEFENAMIC ACID 3020000 ANALGESIC AND ANTIPYRETICS MEFENAMIC ACID SUSP 50 MG/5ML 100
875643027 ADCO-MEFENAMIC ACID 3020000 ANALGESIC AND ANTIPYRETICS MEFENAMIC ACID SUSP 50 MG/5ML 200
765635003 SPECTRAPAIN CAPS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN W/ CODEINE CAP 320-8 MG 20
765635011 SPECTRAPAIN CAPS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN W/ CODEINE CAP 320-8 MG 100
765635038 SPECTRAPAIN CAPS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN W/ CODEINE CAP 320-8 MG 1000
745707122 NAPACOD TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN W/ CODEINE TAB 500-10 MG 1000
Page 12 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
745707130 NAPACOD TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN W/ CODEINE TAB 500-10 MG 5000
795402007 KODAPON TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN W/ CODEINE TAB 500-10 MG 1000
795402066 KODAPON TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN W/ CODEINE TAB 500-10 MG 100
700742002 AMSTIL TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN W/ CODEINE TAB 500-8 MG 1000
707910021 PAINAMOL PLUS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN W/ CODEINE TAB 500-8 MG 1000
720879019 DOLOROL FORTE TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN W/ CODEINE TAB 500-8 MG 20
720879027 DOLOROL FORTE TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN W/ CODEINE TAB 500-8 MG 50
720879051 DOLOROL FORTE TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN W/ CODEINE TAB 500-8 MG 100
761303014 ROCODIN TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN W/ CODEINE TAB 500-8 MG 100
761303146 ROCODIN TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN W/ CODEINE TAB 500-8 MG 20
787043002 CODOROL TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN W/ CODEINE TAB 500-8 MG 1000
837652014 DINO-COD TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN W/ CODEINE TAB 500-8 MG 1000
837652022 DINO-COD TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN W/ CODEINE TAB 500-8 MG 5000
895030002 PAINCODEIN TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN W/ CODEINE TAB 500-8 MG 20
895030009 PAINCODEIN TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN W/ CODEINE TAB 500-8 MG 1000
895030010 PAINCODEIN TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN W/ CODEINE TAB 500-8 MG 5000
713688001 VARI-COCODAMOL 8MG/500MG TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN W/ CODEINE TAB 500-8 MG 1000
719662001 COGESIC TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN W/ CODEINE TAB 500-8 MG 1000
Page 13 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
720879052 DOLOROL FORTE TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN W/ CODEINE TAB 500-8 MG 40
752177036 PAINAGON TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-MEPROBAMATE-CAFF-COD TAB 320-150-32- 1000
766828018 STILPANE TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-MEPROBAMATE-CAFF-COD TAB 320-150-32- 100
766828026 STILPANE TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-MEPROBAMATE-CAFF-COD TAB 320-150-32- 1000
766925005 STOPAYNE TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-MEPROBAMATE-CAFF-COD TAB 320-150-32- 100
786780029 ANTIPYN FORTE TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-MEPROBAMATE-CAFF-COD TAB 320-150-32- 500
789992027 PYNMED TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-MEPROBAMATE-CAFF-COD TAB 320-150-32- 100
793892015 XEROGESIC TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-MEPROBAMATE-CAFF-COD TAB 320-150-32- 100
793892074 XEROGESIC TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-MEPROBAMATE-CAFF-COD TAB 320-150-32- 500
800325044 BRISCOPYN TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-MEPROBAMATE-CAFF-COD TAB 320-150-32- 1000
809055007 SALTERPYN TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-MEPROBAMATE-CAFF-COD TAB 320-150-32- 1000
823538001 GO-PAIN TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-MEPROBAMATE-CAFF-COD TAB 320-150-32- 20
823538003 GO-PAIN TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-MEPROBAMATE-CAFF-COD TAB 320-150-32- 1000
834440008 SPECTRAPAIN FORTE TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-MEPROBAMATE-CAFF-COD TAB 320-150-32- 100
834440024 SPECTRAPAIN FORTE TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-MEPROBAMATE-CAFF-COD TAB 320-150-32- 1000
892662006 NUCOPAIN TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-MEPROBAMATE-CAFF-COD TAB 320-150-32- 1000
894282006 ADCO-PAYNE TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-MEPROBAMATE-CAFF-COD TAB 320-150-32- 500
793574022 GOLDGESIC TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-MEPROBAMATE-CAFF-COD TAB 320-150-32- 1000
Page 14 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
809055008 ADCO-SALTERPYN TABS 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-MEPROBAMATE-CAFF-COD TAB 320-150-32- 500
732753007 INFAPAIN FORTE SYRP 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-PROMETHAZINE W/ CODEINE SYRUP 120-6. 100
736589007 LENTOGESIC SYRP 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-PROMETHAZINE W/ CODEINE SYRUP 120-6. 100
752185004 PAINAGON SYRP 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-PROMETHAZINE W/ CODEINE SYRUP 120-6. 100
766801004 STILPANE SYRP 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-PROMETHAZINE W/ CODEINE SYRUP 120-6. 100
766941019 STOPAYNE SYRP 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-PROMETHAZINE W/ CODEINE SYRUP 120-6. 100
789984008 PYNMED PAIN AND FEVER SYRUP 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-PROMETHAZINE W/ CODEINE SYRUP 120-6. 100
793566002 GOLDGESIC SYRP 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-PROMETHAZINE W/ CODEINE SYRUP 120-6. 100
807583006 ADCO-SALTERPYN SYRP 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-PROMETHAZINE W/ CODEINE SYRUP 120-6. 100
823511006 GO-PAIN SYRP 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-PROMETHAZINE W/ CODEINE SYRUP 120-6. 100
833746006 MEDIPYN S 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-PROMETHAZINE W/ CODEINE SYRUP 120-6. 100
836605004 KID-EEZE SYRP 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-PROMETHAZINE W/ CODEINE SYRUP 120-6. 100
894289006 ADCO-KIDDIPAYNE 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-PROMETHAZINE W/ CODEINE SYRUP 120-6. 100
710248001 BAN PAIN SYRUP 3030000 COMBINATION ANALGESICS ACETAMINOPHEN-PROMETHAZINE W/ CODEINE SYRUP 120-6. 100
704586001 IBUPAIN CAPS 3030000 COMBINATION ANALGESICS IBUPROFEN-ACETAMINOPHEN CAP 200-250 MG 30
810177005 MYPAID CAPS 3030000 COMBINATION ANALGESICS IBUPROFEN-ACETAMINOPHEN CAP 200-250 MG 30
810177013 MYPAID CAPS 3030000 COMBINATION ANALGESICS IBUPROFEN-ACETAMINOPHEN CAP 200-250 MG 60
705266001 DENTOPAIN CAPS 3030000 COMBINATION ANALGESICS IBUPROFEN-ACETAMINOPHEN CAP 200-250 MG 30
Page 15 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
716543001 PANADO PLUS CAPS 3030000 COMBINATION ANALGESICS IBUPROFEN-ACETAMINOPHEN CAP 200-250 MG 20
716543002 PANADO PLUS CAPS 3030000 COMBINATION ANALGESICS IBUPROFEN-ACETAMINOPHEN CAP 200-250 MG 50
704586002 IBUPAIN CAPS 3030000 COMBINATION ANALGESICS IBUPROFEN-ACETAMINOPHEN CAP 200-250 MG 10
719663001 IBUPAIN CAPS BLISTER PACK 3030000 COMBINATION ANALGESICS IBUPROFEN-ACETAMINOPHEN CAP 200-250 MG 30
700243002 TRAMACET TABS 3030000 COMBINATION ANALGESICS TRAMADOL-ACETAMINOPHEN TAB 37.5-325 MG 60
719052001 TRAMAZAC CO 37.5/325MG TABS 3030000 COMBINATION ANALGESICS TRAMADOL-ACETAMINOPHEN TAB 37.5-325 MG 60
719300001 ULTRACET TABS 3030000 COMBINATION ANALGESICS TRAMADOL-ACETAMINOPHEN TAB 37.5-325 MG 60
719052002 TRAMAZAC CO 37.5/325MG TABS 3030000 COMBINATION ANALGESICS TRAMADOL-ACETAMINOPHEN TAB 37.5-325 MG 30
721680001 TRAMAHEXAL CO 37.5/325 TABS 3030000 COMBINATION ANALGESICS TRAMADOL-ACETAMINOPHEN TAB 37.5-325 MG 60
723073001 PATRAM 37.5MG/325MG TABS 3030000 COMBINATION ANALGESICS TRAMADOL-ACETAMINOPHEN TAB 37.5-325 MG 60
723749001 TAMOLTRA 37.5MG/325MG TABS 3030000 COMBINATION ANALGESICS TRAMADOL-ACETAMINOPHEN TAB 37.5-325 MG 30
723749002 TAMOLTRA 37.5MG/325MG TABS 3030000 COMBINATION ANALGESICS TRAMADOL-ACETAMINOPHEN TAB 37.5-325 MG 60
797146008 TRAMAL 50MG CAPS 3040000 OTHER ANALGESICS TRAMADOL HCL CAP 50 MG 20
797146016 TRAMAL 50MG CAPS 3040000 OTHER ANALGESICS TRAMADOL HCL CAP 50 MG 100
864900007 TRAMAHEXAL 50MG CAPS 3040000 OTHER ANALGESICS TRAMADOL HCL CAP 50 MG 100
864900015 TRAMAHEXAL 50MG CAPS 3040000 OTHER ANALGESICS TRAMADOL HCL CAP 50 MG 20
705175001 DOMADOL 50MG CAPS 3040000 OTHER ANALGESICS TRAMADOL HCL CAP 50 MG 20
705175002 DOMADOL 50MG CAPS 3040000 OTHER ANALGESICS TRAMADOL HCL CAP 50 MG 100
705379001 DOLOTRAM 50MG CAPS 3040000 OTHER ANALGESICS TRAMADOL HCL CAP 50 MG 100
706475001 TRAMAZAC 50MG CAPS 3040000 OTHER ANALGESICS TRAMADOL HCL CAP 50 MG 20
706475002 TRAMAZAC 50MG CAPS 3040000 OTHER ANALGESICS TRAMADOL HCL CAP 50 MG 100
710250001 AUSTELL-TRAMADOL 50MG CAPS 3040000 OTHER ANALGESICS TRAMADOL HCL CAP 50 MG 20
Page 16 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
710250002 AUSTELL-TRAMADOL 50MG CAPS 3040000 OTHER ANALGESICS TRAMADOL HCL CAP 50 MG 100
705379002 DOLOTRAM 50MG CAPS 3040000 OTHER ANALGESICS TRAMADOL HCL CAP 50 MG 20
717391001 TRAMASPEN 50MG CAPS 3040000 OTHER ANALGESICS TRAMADOL HCL CAP 50 MG 100
717391002 TRAMASPEN 50MG CAPS 3040000 OTHER ANALGESICS TRAMADOL HCL CAP 50 MG 20
780855019 VOLTAREN 12.5MG SUP 4010100 COX INHIBITORS DICLOFENAC SODIUM SUPPOS 12.5 MG 5
807605018 PANAMOR 12.5MG SUPP 4010100 COX INHIBITORS DICLOFENAC SODIUM SUPPOS 12.5 MG 5
718479002 DICLOFENAC BIOTECH 25MG TABS 4010100 COX INHIBITORS DICLOFENAC SODIUM TAB DELAYED RELEASE 25 MG 100
719811023 SANDOZ DICLOFENAC 25MG TABS 4010100 COX INHIBITORS DICLOFENAC SODIUM TAB DELAYED RELEASE 25 MG 500
752371002 PANAMOR 25MG TABS 4010100 COX INHIBITORS DICLOFENAC SODIUM TAB DELAYED RELEASE 25 MG 30
752371010 PANAMOR 25MG TABS 4010100 COX INHIBITORS DICLOFENAC SODIUM TAB DELAYED RELEASE 25 MG 100
778206018 VOLTAREN 25MG TABS 4010100 COX INHIBITORS DICLOFENAC SODIUM TAB DELAYED RELEASE 25 MG 50
786012013 MYLAN DICLOFENAC 25 MG TABS 4010100 COX INHIBITORS DICLOFENAC SODIUM TAB DELAYED RELEASE 25 MG 500
786594004 ADCO-DICLOFENAC 25MG TABS 4010100 COX INHIBITORS DICLOFENAC SODIUM TAB DELAYED RELEASE 25 MG 30
786594012 ADCO-DICLOFENAC 25MG TABS 4010100 COX INHIBITORS DICLOFENAC SODIUM TAB DELAYED RELEASE 25 MG 500
853240019 DICLOHEXAL 25MG TABS 4010100 COX INHIBITORS DICLOFENAC SODIUM TAB DELAYED RELEASE 25 MG 500
893390003 A-LENNON DICLOFENAC 25MG TABS 4010100 COX INHIBITORS DICLOFENAC SODIUM TAB DELAYED RELEASE 25 MG 500
718479001 DICLOFENAC BIOTECH 25MG TABS 4010100 COX INHIBITORS DICLOFENAC SODIUM TAB DELAYED RELEASE 25 MG 500
752371030 PANAMOR 25MG TABS 4010100 COX INHIBITORS DICLOFENAC SODIUM TAB DELAYED RELEASE 25 MG 15
752398008 PANAMOR AT 50MG TABS 4010100 COX INHIBITORS DICLOFENAC SODIUM TAB DELAYED RELEASE 50 MG 15
752398016 PANAMOR AT 50MG TABS 4010100 COX INHIBITORS DICLOFENAC SODIUM TAB DELAYED RELEASE 50 MG 21
752398105 PANAMOR AT 50MG TABS 4010100 COX INHIBITORS DICLOFENAC SODIUM TAB DELAYED 105
Page 17 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
RELEASE 50 MG
778222013 VOLTAREN GT 50MG TABS 4010100 COX INHIBITORS DICLOFENAC SODIUM TAB DELAYED RELEASE 50 MG 20
786020008 MYLAN DICLOFENAC 50MG TABS 4010100 COX INHIBITORS DICLOFENAC SODIUM TAB DELAYED RELEASE 50 MG 21
786020016 MYLAN DICLOFENAC 50MG TABS 4010100 COX INHIBITORS DICLOFENAC SODIUM TAB DELAYED RELEASE 50 MG 500
788597019 ADCO-DICLOFENAC 50MG TABS 4010100 COX INHIBITORS DICLOFENAC SODIUM TAB DELAYED RELEASE 50 MG 21
788597027 ADCO-DICLOFENAC 50MG TABS 4010100 COX INHIBITORS DICLOFENAC SODIUM TAB DELAYED RELEASE 50 MG 500
841153019 DICLOHEXAL 50MG TABS 4010100 COX INHIBITORS DICLOFENAC SODIUM TAB DELAYED RELEASE 50 MG 20
893391006 A-LENNON DICLOFENAC 50MG TABS 4010100 COX INHIBITORS DICLOFENAC SODIUM TAB DELAYED RELEASE 50 MG 500
719838046 SANDOZ DICLOFENAC 50MG TABS 4010100 COX INHIBITORS DICLOFENAC SODIUM TAB DELAYED RELEASE 50 MG 20
752398114 PANAMOR AT 50MG TABS 4010100 COX INHIBITORS DICLOFENAC SODIUM TAB DELAYED RELEASE 50 MG 9
700316002 IBUCINE 200MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 200 MG 1000
703966006 SANDOZ IBUPROFEN 200MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 200 MG 30
708186009 BETAGESIC 200MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 200 MG 20
733741002 INZA 200MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 200 MG 30
733741010 INZA 200MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 200 MG 1000
748560009 NUROFEN TABS 4010100 COX INHIBITORS IBUPROFEN TAB 200 MG 12
748560017 NUROFEN TABS 4010100 COX INHIBITORS IBUPROFEN TAB 200 MG 24
787426016 BETAPROFEN 200MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 200 MG 1000
809268019 IBUMED 200MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 200 MG 12
809268027 IBUMED 200MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 200 MG 24
824852001 RANFEN 200MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 200 MG 1000
868221007 IBUNATE 200MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 200 MG 1000
868469009 LENAFEN 200MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 200 MG 12
Page 18 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
868469017 LENAFEN 200MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 200 MG 24
895196005 IBOFLAM 200MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 200 MG 30
895196006 IBOFLAM 200MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 200 MG 1000
897060001 PAINIL 200MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 200 MG 20
705940001 IBU 200MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 200 MG 1000
721118001 AUSTIFEN 200MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 200 MG 1000
824852002 RANFEN 200MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 200 MG 28
708186010 BETAGESIC 200MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 200 MG 100
708536002 IBUSOR 200MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 200 MG 1000
710822112 BRUFEN 200MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 200 MG 10
710822113 BRUFEN 200MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 200 MG 20
721114001 IBUCARE 200MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 200 MG 10
721114002 IBUCARE 200MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 200 MG 20
717155001 AUSTELL IBUPROFEN 200MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 200 MG 1000
700318002 IBUCINE 400MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 400 MG 1000
701654003 RANFEN 400MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 400 MG 1000
701975001 BETAPROFEN 400 TABS 4010100 COX INHIBITORS IBUPROFEN TAB 400 MG 1000
703974009 SANDOZ IBUPROFEN 400MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 400 MG 30
733768008 INZA 400MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 400 MG 30
733768016 INZA 400MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 400 MG 1000
780596005 ADCO-IBUPROFEN 400MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 400 MG 100
780596013 ADCO-IBUPROFEN 400MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 400 MG 1000
710830131 BRUFEN 400MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 400 MG 10
708290001 BREN 400MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 400 MG 1000
721119001 AUSTIFEN 400MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 400 MG 1000
897984006 NUROFEN PERIOD PAIN 400MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 400 MG 12
780596014 ADCO-IBUPROFEN 400MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 400 MG 12
780596015 ADCO-IBUPROFEN 400MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 400 MG 24
Page 19 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
721116001 IBUCARE 400MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 400 MG 10
717153001 AUSTELL IBUPROFEN 400MG TABS 4010100 COX INHIBITORS IBUPROFEN TAB 400 MG 1000
701106026 ADCO-INDOMETHACIN 25 CAPS 4010100 COX INHIBITORS INDOMETHACIN CAP 25 MG 500
701891002 AMDOCIN 25MG CAPS 4010100 COX INHIBITORS INDOMETHACIN CAP 25 MG 500
701891003 AMDOCIN 25MG CAPS 4010100 COX INHIBITORS INDOMETHACIN CAP 25 MG 1000
704725002 ARTHREXIN 25MG CAPS 4010100 COX INHIBITORS INDOMETHACIN CAP 25 MG 100
704725010 ARTHREXIN 25MG CAPS 4010100 COX INHIBITORS INDOMETHACIN CAP 25 MG 500
704776006 SANDOZ INDOMETHACIN 25MG CAPS 4010100 COX INHIBITORS INDOMETHACIN CAP 25 MG 100
726389110 FLAMECID 25MG CAPS 4010100 COX INHIBITORS INDOMETHACIN CAP 25 MG 500
787833010 BETACIN 25MG CAPS 4010100 COX INHIBITORS INDOMETHACIN CAP 25 MG 500
788996002 MEDIFLEX 25MG CAPS 4010100 COX INHIBITORS INDOMETHACIN CAP 25 MG 100
814393012 METHOCAPS 25MG CAPS 4010100 COX INHIBITORS INDOMETHACIN CAP 25 MG 500
868213012 GULF INDOMETHACIN 25MG CAPS 4010100 COX INHIBITORS INDOMETHACIN CAP 25 MG 1000
788996003 MEDIFLEX 25MG CAPS 4010100 COX INHIBITORS INDOMETHACIN CAP 25 MG 1000
785245014 ADCO-NAPROXEN 250MG TABS 4010100 COX INHIBITORS NAPROXEN TAB 250 MG 250
789267004 NAPREL 250MG TABS 4010100 COX INHIBITORS NAPROXEN TAB 250 MG 100
789267012 NAPREL 250MG TABS 4010100 COX INHIBITORS NAPROXEN TAB 250 MG 250
799459011 BE-TABS NAPROXEN 250 4010100 COX INHIBITORS NAPROXEN TAB 250 MG 250
805238026 NAPROSCRIPT 250MG TABS 4010100 COX INHIBITORS NAPROXEN TAB 250 MG 500
806447036 NAPFLAM 250MG TABS 4010100 COX INHIBITORS NAPROXEN TAB 250 MG 250
810185024 MYLAN NAPROXEN TABS 4010100 COX INHIBITORS NAPROXEN TAB 250 MG 250
715831001 BIO-NAPROXEN 250MG TABS 4010100 COX INHIBITORS NAPROXEN TAB 250 MG 140
715831002 BIO-NAPROXEN 250MG TABS 4010100 COX INHIBITORS NAPROXEN TAB 250 MG 250
785245015 ADCO-NAPROXEN 250MG TABS 4010100 COX INHIBITORS NAPROXEN TAB 250 MG 10
722843001 BIO-NAPROXEN 500MG TABS 4010100 COX INHIBITORS NAPROXEN TAB 500 MG 30
808474006 NAPFLAM 500MG TABS 4010100 COX INHIBITORS NAPROXEN TAB 500 MG 30
808474014 NAPFLAM 500MG TABS 4010100 COX INHIBITORS NAPROXEN TAB 500 MG 100
701520001 LOXIFLAM 7.5MG TABS 4010200 SELECTIVE COX2 INHIBITORS MELOXICAM TAB 7.5 MG 30
704588001 SANDOZ MELOXICAM 7.5MG TABS 4010200 SELECTIVE COX2 INHIBITORS MELOXICAM TAB 7.5 MG 30
Page 20 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
818615001 MOBIC 7.5MG TABS 4010200 SELECTIVE COX2 INHIBITORS MELOXICAM TAB 7.5 MG 30
899066005 COXFLAM 7.5MG TABS 4010200 SELECTIVE COX2 INHIBITORS MELOXICAM TAB 7.5 MG 30
704829001 FLEXOCAM 7.5MG TABS 4010200 SELECTIVE COX2 INHIBITORS MELOXICAM TAB 7.5 MG 30
705176001 M-CAM 7.5MG TABS 4010200 SELECTIVE COX2 INHIBITORS MELOXICAM TAB 7.5 MG 30
705229001 ZYDUS-MELOXICAM 7.5MG TABS 4010200 SELECTIVE COX2 INHIBITORS MELOXICAM TAB 7.5 MG 30
705296001 MELFLAM 7.5 MG TABS 4010200 SELECTIVE COX2 INHIBITORS MELOXICAM TAB 7.5 MG 30
705375001 ADCO-MELOXICAM 7.5MG TABS 4010200 SELECTIVE COX2 INHIBITORS MELOXICAM TAB 7.5 MG 30
707373002 ARTHROCOX 7.5MG TABS 4010200 SELECTIVE COX2 INHIBITORS MELOXICAM TAB 7.5 MG 30
707667001 APEX-MELOXICAM 7.5MG TABS 4010200 SELECTIVE COX2 INHIBITORS MELOXICAM TAB 7.5 MG 30
711324001 ARROW MELOXICAM 7.5MG TABS 4010200 SELECTIVE COX2 INHIBITORS MELOXICAM TAB 7.5 MG 30
716168001 MELOXICAM UNICORN 7.5MG TABS 4010200 SELECTIVE COX2 INHIBITORS MELOXICAM TAB 7.5 MG 30
717091001 FLAMARYX 7.5MG TABS 4010200 SELECTIVE COX2 INHIBITORS MELOXICAM TAB 7.5 MG 30
718381001 MEDOXICAM 7.5MG TABS 4010200 SELECTIVE COX2 INHIBITORS MELOXICAM TAB 7.5 MG 30
718306001 COXITEC 7.5MG TABS 4010200 SELECTIVE COX2 INHIBITORS MELOXICAM TAB 7.5 MG 30
738778036 SANDOZ ALLOPURINOL 100MG TABS 4020000 ANTI-GOUT ALLOPURINOL TAB 100 MG 30
758310005 PURICOS 100MG TABS 4020000 ANTI-GOUT ALLOPURINOL TAB 100 MG 100
758310013 PURICOS 100MG TABS 4020000 ANTI-GOUT ALLOPURINOL TAB 100 MG 500
779466004 ZYLOPRIM 100MG TABS 4020000 ANTI-GOUT ALLOPURINOL TAB 100 MG 150
721623002 AUSTELL ALLOPURINOL 100MG TABS 4020000 ANTI-GOUT ALLOPURINOL TAB 100 MG 100
721623001 AUSTELL ALLOPURINOL 100MG TABS 4020000 ANTI-GOUT ALLOPURINOL TAB 100 MG 30
779466013 ZYLOPRIM 100MG TABS 4020000 ANTI-GOUT ALLOPURINOL TAB 100 MG 30
738786004 SANDOZ ALLOPURINOL 300MG TABS 4020000 ANTI-GOUT ALLOPURINOL TAB 300 MG 30
758329008 PURICOS 300MG TABS 4020000 ANTI-GOUT ALLOPURINOL TAB 300 MG 30
758329016 PURICOS 300MG TABS 4020000 ANTI-GOUT ALLOPURINOL TAB 300 MG 250
779474007 ZYLOPRIM 300MG TABS 4020000 ANTI-GOUT ALLOPURINOL TAB 300 MG 28
811432009 LONOL 300MG TABS 4020000 ANTI-GOUT ALLOPURINOL TAB 300 MG 30
811432017 LONOL 300MG TABS 4020000 ANTI-GOUT ALLOPURINOL TAB 300 MG 100
721624002 AUSTELL ALLOPURINOL 300MG TABS 4020000 ANTI-GOUT ALLOPURINOL TAB 300 MG 100
Page 21 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
721624001 AUSTELL ALLOPURINOL 300MG TABS 4020000 ANTI-GOUT ALLOPURINOL TAB 300 MG 30
719128001 ADCO ALLOPURINOL 300MG TABS 4020000 ANTI-GOUT ALLOPURINOL TAB 300 MG 30
779474008 ZYLOPRIM 300MG TABS 4020000 ANTI-GOUT ALLOPURINOL TAB 300 MG 30
715271008 ASPEN COLCHICINE 0.5MG TABS 4020000 ANTI-GOUT COLCHICINE TAB 0.5 MG 50
715271009 ASPEN COLCHICINE 0.5MG TABS 4020000 ANTI-GOUT COLCHICINE TAB 0.5 MG 12
715298003 COLCHICINE HOUDE 1MG TABS 4020000 ANTI-GOUT COLCHICINE TAB 1 MG 60
715298004 COLCHICINE HOUDE 1MG TABS 4020000 ANTI-GOUT COLCHICINE TAB 1 MG 6
722289001 ASPEN COLCHICINE DS 1MG TABS 4020000 ANTI-GOUT COLCHICINE TAB 1 MG 6
704304001 NUROFEN GEL 4030000 TOPICAL AGENTS IBUPROFEN GEL 5% 30
704304002 NUROFEN GEL 4030000 TOPICAL AGENTS IBUPROFEN GEL 5% 50
828076006 IBULEVE GEL 4030000 TOPICAL AGENTS IBUPROFEN GEL 5% 50
833096001 DEEP RELIEF GEL 50MG/1GM 4030000 TOPICAL AGENTS IBUPROFEN GEL 5% 25
833096028 DEEP RELIEF GEL 50MG/1GM 4030000 TOPICAL AGENTS IBUPROFEN GEL 5% 50
833096029 DEEP RELIEF GEL 50MG/1GM 4030000 TOPICAL AGENTS IBUPROFEN GEL 5% 100
701211008 ADRENALINE FSK 1ML 5010000 SYMPATHOMIMETICS EPINEPHRINE HCL INJ 1 MG/ML 10
832723002 ADRENOTONE 1MG/ML 5010000 SYMPATHOMIMETICS EPINEPHRINE HCL INJ 1 MG/ML 10
895164019 PHARMA-Q ADRENALINE 1MG 5010000 SYMPATHOMIMETICS EPINEPHRINE HCL INJ 1 MG/ML 10
700899003 ZETOP 5MG/5ML ORAL SOLN 6010000 ANTI-HISTAMINES CETIRIZINE HCL ORAL SOLN 1 MG/ML (5 MG/5ML) 150
703313001 ALLECET 5MG/5ML SYRUP 6010000 ANTI-HISTAMINES CETIRIZINE HCL ORAL SOLN 1 MG/ML (5 MG/5ML) 150
820946028 ZYRTEC 1MG/ML ORAL SOLN 6010000 ANTI-HISTAMINES CETIRIZINE HCL ORAL SOLN 1 MG/ML (5 MG/5ML) 150
707224001 CETICIT SYRP 6010000 ANTI-HISTAMINES CETIRIZINE HCL ORAL SOLN 1 MG/ML (5 MG/5ML) 150
708117001 CETIRIZINE-HEXAL 1MG/1ML SOLN 6010000 ANTI-HISTAMINES CETIRIZINE HCL ORAL SOLN 1 MG/ML (5 MG/5ML) 150
710672001 TEXA ALLERGY 5MG/5ML SOLN 6010000 ANTI-HISTAMINES CETIRIZINE HCL ORAL SOLN 1 MG/ML (5 MG/5ML) 100
711745001 SINUTAB SINUS ALLERGY 1MG/1ML 6010000 ANTI-HISTAMINES CETIRIZINE HCL ORAL SOLN 1 MG/ML (5 MG/5ML) 100
Page 22 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
712889001 ACUZYRT 5MG/5ML ORAL SOLN 6010000 ANTI-HISTAMINES CETIRIZINE HCL ORAL SOLN 1 MG/ML (5 MG/5ML) 150
713231001 ASPEN CETIRIZINE 5MG/5ML SOLN 6010000 ANTI-HISTAMINES CETIRIZINE HCL ORAL SOLN 1 MG/ML (5 MG/5ML) 150
717812001 ZELARY 1MG/ML ORAL SOLN 6010000 ANTI-HISTAMINES CETIRIZINE HCL ORAL SOLN 1 MG/ML (5 MG/5ML) 150
703313002 ALLECET 5MG/5ML SYRUP 6010000 ANTI-HISTAMINES CETIRIZINE HCL ORAL SOLN 1 MG/ML (5 MG/5ML) 50
703313003 ALLECET 5MG/5ML SYRUP 6010000 ANTI-HISTAMINES CETIRIZINE HCL ORAL SOLN 1 MG/ML (5 MG/5ML) 60
703314003 TEXA ALLERGY 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 30
703315001 ALLECET 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 30
703315002 ALLECET 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 10
703491001 ADCO-CETIRIZINE 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 10
703491002 ADCO-CETIRIZINE 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 30
703821001 ALLERMINE 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 10
703821002 ALLERMINE 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 30
703864001 CETIRIZINE-HEXAL 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 30
704188001 ASPEN CETIRIZINE 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 10
704188002 ASPEN CETIRIZINE 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 30
704359001 AUSTELL CETIRIZINE 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 10
704359002 AUSTELL CETIRIZINE 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 30
704659001 ZYNCET 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 30
785377018 ZYRTEC 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 30
703314005 TEXA ALLERGY 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 10
707885001 BETEK 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 10
707885002 BETEK 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 30
708687001 SINUTAB SINUS ALLERGY 10MG 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 7
712890001 ACUZYRT 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 10
712890002 ACUZYRT 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 30
Page 23 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
712764001 ZETOP 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 30
704659002 ZYNCET 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 10
718452001 TRANTRIN 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 30
720664001 ZINALLERG 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 30
720846001 GULF CETIRIZINE 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 28
718452002 TRANTRIN 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 10
720873001 CETICIT 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 10
720873002 CETICIT 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 30
722334001 ZELARY 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 10
722334002 ZELARY 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 30
722488001 DEZZO CETIRIZINE 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 30
723164001 SENSAHIST 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 10
723164002 SENSAHIST 10MG TABS 6010000 ANTI-HISTAMINES CETIRIZINE HCL TAB 10 MG 30
702145009 ALLERGEX 2MG/5ML SYR 6010000 ANTI-HISTAMINES CHLORPHENIRAMINE MALEATE SYRUP 2 MG/5ML 50
702145010 ALLERGEX 2MG/5ML SYR 6010000 ANTI-HISTAMINES CHLORPHENIRAMINE MALEATE SYRUP 2 MG/5ML 100
797650008 CHLORHIST 2MG/5ML SYR 6010000 ANTI-HISTAMINES CHLORPHENIRAMINE MALEATE SYRUP 2 MG/5ML 100
702145011 ALLERGEX 2MG/5ML SYR 6010000 ANTI-HISTAMINES CHLORPHENIRAMINE MALEATE SYRUP 2 MG/5ML 200
702072052 ALLERGEX 4MG TABS 6010000 ANTI-HISTAMINES CHLORPHENIRAMINE MALEATE TAB 4 MG 100
702072125 ALLERGEX 4MG TABS 6010000 ANTI-HISTAMINES CHLORPHENIRAMINE MALEATE TAB 4 MG 30
703162002 RHINETON 4MG TABS 6010000 ANTI-HISTAMINES CHLORPHENIRAMINE MALEATE TAB 4 MG 1000
703162003 RHINETON 4MG TABS 6010000 ANTI-HISTAMINES CHLORPHENIRAMINE MALEATE TAB 4 MG 30
731269004 HISTODOR CREAM 6010000 ANTI-HISTAMINES DIPHENHYDRAMINE-PYRILAMINE CREAM 1-1% 20
701640001 ALLERGEX NON DROWSY SYRP 6010000 ANTI-HISTAMINES LORATADINE SYRUP 5 MG/5ML 150
Page 24 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
703918001 POLLENTYME S 6010000 ANTI-HISTAMINES LORATADINE SYRUP 5 MG/5ML 100
789291002 CLARITYNE 5MG/5ML SYRP 6010000 ANTI-HISTAMINES LORATADINE SYRUP 5 MG/5ML 100
704886001 AP LORATADINE 5MG/5ML SYRP 6010000 ANTI-HISTAMINES LORATADINE SYRUP 5 MG/5ML 150
705102001 CLARINESE SYRP 6010000 ANTI-HISTAMINES LORATADINE SYRUP 5 MG/5ML 100
700092001 LAURA 10 TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 10
700092002 LAURA 10 TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 30
701361002 POLLENTYME 10MG TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 30
702159003 CLARINESE 10MG TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 10
702518003 LORANO 10MG TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 10
704275001 ALLERGEX NON DROWSY TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 10
704275002 ALLERGEX NON DROWSY TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 30
785113002 CLARITYNE 10MG TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 30
899430006 AP-LORATADINE 10MG TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 10
899430014 AP-LORATADINE 10MG TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 30
704780001 CIPLA-LORATADINE 10MG TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 10
704773001 ROHIST 10MG TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 30
704773002 ROHIST 10MG TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 360
701361003 POLLENTYME 10MG TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 10
705359001 LORFAST 10MG TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 10
705410002 RHINIGINE 10MG TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 30
705410001 RHINIGINE 10MG TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 10
705359002 LORFAST 10MG TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 30
707313001 SIMAYLA LORATADINE 10MG TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 10
707313002 SIMAYLA LORATADINE 10MG TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 30
785113030 CLARITYNE TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 20
785113031 CLARITYNE 10MG TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 5
785113032 CLARITYNE 10MG TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 10
704780002 CIPLA-LORATADINE 10MG TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 30
Page 25 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
702518007 LORANO 10MG TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 30
713908001 LORMEG 10MG TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 10
713908002 LORMEG 10MG TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 30
717051001 APEX-LORATADINE 10MG TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 10
717051002 APEX-LORATADINE 10MG TABS 6010000 ANTI-HISTAMINES LORATADINE TAB 10 MG 30
710873018 BRUNAZINE 5MG/5ML 6010000 ANTI-HISTAMINES PROMETHAZINE HCL SYRUP 5 MG/5ML 100
736244018 LENAZINE 5MG/5ML SYRP 6010000 ANTI-HISTAMINES PROMETHAZINE HCL SYRUP 5 MG/5ML 2500
757373011 PROHIST 5MG/5ML SYRP 6010000 ANTI-HISTAMINES PROMETHAZINE HCL SYRUP 5 MG/5ML 100
757373038 PROHIST 5MG/5ML SYRP 6010000 ANTI-HISTAMINES PROMETHAZINE HCL SYRUP 5 MG/5ML 2500
786837012 BIOHIST SYR 6010000 ANTI-HISTAMINES PROMETHAZINE HCL SYRUP 5 MG/5ML 100
710873035 BRUNAZINE 5MG/5ML 6010000 ANTI-HISTAMINES PROMETHAZINE HCL SYRUP 5 MG/5ML 200
754749002 PHENERGAN 10MG TABS 6010000 ANTI-HISTAMINES PROMETHAZINE HCL TAB 10 MG 100
754749010 PHENERGAN 10MG TABS 6010000 ANTI-HISTAMINES PROMETHAZINE HCL TAB 10 MG 500
803065019 RECEPTOZINE 10MG TABS 6010000 ANTI-HISTAMINES PROMETHAZINE HCL TAB 10 MG 1000
754757005 PHENERGAN 25MG TABS 6010000 ANTI-HISTAMINES PROMETHAZINE HCL TAB 25 MG 100
754757013 PHENERGAN 25MG TABS 6010000 ANTI-HISTAMINES PROMETHAZINE HCL TAB 25 MG 500
803073003 RECEPTOZINE 25MG TABS 6010000 ANTI-HISTAMINES PROMETHAZINE HCL TAB 25 MG 1000
701102003 MEPYRADERM CREAM 6010000 ANTI-HISTAMINES PYRILAMINE MALEATE CREAM 2% 500
701102004 MEPYRADERM CREAM 6010000 ANTI-HISTAMINES PYRILAMINE MALEATE CREAM 2% 25
703834002 ANTHISAN CREAM 6010000 ANTI-HISTAMINES PYRILAMINE MALEATE CREAM 2% 25
800511018 MEPYRIMAL 2% CREAM 6010000 ANTI-HISTAMINES PYRILAMINE MALEATE CREAM 2% 25
897334011 ALSAN 2% CREAM 6010000 ANTI-HISTAMINES PYRILAMINE MALEATE CREAM 2% 25
756571006 PREGAMAL TABS 8060000 HAEMATINICS FERROUS FUMARATE-FOLIC ACID TAB 200-0.1 MG 100
756571014 PREGAMAL TABS 8060000 HAEMATINICS FERROUS FUMARATE-FOLIC ACID TAB 200-0.1 MG 1000
877832005 FERROUS SULPHATE 30MG 8060000 HAEMATINICS FERROUS SULFATE TAB 30 MG 1000
877832013 FERROUS SULPHATE 30MG 8060000 HAEMATINICS FERROUS SULFATE TAB 30 MG 5000
705532001 AHA FERROUS SULPH 30MG TABS 8060000 HAEMATINICS FERROUS SULFATE TAB 30 MG 100
Page 26 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
710580001 EGOLI FERROUS SULPHATE 30 8060000 HAEMATINICS FERROUS SULFATE TAB 30 MG 1000
710580002 EGOLI FERROUS SULPHATE 30 8060000 HAEMATINICS FERROUS SULFATE TAB 30 MG 5000
723552001 FERROUS SULPHATE 30MG TABS 8060000 HAEMATINICS FERROUS SULFATE TAB 30 MG 1000
721690002 FERROUS SULPHATE 75MG TABS 8060000 HAEMATINICS FERROUS SULFATE TAB 75 MG 1000
721690001 FERROUS SULPHATE 75MG TABS 8060000 HAEMATINICS FERROUS SULFATE TAB 75 MG 100
710372001 FERROUS SULPHATE 75MG TABS 8060000 HAEMATINICS FERROUS SULFATE TAB 75 MG 1000
710372002 FERROUS SULPHATE 75MG TABS 8060000 HAEMATINICS FERROUS SULFATE TAB 75 MG 5000
713558001 BODY BALANCE FERROUS SULPH 8060000 HAEMATINICS FERROUS SULFATE TAB 75 MG 1000
713558002 BODY BALANCE FERROUS SULPH 8060000 HAEMATINICS FERROUS SULFATE TAB 75 MG 5000
710372003 FERROUS SULPHATE 75MG TABS 8060000 HAEMATINICS FERROUS SULFATE TAB 75 MG 100
723553001 FERROUS SULPHATE 75MG TABS 8060000 HAEMATINICS FERROUS SULFATE TAB 75 MG 1000
723551001 FERROUS SULPHATE FOLIC ACID CO 8060000 HAEMATINICS FERROUS SULFATE-FOLIC ACID TAB 100-0.5 MG 1000
713274001 FEROFOL SYRP 8060000 HAEMATINICS IRON POLYMALTOSE W/FA & B12 SYRUP 33-0.6-0.002 MG/ 150
738263028 LINCTUS TUSSI INFANS 10010100 ANTITUSSIVES AND EXPECTORANTS *IPECAC-SQUILL SYRUP*** 100
738263036 LINCTUS TUSSI INFANS 10010100 ANTITUSSIVES AND EXPECTORANTS *IPECAC-SQUILL SYRUP*** 2500
739413007 LOTUSSIN EXPECT 10010100 ANTITUSSIVES AND EXPECTORANTS AMINOPHYLLINE-DIPHENHYD-AMMON CL SYRUP 32-8-30 MG/ 200
739413015 LOTUSSIN EXPECT 10010100 ANTITUSSIVES AND EXPECTORANTS AMINOPHYLLINE-DIPHENHYD-AMMON CL SYRUP 32-8-30 MG/ 100
720283019 DIPHENAMILL SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS AMINOPHYLLINE-DIPHENHYD-AMMON CL-SOD CITRATE SYRUP 100
720283027 DIPHENAMILL SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS AMINOPHYLLINE-DIPHENHYD-AMMON CL-SOD CITRATE SYRUP 2500
720283028 DIPHENAMILL SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS AMINOPHYLLINE-DIPHENHYD-AMMON CL-SOD CITRATE SYRUP 200
710652003 BRONCOL 10010100 ANTITUSSIVES AND EXPECTORANTS DEXTROMETHORPHAN-AMCL SYRUP 15-90 MG/5ML 200
710652004 BRONCOL COUGH SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS DEXTROMETHORPHAN-AMCL SYRUP 15-90 MG/5ML 100
702172003 PHENORANT 10010100 ANTITUSSIVES AND EXPECTORANTS DIPHENHYDRAMINE-AMCL-SOD CITRATE SYR 13.33-130-54. 100
Page 27 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
702172006 PHENORANT 10010100 ANTITUSSIVES AND EXPECTORANTS DIPHENHYDRAMINE-AMCL-SOD CITRATE SYR 13.33-130-54. 200
703350001 PHENORANT (GLASS) 10010100 ANTITUSSIVES AND EXPECTORANTS DIPHENHYDRAMINE-AMCL-SOD CITRATE SYR 13.33-130-54. 100
710636008 BRONCLEER SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS DIPHENHYDRAMINE-AMCL-SOD CITRATE SYRUP 14.07-137-5 100
720291003 DPH EXPECTORANT SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS DIPHENHYDRAMINE-AMCL-SOD CITRATE SYRUP 14.07-137-5 100
720291011 DPH EXPECTORANT SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS DIPHENHYDRAMINE-AMCL-SOD CITRATE SYRUP 14.07-137-5 200
720291119 DPH EXPECTORANT SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS DIPHENHYDRAMINE-AMCL-SOD CITRATE SYRUP 14.07-137-5 2500
783595026 FAMTUSS SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS DIPHENHYDRAMINE-AMCL-SOD CITRATE-MEN SYR 12.5-125- 2500
810649012 DIPHENHYDRAMINE EXPECT SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS DIPHENHYDRAMINE-AMCL-SOD CITRATE-MEN SYR 12.5-125- 2500
810649013 DIPHENHYDRAMINE EXPECT SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS DIPHENHYDRAMINE-AMCL-SOD CITRATE-MEN SYR 12.5-125- 20000
727008005 FOLCOFEN SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS DIPHENHYDRAMINE-PHOLCODINE-GG SYR 15-8-100 MG/5ML 100
727008013 FOLCOFEN SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS DIPHENHYDRAMINE-PHOLCODINE-GG SYR 15-8-100 MG/5ML 200
757233007 PROCOF SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS DIPHENHYDRAMINE-PHOLCODINE-GG SYR 15-8-100 MG/5ML 100
702080004 ALLERGIN EXPECT 10010100 ANTITUSSIVES AND EXPECTORANTS DPH-AMCL-SOD CITRATE-MEN SYR 28.1-273.9-113.7-2.5 150
710881002 BRUNACOD SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS EPHEDRINE-PROMETHAZINE-CODEINE SYRUP 7-3-9.2 MG/5M 100
710881010 BRUNACOD SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS EPHEDRINE-PROMETHAZINE-CODEINE SYRUP 7-3-9.2 MG/5M 2500
710881011 BRUNACOD SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS EPHEDRINE-PROMETHAZINE-CODEINE SYRUP 7-3-9.2 MG/5M 200
704178001 BENYLIN WET COUGH 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 50
704178002 BENYLIN WET COUGH 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 100
799319007 LENNON COUGH SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 50
Page 28 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
799319015 LENNON COUGH SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 100
849413028 LCC PEPPERMINT COUGH MIXT 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 100
882829002 DILINCT JUNIOR 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 100
887966001 BRONCHOLIN EXPECT 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 100
895150007 BENYLIN WET COUGH MENTHOL 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 50
895150015 BENYLIN WET COUGH MENTHOL 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 100
708182001 FLUTEX COUGH MIXTURE HONEY 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 100
708183001 FLUTEX COUGH MIXTURE ORANG 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 100
708184001 FLUTEX COUGH MIXTURE BLACK 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 100
708185001 LENNON COUGH MIXTURE HONEY 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 50
708185002 LENNON COUGH MIXTURE HONEY 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 100
708187001 LENNON COUGH MIXTURE ORAN 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 50
708187002 LENNON COUGH MIXTURE ORAN 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 100
715523001 LCC-G GUAIPHENESIN COUGH REM 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 50
715523002 LCC-G GUAIPHENESIN COUGH REM 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 100
715524001 LCC COUGH MIXTURE SYRUP 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 50
715524002 LCC COUGH MIXTURE SYRUP 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 100
849413029 LCC PEPPERMINT COUGH MIXTURE 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 50
715455001 LCC-G GUAIPHENESIN COUGH REM 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 50
715455002 LCC-G GUAIPHENESIN COUGH REM 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 100
715471001 STEARNS PEPPERMINT WAS EXPIGEN 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 100
715471002 STEARNS PEPPERMINT WAS EXPIGEN 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 200
722013001 STEARNS GUAIPHENESIN COUGH CHE 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 50
722013002 STEARNS GUAIPHENESIN COUGH CHE 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 100
715471003 STEARNS PEPPERMINT WAS EXPIGEN 10010100 ANTITUSSIVES AND EXPECTORANTS GUAIFENESIN SYRUP 100 MG/5ML 50
710032005 BISOLVON LINCTUS 10010100 ANTITUSSIVES AND EXPECTORANTS METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 100
710032013 BISOLVON LINCTUS 10010100 ANTITUSSIVES AND EXPECTORANTS METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 200
Page 29 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
710687001 BRONKESE CO SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 100
710687028 BRONKESE CO SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 200
819743003 FLEMEZE SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 100
819743011 FLEMEZE SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 200
827304005 ADCO-LINCTOPENT SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 100
827304013 ADCO-LINCTOPENT SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 200
862037018 BENYLIN CHESTY 10010100 ANTITUSSIVES AND EXPECTORANTS METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 100
862037026 BENYLIN CHESTY 10010100 ANTITUSSIVES AND EXPECTORANTS METAPROTERENOL-BROMHEXINE SYRUP 5-4 MG/5ML 200
755214005 PHOLCOLINCT 4.05MG/5ML SYR 10010100 ANTITUSSIVES AND EXPECTORANTS PHOLCODINE SYRUP 4.052 MG/5ML 100
701742003 ALCOPHYLLEX SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS THEOPHYLLINE-ETOFYLLINE-DIPHENHYD-AMMON CL-SOD CIT 100
701742011 ALCOPHYLLEX SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS THEOPHYLLINE-ETOFYLLINE-DIPHENHYD-AMMON CL-SOD CIT 200
701742038 ALCOPHYLLEX SYRP 10010100 ANTITUSSIVES AND EXPECTORANTS THEOPHYLLINE-ETOFYLLINE-DIPHENHYD-AMMON CL-SOD CIT 2500
700238001 THEOPHEN CO ELIX (UNBOXED) 10010100 ANTITUSSIVES AND EXPECTORANTS THEOPHYLLINE-ETOFYLLINE-DIPHENYLPYRALINE-AMMON CL 200
700238002 THEOPHEN CO ELIX (UNBOXED) 10010100 ANTITUSSIVES AND EXPECTORANTS THEOPHYLLINE-ETOFYLLINE-DIPHENYLPYRALINE-AMMON CL 100
715681001 DYNALEX SYRUP 10010100 ANTITUSSIVES AND EXPECTORANTS THEOPHYLLINE-ETOFYLLINE-DIPHENYLPYRALINE-AMMON CL 200
715301128 COLCLEER TABS 10010200 DECONGESTANT, ANALGESIC COMBINATIONS
CHLORPHEN-EPHEDRINE-APAP-CAFFEINE TAB 2-6-200-20 M 1000
726885002 FLUSIN TABS 10010200 DECONGESTANT, ANALGESIC COMBINATIONS
CHLORPHEN-EPHEDRINE-APAP-CAFFEINE TAB 2-6-200-20 M 24
764264001 SINUCON TABS 10010200 DECONGESTANT, ANALGESIC COMBINATIONS
CHLORPHEN-EPHEDRINE-APAP-CAFFEINE TAB 2-6-200-20 M 20
822744015 SINUEND TABS 10010200 DECONGESTANT, ANALGESIC CHLORPHEN-EPHEDRINE-APAP- 20
Page 30 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
COMBINATIONS CAFFEINE TAB 2-6-200-20 M
715301129 COLCLEER TABS 10010200 DECONGESTANT, ANALGESIC COMBINATIONS
CHLORPHEN-EPHEDRINE-APAP-CAFFEINE TAB 2-6-200-20 M 120
704332001 COLCLEER PAED SYR 10010200 DECONGESTANT, ANALGESIC COMBINATIONS
CHLORPHEN-PE W/ APAP-CAFFEINE SYRUP 2-2.5-75-7.5 100
717932028 DEQUA-FLU CAPS 10010200 DECONGESTANT, ANALGESIC COMBINATIONS
CHLORPHEN-PHENYLTOLOX-PE-APAP-CAFF CAP 2-12.5-5-20 500
726710008 FLUEND CAPS 10010200 DECONGESTANT, ANALGESIC COMBINATIONS
DIPHENHYDRAMINE-PHENYLEPH-APAP-VIT C CAP 10-5-400- 20
726710024 FLUEND CAPS 10010200 DECONGESTANT, ANALGESIC COMBINATIONS
DIPHENHYDRAMINE-PHENYLEPH-APAP-VIT C CAP 10-5-400- 1000
796824002 SINUSTAT FLU SYRP 10010200 DECONGESTANT, ANALGESIC COMBINATIONS
DM-PHENYLPROPANOLAMINE-APAP SYRUP 15-25-500 MG/20M 200
807656003 FLUSTAT SYRP 10010200 DECONGESTANT, ANALGESIC COMBINATIONS
DM-PHENYLPROPANOLAMINE-APAP SYRUP 15-25-500 MG/20M 200
807656011 FLUSTAT SYRP 10010200 DECONGESTANT, ANALGESIC COMBINATIONS
DM-PHENYLPROPANOLAMINE-APAP SYRUP 15-25-500 MG/20M 100
715506005 COLSTAT CAPS 10010200 DECONGESTANT, ANALGESIC COMBINATIONS
PE-CPM-APAP-ATROPINE-CAFF-VIT C CAP 5-2-300-0.125- 24
715506013 COLSTAT CAPS 10010200 DECONGESTANT, ANALGESIC COMBINATIONS
PE-CPM-APAP-ATROPINE-CAFF-VIT C CAP 5-2-300-0.125- 500
725544007 FAMUCAPS CAPS 10010200 DECONGESTANT, ANALGESIC COMBINATIONS
PE-CPM-APAP-ATROPINE-CAFF-VIT C CAP 5-2-300-0.125- 20
725544031 FAMUCAPS CAPS 10010200 DECONGESTANT, ANALGESIC COMBINATIONS
PE-CPM-APAP-ATROPINE-CAFF-VIT C CAP 5-2-300-0.125- 1000
873322002 KIDDYFLU SYRP 10010200 DECONGESTANT, ANALGESIC COMBINATIONS
PHENYLEPH-CHLORPHEN-DM W/APAP SYRUP 2.5-0.5-2-120 100
764213008 SINUTABS+COD TABS 10010200 DECONGESTANT, ANALGESIC COMBINATIONS
PHENYLPROP-PHENYLTOLOX W/ COD-APAP TAB 25-22-15-30 20
764213016 SINUTABS+COD TABS 10010200 DECONGESTANT, ANALGESIC COMBINATIONS
PHENYLPROP-PHENYLTOLOX W/ COD-APAP TAB 25-22-15-30 50
Page 31 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
764213024 SINUTABS+COD TABS 10010200 DECONGESTANT, ANALGESIC COMBINATIONS
PHENYLPROP-PHENYLTOLOX W/ COD-APAP TAB 25-22-15-30 100
791148009 ADCO-SINAL CO TABS 10010200 DECONGESTANT, ANALGESIC COMBINATIONS
PHENYLPROP-PHENYLTOLOX W/ COD-APAP TAB 25-22-15-30 20
826146007 SINUMAX PED SYR 10010200 DECONGESTANT, ANALGESIC COMBINATIONS
PSEUDOEPHEDRINE W/ ACETAMINOPHEN LIQUID 15-160 MG/ 100
773875019 SINU-FLU TABS 10010200 DECONGESTANT, ANALGESIC COMBINATIONS
PYRILAMINE-PHENYLEPHRINE-ACETAMINOPHEN TAB 5-5-500 20
796964009 ADCO-SUFEDRIN 30MG/5ML SYRP 10010300 DECONGESTANTS PSEUDOEPHEDRINE HCL SYRUP 30 MG/5ML 100
799440019 DRILIX 30MG/5ML SYRP 10010300 DECONGESTANTS PSEUDOEPHEDRINE HCL SYRUP 30 MG/5ML 100
808598007 SINU-MED 30MG/5ML SYRP 10010300 DECONGESTANTS PSEUDOEPHEDRINE HCL SYRUP 30 MG/5ML 100
767212002 SUDAFED SINUS ND TABS 10010300 DECONGESTANTS PSEUDOEPHEDRINE HCL TAB 60 MG 20
794872026 SYMPTOFED 60MG TABS 10010300 DECONGESTANTS PSEUDOEPHEDRINE HCL TAB 60 MG 200
796972001 ADCO-SUFEDRIN 60MG TABS 10010300 DECONGESTANTS PSEUDOEPHEDRINE HCL TAB 60 MG 20
808571001 SINU-MED 60MG TABS 10010300 DECONGESTANTS PSEUDOEPHEDRINE HCL TAB 60 MG 20
827460007 CORYX PAEDIATRIC SYRUP 10010300 DECONGESTANTS TRIPROLIDINE-PSEUDOEPHEDRINE-VIT C SYRUP 1.25-25-7 100
827460008 CORYX PAEDIATRIC SYRUP 10010300 DECONGESTANTS TRIPROLIDINE-PSEUDOEPHEDRINE-VIT C SYRUP 1.25-25-7 140
700715003 ASTHAVENT 300D ECOHALER 10020100 SYMPATHOMIMETICS ALBUTEROL SULFATE INHAL AERO 108 MCG/ACT (90MCG BA 1
703371003 VENTOLIN INH 200D CFC FREE 10020100 SYMPATHOMIMETICS ALBUTEROL SULFATE INHAL AERO 108 MCG/ACT (90MCG BA 1
849332001 ASTHAVENT 200D ECOHALER 10020100 SYMPATHOMIMETICS ALBUTEROL SULFATE INHAL AERO 108 MCG/ACT (90MCG BA 1
711213001 VENTEZE CFC FREE 200D 100MCG 10020100 SYMPATHOMIMETICS ALBUTEROL SULFATE INHAL AERO 108 MCG/ACT (90MCG BA 1
720723001 VENTIMAX CFC FREE 100MCG 200D 10020100 SYMPATHOMIMETICS ALBUTEROL SULFATE INHAL AERO 108 MCG/ACT (90MCG BA 1
700920001 VARI-SALBUTAMOL SYRUP 10020100 SYMPATHOMIMETICS ALBUTEROL SULFATE SYRUP 2 MG/5ML 100
775274012 VENTOLIN 2MG/5ML SYRP 10020100 SYMPATHOMIMETICS ALBUTEROL SULFATE SYRUP 2 MG/5ML 200
775452009 VENTEZE 2MG/5ML SYRP 10020100 SYMPATHOMIMETICS ALBUTEROL SULFATE SYRUP 2 MG/5ML 100
Page 32 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
775452017 VENTEZE 2MG/5ML SYRP 10020100 SYMPATHOMIMETICS ALBUTEROL SULFATE SYRUP 2 MG/5ML 500
824186001 ASTHAVENT 2MG/5ML SYRP 10020100 SYMPATHOMIMETICS ALBUTEROL SULFATE SYRUP 2 MG/5ML 100
824186002 ASTHAVENT 2MG/5ML SYRP 10020100 SYMPATHOMIMETICS ALBUTEROL SULFATE SYRUP 2 MG/5ML 150
700920002 VARI-SALBUTAMOL SYRUP 10020100 SYMPATHOMIMETICS ALBUTEROL SULFATE SYRUP 2 MG/5ML 150
781169003 MUCOSPECT PAED SYR 10030000 MUCOLYTICS CARBOCYSTEINE SYRUP 125 MG/5ML 100
703394001 DIS-CHEM MUCOLYTIC SYRP 10030000 MUCOLYTICS CARBOCYSTEINE SYRUP 250 MG/5ML 200
708151019 BETAPHLEM 250MG/5ML SYRP 10030000 MUCOLYTICS CARBOCYSTEINE SYRUP 250 MG/5ML 200
708151027 BETAPHLEM 250MG/5ML SYRP 10030000 MUCOLYTICS CARBOCYSTEINE SYRUP 250 MG/5ML 2500
710520018 BRONCHETTE 250MG/5ML SYRP 10030000 MUCOLYTICS CARBOCYSTEINE SYRUP 250 MG/5ML 200
726451002 FLEMEX 250MG/5ML SYRP 10030000 MUCOLYTICS CARBOCYSTEINE SYRUP 250 MG/5ML 100
726451010 FLEMEX 250MG/5ML SYRP 10030000 MUCOLYTICS CARBOCYSTEINE SYRUP 250 MG/5ML 200
737798009 LESSMUSEC 250MG/5ML SYRP 10030000 MUCOLYTICS CARBOCYSTEINE SYRUP 250 MG/5ML 200
737798017 LESSMUSEC 250MG/5ML SYRP 10030000 MUCOLYTICS CARBOCYSTEINE SYRUP 250 MG/5ML 2500
744816009 MUCOSPECT SYRP 10030000 MUCOLYTICS CARBOCYSTEINE SYRUP 250 MG/5ML 200
779814002 CO-FLEM 250MG SYRP 10030000 MUCOLYTICS CARBOCYSTEINE SYRUP 250 MG/5ML 200
785164006 FLEMLITE SYRP 10030000 MUCOLYTICS CARBOCYSTEINE SYRUP 250 MG/5ML 200
787078018 MUCOLINCT 250MG/5ML SYRP 10030000 MUCOLYTICS CARBOCYSTEINE SYRUP 250 MG/5ML 200
789739003 FLEMGO SYRP 10030000 MUCOLYTICS CARBOCYSTEINE SYRUP 250 MG/5ML 200
805327010 MUCOLESS S SYRP 10030000 MUCOLYTICS CARBOCYSTEINE SYRUP 250 MG/5ML 200
805327029 MUCOLESS S SYRP 10030000 MUCOLYTICS CARBOCYSTEINE SYRUP 250 MG/5ML 2500
717241001 FLUSIN MUCOUS COUGH 250MG/5ML 10030000 MUCOLYTICS CARBOCYSTEINE SYRUP 250 MG/5ML 200
717745001 FLUTEX MUCOUS COUGH 250MG/5ML 10030000 MUCOLYTICS CARBOCYSTEINE SYRUP 250 MG/5ML 200
794341004 MUCOPAN 250MG/5ML SYRP 10030000 MUCOLYTICS CARBOCYSTEINE SYRUP 250 MG/5ML 200
702939001 CIPLANAZE MULTICARE 11010200 GLUCOCORTICOSTEROIDS BECLOMETHASONE DIPROPIONATE NASAL SOLN 0.05% 1
707198003 BECONASE AQ 50MCG 11010200 GLUCOCORTICOSTEROIDS BECLOMETHASONE DIPROPIONATE NASAL SOLN 0.05% 1
820709018 BECLATE AQUANASE 50MCG 150D 11010200 GLUCOCORTICOSTEROIDS BECLOMETHASONE DIPROPIONATE NASAL SOLN 0.05% 1
Page 33 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
897937004 CLENIL AQUEOUS 11010200 GLUCOCORTICOSTEROIDS BECLOMETHASONE DIPROPIONATE NASAL SOLN 0.05% 1
704383001 FLOMIST AQ NASAL SPRAY 11010200 GLUCOCORTICOSTEROIDS FLUTICASONE PROPIONATE NASAL SUSP 50 MCG/ACT 1
787795003 FLIXONASE AQ NASAL SPRAY 11010200 GLUCOCORTICOSTEROIDS FLUTICASONE PROPIONATE NASAL SUSP 50 MCG/ACT 1
714595001 FLONASE 120 DOSE 50MCG AQS 11010200 GLUCOCORTICOSTEROIDS FLUTICASONE PROPIONATE NASAL SUSP 50 MCG/ACT 1
702618003 DRINASAL DROPS 10ML 11010400 DECONGESTANTS OXYMETAZOLINE HCL NASAL SOLN 0.025% 1
702620003 DRINASAL PAED MET SPRAY 11010400 DECONGESTANTS OXYMETAZOLINE HCL NASAL SOLN 0.025% 1
732281008 ILIADIN PAED 0.025% DROPS 11010400 DECONGESTANTS OXYMETAZOLINE HCL NASAL SOLN 0.025% 1
732338018 ILIADIN PAED 0.25% MET SPR 11010400 DECONGESTANTS OXYMETAZOLINE HCL NASAL SOLN 0.025% 1
720641001 ZADIN 0.025% NASAL DROPS 10ML 11010400 DECONGESTANTS OXYMETAZOLINE HCL NASAL SOLN 0.025% 1
720643001 ZADIN 0.025% NASAL SPRAY 10ML 11010400 DECONGESTANTS OXYMETAZOLINE HCL NASAL SOLN 0.025% 1
721387004 DRISTAN LL N/SPRAY 15ML 11010400 DECONGESTANTS OXYMETAZOLINE HCL NASAL SOLN 0.05% 1
721441009 DRIXINE 0.05% N/SPRAY 20ML 11010400 DECONGESTANTS OXYMETAZOLINE HCL NASAL SOLN 0.05% 1
732257018 ILIADIN ADULT 0.05% DROPS 11010400 DECONGESTANTS OXYMETAZOLINE HCL NASAL SOLN 0.05% 1
732265002 ILIADIN ADULT 0.05% MET SPR 11010400 DECONGESTANTS OXYMETAZOLINE HCL NASAL SOLN 0.05% 1
732303001 ILIADIN PLASTIC NASAL SPR 20ML 11010400 DECONGESTANTS OXYMETAZOLINE HCL NASAL SOLN 0.05% 1
783870019 DRISTAN LL MET.PUMP 15ML 11010400 DECONGESTANTS OXYMETAZOLINE HCL NASAL SOLN 0.05% 1
814199003 DRIXINE ADULT M/S 10ML 11010400 DECONGESTANTS OXYMETAZOLINE HCL NASAL SOLN 0.05% 1
720642001 ZADIN 0.05% NASAL DROPS 10ML 11010400 DECONGESTANTS OXYMETAZOLINE HCL NASAL SOLN 0.05% 1
Page 34 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
720644001 ZADIN 0.05% NASAL SPRAY 10ML 11010400 DECONGESTANTS OXYMETAZOLINE HCL NASAL SOLN 0.05% 1
721976001 DRIXINE 0.05% METERED SPR 20ML 11010400 DECONGESTANTS OXYMETAZOLINE HCL NASAL SOLN 0.05% 1
723748001 OXYSPRAY MOISTURISING 0.05% NA 11010400 DECONGESTANTS OXYMETAZOLINE HCL NASAL SOLN 0.05% 1
836141008 NAPHENSYL 0.25% DRP 10ML 11010400 DECONGESTANTS PHENYLEPHRINE HCL NASAL SOLN 0.25% 1
836133005 NAPHENSYL 1% DRP 10ML 11010400 DECONGESTANTS PHENYLEPHRINE HCL NASAL SOLN 1% 1
703661001 JACKS THICK NOSE DROPS 11010400 DECONGESTANTS PHENYLEPHRINE-NAPHAZOLINE NASAL SOLN 2.5-0.25 MG/M 1
723363005 ENT DROPS 25ML 11010400 DECONGESTANTS PHENYLEPHRINE-NAPHAZOLINE NASAL SOLN 2.5-0.25 MG/M 1
723371008 ENT SPRAY 25ML 11010400 DECONGESTANTS PHENYLEPHRINE-NAPHAZOLINE NASAL SOLN 2.5-0.25 MG/M 1
725765003 FENOX NOSE DROPS 25ML 11010400 DECONGESTANTS PHENYLEPHRINE-NAPHAZOLINE NASAL SOLN 2.5-0.25 MG/M 1
745871003 NASDRO DROPS 15ML 11010400 DECONGESTANTS PHENYLEPHRINE-NAPHAZOLINE NASAL SOLN 2.5-0.25 MG/M 1
764175009 SINUS S NASAL DROPS 11010400 DECONGESTANTS PHENYLEPHRINE-NAPHAZOLINE NASAL SOLN 2.5-0.25 MG/M 1
773867007 UNIVERSAL NOSE DROPS 15ML 11010400 DECONGESTANTS PHENYLEPHRINE-NAPHAZOLINE NASAL SOLN 2.5-0.25 MG/M 1
783579004 NITRO DROPS 11010400 DECONGESTANTS PHENYLEPHRINE-NAPHAZOLINE NASAL SOLN 2.5-0.25 MG/M 1
840025009 NAZO-EZZE DOSE DROPS 11010400 DECONGESTANTS PHENYLEPHRINE-NAPHAZOLINE NASAL SOLN 2.5-0.25 MG/M 1
705620001 TERINE NASAL DROPS 15ML 11010400 DECONGESTANTS PHENYLEPHRINE-NAPHAZOLINE NASAL SOLN 2.5-0.25 MG/M 1
717502001 RINOL 25ML NASAL DROPS 11010400 DECONGESTANTS PHENYLEPHRINE-NAPHAZOLINE NASAL SOLN 2.5-0.25 MG/M 1
704114001 CHAMIFLOR OCEAN NASAL SPR 11010700 OTHER TOPICAL NASAL AGENTS SALINE NASAL SPRAY 0.9% 1
834882019 SALEX SOLN 30ML 11010700 OTHER TOPICAL NASAL AGENTS SALINE NASAL SPRAY 0.9% 1
705007001 NASAL C SPRAY 25ML 11010700 OTHER TOPICAL NASAL AGENTS SALINE NASAL SPRAY 0.9% 1
705625001 DIS-CHEM SALINE NASAL SPRAY 11010700 OTHER TOPICAL NASAL AGENTS SALINE NASAL SPRAY 0.9% 1
Page 35 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
705831001 SINUTAB COMF/CARE SALINE 11010700 OTHER TOPICAL NASAL AGENTS SALINE NASAL SPRAY 0.9% 1
708578001 NAZOLEX 25ML NASAL SPRAY 11010700 OTHER TOPICAL NASAL AGENTS SALINE NASAL SPRAY 0.9% 1
710021001 SIMPLY SALINE NASAL SPRAY 11010700 OTHER TOPICAL NASAL AGENTS SALINE NASAL SPRAY 0.9% 1
710953001 CLICKS SALINE NAS 11010700 OTHER TOPICAL NASAL AGENTS SALINE NASAL SPRAY 0.9% 1
715096001 SPRINGBOK PAED NASAL SPRAY 50M 11010700 OTHER TOPICAL NASAL AGENTS SALINE NASAL SPRAY 0.9% 1
715097001 SPRINGBOK ADULT NASAL SPRAY 30 11010700 OTHER TOPICAL NASAL AGENTS SALINE NASAL SPRAY 0.9% 1
714893001 JUST SALINE NASAL SPR 30ML 11010700 OTHER TOPICAL NASAL AGENTS SALINE NASAL SPRAY 0.9% 1
717507001 SINUSALTS NASAL SPRAY 30ML 11010700 OTHER TOPICAL NASAL AGENTS SALINE NASAL SPRAY 0.9% 1
717810001 SALEX SALINE PAED MET NASAL SP 11010700 OTHER TOPICAL NASAL AGENTS SALINE NASAL SPRAY 0.9% 1
705007002 NASAL C SPRAY 25ML 11010700 OTHER TOPICAL NASAL AGENTS SALINE NASAL SPRAY 0.9% 12
722152001 DISCHEM SALINE NASAL SPRAY 100 11010700 OTHER TOPICAL NASAL AGENTS SALINE NASAL SPRAY 0.9% 1
722153001 DISCHEM SALINE NASAL SPRAY 50M 11010700 OTHER TOPICAL NASAL AGENTS SALINE NASAL SPRAY 0.9% 1
722156001 CONGIVIL SALINE NASAL SPRAY 50 11010700 OTHER TOPICAL NASAL AGENTS SALINE NASAL SPRAY 0.9% 1
722157001 CONGIVIL SALINE NASAL SPRAY 10 11010700 OTHER TOPICAL NASAL AGENTS SALINE NASAL SPRAY 0.9% 1
722155001 DISCHEM SALINE NASAL SPRAY BAB 11010700 OTHER TOPICAL NASAL AGENTS SALINE NASAL SPRAY 0.9% 1
722158001 CONGIVIL SALINE NASAL SPRAY BA 11010700 OTHER TOPICAL NASAL AGENTS SALINE NASAL SPRAY 0.9% 1
722442001 BRUNEL SALINE NASAL SPRAY 60ML 11010700 OTHER TOPICAL NASAL AGENTS SALINE NASAL SPRAY 0.9% 1
722926001 FLO SALINE PLUS 30ML NASAL 11010700 OTHER TOPICAL NASAL AGENTS SALINE NASAL SPRAY 0.9% 1
723083001 CLICKS NASAL SPRAY 100ML 11010700 OTHER TOPICAL NASAL AGENTS SALINE NASAL SPRAY 0.9% 1
723111001 XCLEAR SALINE W/ XYLITOL 45ML 11010700 OTHER TOPICAL NASAL AGENTS SALINE NASAL SPRAY 0.9% 1
723112001 KIDS XCLEAR SALINE W/ XYLITOL 11010700 OTHER TOPICAL NASAL AGENTS SALINE NASAL SPRAY 0.9% 1
724007001 NASOCLEAR NASAL SPRAY 20ML 11010700 OTHER TOPICAL NASAL AGENTS SALINE NASAL SPRAY 0.9% 1
746568002 NEOPAN 15ML EAR DROPS 11020000 EAR DROPS AND OINTMENTS NEOMYCIN-SODIUM PROPIONATE OTIC SOLN 3-50 MG/ML 1
751340006 OROCAINE LOZ 11030000 MOUTH AND THROAT PREPARATIONS BENZOCAINE LOZENGE 10 MG 18
772674027 TROCHAIN LOZ 11030000 MOUTH AND THROAT PREPARATIONS BENZOCAINE LOZENGE 10 MG 1000
731005007 CORSODYL 2MG/ML SOLN 11030000 MOUTH AND THROAT PREPARATIONS
CHLORHEXIDINE GLUCONATE SOLN 0.2% 200
Page 36 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
808377019 CORSODYL 2MG/ML MINT SOLN 11030000 MOUTH AND THROAT PREPARATIONS
CHLORHEXIDINE GLUCONATE SOLN 0.2% 200
270971001 CURASEPT CHLORHEX 0.20% 200ML 11030000 MOUTH AND THROAT PREPARATIONS
CHLORHEXIDINE GLUCONATE SOLN 0.2% 1
707937019 BETADINE GARGLE 11030000 MOUTH AND THROAT PREPARATIONS POVIDONE-IODINE MOUTHWASH 1% 200
785210008 PODINE MOUTHW & GARGLE 11030000 MOUTH AND THROAT PREPARATIONS POVIDONE-IODINE MOUTHWASH 1% 200
799688002 DERMADINE GARGLE 11030000 MOUTH AND THROAT PREPARATIONS POVIDONE-IODINE MOUTHWASH 1% 200
819859001 SEPTADINE ORAL ANTISEPTIC 11030000 MOUTH AND THROAT PREPARATIONS POVIDONE-IODINE MOUTHWASH 1% 200
890365005 STERIDINE MOUTHWASH AND GAR 11030000 MOUTH AND THROAT PREPARATIONS POVIDONE-IODINE MOUTHWASH 1% 200
899488005 PINADINE GARGLE 11030000 MOUTH AND THROAT PREPARATIONS POVIDONE-IODINE MOUTHWASH 1% 200
707937020 BETADINE ORAL MOUTH WASH 11030000 MOUTH AND THROAT PREPARATIONS POVIDONE-IODINE MOUTHWASH 1% 125
826391001 DYNEXAN OINT 11030000 MOUTH AND THROAT PREPARATIONS TETRACAINE HCL OINTMENT 0.5% 10
711292019 BUSCOPAN CO TABS 12030000 ANTI-SPASMODICS DIPYRONE-SCOPOLAMINE BUTYLBROMIDE TAB 250-10 MG 20
711292027 BUSCOPAN CO TABS 12030000 ANTI-SPASMODICS DIPYRONE-SCOPOLAMINE BUTYLBROMIDE TAB 250-10 MG 100
762717114 SCOPEX COMPOUND TABS 12030000 ANTI-SPASMODICS DIPYRONE-SCOPOLAMINE BUTYLBROMIDE TAB 250-10 MG 500
701892003 MYLAN MEBEVERINE HCL TABS 12030000 ANTI-SPASMODICS MEBEVERINE HCL TAB 135 MG 20
701892006 MYLAN MEBEVERINE HCL TABS 12030000 ANTI-SPASMODICS MEBEVERINE HCL TAB 135 MG 100
715476009 COLOFAC 135MG TABS 12030000 ANTI-SPASMODICS MEBEVERINE HCL TAB 135 MG 20
715476017 COLOFAC 135MG TABS 12030000 ANTI-SPASMODICS MEBEVERINE HCL TAB 135 MG 100
822019019 BEVISPAS 135MG TABS 12030000 ANTI-SPASMODICS MEBEVERINE HCL TAB 135 MG 100
822019035 BEVISPAS 135MG TABS 12030000 ANTI-SPASMODICS MEBEVERINE HCL TAB 135 MG 20
825328004 SANDOZ MEBEVERINE TABS 12030000 ANTI-SPASMODICS MEBEVERINE HCL TAB 135 MG 20
703383001 SCOPEX SYRUP 12030000 ANTI-SPASMODICS SCOPOLAMINE N-BUTYLBROMIDE SYRUP 5 MG/5ML 100
Page 37 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
797413006 BUSCOPAN 5MG/5ML SYRP 12030000 ANTI-SPASMODICS SCOPOLAMINE N-BUTYLBROMIDE SYRUP 5 MG/5ML 100
707213001 HYOSPASMOL 5MG/5ML SYRUP 12030000 ANTI-SPASMODICS SCOPOLAMINE N-BUTYLBROMIDE SYRUP 5 MG/5ML 100
711276005 BUSCOPAN 10MG TABS 12030000 ANTI-SPASMODICS SCOPOLAMINE N-BUTYLBROMIDE TAB 10 MG 10
731951018 HYOSPASMOL 10MG TABS 12030000 ANTI-SPASMODICS SCOPOLAMINE N-BUTYLBROMIDE TAB 10 MG 100
731951026 HYOSPASMOL 10MG TABS 12030000 ANTI-SPASMODICS SCOPOLAMINE N-BUTYLBROMIDE TAB 10 MG 10
762725001 SCOPEX 10MG TABS 12030000 ANTI-SPASMODICS SCOPOLAMINE N-BUTYLBROMIDE TAB 10 MG 10
703640001 ALUMAG D SUSP 12040100 ANTACIDS ALUM HYDROX-MAG OXIDE-DICYCLOMINE SUSP 400-200-5 M 200
740551019 MAYOGEL SUSP 12040100 ANTACIDS ALUMINUM HYDROXIDE-MAG OXIDE SUSP 282-120 MG/15ML 100
740551027 MAYOGEL SUSP 12040100 ANTACIDS ALUMINUM HYDROXIDE-MAG OXIDE SUSP 282-120 MG/15ML 200
740551035 MAYOGEL SUSP 12040100 ANTACIDS ALUMINUM HYDROXIDE-MAG OXIDE SUSP 282-120 MG/15ML 2500
823031004 MAG TRISILICATE MIXT 12040100 ANTACIDS CAL & MAG CARB-MAG TRISILICATE SUSP 250-250-500 MG 100
823031012 MAG TRISILICATE MIXT 12040100 ANTACIDS CAL & MAG CARB-MAG TRISILICATE SUSP 250-250-500 MG 2500
839035004 BE-TABS ANTACID 12040100 ANTACIDS CAL & MAG CARB-MAG TRISILICATE SUSP 250-250-500 MG 100
839035012 BE-TABS ANTACID 12040100 ANTACIDS CAL & MAG CARB-MAG TRISILICATE SUSP 250-250-500 MG 2500
894838006 MIST MAG TRISIL 12040100 ANTACIDS MAG CARB-MAG TRISILICATE-SOD BICARB SUSP 250-250-2 2500
740683012 MEDIGEL SUSP 12040200 ANTACIDS AND COMBINATIONS AL & MG OXIDES-DICYCL-METHYLCELL-SIMETH SUSP 2500
740683020 MEDIGEL SUSP 12040200 ANTACIDS AND COMBINATIONS AL & MG OXIDES-DICYCL-METHYLCELL-SIMETH SUSP 100
740683039 MEDIGEL SUSP 12040200 ANTACIDS AND COMBINATIONS AL & MG OXIDES-DICYCL-METHYLCELL-SIMETH SUSP 200
Page 38 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
700771001 AMGEL SUSP 12040200 ANTACIDS AND COMBINATIONS ALUM HYDROX-MAG OXIDE-DICYCLOMINE SUSP 400-200-5 M 200
702725001 DICYCLOMINE CO GEL 12040200 ANTACIDS AND COMBINATIONS ALUM HYDROX-MAG OXIDE-DICYCLOMINE SUSP 400-200-5 M 100
702725002 DICYCLOMINE CO GEL 12040200 ANTACIDS AND COMBINATIONS ALUM HYDROX-MAG OXIDE-DICYCLOMINE SUSP 400-200-5 M 200
707899001 BETACLOMIN GEL 12040200 ANTACIDS AND COMBINATIONS ALUM HYDROX-MAG OXIDE-DICYCLOMINE SUSP 400-200-5 M 200
707899028 BETACLOMIN GEL 12040200 ANTACIDS AND COMBINATIONS ALUM HYDROX-MAG OXIDE-DICYCLOMINE SUSP 400-200-5 M 350
707899044 BETACLOMIN GEL 12040200 ANTACIDS AND COMBINATIONS ALUM HYDROX-MAG OXIDE-DICYCLOMINE SUSP 400-200-5 M 100
782173012 CO-GEL SUSP 12040200 ANTACIDS AND COMBINATIONS ALUM HYDROX-MAG OXIDE-DICYCLOMINE SUSP 400-200-5 M 200
786810009 NEUTRAGEL D SUSP 12040200 ANTACIDS AND COMBINATIONS ALUM HYDROX-MAG OXIDE-DICYCLOMINE SUSP 400-200-5 M 200
789933101 GELUMEN SUSP 12040200 ANTACIDS AND COMBINATIONS ALUM HYDROX-MAG OXIDE-DICYCLOMINE SUSP 400-200-5 M 200
797499008 ALUMITE D SUSP 12040200 ANTACIDS AND COMBINATIONS ALUM HYDROX-MAG OXIDE-DICYCLOMINE SUSP 400-200-5 M 200
700771003 AMGEL SUSP 12040200 ANTACIDS AND COMBINATIONS ALUM HYDROX-MAG OXIDE-DICYCLOMINE SUSP 400-200-5 M 100
765538008 SPASMOGEL 12040200 ANTACIDS AND COMBINATIONS ALUM OXIDE-MAG OXIDE-DICYCLOMINE GEL 200-200-5 MG/ 350
765538016 SPASMOGEL 12040200 ANTACIDS AND COMBINATIONS ALUM OXIDE-MAG OXIDE-DICYCLOMINE GEL 200-200-5 MG/ 200
765538024 SPASMOGEL 12040200 ANTACIDS AND COMBINATIONS ALUM OXIDE-MAG OXIDE-DICYCLOMINE GEL 200-200-5 MG/ 100
765538032 SPASMOGEL 12040200 ANTACIDS AND COMBINATIONS ALUM OXIDE-MAG OXIDE-DICYCLOMINE GEL 200-200-5 MG/ 2500
700119002 CPL ALLIANCE RANITIDINE 150MG 12040300 HISTAMINE-2 RECEPTOR ANTAGONISTS RANITIDINE HCL TAB 150 MG 60
778958027 ZANTAC 150MG TABS 12040300 HISTAMINE-2 RECEPTOR ANTAGONISTS RANITIDINE HCL TAB 150 MG 60
841609004 RANIHEXAL 150MG TABS 12040300 HISTAMINE-2 RECEPTOR ANTAGONISTS RANITIDINE HCL TAB 150 MG 10
Page 39 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
841609012 RANIHEXAL 150MG TABS 12040300 HISTAMINE-2 RECEPTOR ANTAGONISTS RANITIDINE HCL TAB 150 MG 300
841765006 HISTAK 150MG TABS 12040300 HISTAMINE-2 RECEPTOR ANTAGONISTS RANITIDINE HCL TAB 150 MG 60
867934018 ULTAK 150MG TABS 12040300 HISTAMINE-2 RECEPTOR ANTAGONISTS RANITIDINE HCL TAB 150 MG 60
705361001 RANIT 150MG TABS 12040300 HISTAMINE-2 RECEPTOR ANTAGONISTS RANITIDINE HCL TAB 150 MG 60
707308001 SIMAYLA RANITIDINE 150MG TABS 12040300 HISTAMINE-2 RECEPTOR ANTAGONISTS RANITIDINE HCL TAB 150 MG 60
841765008 HISTAK 150MG TABS 12040300 HISTAMINE-2 RECEPTOR ANTAGONISTS RANITIDINE HCL TAB 150 MG 10
712134001 AUSTAC 150MG TABS 12040300 HISTAMINE-2 RECEPTOR ANTAGONISTS RANITIDINE HCL TAB 150 MG 60
713553001 GULF RANITIDINE 150MG TABS 12040300 HISTAMINE-2 RECEPTOR ANTAGONISTS RANITIDINE HCL TAB 150 MG 60
717160001 APEX-RANITIDINE 150MG TABS 12040300 HISTAMINE-2 RECEPTOR ANTAGONISTS RANITIDINE HCL TAB 150 MG 60
719669001 RANITIDINE BIOTECH 150MG TABS 12040300 HISTAMINE-2 RECEPTOR ANTAGONISTS RANITIDINE HCL TAB 150 MG 60
705361002 RANIT 150MG TABS 12040300 HISTAMINE-2 RECEPTOR ANTAGONISTS RANITIDINE HCL TAB 150 MG 10
700120005 CPL ALLIANCE RANITIDINE 300MG 12040300 HISTAMINE-2 RECEPTOR ANTAGONISTS RANITIDINE HCL TAB 300 MG 30
778974006 ZANTAC 300MG TABS 12040300 HISTAMINE-2 RECEPTOR ANTAGONISTS RANITIDINE HCL TAB 300 MG 30
841617007 RANIHEXAL 300MG TABS 12040300 HISTAMINE-2 RECEPTOR ANTAGONISTS RANITIDINE HCL TAB 300 MG 30
841773009 HISTAK 300MG TABS 12040300 HISTAMINE-2 RECEPTOR ANTAGONISTS RANITIDINE HCL TAB 300 MG 30
867942002 ULTAK 300MG TABS 12040300 HISTAMINE-2 RECEPTOR ANTAGONISTS RANITIDINE HCL TAB 300 MG 30
705360001 RANIT 300MG TABS 12040300 HISTAMINE-2 RECEPTOR ANTAGONISTS RANITIDINE HCL TAB 300 MG 30
Page 40 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
707309001 SIMAYLA RANITIDINE 300MG TABS 12040300 HISTAMINE-2 RECEPTOR ANTAGONISTS RANITIDINE HCL TAB 300 MG 30
712135001 AUSTAC 300MG TABS 12040300 HISTAMINE-2 RECEPTOR ANTAGONISTS RANITIDINE HCL TAB 300 MG 30
713554001 GULF RANITIDINE 300MG TABS 12040300 HISTAMINE-2 RECEPTOR ANTAGONISTS RANITIDINE HCL TAB 300 MG 30
717159001 APEX-RANITIDINE 300MG TABS 12040300 HISTAMINE-2 RECEPTOR ANTAGONISTS RANITIDINE HCL TAB 300 MG 30
718482001 RANITIDINE BIOTECH 300MG TABS 12040300 HISTAMINE-2 RECEPTOR ANTAGONISTS RANITIDINE HCL TAB 300 MG 30
703141001 LANZOR HB CAPS 12040400 PROTON PUMP INHIBITORS LANSOPRAZOLE CAP DELAYED RELEASE 15 MG 7
704752001 LANSOLOC 15MG OTC CAPS 12040400 PROTON PUMP INHIBITORS LANSOPRAZOLE CAP DELAYED RELEASE 15 MG 7
704753001 LANSOLOC 15MG CAPS 12040400 PROTON PUMP INHIBITORS LANSOPRAZOLE CAP DELAYED RELEASE 15 MG 30
715079002 LANSOPRAZOLE UNICORN 15MG CAPS 12040400 PROTON PUMP INHIBITORS LANSOPRAZOLE CAP DELAYED RELEASE 15 MG 14
831425008 LANZOR 15MG CAPS 12040400 PROTON PUMP INHIBITORS LANSOPRAZOLE CAP DELAYED RELEASE 15 MG 28
704839001 ASPEN LANSOPRAZOLE 15MG CAPS 12040400 PROTON PUMP INHIBITORS LANSOPRAZOLE CAP DELAYED RELEASE 15 MG 30
706642001 RAN-LANSOPRAZOLE 15MG CAPS 12040400 PROTON PUMP INHIBITORS LANSOPRAZOLE CAP DELAYED RELEASE 15 MG 28
707192001 BURNLOC 12040400 PROTON PUMP INHIBITORS LANSOPRAZOLE CAP DELAYED RELEASE 15 MG 14
707192002 ADCO-ROZNAL 12040400 PROTON PUMP INHIBITORS LANSOPRAZOLE CAP DELAYED RELEASE 15 MG 28
707863001 SIMAYLA LANSOPRAZOLE 15MG CAPS 12040400 PROTON PUMP INHIBITORS LANSOPRAZOLE CAP DELAYED RELEASE 15 MG 7
707863002 SIMAYLA LANSOPRAZOLE 15MG CAPS 12040400 PROTON PUMP INHIBITORS LANSOPRAZOLE CAP DELAYED RELEASE 15 MG 28
708052001 LANCAP 15MG CAPS 12040400 PROTON PUMP INHIBITORS LANSOPRAZOLE CAP DELAYED RELEASE 15 MG 30
709645001 LANSOPRAZOLE-WINTHROP 15MG CAP 12040400 PROTON PUMP INHIBITORS LANSOPRAZOLE CAP DELAYED RELEASE 15 MG 28
Page 41 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
707192003 BURNLOC 12040400 PROTON PUMP INHIBITORS LANSOPRAZOLE CAP DELAYED RELEASE 15 MG 7
714126001 ASPEN LANSOPRAZOLE OTC 15MG 12040400 PROTON PUMP INHIBITORS LANSOPRAZOLE CAP DELAYED RELEASE 15 MG 7
715079001 LANSOPRAZOLE UNICORN 15MG CAPS 12040400 PROTON PUMP INHIBITORS LANSOPRAZOLE CAP DELAYED RELEASE 15 MG 30
715812001 LANCAP OTC 15MG CAPS 12040400 PROTON PUMP INHIBITORS LANSOPRAZOLE CAP DELAYED RELEASE 15 MG 14
716841001 ROZNAL 15MG CAPS OTC 12040400 PROTON PUMP INHIBITORS LANSOPRAZOLE CAP DELAYED RELEASE 15 MG 7
704752002 LANSOLOC 15MG OTC CAPS 12040400 PROTON PUMP INHIBITORS LANSOPRAZOLE CAP DELAYED RELEASE 15 MG 14
796808007 KLEAN-PREP SACHETS 12060000 LAXATIVES *PEG 3350-KCL-NA BICARB-NACL-NA SULFATE PACKET*** 4
812900006 GOLYTELY 68.5775G 12060000 LAXATIVES *PEG 3350-KCL-NA BICARB-NACL-NA SULFATE PACKET*** 1
854549005 GOLYTELY POWD 12060000 LAXATIVES *PEG 3350-KCL-NA BICARB-NACL-NA SULFATE PACKET*** 280
80295001 GOLYTELY POWDER 12060000 LAXATIVES *PEG 3350-KCL-NA BICARB-NACL-NA SULFATE PACKET*** 1
716697001 MOVIPREP 2XSACH A 122GM+B 11GM 12060000 LAXATIVES *PEG 3350-KCL-NA BICARB-NACL-NA SULFATE PACKET*** 1
701518001 ENA-CLEAR 12060000 LAXATIVES *SODIUM PHOSPHATES - ENEMA*** 1
726435007 LEN-O-LAX PAED 64ML 12060000 LAXATIVES *SODIUM PHOSPHATES - ENEMA*** 1
726443018 LEN-O-LAX ADULT 135ML 12060000 LAXATIVES *SODIUM PHOSPHATES - ENEMA*** 1
727202006 FOSENEMA 12060000 LAXATIVES *SODIUM PHOSPHATES - ENEMA*** 1
721522009 DULCOLAX 10MG SUPP 12060000 LAXATIVES BISACODYL SUPPOS 10 MG 10
721530001 DULCOLAX 5MG PAED SUPP 12060000 LAXATIVES BISACODYL SUPPOS 5 MG 10
721549004 DULCOLAX 5MG TABS 12060000 LAXATIVES BISACODYL TAB DELAYED RELEASE 5 MG 30
721549012 DULCOLAX 5MG TABS 12060000 LAXATIVES BISACODYL TAB DELAYED RELEASE 5 MG 200
721549013 DULCOLAX 5MG TABS 12060000 LAXATIVES BISACODYL TAB DELAYED RELEASE 5 MG 10
708008001 LAXADOR BISACODYL 5MG TABS 12060000 LAXATIVES BISACODYL TAB DELAYED RELEASE 5 30
Page 42 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
MG
708008002 LAXADOR BISACODYL 5MG TABS 12060000 LAXATIVES BISACODYL TAB DELAYED RELEASE 5 MG 60
708008003 LAXADOR BISACODYL 5MG TABS 12060000 LAXATIVES BISACODYL TAB DELAYED RELEASE 5 MG 10
715545001 FRESHEN BISACODYL LAXATIVE 12060000 LAXATIVES BISACODYL TAB DELAYED RELEASE 5 MG 12
715545002 FRESHEN BISACODYL LAXATIVE 12060000 LAXATIVES BISACODYL TAB DELAYED RELEASE 5 MG 3
715545003 FRESHEN BISACODYL LAXATIVE 12060000 LAXATIVES BISACODYL TAB DELAYED RELEASE 5 MG 30
721549014 DULCOLAX 5MG TABS 12060000 LAXATIVES BISACODYL TAB DELAYED RELEASE 5 MG 60
721549015 DULCOLAX 5MG TABS 12060000 LAXATIVES BISACODYL TAB DELAYED RELEASE 5 MG 40
722655001 BROOKLAX BISACODYL 5MG LAXATIV 12060000 LAXATIVES BISACODYL TAB DELAYED RELEASE 5 MG 10
723016001 PURITONE BISACODYL LAXATIVE 5M 12060000 LAXATIVES BISACODYL TAB DELAYED RELEASE 5 MG 3
721611045 DUPHALAC SYRP 12060000 LAXATIVES LACTULOSE SOLUTION 10 GM/15ML 200
721611001 DUPHALAC SYRP 12060000 LAXATIVES LACTULOSE SOLUTION 10 GM/15ML 150
721611028 DUPHALAC SYRP 12060000 LAXATIVES LACTULOSE SOLUTION 10 GM/15ML 500
721611044 DUPHALAC SYRP 12060000 LAXATIVES LACTULOSE SOLUTION 10 GM/15ML 5000
797723005 LACSON SYRP 12060000 LAXATIVES LACTULOSE SOLUTION 10 GM/15ML 150
797723013 LACSON SYRP 12060000 LAXATIVES LACTULOSE SOLUTION 10 GM/15ML 500
797723021 LACSON SYRP 12060000 LAXATIVES LACTULOSE SOLUTION 10 GM/15ML 2500
817309004 LAXETTE SYRP 12060000 LAXATIVES LACTULOSE SOLUTION 10 GM/15ML 150
817309012 LAXETTE SYRP 12060000 LAXATIVES LACTULOSE SOLUTION 10 GM/15ML 500
878707018 ADCO-LIQUILAX SYRP 12060000 LAXATIVES LACTULOSE SOLUTION 10 GM/15ML 100
708722001 ACULAX 3.3G/5ML SYRUP 12060000 LAXATIVES LACTULOSE SOLUTION 10 GM/15ML 150
708722002 ACULAX 3.3G/5ML SYRUP 12060000 LAXATIVES LACTULOSE SOLUTION 10 GM/15ML 500
717972001 ANLAC SYRP 12060000 LAXATIVES LACTULOSE SOLUTION 10 GM/15ML 150
Page 43 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
868078026 SOFLAX TABS 12060000 LAXATIVES SENNOSIDES TAB 13.5 MG 200
868078034 SOFLAX TABS 12060000 LAXATIVES SENNOSIDES TAB 13.5 MG 20
868078042 SOFLAX TABS 12060000 LAXATIVES SENNOSIDES TAB 13.5 MG 60
763225029 SENOKOT 7.5MG TABS 12060000 LAXATIVES SENNOSIDES TAB 7.5 MG 200
708867001 SENNA-PIN 7.5MG TABS 12060000 LAXATIVES SENNOSIDES TAB 7.5 MG 48
708867002 SENNA-PIN 7.5MG TABS 12060000 LAXATIVES SENNOSIDES TAB 7.5 MG 200
763225046 SENOKOT TABS 12060000 LAXATIVES SENNOSIDES TAB 7.5 MG 20
763225047 SENOKOT TABS 12060000 LAXATIVES SENNOSIDES TAB 7.5 MG 60
763225048 SENOKOT TABS 12060000 LAXATIVES SENNOSIDES TAB 7.5 MG 100
710368001 LENNON SENNA 7.5MG TABS 12060000 LAXATIVES SENNOSIDES TAB 7.5 MG 15
708867003 SENNA-PIN 7.5MG TABS 12060000 LAXATIVES SENNOSIDES TAB 7.5 MG 20
710370001 LAXADOR SENNA 7.5MG TABS 12060000 LAXATIVES SENNOSIDES TAB 7.5 MG 15
813737001 JP PECT SUSP 12070000 ANTIDIARRHOEALS KAOLIN-PECTIN LIQUID 3-0.15 GM/15ML 100
813737028 JP PECT SUSP 12070000 ANTIDIARRHOEALS KAOLIN-PECTIN LIQUID 3-0.15 GM/15ML 2500
728284006 GASTROPECT SUSP 12070000 ANTIDIARRHOEALS KAOLIN-PECTIN SUSP 1-0.05 GM/5ML 100
734853009 KAOCREAM SUSP 12070000 ANTIDIARRHOEALS KAOLIN-PECTIN SUSP 6-0.12 GM/15ML 100
734853025 KAOCREAM SUSP 12070000 ANTIDIARRHOEALS KAOLIN-PECTIN SUSP 6-0.12 GM/15ML 2500
799408018 BETAPECT SUSP 12070000 ANTIDIARRHOEALS KAOLIN-PECTIN SUSP 6-0.45 GM/30ML 100
799408026 BETAPECT SUSP 12070000 ANTIDIARRHOEALS KAOLIN-PECTIN SUSP 6-0.45 GM/30ML 2500
823546004 PECTIN-K SUSP 12070000 ANTIDIARRHOEALS KAOLIN-PECTIN SUSP 6-0.45 GM/30ML 100
892661003 PECTIKON SUSP 12070000 ANTIDIARRHOEALS KAOLIN-PECTIN SUSP 6-0.45 GM/30ML 100
723428018 ENTEROLYTE SUSP 12070000 ANTIDIARRHOEALS KAOLIN-PECTIN W/ ELECTROLYTES SUSP 6-0.12 GM/30ML 100
734942001 KAOSTATEX SUSP 12070000 ANTIDIARRHOEALS KAOLIN-PECTIN W/ ELECTROLYTES SUSP 6-0.12 GM/30ML 150
708976018 BISKAPECT SUSP 12070000 ANTIDIARRHOEALS KAOLIN-PECTIN-BISMUTH CARBONATE SUSP 8-0.25-0.2 GM 100
708976026 BISKAPECT SUSP 12070000 ANTIDIARRHOEALS KAOLIN-PECTIN-BISMUTH CARBONATE SUSP 8-0.25-0.2 GM 2500
Page 44 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
732478006 IMODIUM SYRP 12070000 ANTIDIARRHOEALS LOPERAMIDE HCL SYRUP 1 MG/5ML 50
811467007 ADCO-LOPERAMIDE SYRP 12070000 ANTIDIARRHOEALS LOPERAMIDE HCL SYRUP 1 MG/5ML 50
820563005 LOPERASTAT 1MG/5ML SYRP 12070000 ANTIDIARRHOEALS LOPERAMIDE HCL SYRUP 1 MG/5ML 50
810908018 GASTRON 1MG/5ML SYRUP 12070000 ANTIDIARRHOEALS LOPERAMIDE HCL SYRUP 1 MG/5ML 50
703393001 DIS-CHEM ANTI-DIARRHOEAL TABS 12070000 ANTIDIARRHOEALS LOPERAMIDE HCL TAB 2 MG 6
732486009 IMODIUM 2MG TABS 12070000 ANTIDIARRHOEALS LOPERAMIDE HCL TAB 2 MG 6
791768112 PRODIUM 2MG TABS 12070000 ANTIDIARRHOEALS LOPERAMIDE HCL TAB 2 MG 500
792071026 ADCO-LOPERAMIDE TABS 12070000 ANTIDIARRHOEALS LOPERAMIDE HCL TAB 2 MG 300
792071115 ADCO-LOPERAMIDE TABS 12070000 ANTIDIARRHOEALS LOPERAMIDE HCL TAB 2 MG 6
792691008 BETAPERAMIDE 2MG TABS 12070000 ANTIDIARRHOEALS LOPERAMIDE HCL TAB 2 MG 10
796697027 NORIMODE 2MG TABS 12070000 ANTIDIARRHOEALS LOPERAMIDE HCL TAB 2 MG 120
810916002 GASTRON 2MG TABS 12070000 ANTIDIARRHOEALS LOPERAMIDE HCL TAB 2 MG 6
810916010 GASTRON 2MG TABS 12070000 ANTIDIARRHOEALS LOPERAMIDE HCL TAB 2 MG 300
707342001 CIPLA LOPERAMIDE TABS 12070000 ANTIDIARRHOEALS LOPERAMIDE HCL TAB 2 MG 8
704148005 ANUSOL SUPP 12090000 SUPPOSITORIES / ANAL OINTMENTS *HEMORRHOIDAL ANESTHETIC COMPOUND - SUPP*** 10
704148006 ANUSOL SUPP 12090000 SUPPOSITORIES / ANAL OINTMENTS *HEMORRHOIDAL ANESTHETIC COMPOUND - SUPP*** 12
826375006 ANUSOL OINT 12090000 SUPPOSITORIES / ANAL OINTMENTS PRAMOXINE W/ ZINC OXIDE IN MINERAL OIL RECTAL OINT 25
789720019 ZENTEL 100MG/5ML SUSP 13000000 ANTIHELMINTICS ALBENDAZOLE SUSP 100 MG/5ML 20
840262019 BENDEX 400MG TABS 13000000 ANTIHELMINTICS ALBENDAZOLE TAB 400 MG 1
707436001 WORMADOLE 400MG CHEW 13000000 ANTIHELMINTICS ALBENDAZOLE TAB 400 MG 1
712381001 ZENTEL 400MG TABS 13000000 ANTIHELMINTICS ALBENDAZOLE TAB 400 MG 1
775606006 VERMOX 100MG/5ML SUSP 13000000 ANTIHELMINTICS MEBENDAZOLE SUSP 20 MG/ML 30
828297002 CIPEX SUSP 13000000 ANTIHELMINTICS MEBENDAZOLE SUSP 20 MG/ML 30
845698001 WORMSTOP SUSP 13000000 ANTIHELMINTICS MEBENDAZOLE SUSP 20 MG/ML 30
881546003 VERMOX SD 500MG/10ML 13000000 ANTIHELMINTICS MEBENDAZOLE SUSP 50 MG/ML 10
703063003 ADCO-WORMEX TABS 13000000 ANTIHELMINTICS MEBENDAZOLE TAB 100 MG 6
Page 45 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
810533006 WORMGO 100MG TABS 13000000 ANTIHELMINTICS MEBENDAZOLE TAB 100 MG 6
845671006 WORMSTOP 100MG TABS 13000000 ANTIHELMINTICS MEBENDAZOLE TAB 100 MG 6
878227008 CIPEX 100MG TABS 13000000 ANTIHELMINTICS MEBENDAZOLE TAB 100 MG 6
704656001 ADCO-WORMEX 500MG TABS 13000000 ANTIHELMINTICS MEBENDAZOLE TAB 500 MG 1
807524018 VERMOX SD 500MG TABS 13000000 ANTIHELMINTICS MEBENDAZOLE TAB 500 MG 1
833894005 D-WORM SD TABS 13000000 ANTIHELMINTICS MEBENDAZOLE TAB 500 MG 1
845701002 WORMSTOP 500MG TABS 13000000 ANTIHELMINTICS MEBENDAZOLE TAB 500 MG 1
819689009 PIPRINE ELIX 13000000 ANTIHELMINTICS PIPERAZINE CITRATE ELIXIR 500 MG/5ML 50
819689017 PIPRINE ELIX 13000000 ANTIHELMINTICS PIPERAZINE CITRATE ELIXIR 500 MG/5ML 2500
828424004 SB TOX WORM SYR 13000000 ANTIHELMINTICS PIPERAZINE CITRATE SYRUP 500 MG/5ML 20
708607004 BILTRICIDE 600MG TABS 13000000 ANTIHELMINTICS PRAZIQUANTEL TAB 600 MG 10
708607012 BILTRICIDE 600MG TABS 13000000 ANTIHELMINTICS PRAZIQUANTEL TAB 600 MG 1000
727377019 FUCIDIN OINT 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS FUSIDATE SODIUM OINT 2% 15
727431005 FUCIDIN CREAM 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS FUSIDIC ACID CREAM 2% 15
776300008 VIODOR CREAM 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS
IODOQUINOL-CHLOROBUTANOL-BENZOCAINE CREAM 30-10-10 20
776300016 VIODOR CREAM 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS
IODOQUINOL-CHLOROBUTANOL-BENZOCAINE CREAM 30-10-10 500
702504003 BACTROBAN CREAM 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS MUPIROCIN CALCIUM CREAM 2% 15
706493001 BACTROBAN TOPICAL OINT 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS MUPIROCIN OINT 2% 15
706493036 BACTROBAN TOPICAL OINT 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS MUPIROCIN OINT 2% 100
721587001 NUBAN 2GM/100GM OINTMENT 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS MUPIROCIN OINT 2% 15
715837001 SUPIROBAN 2GM/100GM OINTMENT 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS MUPIROCIN OINT 2% 15
715837002 SUPIROBAN 2GM/100GM OINTMENT 14010000 ANTI-BACTERIAL ANTISEPTIC MUPIROCIN OINT 2% 50
Page 46 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
AGENTS
715837003 SUPIROBAN 2GM/100GM OINTMENT 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS MUPIROCIN OINT 2% 14
721693001 DERMOBAN 20MG/1G OINT 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS MUPIROCIN OINT 2% 15
723040001 BANOGON 2% OINTMENT 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS MUPIROCIN OINT 2% 15
784524010 FURASEPT OINT 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS NITROFURAZONE OINT 0.2% 20
805416005 FUREX OINT 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS NITROFURAZONE OINT 0.2% 25
805416013 FUREX OINT 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS NITROFURAZONE OINT 0.2% 500
702549001 BARRS POVIDONE IODINE 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS POVIDONE-IODINE OINT 10% 25
702549002 BARRS POVIDONE IODINE 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS POVIDONE-IODINE OINT 10% 500
707945003 BETADINE OINTMENT 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS POVIDONE-IODINE OINT 10% 25
707945011 BETADINE OINTMENT 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS POVIDONE-IODINE OINT 10% 500
755834003 PODINE OINT 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS POVIDONE-IODINE OINT 10% 25
755834011 PODINE OINT 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS POVIDONE-IODINE OINT 10% 500
788716093 DERMADINE OINT 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS POVIDONE-IODINE OINT 10% 25
821713019 SEPTADINE ANTISEPT OINT 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS POVIDONE-IODINE OINT 10% 25
821713027 SEPTADINE ANTISEPT OINT 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS POVIDONE-IODINE OINT 10% 500
826634001 LINK DERMADEX 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS POVIDONE-IODINE OINT 10% 25
715022001 GERMADINE 10% OINT 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS POVIDONE-IODINE OINT 10% 25
715022002 GERMADINE 10% OINT 14010000 ANTI-BACTERIAL ANTISEPTIC POVIDONE-IODINE OINT 10% 500
Page 47 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
AGENTS
717217001 BARRS POVIDONE-IODINE 10%OINT 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS POVIDONE-IODINE OINT 10% 25
707945012 BETADINE OINTMENT 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS POVIDONE-IODINE OINT 10% 100
707945013 BETADINE OINTMENT 14010000 ANTI-BACTERIAL ANTISEPTIC AGENTS POVIDONE-IODINE OINT 10% 20
700205001 APP BENZYL BENZOATE 14020000 ANTI-PARASITICS BENZYL BENZOATE EMULSION 25% 100
704857006 ASCABIOL EMULSION 14020000 ANTI-PARASITICS BENZYL BENZOATE EMULSION 25% 100
707716004 APP BENZYL BENZ LOT 14020000 ANTI-PARASITICS BENZYL BENZOATE EMULSION 25% 500
707716012 APP BENZYL BENZ LOT 14020000 ANTI-PARASITICS BENZYL BENZOATE EMULSION 25% 100
707716020 APP BENZYL BENZ LOT 14020000 ANTI-PARASITICS BENZYL BENZOATE EMULSION 25% 2500
841080003 APP BENZYL BENZ LOT 14020000 ANTI-PARASITICS BENZYL BENZOATE EMULSION 25% 100
841080011 APP BENZYL BENZ LOT 14020000 ANTI-PARASITICS BENZYL BENZOATE EMULSION 25% 2500
885588007 BENZYL BENZOATE APPL 14020000 ANTI-PARASITICS BENZYL BENZOATE EMULSION 25% 100
706448001 BENZYL BENZOATE APPLICATION 14020000 ANTI-PARASITICS BENZYL BENZOATE EMULSION 25% 100
770116019 TETMOSOL 5% 75GM BAR 14020000 ANTI-PARASITICS SULFIRAM BAR 5% 1
770116020 TETMOSOL 5% 75GM BAR 14020000 ANTI-PARASITICS SULFIRAM BAR 5% 10
722436001 TEMODERM 5% SOAP 75G 14020000 ANTI-PARASITICS SULFIRAM BAR 5% 1
702576001 PINASPOR T 1% CREAM 14030000 FUNGICIDES CLOTRIMAZOLE CREAM 1% 20
712205004 CANESTEN TOPICAL CREAM 14030000 FUNGICIDES CLOTRIMAZOLE CREAM 1% 20
788554018 CANDASPOR CREAM 14030000 FUNGICIDES CLOTRIMAZOLE CREAM 1% 20
793493005 NORMOSPOR CREAM 14030000 FUNGICIDES CLOTRIMAZOLE CREAM 1% 20
796336008 CANALBA CREAM 14030000 FUNGICIDES CLOTRIMAZOLE CREAM 1% 20
797006001 CANDIZOLE CREAM 14030000 FUNGICIDES CLOTRIMAZOLE CREAM 1% 20
799505005 MICOMISAN CREAM 14030000 FUNGICIDES CLOTRIMAZOLE CREAM 1% 20
799696005 MEDASPOR CREAM 14030000 FUNGICIDES CLOTRIMAZOLE CREAM 1% 20
808857002 CLOSCRIPT CREAM 14030000 FUNGICIDES CLOTRIMAZOLE CREAM 1% 20
814423019 COVOSPOR CREAM 14030000 FUNGICIDES CLOTRIMAZOLE CREAM 1% 20
Page 48 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
816299005 XERASPOR-T CREAM 14030000 FUNGICIDES CLOTRIMAZOLE CREAM 1% 20
824011007 CANEX TOPICAL CREAM 14030000 FUNGICIDES CLOTRIMAZOLE CREAM 1% 20
826952003 A-POR CREAM 14030000 FUNGICIDES CLOTRIMAZOLE CREAM 1% 20
839639007 TRIMAZE CREAM 14030000 FUNGICIDES CLOTRIMAZOLE CREAM 1% 20
846422018 FUNGISPOR CREAM 14030000 FUNGICIDES CLOTRIMAZOLE CREAM 1% 20
878421009 CLOMADERM CREAM 14030000 FUNGICIDES CLOTRIMAZOLE CREAM 1% 20
705246001 DIS-CHEM CLOTRIMAZOLE CREAM 14030000 FUNGICIDES CLOTRIMAZOLE CREAM 1% 20
716106001 INNOSPORE 1% CREAM 14030000 FUNGICIDES CLOTRIMAZOLE CREAM 1% 20
797022007 NYSTACID OINT 14030000 FUNGICIDES NYSTATIN OINT 100000 UNIT/GM 15
701138003 VARI-BETAMETHASONE CREAM 14040000 CORTICO-STEROIDS TOPICAL BETAMETHASONE VALERATE CREAM 0.1% 15
708313019 BETNOVATE 1MG/GM CREAM 14040000 CORTICO-STEROIDS TOPICAL BETAMETHASONE VALERATE CREAM 0.1% 15
754064018 PERSIVATE CREAM 14040000 CORTICO-STEROIDS TOPICAL BETAMETHASONE VALERATE CREAM 0.1% 15
754064026 PERSIVATE CREAM 14040000 CORTICO-STEROIDS TOPICAL BETAMETHASONE VALERATE CREAM 0.1% 500
800163028 LENOVATE 0.1% CREAM 14040000 CORTICO-STEROIDS TOPICAL BETAMETHASONE VALERATE CREAM 0.1% 15
800163036 LENOVATE 0.1% CREAM 14040000 CORTICO-STEROIDS TOPICAL BETAMETHASONE VALERATE CREAM 0.1% 500
827290004 ADCO-BETAMETHASONE CREAM 14040000 CORTICO-STEROIDS TOPICAL BETAMETHASONE VALERATE CREAM 0.1% 15
833037005 TOPIVATE 1MG/GM CREAM 14040000 CORTICO-STEROIDS TOPICAL BETAMETHASONE VALERATE CREAM 0.1% 15
833037013 TOPIVATE 1MG/GM CREAM 14040000 CORTICO-STEROIDS TOPICAL BETAMETHASONE VALERATE CREAM 0.1% 500
882934003 REPIVATE CREAM 14040000 CORTICO-STEROIDS TOPICAL BETAMETHASONE VALERATE CREAM 0.1% 15
882934011 REPIVATE CREAM 14040000 CORTICO-STEROIDS TOPICAL BETAMETHASONE VALERATE CREAM 0.1% 500
709810001 LOCATOP 0.1% CREAM 14040000 CORTICO-STEROIDS TOPICAL BETAMETHASONE VALERATE CREAM 0.1% 30
80833001 BETAMETH CR 0.1% 14040000 CORTICO-STEROIDS TOPICAL BETAMETHASONE VALERATE CREAM 30
Page 49 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
0.1%
708348009 BETNOVATE 1MG/GM OINT 14040000 CORTICO-STEROIDS TOPICAL BETAMETHASONE VALERATE OINT 0.1% 15
754072002 PERSIVATE OINT 14040000 CORTICO-STEROIDS TOPICAL BETAMETHASONE VALERATE OINT 0.1% 15
754072010 PERSIVATE OINT 14040000 CORTICO-STEROIDS TOPICAL BETAMETHASONE VALERATE OINT 0.1% 500
800171004 LENOVATE 0.1% OINT 14040000 CORTICO-STEROIDS TOPICAL BETAMETHASONE VALERATE OINT 0.1% 15
800171012 LENOVATE 0.1% OINT 14040000 CORTICO-STEROIDS TOPICAL BETAMETHASONE VALERATE OINT 0.1% 500
80834001 BETAMETH UNG 0.1% 14040000 CORTICO-STEROIDS TOPICAL BETAMETHASONE VALERATE OINT 0.1% 30
718718003 DERMOVATE CREAM 14040000 CORTICO-STEROIDS TOPICAL CLOBETASOL PROPIONATE CREAM 0.05% 25
807249009 DOVATE .5MG/GM CREAM 14040000 CORTICO-STEROIDS TOPICAL CLOBETASOL PROPIONATE CREAM 0.05% 25
868302007 XENOVATE CREAM 14040000 CORTICO-STEROIDS TOPICAL CLOBETASOL PROPIONATE CREAM 0.05% 25
80229001 CLOBETASOL 0.05% CR 14040000 CORTICO-STEROIDS TOPICAL CLOBETASOL PROPIONATE CREAM 0.05% 20
80241001 DERMOV:7.5%SALIC A 14040000 CORTICO-STEROIDS TOPICAL CLOBETASOL PROPIONATE CREAM 0.05% 50
80242001 DERMOV50:UREA10:SAL2 14040000 CORTICO-STEROIDS TOPICAL CLOBETASOL PROPIONATE CREAM 0.05% 100
80261001 DOV30:SULPH5% 14040000 CORTICO-STEROIDS TOPICAL CLOBETASOL PROPIONATE CREAM 0.05% 200
80262001 DOV30:UREA 17:SALIC5% 14040000 CORTICO-STEROIDS TOPICAL CLOBETASOL PROPIONATE CREAM 0.05% 100
80263001 DOV30:UREA10:CLOT1% 14040000 CORTICO-STEROIDS TOPICAL CLOBETASOL PROPIONATE CREAM 0.05% 100
718726006 DERMOVATE OINTMENT 14040000 CORTICO-STEROIDS TOPICAL CLOBETASOL PROPIONATE OINT 0.05% 25
807230006 DOVATE .5MG/GM OINT 14040000 CORTICO-STEROIDS TOPICAL CLOBETASOL PROPIONATE OINT 0.05% 25
868299006 XENOVATE OINT 14040000 CORTICO-STEROIDS TOPICAL CLOBETASOL PROPIONATE OINT 0.05% 25
720011019 DILUCORT CREAM 14040000 CORTICO-STEROIDS TOPICAL HYDROCORTISONE ACETATE CREAM 25
Page 50 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
0.5%
745472001 MYLOCORT 1GM/100GM CREAM 14040000 CORTICO-STEROIDS TOPICAL HYDROCORTISONE ACETATE CREAM 1% 25
807834017 BIOCORT CREAM 14040000 CORTICO-STEROIDS TOPICAL HYDROCORTISONE ACETATE CREAM 1% 500
807834018 BIOCORT CREAM 14040000 CORTICO-STEROIDS TOPICAL HYDROCORTISONE ACETATE CREAM 1% 20
810223007 STOPITCH CREAM 14040000 CORTICO-STEROIDS TOPICAL HYDROCORTISONE ACETATE CREAM 1% 20
826642004 LINK MEZZODERM CREAM 14040000 CORTICO-STEROIDS TOPICAL HYDROCORTISONE ACETATE CREAM 1% 25
807834009 BIOCORT CREAM 14040000 CORTICO-STEROIDS TOPICAL HYDROCORTISONE ACETATE CREAM 1% 25
764353004 SKINCALM CREAM 14040000 CORTICO-STEROIDS TOPICAL HYDROCORTISONE CREAM 0.5% 25
700445001 VARI-HYDROCORTISONE 1% CREAM 14040000 CORTICO-STEROIDS TOPICAL HYDROCORTISONE CREAM 1% 15
757217001 PROCUTAN CREAM 14040000 CORTICO-STEROIDS TOPICAL HYDROCORTISONE CREAM 1% 20
700445002 VARI-HYDROCORTISONE 1% CREAM 14040000 CORTICO-STEROIDS TOPICAL HYDROCORTISONE CREAM 1% 20
776297007 VIOCORT CREAM 14040100 CORTICO-STEROIDS WITH ANTI-INFECTIVE AGENTS
IODOQUINOL-CHLOROBUTANOL-HC CREAM 3-1-0.25% 20
776297015 VIOCORT CREAM 14040100 CORTICO-STEROIDS WITH ANTI-INFECTIVE AGENTS
IODOQUINOL-CHLOROBUTANOL-HC CREAM 3-1-0.25% 500
793515017 NEODERM CREAM 14040100 CORTICO-STEROIDS WITH ANTI-INFECTIVE AGENTS NEOMYCIN-HC ACE CREAM 1% 25
700221001 BREVOXYL CREAM 14060000 ACNE BENZOYL PEROXIDE CREAM 4% 40
700221002 BREVOXYL CREAM 14060000 ACNE BENZOYL PEROXIDE CREAM 4% 50
807842028 BENZAC AC 5 GEL 14060000 ACNE BENZOYL PEROXIDE GEL 5% 40
807842029 BENZAC AC 5 GEL 14060000 ACNE BENZOYL PEROXIDE GEL 5% 15
896079002 CREME CLASSIQUE ACNE 5 GEL 14060000 ACNE BENZOYL PEROXIDE GEL 5% 50
794120008 BIOHIST LOT 14090000 OTHER DERMATOLOGICALS DIPHENHYDRAMINE-CALAMINE-PHENOL LOTION 1-15-0.4% 100
713724005 CHLORAMEX 3.5GM 1% EYE OINT 15010000 ANTI-INFECTIVES CHLORAMPHENICOL OPHTH OINT 1% 1
713759003 CHLORCOL EYE OINT 15010000 ANTI-INFECTIVES CHLORAMPHENICOL OPHTH OINT 1% 1
765880008 SPERSANICOL EYE OINT 15010000 ANTI-INFECTIVES CHLORAMPHENICOL OPHTH OINT 1% 1
Page 51 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
817201009 CHLORPHEN 1% 3.5G EYE OINT 15010000 ANTI-INFECTIVES CHLORAMPHENICOL OPHTH OINT 1% 1
713872005 CHLORNICOL 3.5GM EYE OINT 15010000 ANTI-INFECTIVES CHLORAMPHENICOL OPHTH OINT 1% 25
783641001 FUCITHALMIC 5ML DROPS 15010000 ANTI-INFECTIVES FUSIDIC ACID OPHTH SOLN 10 MG/GM (1%) 1
716634007 COVOMYCIN 7.5ML DROPS 15010000 ANTI-INFECTIVES NEOMYCIN-CHLORAMPHENICOL-NAPHAZOLINE OPH SOLN 0.5- 1
702935018 OCTIN OPTH DROPS 15010000 ANTI-INFECTIVES OFLOXACIN OPHTH SOLN 0.3% 1
839957009 EXOCIN EYE DROPS 15010000 ANTI-INFECTIVES OFLOXACIN OPHTH SOLN 0.3% 1
767360001 SULPHACETAMIDE EYE OINT 3.5G 15010000 ANTI-INFECTIVES SULFACETAMIDE SODIUM OPHTH OINT 10% 1
708267009 BETNESOL 5ML DROPS 15020000 CORTICOIDS BETAMETHASONE SODIUM PHOSPHATE OPHTH-OTIC-NASAL SO 1
765821001 SPERSADEX 0.1% 10ML DROPS 15020000 CORTICOIDS DEXAMETHASONE SODIUM PHOSPHATE OPHTH SOLN 0.1% 1
756466008 PRED-MILD 5ML DROPS 15020000 CORTICOIDS PREDNISOLONE ACETATE OPHTH SUSP 0.125% 1
706558001 OPTILAST 15040000 DECONGESTANTS AZELASTINE HCL OPHTH SOLN 0.05% 1
750271019 OCULOSAN 10ML EYE DROPS 15040000 DECONGESTANTS NAPHAZOLINE 0.005% W/ ZINC SULFATE OPHTH SOLN 1
701668007 SB UNIVERSAL EYE DROPS 15ML 15040000 DECONGESTANTS PHENYLEPHRINE-BORIC ACID OPHTH SOLN 1.25-20 MG/ML 1
773883002 UNIVERSAL 15ML EYE SOLN 15040000 DECONGESTANTS PHENYLEPHRINE-BORIC ACID OPHTH SOLN 1.25-20 MG/ML 1
728608006 GEMINI EYE 15ML 15040000 DECONGESTANTS TETRAHYDROZOLINE-ANTAZOLINE OPHTH SOLN 0.04-0.05% 1
765856018 SPERSALLERG DROPS 15040000 DECONGESTANTS TETRAHYDROZOLINE-ANTAZOLINE OPHTH SOLN 0.04-0.05% 1
827150008 OCULERGE 20ML EYE DROPS 15040000 DECONGESTANTS TETRAHYDROZOLINE-ANTAZOLINE OPHTH SOLN 0.04-0.05% 1
700864001 CROMABAK 10ML DROPS 15070000 OTHER OPHTHALMICS CROMOLYN SODIUM OPHTH SOLN 2% 1
804630003 VIVIDRIN EYE 10ML EYE DROPS 15070000 OTHER OPHTHALMICS CROMOLYN SODIUM OPHTH SOLN 2% 1
822698005 CROMOHEXAL EYE DROPS 15070000 OTHER OPHTHALMICS CROMOLYN SODIUM OPHTH SOLN 2% 1
894605003 STOP ALLERG 13.5ML 15070000 OTHER OPHTHALMICS CROMOLYN SODIUM OPHTH SOLN 2% 1
839760019 GENCIT SIMPLEX 16030000 URINARY ALKALINIZERS POTASSIUM CITRATE & CITRIC ACID 100
Page 52 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
SOLN 45-21 MG/15ML
778672018 WINLOMYLON SUSP 16040000 URINARY ANTISEPTICS NALIDIXIC ACID SUSP 250 MG/5ML 100
745685005 PUROMYLON 500MG TABS 16040000 URINARY ANTISEPTICS NALIDIXIC ACID TAB 500 MG 100
739847007 MACRODANTIN 100MG CAPS 16040000 URINARY ANTISEPTICS NITROFURANTOIN MACROCRYSTALLINE CAP 100 MG 50
739839004 MACRODANTIN 50MG CAPS 16040000 URINARY ANTISEPTICS NITROFURANTOIN MACROCRYSTALLINE CAP 50 MG 50
727601008 FURANDANTIN 25MG/5ML 16040000 URINARY ANTISEPTICS NITROFURANTOIN SUSP 25 MG/5ML 100
702574001 PINASPOR V 1% VCR 17020000 VAGINAL PREPARATIONS CLOTRIMAZOLE VAGINAL CREAM 1% 50
703548001 CANESTEN 1% VCR 17020000 VAGINAL PREPARATIONS CLOTRIMAZOLE VAGINAL CREAM 1% 35
826960006 A-POR VCR 17020000 VAGINAL PREPARATIONS CLOTRIMAZOLE VAGINAL CREAM 1% 50
831875003 CANALBA VCR 17020000 VAGINAL PREPARATIONS CLOTRIMAZOLE VAGINAL CREAM 1% 50
831883006 CANDASPOR VCR 17020000 VAGINAL PREPARATIONS CLOTRIMAZOLE VAGINAL CREAM 1% 50
831905026 CANESTEN 1% VCR 17020000 VAGINAL PREPARATIONS CLOTRIMAZOLE VAGINAL CREAM 1% 50
831913002 CANEX VAG CREAM 17020000 VAGINAL PREPARATIONS CLOTRIMAZOLE VAGINAL CREAM 1% 50
831921005 CLOSCRIPT VAGINAL CREAM 17020000 VAGINAL PREPARATIONS CLOTRIMAZOLE VAGINAL CREAM 1% 50
832332003 COVOSPOR VAGINAL CREAM 17020000 VAGINAL PREPARATIONS CLOTRIMAZOLE VAGINAL CREAM 1% 50
832391018 MEDASPOR VCR 17020000 VAGINAL PREPARATIONS CLOTRIMAZOLE VAGINAL CREAM 1% 50
832405019 MICOMISAN VAG CREAM 17020000 VAGINAL PREPARATIONS CLOTRIMAZOLE VAGINAL CREAM 1% 50
832421006 NORMOSPOR VCR 10MG/GM 17020000 VAGINAL PREPARATIONS CLOTRIMAZOLE VAGINAL CREAM 1% 50
832499005 XERASPOR-V CREAM 17020000 VAGINAL PREPARATIONS CLOTRIMAZOLE VAGINAL CREAM 1% 50
832596019 CANDIZOLE VCR 17020000 VAGINAL PREPARATIONS CLOTRIMAZOLE VAGINAL CREAM 1% 50
839620004 GYNO-TRIMAZE VCR 17020000 VAGINAL PREPARATIONS CLOTRIMAZOLE VAGINAL CREAM 1% 50
846341018 FUNGISPOR VCR 17020000 VAGINAL PREPARATIONS CLOTRIMAZOLE VAGINAL CREAM 1% 50
878448004 GYNEZOL 10MG/GM VCR 17020000 VAGINAL PREPARATIONS CLOTRIMAZOLE VAGINAL CREAM 1% 50
705247001 DIS-CHEM CLOTRIMAZOLE VCR 17020000 VAGINAL PREPARATIONS CLOTRIMAZOLE VAGINAL CREAM 1% 50
711138001 INNOSPORE 1% VCR 17020000 VAGINAL PREPARATIONS CLOTRIMAZOLE VAGINAL CREAM 1% 20
711138002 INNOSPORE 1% VCR 17020000 VAGINAL PREPARATIONS CLOTRIMAZOLE VAGINAL CREAM 1% 50
829269002 AUGMENTIN S SUSP 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR 100
Page 53 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
SUSP 125-31.25 MG/
842524002 CLAMENTIN S 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR SUSP 125-31.25 MG/ 100
861952006 AUGMAXCIL S 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR SUSP 125-31.25 MG/ 100
865540004 BIO-AMOKSILAV 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR SUSP 125-31.25 MG/ 100
878774009 SANDOZ AMOCLAV S 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR SUSP 125-31.25 MG/ 100
894123003 RANCLAV SUSPENSION 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR SUSP 125-31.25 MG/ 100
899097006 ADCO-AMOCLAV S 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR SUSP 125-31.25 MG/ 100
707186001 AMOCLAN S SUSP 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR SUSP 125-31.25 MG/ 100
713358001 AURO-AMOXICLAV 125/31.25MG 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR SUSP 125-31.25 MG/ 100
704069001 AUGMENTIN BD S SUSP 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR SUSP 200-28.5 MG/5 70
722937001 AUSTELL CO-AMOXICLAV BD S SUSP 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR SUSP 200-28.5 MG/5 70
829277005 AUGMENTIN SF SUSP 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR SUSP 250-62.5 MG/5 100
842532005 CLAMENTIN SF 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR SUSP 250-62.5 MG/5 100
861960009 AUGMAXCIL SF 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR SUSP 250-62.5 MG/5 100
865559007 BIO-AMOKSIKLAV 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR SUSP 250-62.5 MG/5 100
878782001 SANDOZ AMOCLAV SF 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR SUSP 250-62.5 MG/5 100
894125001 RANCLAV FORTE SUSPENSION 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR SUSP 250-62.5 MG/5 100
899100007 ADCO-AMOCLAV SF 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR SUSP 250-62.5 MG/5 100
707187001 AMOCLAN SF SUSP 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR 100
Page 54 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
SUSP 250-62.5 MG/5
707666001 APEX-CLAVUTIN SF 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR SUSP 250-62.5 MG/5 100
713360001 AURO-AMOXICLAV 250/62.5 MG 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR SUSP 250-62.5 MG/5 100
704068001 AUGMENTIN BD SF SUSP 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR SUSP 400-57 MG/5ML 70
705471001 SANDOZ CO-AMOCLAV BD SF 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR SUSP 400-57 MG/5ML 35
705471002 SANDOZ CO-AMOCLAV BD SF 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR SUSP 400-57 MG/5ML 70
705832001 CURAM BD SUSP 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR SUSP 400-57 MG/5ML 35
705832002 CURAM BD SUSP 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR SUSP 400-57 MG/5ML 70
722938001 AUSTELL CO-AMOXICLAV BD SF SUS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR SUSP 400-57 MG/5ML 35
722938002 AUSTELL CO-AMOXICLAV BD SF SUS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE FOR SUSP 400-57 MG/5ML 70
705691004 AUGMENTIN 375MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15
842516018 CLAMENTIN 375MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15
861936019 AUGMAXCIL 375MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15
865532001 BIO-AMOKSIKLAV TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15
867373008 RANCLAV 375MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15
878766006 SANDOZ CO-AMOXYCLAV 375 MG 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15
893218006 ADCO-AMOCLAV 375MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15
707184001 AMOCLAN TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15
707407001 AUSTELL CO-AMOXICLAV 375MG 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 15
Page 55 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
250-125 MG
707663001 APEX-CLAVUTIN 375MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15
713381001 AURO-AMOXICLAV 375MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15
716124001 BINDOCLAV 375MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15
721444001 BETACLAV 375MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 250-125 MG 15
701736001 SANDOZ CO-AMOXICLAV 625MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15
704047001 CURAM 625MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15
861944003 AUGMAXCIL 625MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15
867381019 RANCLAV 625MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15
893224007 ADCO-AMOCLAV 625MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15
865524010 BIO-AMOKSIKLAV 625MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15
707185001 AMOCLAN FORTE TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15
707408001 AUSTELL CO-AMOXICLAV 625MG 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15
707665001 APEX-CLAVUTIN 625MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15
713382001 AURO-AMOXICLAV 625MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15
716125001 BINDOCLAV 625MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15
721445001 BETACLAV 625MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 500-125 MG 15
703229001 ADCO-AMOCLAV BD 1000MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10
703356001 SANDOZ CO-AMOXICLAV BD 1000 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 10
Page 56 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
875-125 MG
704049001 CURAM 1000GM BD TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10
704484001 AMOCLAN BID 1000MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10
853542007 AUGMENTIN 1000MG BD TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10
708893001 RANCLAV 1000MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10
709232001 CLAMENTIN 1000MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10
708387002 BIO-AMOKSIKLAV 1000MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10
713383001 AURO-AMOXICLAV 1000MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10
714704001 BETACLAV 1000MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10
716126001 BINDOCLAV 1000MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 10
720898001 ADCO-AMOXYCLAV BD 1000MG TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB 875-125 MG 100
719283001 SANDOZ CO-AMOXYCLAV 625MG DISP 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB DISP 500-125 MG 10
719283002 SANDOZ CO-AMOXYCLAV 625MG DISP 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB DISP 500-125 MG 16
703903003 FORCID SOLUTAB 875/125 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB DISP 875-125 MG 10
719284001 SANDOZ CO-AMOXYCLAV 1000MG 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB DISP 875-125 MG 10
723109001 KLAVIMAXCIL 1000MG DISP TABS 18010100 PENICILLINS AMOXICILLIN & K CLAVULANATE TAB DISP 875-125 MG 10
704401001 AMOXICAPS 250MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500
704443001 ALLMOX 250MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 1000
744689007 MOXYPEN 250MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 250 15
Page 57 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
MG
744689015 MOXYPEN 250MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 100
784656010 AMOCILLIN 250MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 100
785229027 ADCO-AMOX 250MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500
785229035 ADCO-AMOX 250MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 15
788155024 BETAMOX 250MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500
806579021 MOXYMAX 250MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500
808539019 ZOXIL 250MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 15
808741012 PROMOXIL 250MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500
815268017 IPCAMOX 250MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500
824860004 RANMOXY 250MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500
706950001 AMOCAS 250MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 15
707499001 AUSTELL-AMOXICILLIN 250MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500
708398001 ZALOXY 250MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500
815268018 IPCAMOX 250MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 15
704443002 ALLMOX 250MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500
705679002 MYMOX 250MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500
713363001 AURO-AMOXYCILLIN 250MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500
714185001 AMYN 250MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 250 500
Page 58 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
MG
716122001 YOMAX 250MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 500
788155008 BETAMOX 250MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 250 MG 15
704444001 ALLMOX 500MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 500
744697018 MOXYPEN 500MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 15
744697026 MOXYPEN 500MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 100
788546023 BETAMOX 500MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 500
806587017 MOXYMAX 500MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 500
808547003 ZOXIL 500MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 15
808768026 PROMOXIL 500MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 100
811440001 ADCO-AMOX 500MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 15
824879023 RANMOXY 500MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 450
705637001 AUSTELL-AMOXICILLIN 500MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 500
708397001 ZALOXY 500MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 500
705709002 MYMOX 500MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 500
713364001 AURO-AMOXYCILLIN 500MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 100
714184001 AMYN 500MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 500
716123001 YOMAX 500MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 100
788546007 BETAMOX 500MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 500 15
Page 59 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
MG
705709003 MYMOX 500MG CAPS 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) CAP 500 MG 250
701380001 RANMOXY SUSP 125MG/5ML 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100
829099018 ADCO-AMOX 125MG SUSP 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100
829145001 AMOXIL S 125MG SUSP 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100
829358005 BETAMOX S 125MG/5ML SUSP 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100
830275002 MOXYMAX S 125MG/5ML SUSP 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100
830291008 MOXYPEN 125 SUSP 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100
830488006 PROMOXIL S 125MG/5ML 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100
830534008 SALTERMOX S 125MG/5ML 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100
830739009 ZOXIL S 125MG/5ML SUSP 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100
708396001 ZALOXY 125MG/5ML SUSP 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 75
708396002 ZALOXY 125MG/5ML SUSP 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100
714179001 ALLMOX S 125MG/5ML SUSP 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100
714182001 AMYN S 125MG/5ML SUSP 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 75
714182002 AMYN S 125MG/5ML SUSP 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 100
830275003 MOXYMAX S 125MG/5ML SUSP 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 125 MG/5ML 75
701383001 RANMOXY SUSP 250MG/5ML 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100
829102019 ADCO-AMOX 250MG SUSP 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 100
Page 60 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
250 MG/5ML
829153004 AMOXIL SF 250MG SUSP 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100
829366008 BETAMOX SF 250MG/5ML SUSP 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100
830283005 MOXYMAX 250 SUSP 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100
830305009 MOXYPEN 250MG/5ML SUSP 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100
830496009 PROMOXIL SF 250MG/5ML 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100
830542019 SALTERMOX SF 250MG/5ML 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100
830747001 ZOXIL SF 250MG/5ML SUSP 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100
893409006 A-LENNON AMOXYCILLIN 250MG 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100
708395001 ZALOXY 250MG/5ML SUSP 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100
714180001 ALLMOX SF 250MG/5ML SUSP 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100
714183001 AMYN SF 250MG/5ML SUSP 18010100 PENICILLINS AMOXICILLIN (TRIHYDRATE) FOR SUSP 250 MG/5ML 100
797561005 MACROPEN CAPS 18010100 PENICILLINS AMOXICILLIN-FLOXACILLIN CAP 250-250 MG 15
797561013 MACROPEN CAPS 18010100 PENICILLINS AMOXICILLIN-FLOXACILLIN CAP 250-250 MG 100
830208003 MACROPEN SUSP 18010100 PENICILLINS AMOXICILLIN-FLOXACILLIN FOR SUSP 125-125 MG/5ML 100
809632012 CLOXIN 250MG CAPS 18010100 PENICILLINS CLOXACILLIN SODIUM CAP 250 MG 100
809640015 CLOXIN 500MG CAPS 18010100 PENICILLINS CLOXACILLIN SODIUM CAP 500 MG 100
781231019 SANDOZ FLUCLOXACILLIN 250MG 18010100 PENICILLINS FLOXACILLIN SODIUM CAP 250 MG 20
710308001 FLUPEN 250MG CAPS 18010100 PENICILLINS FLOXACILLIN SODIUM CAP 250 MG 100
723163001 MEDREICH FLUCLOXACILLIN 250MG 18010100 PENICILLINS FLOXACILLIN SODIUM CAP 250 MG 20
723163002 MEDREICH FLUCLOXACILLIN 250MG 18010100 PENICILLINS FLOXACILLIN SODIUM CAP 250 MG 40
Page 61 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
723163003 MEDREICH FLUCLOXACILLIN 250MG 18010100 PENICILLINS FLOXACILLIN SODIUM CAP 250 MG 100
753521008 PENILENTE LA 2.4MU INJ 18010100 PENICILLINS PENICILLIN G BENZATHINE FOR INTRAMUSCULAR SUSP 240 1
791369013 BENZATHINEPEN 2.4MU FRESENIUS 18010100 PENICILLINS PENICILLIN G BENZATHINE FOR INTRAMUSCULAR SUSP 240 50
791369021 BENZATHINEPEN 2.4MU FRESENIUS 18010100 PENICILLINS PENICILLIN G BENZATHINE FOR INTRAMUSCULAR SUSP 240 10
753521009 PENILENTE LA 2.4MU INJ 18010100 PENICILLINS PENICILLIN G BENZATHINE FOR INTRAMUSCULAR SUSP 240 10
751111015 BETAPEN 125MG/5ML SYR 18010100 PENICILLINS PENICILLIN V POTASSIUM FOR SOLN 125 MG/5ML 100
716611001 ATHLONE PHENOXYMETHYLPENICIL 18010100 PENICILLINS PENICILLIN V POTASSIUM FOR SOLN 125 MG/5ML 100
780081013 BETAPEN 250MG TABS 18010100 PENICILLINS PENICILLIN V POTASSIUM TAB 250 MG 1000
780081005 BETAPEN 250MG TABS 18010100 PENICILLINS PENICILLIN V POTASSIUM TAB 250 MG 100
715656001 FIXIME 400MG TABS 18010200 CEPHALOSPORINS CEFIXIME TAB 400 MG 1
715656002 FIXIME 400MG TABS 18010200 CEPHALOSPORINS CEFIXIME TAB 400 MG 5
715656003 FIXIME 400MG TABS 18010200 CEPHALOSPORINS CEFIXIME TAB 400 MG 10
703460003 SABAX CEFTRIAXONE 250MG POWD 18010200 CEPHALOSPORINS CEFTRIAXONE SODIUM FOR INJ 250 MG 1
761257004 ROCEPHIN 250MG/VIAL 18010200 CEPHALOSPORINS CEFTRIAXONE SODIUM FOR INJ 250 MG 1
893119005 OFRAMAX 250MG VIAL 18010200 CEPHALOSPORINS CEFTRIAXONE SODIUM FOR INJ 250 MG 1
707948001 FRESENIUS-CEFTRIAXONE 250MG 18010200 CEPHALOSPORINS CEFTRIAXONE SODIUM FOR INJ 250 MG 10
709240001 CEFTRIAXONE-SAFELINE VIAL POWD 18010200 CEPHALOSPORINS CEFTRIAXONE SODIUM FOR INJ 250 MG 1
709240002 CEFTRIAXONE-SAFELINE VIAL POWD 18010200 CEPHALOSPORINS CEFTRIAXONE SODIUM FOR INJ 250 MG 50
713200001 MEDAXONE 250MG INJ 18010200 CEPHALOSPORINS CEFTRIAXONE SODIUM FOR INJ 250 MG 10
714188001 TRIAPHIN VIAL 5ML 250MG INJ 18010200 CEPHALOSPORINS CEFTRIAXONE SODIUM FOR INJ 250 MG 1
814091008 ZINNAT 125MG/5ML SUSP 18010200 CEPHALOSPORINS CEFUROXIME AXETIL FOR SUSP 125 50
Page 62 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
MG/5ML
814091016 ZINNAT 125MG/5ML SUSP 18010200 CEPHALOSPORINS CEFUROXIME AXETIL FOR SUSP 125 MG/5ML 100
710077001 SANDOZ CEFUROXIME 125MG/5ML 18010200 CEPHALOSPORINS CEFUROXIME AXETIL FOR SUSP 125 MG/5ML 50
710077002 SANDOZ CEFUROXIME 125MG/5ML 18010200 CEPHALOSPORINS CEFUROXIME AXETIL FOR SUSP 125 MG/5ML 100
723411001 CEROXIM 125MG/5ML SUSP 18010200 CEPHALOSPORINS CEFUROXIME AXETIL FOR SUSP 125 MG/5ML 50
723411002 CEROXIM 125MG/5ML SUSP 18010200 CEPHALOSPORINS CEFUROXIME AXETIL FOR SUSP 125 MG/5ML 100
700689001 CEROXIM 250MG 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 250 MG 10
703697001 ZEFROXE 250MG TABS 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 250 MG 10
703867001 SANDOZ CEFUROXIME 250MG TABS 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 250 MG 10
781339006 ZINNAT 250MG TABS 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 250 MG 10
704982001 CEFASYN 250MG TABS 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 250 MG 10
704988001 CEFU-HEXAL 250MG 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 250 MG 10
707371001 CUROAX 250MG TABS 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 250 MG 10
710530001 BETAROXIME T 250MG TABS 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 250 MG 10
713531001 AUROXIME 250MG TABS 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 250 MG 10
713006001 ZEFURIME 250MG TABS 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 250 MG 10
715142001 ZINOXIME 250MG TABS 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 250 MG 10
717990001 ORCHID CEFUROXIME 250MG TABS 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 250 MG 10
717799001 ALKOXIME 250MG TABS 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 250 MG 10
718658001 CEFASYN 250MG TABS (WAS POXIM) 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 250 MG 10
700687001 CEROXIM 500MG 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 500 MG 10
703695001 ZEFROXE 500MG TABS 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 500 MG 10
703868001 SANDOZ CEFUROXIME 500MG TABS 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 500 MG 10
713007001 ZEFURIME 500MG TABS 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 500 MG 10
781347009 ZINNAT 500MG TABS 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 500 MG 10
Page 63 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
704983001 CEFASYN 500MG TABS 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 500 MG 10
704990001 CEFU-HEXAL 500MG TABS 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 500 MG 10
707372001 CUROAX 500MG TABS 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 500 MG 10
710531001 BETAROXIME T 500MG TABS 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 500 MG 10
713532001 AUROXIME 500MG TABS 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 500 MG 10
715261001 ZINOXIME 500MG TABS 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 500 MG 10
717992001 ORCHID CEFUROXIME 500MG TABS 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 500 MG 10
717801001 ALKOXIME 500MG TABS 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 500 MG 10
718659001 CEFASYN 500MG TABS (WAS POXIM) 18010200 CEPHALOSPORINS CEFUROXIME AXETIL TAB 500 MG 10
830909001 RANCEPH 250MG CAPS 18010200 CEPHALOSPORINS CEPHALEXIN CAP 250 MG 20
897880006 CPL ALLIANCE CEPHALEXIN 250MG 18010200 CEPHALOSPORINS CEPHALEXIN CAP 250 MG 100
837253004 RANCEPH 500MG CAPS 18010200 CEPHALOSPORINS CEPHALEXIN CAP 500 MG 20
897887006 CPL ALLIANCE CEPHALEXIN 500MG 18010200 CEPHALOSPORINS CEPHALEXIN CAP 500 MG 100
706327001 BELEX 500MG CAPS 18010200 CEPHALOSPORINS CEPHALEXIN CAP 500 MG 100
860603008 RANCEPH 125MG/5ML SUSP 18010200 CEPHALOSPORINS CEPHALEXIN FOR SUSP 125 MG/5ML 100
897892003 CPL ALLIANCE CEPHALEXIN 125MG/ 18010200 CEPHALOSPORINS CEPHALEXIN FOR SUSP 125 MG/5ML 100
860611019 RANCEPH 250MG/5ML SUSP 18010200 CEPHALOSPORINS CEPHALEXIN FOR SUSP 250 MG/5ML 100
710609001 AZIMAX 250MG CAPS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES AZITHROMYCIN CAP 250 MG 6
712447001 CLAMELLE 250MG CAPS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES AZITHROMYCIN CAP 250 MG 4
717496001 VARIMAX 250MG CAPS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES AZITHROMYCIN CAP 250 MG 6
706370001 ULTREON 500MG TABS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES AZITHROMYCIN TAB 600 MG 2
704649001 KLARITHRAN 125MG/5ML SUSP 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
CLARITHROMYCIN FOR SUSP 125 MG/5ML 60
830046003 KLACID 125MG/5ML SUSP 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
CLARITHROMYCIN FOR SUSP 125 MG/5ML 50
706758001 CLARIHEXAL 125 P SUSP 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
CLARITHROMYCIN FOR SUSP 125 MG/5ML 50
Page 64 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
707357001 KLARIBIN 125MG/5ML SUSP 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
CLARITHROMYCIN FOR SUSP 125 MG/5ML 60
716627001 CLAREN 125MG/5ML GRANULES 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
CLARITHROMYCIN FOR SUSP 125 MG/5ML 90
716627002 CLAREN 125MG/5ML GRANULES FOR 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
CLARITHROMYCIN FOR SUSP 125 MG/5ML 60
704650001 KLARITHRAN 250MG/5ML SUSP 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
CLARITHROMYCIN FOR SUSP 250 MG/5ML 60
830054006 KLACID 250MG/5ML SUSP 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
CLARITHROMYCIN FOR SUSP 250 MG/5ML 50
706759001 CLARIHEXAL 250 P SUSP 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
CLARITHROMYCIN FOR SUSP 250 MG/5ML 50
707358001 KLARIBIN 250MG/5ML SUSP 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
CLARITHROMYCIN FOR SUSP 250 MG/5ML 60
716628001 CLAREN 250MG/5ML GRAN FOR SUSP 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
CLARITHROMYCIN FOR SUSP 250 MG/5ML 90
716628002 CLAREN 250MG/5ML GRAN FOR SUSP 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
CLARITHROMYCIN FOR SUSP 250 MG/5ML 60
704032001 CLACEE 250MG TABS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES CLARITHROMYCIN TAB 250 MG 10
707255001 KLARIZON 250MG TABS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES CLARITHROMYCIN TAB 250 MG 10
716675001 KLARYVID 250MG TABS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES CLARITHROMYCIN TAB 250 MG 10
720976001 KLARIBIN 250MG TABS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES CLARITHROMYCIN TAB 250 MG 10
704033001 CLACEE 500MG TABS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES CLARITHROMYCIN TAB 500 MG 10
704033002 CLACEE 500MG TABS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES CLARITHROMYCIN TAB 500 MG 14
704464001 KLARITHRAN 500MG TABS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES CLARITHROMYCIN TAB 500 MG 14
705031001 CLARIHEXAL 500MG TABS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES CLARITHROMYCIN TAB 500 MG 10
705416001 MYLAN CLARITHROMYCIN 500MG 18020000 ERYTHROMYCIN AND OTHER MACROLIDES CLARITHROMYCIN TAB 500 MG 10
Page 65 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
705416002 MYLAN CLARITHROMYCIN 500MG 18020000 ERYTHROMYCIN AND OTHER MACROLIDES CLARITHROMYCIN TAB 500 MG 14
704464002 KLARITHRAN 500MG TABS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES CLARITHROMYCIN TAB 500 MG 10
707256001 KLARIZON 500MG TABS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES CLARITHROMYCIN TAB 500 MG 10
707256002 KLARIZON 500MG TABS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES CLARITHROMYCIN TAB 500 MG 14
707318001 SIMAYLA CLARITHROMYCIN 500MG 18020000 ERYTHROMYCIN AND OTHER MACROLIDES CLARITHROMYCIN TAB 500 MG 14
707662001 APEX-CLARITHROMYCIN 500MG TABS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES CLARITHROMYCIN TAB 500 MG 10
719921001 KLARYVID 500MG TABS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES CLARITHROMYCIN TAB 500 MG 10
720977001 KLARIBIN 500MG TABS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES CLARITHROMYCIN TAB 500 MG 10
721268001 CLARITHROMYCIN UNICORN 500MG X 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
CLARITHROMYCIN TAB SR 24HR 500 MG 5
841552002 KLACID XL 500MG TABS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
CLARITHROMYCIN TAB SR 24HR 500 MG 5
841552003 KLACID XL 500MG TABS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
CLARITHROMYCIN TAB SR 24HR 500 MG 10
707761001 KLARITHRAN MR 500MG TABS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
CLARITHROMYCIN TAB SR 24HR 500 MG 5
707761002 KLARITHRAN MR 500MG TABS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
CLARITHROMYCIN TAB SR 24HR 500 MG 10
717722001 CLARIHEXAL XL 500MG TABS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
CLARITHROMYCIN TAB SR 24HR 500 MG 10
717722002 CLARIHEXAL XL 500MG TABS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
CLARITHROMYCIN TAB SR 24HR 500 MG 5
758388012 PURMYCIN 250MG CAPS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
ERYTHROMYCIN ESTOLATE CAP 250 MG 100
758388020 PURMYCIN 250MG CAPS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
ERYTHROMYCIN ESTOLATE CAP 250 MG 500
765651009 SPECTRASONE 250MG CAPS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
ERYTHROMYCIN ESTOLATE CAP 250 MG 20
Page 66 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
765651017 SPECTRASONE 250MG CAPS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
ERYTHROMYCIN ESTOLATE CAP 250 MG 100
765651025 SPECTRASONE 250MG CAPS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
ERYTHROMYCIN ESTOLATE CAP 250 MG 500
780561015 ADCO-ERYTHROMYCIN 250 CAPS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
ERYTHROMYCIN ESTOLATE CAP 250 MG 250
780561031 ADCO-ERYTHROMYCIN 250 CAPS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
ERYTHROMYCIN ESTOLATE CAP 250 MG 20
824682017 XERAMEL 250MG CAPS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
ERYTHROMYCIN ESTOLATE CAP 250 MG 500
758396007 PURMYCIN 125MG/5ML SUSP 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
ERYTHROMYCIN ESTOLATE SUSP 125 MG/5ML 100
765678004 SPECTRASONE 125MG SUSP 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
ERYTHROMYCIN ESTOLATE SUSP 125 MG/5ML 100
786608005 ADCO-ERYTHROMYCIN 125 SUSP 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
ERYTHROMYCIN ESTOLATE SUSP 125 MG/5ML 100
787108006 ERYMYCIN P 125MG SUSP 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
ERYTHROMYCIN ESTOLATE SUSP 125 MG/5ML 100
793329019 BETAMYCIN 125MG SUSP 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
ERYTHROMYCIN ESTOLATE SUSP 125 MG/5ML 100
823570002 XERAMEL S SUSP 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
ERYTHROMYCIN ESTOLATE SUSP 125 MG/5ML 100
758418019 PURMYCIN 250MG/5ML SUSP 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
ERYTHROMYCIN ESTOLATE SUSP 250 MG/5ML 100
783277008 SPECTRASONE 250MG SUSP 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
ERYTHROMYCIN ESTOLATE SUSP 250 MG/5ML 100
787086002 ERYMYCIN PF 250MG SUSP 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
ERYTHROMYCIN ESTOLATE SUSP 250 MG/5ML 100
848409019 XERAMEL SF 250MG/5ML SUSP 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
ERYTHROMYCIN ESTOLATE SUSP 250 MG/5ML 100
761613013 RUBIMYCIN 250MG TABS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
ERYTHROMYCIN STEARATE TAB 250 MG 100
707437001 BETAMYCIN 250MG TABS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
ERYTHROMYCIN STEARATE TAB 250 MG 100
709334001 MERCK-ERYTHROMYCIN 250MG TABS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
ERYTHROMYCIN STEARATE TAB 250 MG 20
Page 67 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
710310001 ERYKO 250MG TABS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
ERYTHROMYCIN STEARATE TAB 250 MG 100
710310002 ERYKO 250MG TABS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
ERYTHROMYCIN STEARATE TAB 250 MG 500
719683001 RACEMIN 250MG TABS 18020000 ERYTHROMYCIN AND OTHER MACROLIDES
ERYTHROMYCIN STEARATE TAB 250 MG 100
716944014 CYCLIDOX 100MG CAPS 18040000 TETRACYCLINES DOXYCYCLINE HYCLATE CAP 100 MG 30
716944022 CYCLIDOX 100MG CAPS 18040000 TETRACYCLINES DOXYCYCLINE HYCLATE CAP 100 MG 100
716944030 CYCLIDOX 100MG CAPS 18040000 TETRACYCLINES DOXYCYCLINE HYCLATE CAP 100 MG 1000
809667029 DOXYCYL 100MG CAPS 18040000 TETRACYCLINES DOXYCYCLINE HYCLATE CAP 100 MG 100
893402006 A-LENNON DOXYCYCLINE HCL CAPS 18040000 TETRACYCLINES DOXYCYCLINE HYCLATE CAP 100 MG 1000
714192001 DOXYTET 100MG CAPS 18040000 TETRACYCLINES DOXYCYCLINE HYCLATE CAP 100 MG 1000
798401028 DUMOXIN 50MG CAPS 18040000 TETRACYCLINES DOXYCYCLINE HYCLATE CAP 50 MG 30
808407007 DOXYCYL 50MG CAPS 18040000 TETRACYCLINES DOXYCYCLINE HYCLATE CAP 50 MG 30
812692020 CYCLIDOX EC 100MG CAPS 18040000 TETRACYCLINES DOXYCYCLINE HYCLATE CAP DR PARTICLES 100 MG 6
812692039 CYCLIDOX EC 100MG CAPS 18040000 TETRACYCLINES DOXYCYCLINE HYCLATE CAP DR PARTICLES 100 MG 100
812684001 CYCLIDOX EC 50MG CAPS 18040000 TETRACYCLINES DOXYCYCLINE HYCLATE CAP DR PARTICLES 50 MG 30
812684028 CYCLIDOX EC 50MG CAPS 18040000 TETRACYCLINES DOXYCYCLINE HYCLATE CAP DR PARTICLES 50 MG 100
703224001 PHARMATET 250MG CAPS 18040000 TETRACYCLINES OXYTETRACYCLINE HCL CAP 250 MG 1000
751987115 OXYPAN 250MG CAPS 18040000 TETRACYCLINES OXYTETRACYCLINE HCL CAP 250 MG 1000
752045008 O-4 CYCLINE 250MG CAPS 18040000 TETRACYCLINES OXYTETRACYCLINE HCL CAP 250 MG 100
761532005 ROXY 250MG CAPS 18040000 TETRACYCLINES OXYTETRACYCLINE HCL CAP 250 MG 60
787434035 BE-OXYTET 250MG CAPS 18040000 TETRACYCLINES OXYTETRACYCLINE HCL CAP 250 MG 1000
812072006 TETRACEM 250MG CAPS 18040000 TETRACYCLINES OXYTETRACYCLINE HCL CAP 250 MG 100
812072014 TETRACEM 250MG CAPS 18040000 TETRACYCLINES OXYTETRACYCLINE HCL CAP 250 MG 500
884167003 NUCOTET CAPS 18040000 TETRACYCLINES OXYTETRACYCLINE HCL CAP 250 MG 1000
895029006 OXY 250MG CAPS 18040000 TETRACYCLINES OXYTETRACYCLINE HCL CAP 250 MG 20
Page 68 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
895029014 OXY 250MG CAPS 18040000 TETRACYCLINES OXYTETRACYCLINE HCL CAP 250 MG 100
895029022 OXY 250MG CAPS 18040000 TETRACYCLINES OXYTETRACYCLINE HCL CAP 250 MG 1000
703865001 CASICOT SUSPENSION 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 50
703865002 CASICOT SUSPENSION 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 100
758221002 PURBAC SUSP 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 50
758221010 PURBAC SUSP 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 100
779881001 CO-TRIM SUSP 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 50
779881028 CO-TRIM SUSP 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 100
793310016 COZOLE SUSP 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 100
795070004 BENCOLE SUSP 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 50
795070012 BENCOLE SUSP 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 100
816337004 XERAZOLE SUSP 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 50
816337012 XERAZOLE SUSP 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 100
816337020 XERAZOLE SUSP 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 500
894842005 DOCTRIM SUSP 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 50
894842013 DOCTRIM SUSP 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 100
705259001 ILVITRIM SUSP 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 50
705259002 ILVITRIM SUSP 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 100
705259003 ILVITRIM SUSP 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML 500
Page 69 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
701754003 PHARMA-Q CO-TRIMOXAZOLE 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 1000
704095001 ILVITRIM TABS 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 1000
706434005 BACTRIM TABS 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 20
716731029 COZOLE TABS 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 500
721751008 DUROBAC TABS 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 20
735698023 LAGATRIM 480MG TABS 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 1000
758248016 PURBAC TABS 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 500
780464028 ADCO-CO-TRIMOXAZOLE TABS 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 500
789836025 TRIMETHOX TABS 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 1000
793698006 XEROPRIM 480MG TABS 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 20
793698014 XEROPRIM 480MG TABS 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 100
867977027 NUCOTRIM 480MG TABS 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 1000
721751009 DUROBAC TABS 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 1000
706948001 CASICOT TABS 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 20
715609001 TRIXAZOLE 480MG TABS 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 1000
735698024 LAGATRIM 480MG TABS 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 28
735698025 LAGATRIM 480MG TABS 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG 56
706442008 BACTRIM DS TABS 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 800-160 MG 10
Page 70 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
758256019 PURBAC DS TABS 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 800-160 MG 10
758256027 PURBAC DS TABS 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 800-160 MG 250
758256028 PURBAC DS TABS 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 800-160 MG 30
782793011 SANDOZ CO-TRIMOXAZOLE 960 TABS 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 800-160 MG 30
782793012 SANDOZ CO-TRIMOXAZOLE 960 TABS 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 800-160 MG 500
721778004 DUROBAC DS 960MG TABS 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 800-160 MG 30
3000247001 CO-TRIMOXAZOLE ASCENDIS DS TAB 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 800-160 MG 30
3000247002 CO-TRIMOXAZOLE ASCENDIS DS TAB 18060000 SULPHONAMIDES AND COMBINATIONS
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 800-160 MG 250
700284001 CPL ALLIANCE CIPROFLOXACIN 250 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10
700516001 DYNAFLOC 250MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10
701208003 ORPIC 250MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10
701778001 CIPRO-HEXAL 250MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10
702377001 CIPLOXX 250MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10
703043001 CIPROGEN 250MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10
703043002 CIPROGEN 250MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 100
704353001 AUSTELL CIPROFLOX 250MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10
704353002 AUSTELL CIPROFLOX 250MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 100
704459001 BIOCIP 250MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10
Page 71 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
784354006 CIPROBAY 250MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10
784354014 CIPROBAY 250MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 6
892140005 CIFRAN 250MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10
893951013 CIFLOC 250MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10
704777001 CIPROL 250MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10
707886001 CILOFLOC 250MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10
704353003 AUSTELL CIPROFLOX 250MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 14
708015001 SIMAYLA CIPROFLOXACIN 250MG 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10
713361001 LOXIP 250MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10
713792001 BIOTECH CIPROFLOXACIN 250MG 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10
716518001 CIPROFLOXACIN ACTOR 250MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10
719659001 PROFLOXIN 250MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 250 MG (BASE EQUIV) 10
700287001 CPL ALLIANCE CIPROFLOXACIN 500 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10
700518001 DYNAFLOC 500MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10
701210003 ORPIC 500MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10
701780001 CIPRO-HEXAL 500MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10
702379001 CIPLOXX 500MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10
703045001 CIPROGEN 500MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10
Page 72 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
703045002 CIPROGEN 500MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 100
704351001 AUSTELL CIPROFLOX 500MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10
704351002 AUSTELL CIPROFLOX 500MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 100
704460001 BIOCIP 500MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10
786403004 CIPROBAY 500MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10
892147005 CIFRAN 500MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10
893955002 CIFLOC 500MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10
704775001 CIPROL 500MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10
707887001 CILOFLOC 500MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10
708014001 SIMAYLA CIPROFLOXACIN 500MG 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10
713362001 LOXIP 500MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10
713793001 BIOTECH CIPROFLOXACIN 500MG 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10
716519001 CIPROFLOXACIN ACTOR 500MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10
719660001 PROFLOXIN 500MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10
720331001 FLOPRO 500MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10
723383001 CIPROFLOXACIN UNICORN 500MG TA 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 500 MG (BASE EQUIV) 10
704352002 AUSTELL CIPROFLOX 750MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 750 MG (BASE EQUIV) 100
784362009 CIPROBAY 750MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 750 MG (BASE EQUIV) 10
Page 73 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
893963005 CIFLOC 750MG TABS 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 750 MG (BASE EQUIV) 10
713794001 BIOTECH CIPROFLOXACIN 750MG 18070000 QUINOLONES CIPROFLOXACIN HCL TAB 750 MG (BASE EQUIV) 10
717347028 DALACIN C 150MG CAPS 18090000 OTHER ANTI-BACTERIAL AGENTS CLINDAMYCIN HCL CAP 150 MG 100
717347117 DALACIN C 150MG CAPS 18090000 OTHER ANTI-BACTERIAL AGENTS CLINDAMYCIN HCL CAP 150 MG 20
849960002 CLINDAHEXAL 150MG CAPS 18090000 OTHER ANTI-BACTERIAL AGENTS CLINDAMYCIN HCL CAP 150 MG 20
849960010 CLINDAHEXAL 150MG CAPS 18090000 OTHER ANTI-BACTERIAL AGENTS CLINDAMYCIN HCL CAP 150 MG 100
721667001 AURO FLUCONAZOLE 150MG CAPS 18100000 ANTI-FUNGAL AGENTS FLUCONAZOLE CAP 150 MG 1
700149001 FLUCORIC 150MG CAPS 18100000 ANTI-FUNGAL AGENTS FLUCONAZOLE CAP 150 MG 1
700598001 FLUZOL 150MG CAPS 18100000 ANTI-FUNGAL AGENTS FLUCONAZOLE CAP 150 MG 1
703624002 ASPEN FLUCONAZOLE 150MG CAPS 18100000 ANTI-FUNGAL AGENTS FLUCONAZOLE CAP 150 MG 1
703624003 ASPEN FLUCONAZOLE 150MG CAPS 18100000 ANTI-FUNGAL AGENTS FLUCONAZOLE CAP 150 MG 4
703635001 DIFLUZOLE 150MG CAPS 18100000 ANTI-FUNGAL AGENTS FLUCONAZOLE CAP 150 MG 1
704357001 AUSTELL FLUCON 150MG CAPS 18100000 ANTI-FUNGAL AGENTS FLUCONAZOLE CAP 150 MG 1
704357003 AUSTELL FLUCON 150MG CAPS 18100000 ANTI-FUNGAL AGENTS FLUCONAZOLE CAP 150 MG 4
786373008 DIFLUCAN 150MG CAPS 18100000 ANTI-FUNGAL AGENTS FLUCONAZOLE CAP 150 MG 1
786373091 DIFLUCAN 150MG CAPS 18100000 ANTI-FUNGAL AGENTS FLUCONAZOLE CAP 150 MG 4
705384001 MYLAN FLUCONAZOLE 150MG CAPS 18100000 ANTI-FUNGAL AGENTS FLUCONAZOLE CAP 150 MG 1
705384002 MYLAN FLUCONAZOLE 150MG CAPS 18100000 ANTI-FUNGAL AGENTS FLUCONAZOLE CAP 150 MG 4
707315001 SIMAYLA FLUCONAZOLE 150MG CAPS 18100000 ANTI-FUNGAL AGENTS FLUCONAZOLE CAP 150 MG 1
707684001 APEX-FLUCONAZOLE 150MG CAPS 18100000 ANTI-FUNGAL AGENTS FLUCONAZOLE CAP 150 MG 1
707684002 APEX-FLUCONAZOLE 150MG CAPS 18100000 ANTI-FUNGAL AGENTS FLUCONAZOLE CAP 150 MG 4
711530001 MYCOREST 150MG CAPS 18100000 ANTI-FUNGAL AGENTS FLUCONAZOLE CAP 150 MG 1
711530002 MYCOREST 150MG CAPS 18100000 ANTI-FUNGAL AGENTS FLUCONAZOLE CAP 150 MG 4
713556001 GULF FLUCONAZOLE 150MG CAPS 18100000 ANTI-FUNGAL AGENTS FLUCONAZOLE CAP 150 MG 1
718565001 FLUCONAZOLE UNICORN 150MG CAPS 18100000 ANTI-FUNGAL AGENTS FLUCONAZOLE CAP 150 MG 1
720826001 INSEP 150MG CAPS 18100000 ANTI-FUNGAL AGENTS FLUCONAZOLE CAP 150 MG 1
720858001 GLENMARK FLUCONAZOLE 150MG TAB 18100000 ANTI-FUNGAL AGENTS FLUCONAZOLE TAB 150 MG 1
Page 74 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
729566005 MICROCIDAL 125MG TABS 18100000 ANTI-FUNGAL AGENTS GRISEOFULVIN MICROSIZE TAB 125 MG 100
729574008 MICROCIDAL 500MG TABS 18100000 ANTI-FUNGAL AGENTS GRISEOFULVIN MICROSIZE TAB 500 MG 30
729574016 MICROCIDAL 500MG TABS 18100000 ANTI-FUNGAL AGENTS GRISEOFULVIN MICROSIZE TAB 500 MG 100
701100001 CANDACIDE SUSP 20ML 18100000 ANTI-FUNGAL AGENTS NYSTATIN SUSP 100000 UNIT/ML 20
701100002 CANDACIDE SUSP 30ML 18100000 ANTI-FUNGAL AGENTS NYSTATIN SUSP 100000 UNIT/ML 30
835056007 CANSTAT ORAL DROPS 18100000 ANTI-FUNGAL AGENTS NYSTATIN SUSP 100000 UNIT/ML 20
835277011 MYCOSTATIN DROPS 18100000 ANTI-FUNGAL AGENTS NYSTATIN SUSP 100000 UNIT/ML 30
835285006 NYSTACID ORAL 100000 SUSP 18100000 ANTI-FUNGAL AGENTS NYSTATIN SUSP 100000 UNIT/ML 20
876089007 COARTEM TABS 18110000 ANTI-PROTOZOAL AGENTS ARTEMETHER-LUMEFANTRINE TAB 20-120 MG 24
726338001 FLAGYL 200MG/5ML SUSP 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE SUSP 200 MG/5ML 100
703389025 ANAEROBYL 200MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 200 MG 1000
726346004 FLAGYL 200MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 200 MG 21
742872009 ADCO-METRONIDAZOLE 200MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 200 MG 250
772216010 TRICHAZOLE 200MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 200 MG 250
784710023 MEDAMET 200MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 200 MG 1000
792284011 ACUZOLE 200MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 200 MG 500
793159059 METAZOL 200MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 200 MG 1000
821705016 BE-METRAZOLE 200MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 200 MG 500
707241001 BIO-METRONIDAZOLE TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 200 MG 250
793159027 METAZOL 200MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 200 MG 100
793159060 METAZOL 200MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 200 MG 28
793159061 METAZOL 200MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 200 MG 250
701076003 ADCO-METRONIDAZOLE 400MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 400 MG 100
702148011 AMZOLE 400MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 400 MG 1000
726354007 FLAGYL 400MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 400 MG 10
726354015 FLAGYL 400MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 400 MG 100
772224013 TRICHAZOLE 400MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 400 MG 100
Page 75 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
779822005 METRAZOLE 400MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 400 MG 10
779822014 METRAZOLE 400MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 400 MG 1000
783544111 METROSTAT 400MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 400 MG 500
788708023 BE-METRAZOLE 400MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 400 MG 500
792136013 SUPRAZOLE 400MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 400 MG 1000
792292014 ACUZOLE 400MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 400 MG 250
793167078 METAZOL 400MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 400 MG 1000
707242002 BIO-METRONIDAZOLE 400MG 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 400 MG 14
707242004 BIO-METRONIDAZOLE 400MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 400 MG 500
715866001 ANAEROBYL 400MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 400 MG 1000
793167079 METAZOL 400MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 400 MG 100
793167080 METAZOL 400MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 400 MG 5
793167081 METAZOL 400MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 400 MG 14
793167082 METAZOL 400MG TABS 18110000 ANTI-PROTOZOAL AGENTS METRONIDAZOLE TAB 400 MG 21
701035003 LOVIRE CREAM 18120200 OTHER ANTI-VIRAL AGENTS ACYCLOVIR CREAM 5% 2
823473007 ACTIVIR PUMP CREAM 18120200 OTHER ANTI-VIRAL AGENTS ACYCLOVIR CREAM 5% 2
824674006 ADCO-ACYCLOVIR 50 CREAM 18120200 OTHER ANTI-VIRAL AGENTS ACYCLOVIR CREAM 5% 2
824674014 ADCO-ACYCLOVIR 50 CREAM 18120200 OTHER ANTI-VIRAL AGENTS ACYCLOVIR CREAM 5% 10
826340008 ZOVIRAX 50MG/GM CREAM 18120200 OTHER ANTI-VIRAL AGENTS ACYCLOVIR CREAM 5% 10
826340016 ZOVIRAX 50MG/GM CREAM 18120200 OTHER ANTI-VIRAL AGENTS ACYCLOVIR CREAM 5% 2
873551001 ACITOP 5% CREAM 18120200 OTHER ANTI-VIRAL AGENTS ACYCLOVIR CREAM 5% 2
713942001 BETA-VIRA 5% CREAM 18120200 OTHER ANTI-VIRAL AGENTS ACYCLOVIR CREAM 5% 2
824313003 CYCLIVEX 200MG TABS 18120200 OTHER ANTI-VIRAL AGENTS ACYCLOVIR TAB 200 MG 25
827282001 ADCO-ACYCLOVIR TABS 18120200 OTHER ANTI-VIRAL AGENTS ACYCLOVIR TAB 200 MG 25
717370001 ACICLOVIR SANDOZ 200MG TABS 18120200 OTHER ANTI-VIRAL AGENTS ACYCLOVIR TAB 200 MG 25
717157001 APEX-ACYCLOVIR 200MG TABS 18120200 OTHER ANTI-VIRAL AGENTS ACYCLOVIR TAB 200 MG 30
719670001 ACYCLOVIR BIOTECH 200MG TABS 18120200 OTHER ANTI-VIRAL AGENTS ACYCLOVIR TAB 200 MG 100
719670002 ACYCLOVIR BIOTECH 200MG TABS 18120200 OTHER ANTI-VIRAL AGENTS ACYCLOVIR TAB 200 MG 25
Page 76 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
860581004 CYCLIVEX 400MG TABS 18120200 OTHER ANTI-VIRAL AGENTS ACYCLOVIR TAB 400 MG 70
717371001 ACICLOVIR SANDOZ 400MG TABS 18120200 OTHER ANTI-VIRAL AGENTS ACYCLOVIR TAB 400 MG 70
717158001 APEX-ACYCLOVIR 400MG TABS 18120200 OTHER ANTI-VIRAL AGENTS ACYCLOVIR TAB 400 MG 70
833703005 ZOVIRAX DISP 200MG TABS 18120200 OTHER ANTI-VIRAL AGENTS ACYCLOVIR TAB DISP 200 MG 25
838225004 LOVIRE 200MG DISP TABS 18120200 OTHER ANTI-VIRAL AGENTS ACYCLOVIR TAB DISP 200 MG 25
704778001 ACITAB-200 DISP TABS 18120200 OTHER ANTI-VIRAL AGENTS ACYCLOVIR TAB DISP 200 MG 25
833711008 ZOVIRAX DISP 400MG TABS 18120200 OTHER ANTI-VIRAL AGENTS ACYCLOVIR TAB DISP 400 MG 56
838233015 LOVIRE 400MG DISP TABS 18120200 OTHER ANTI-VIRAL AGENTS ACYCLOVIR TAB DISP 400 MG 70
704779001 ACITAB-400 DISP TABS 18120200 OTHER ANTI-VIRAL AGENTS ACYCLOVIR TAB DISP 400 MG 60
797596003 STEROMIEN 0.6MG/5ML SYR 19050000 CORTICOSTEROIDS BETAMETHASONE SYRUP 0.6 MG/5ML 100
826936008 BETANOID 0.6MG/5ML SYR 19050000 CORTICOSTEROIDS BETAMETHASONE SYRUP 0.6 MG/5ML 100
700170001 PREFLAM SYRP 19050000 CORTICOSTEROIDS PREDNISOLONE SYRUP 15 MG/5ML 50
805149023 PRELONE 15MG/5ML SYRP 19050000 CORTICOSTEROIDS PREDNISOLONE SYRUP 15 MG/5ML 50
805149031 PRELONE 15MG/5ML SYRP 19050000 CORTICOSTEROIDS PREDNISOLONE SYRUP 15 MG/5ML 100
714552001 ASPELONE 15MG/5ML SYRP 19050000 CORTICOSTEROIDS PREDNISOLONE SYRUP 15 MG/5ML 50
716381001 ADCO PREDNISOLONE 15MG/5ML 19050000 CORTICOSTEROIDS PREDNISOLONE SYRUP 15 MG/5ML 50
703720001 PRELONE 5MG TABS 19050000 CORTICOSTEROIDS PREDNISOLONE TAB 5 MG 500
703720002 PRELONE 5MG TABS 19050000 CORTICOSTEROIDS PREDNISOLONE TAB 5 MG 200
800155017 LENISOLONE 5MG TABS 19050000 CORTICOSTEROIDS PREDNISOLONE TAB 5 MG 1000
814407013 CAPSOID 5MG TABS 19050000 CORTICOSTEROIDS PREDNISOLONE TAB 5 MG 1000
742732002 METICORTEN 5MG TABS 19050000 CORTICOSTEROIDS PREDNISONE TAB 5 MG 30
742732030 METICORTEN 5MG TABS 19050000 CORTICOSTEROIDS PREDNISONE TAB 5 MG 90
752304119 PANAFCORT 5MG TABS 19050000 CORTICOSTEROIDS PREDNISONE TAB 5 MG 1000
788783009 BE-TABS PREDNISONE 5MG TABS 19050000 CORTICOSTEROIDS PREDNISONE TAB 5 MG 1000
818267038 TROLIC 5MG TABS 19050000 CORTICOSTEROIDS PREDNISONE TAB 5 MG 1000
808245007 PROVERA 10MG TABS 19060300 PROGESTOGENS MEDROXYPROGESTERONE ACETATE TAB 10 MG 30
706705001 HEXAL-MPA 10MG TABS 19060300 PROGESTOGENS MEDROXYPROGESTERONE ACETATE TAB 10 MG 30
Page 77 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
757934005 PROVERA 5MG TABS 19060300 PROGESTOGENS MEDROXYPROGESTERONE ACETATE TAB 5 MG 30
757934013 PROVERA 5MG TABS 19060300 PROGESTOGENS MEDROXYPROGESTERONE ACETATE TAB 5 MG 100
706704001 HEXAL-MPA 5MG TABS 19060300 PROGESTOGENS MEDROXYPROGESTERONE ACETATE TAB 5 MG 30
703632003 CERALYTE SACHETS 9.7G 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 20
779687019 HYDROL SACH 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 20
781444004 ELECTROPAK 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 5
815187009 REHIDRAT BLACKCURR PACK 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 20
815209002 REHIDRAT ORANGE PACK 14G 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 20
815209003 REHIDRAT ORANGE PACK 14G 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 6
708294001 HYDRASSIST SACHETS 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 1
708294002 HYDRASSIST SACHETS 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 40
709761001 PIN-HYDRATE (ORANGE) SAC 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 1
709762001 PIN-HYDRATE BLACKCURRANT SAC 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 1
710564002 RESTORE HYDRATION 6G SACHETS 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 20
710641001 SMART ORS SACH 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 10
710564003 RESTORE HYDRATION 6G SACHETS 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 1
711128001 ELECTRAL WITH ORANGE FLAVOUR 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 5
815187011 REHIDRAT 14G BLACKCURRANT SAC 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 6
712551001 REHIDRAT HYDRATION 14G LEMON 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 6
712551002 REHIDRAT HYDRATION 14G LEMON 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 20
712885001 HYDRACHOICE CREME SODA SACH 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 5
712885002 HYDRACHOICE CREME SODA SACH 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 20
712886001 HYDRACHOICE NAARTJIE SACH 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 5
712886002 HYDRACHOICE NAARTJIE SACH 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 20
712887001 HYDRACHOICE TROPICAL SACH 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 5
712887002 HYDRACHOICE TROPICAL SACH 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 20
Page 78 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
713528001 REHIDRAT VANILLA 14G SACHET 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 6
713528002 REHIDRAT VANILLA 14G SACHET 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 20
713526001 ELECTROMAX BERRY FLAVOUR LIQ 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 237
713527001 ELECTROMAX ORANGE FLAVOUR LIQ 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 237
714655001 SPRINGBOK ELECTROLYTE 14G SAC 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 1
779687109 HYDROL SACH 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 4
715773001 HYDRACHOICE MIXED FLAVOURS 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 20
715953001 RESTORE HYDRATION 6G SACHETS 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 20
708294003 HYDRASSIST SACHETS 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 10
714609001 REHIDRAT SPORT NAARTJIE 14G 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 6
714609002 REHIDRAT SPORT NAARTJIE 14G 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 20
716210001 SMART ORS 21G SACH 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 20
716411001 SMART ORS BLACK CURRENT 4.2G S 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 10
716412001 SMART ORS BLACK CURRENT 21G SA 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 20
711128002 ELECTRAL WITH ORANGE FLAVOUR 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 20
715953002 RESTORE HYDRATION 6G SACHETS 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 1
718332001 NUDRATE CITRUS 5.3G SACHET 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 1
708294004 HYDRASSIST SACHETS 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 6
708294005 HYDRASSIST SACHETS 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 20
718332002 NUDRATE CITRUS 5.3G SACHET 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 20
720393001 NUDRATE BLACKCURRANT 5.6G SACH 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 1
720393002 NUDRATE BLACKCURRANT 5.6G SACH 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 20
720966001 NETCARE HYDRATION POWD BLACKCU 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 6
721469001 SPAR HYDRATION POWDER BLACKCUR 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 6
721504001 MEDIRITE ELECTROLYTES TANGY TA 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 6
721526001 MEDIRITE HYDRATION POWDER BLAC 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 6
721146001 OS BLACKCURRANT 5.3G SACH 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 1
721146002 OS BLACKCURRANT 5.3G SACH 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 30
Page 79 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
721147001 OS ORANGE 5.3G SACH 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 1
721147002 OS ORANGE 5.3G SACH 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 30
721487001 SPAR ELECTROLYTES TANGY TANGER 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 6
721488001 SPAR ELECTROLYTES LUSTY LEMON 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 6
723175001 HYDRASSIST ORS 4.31G SACH 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 1
723175002 HYDRASSIST ORS 4.31G SACH 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 20
723540001 PROHYDRATE BLACKCURRENT SACH 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 10
779687110 HYDROL 24.69G SACHET 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 200
3000067001 PROGAST ADVANCED HYDRATION POW 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 10
3000059001 PAEDHYDRATE ORS 5.16G SACHET 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 10
3000358001 CLICKS HYDRATION POWD SACH BLA 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 6
3000355001 PROGAST ADVANCED HYDRATION POW 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 10
3000356001 PROGAST ADVANCED HYDRATION POW 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 10
3000443001 ELECTROLYTE ORS VH 26.4G SACH 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 1
3000524001 DYNAFORCE BLUEBERRY 60G SACHET 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 12
3000525001 DYNAFORCE NAARTJIE 60G SACHET 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 12
3000526001 DYNAFORCE TROPICAL 60G SACHET 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 12
3000527001 DYNAFORCE CHERRY GRAPE 60G SAC 20020700 ELECTROLYTES *ORAL ELECTROLYTE - PACKET*** 12
703808001 PREGNACARE CAPS 20030100 PRENATAL VITAMINS *PRENATAL MULTIVITAMINS & MINERALS W/ IRON CAP*** 30
872970020 VITAL PREGNANT WOMEN PLUSS 20030100 PRENATAL VITAMINS *PRENATAL MULTIVITAMINS & MINERALS W/ IRON CAP*** 30
831530006 PRE-NATAL TABS 20030100 PRENATAL VITAMINS *PRENATAL MULTIVITAMINS & MINERALS W/IRON & FA TAB 1000
705891001 PROUDLY PREGGY TABS 20030100 PRENATAL VITAMINS *PRENATAL MULTIVITAMINS & MINERALS W/IRON & FA TAB 30
831530007 PRE-NATAL TABS 20030100 PRENATAL VITAMINS *PRENATAL MULTIVITAMINS & MINERALS W/IRON & FA TAB 100
710638001 RDA-PREG TABS 20030100 PRENATAL VITAMINS *PRENATAL MULTIVITAMINS & MINERALS W/IRON & FA TAB 30
721203001 CLICKS PAY LESS PRENATAL SUPPL 20030100 PRENATAL VITAMINS *PRENATAL MULTIVITAMINS & 60
Page 80 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
MINERALS W/IRON & FA TAB
723505001 9 MONTHS + TABS 20030100 PRENATAL VITAMINS *PRENATAL MULTIVITAMINS & MINERALS W/IRON & FA TAB 30
844020001 PRE-NATAL FORTE CAPS 20030100 PRENATAL VITAMINS *PRENATAL VIT W/ FE FUMARATE-FA CAP 27-0.8 MG*** 30
834890003 PREGNAVIT M CAPS 20030100 PRENATAL VITAMINS *PRENATAL VIT W/ FE FUMARATE-FA TAB 60-0.8 MG*** 30
834890004 PREGNAVIT M CAPS 20030100 PRENATAL VITAMINS *PRENATAL VIT W/ FE FUMARATE-FA TAB 60-0.8 MG*** 60
834890005 PREGNAVIT M CAPS 20030100 PRENATAL VITAMINS *PRENATAL VIT W/ FE FUMARATE-FA TAB 60-0.8 MG*** 90
710664001 MOM2B CAPS 20030100 PRENATAL VITAMINS *PRENATAL VIT W/ FE FUMARATE-FA TAB 60-0.8 MG*** 30
712900001 VIRIDIAN PREGNANCY COMPLEX 20030100 PRENATAL VITAMINS *PRENATAL VIT W/ FE FUMARATE-FA TAB 60-0.8 MG*** 60
715445001 MOM2B OMEGA CAPSULES 20030100 PRENATAL VITAMINS *PRENATAL VIT W/ FE FUMARATE-FA TAB 60-0.8 MG*** 30
719743001 NORDIC PRENATAL DHA SOFTGELS 20030100 PRENATAL VITAMINS *PRENATAL VIT W/ FE FUMARATE-FA TAB 60-0.8 MG*** 90
724001001 PREGNAVIT M FIZZY EFF TABS 20030100 PRENATAL VITAMINS *PRENATAL VIT W/ FE FUMARATE-FA TAB 60-0.8 MG*** 30
703088003 JULES TOPSPORT PRENATAL F TABS 20030100 PRENATAL VITAMINS *PRENATAL VITAMIN TAB** 30
704600001 CALCIPREG TABS 20030100 PRENATAL VITAMINS *PRENATAL VITAMIN TAB** 60
707079001 PURITANS PRENATAL VITAMIN TABS 20030100 PRENATAL VITAMINS *PRENATAL VITAMIN TAB** 100
716965001 PREGWISE TABS 20030100 PRENATAL VITAMINS *PRENATAL VITAMIN TAB** 1000
810967006 BE-TABS FOLIC ACID 5MG TABS 20030100 PRENATAL VITAMINS FOLIC ACID TAB 5 MG 1000
810967014 BE-TABS FOLIC ACID 5MG TABS 20030100 PRENATAL VITAMINS FOLIC ACID TAB 5 MG 5000
810967015 BE-TABS FOLIC ACID 5MG TABS 20030100 PRENATAL VITAMINS FOLIC ACID TAB 5 MG 100
709874001 AHA FOLIC ACID 5MG TABS 20030100 PRENATAL VITAMINS FOLIC ACID TAB 5 MG 100
710612001 SOLAL FOLIC ACID 5MG TABS 20030100 PRENATAL VITAMINS FOLIC ACID TAB 5 MG 100
711922001 FOLIC ACID 5MG TABS 20030100 PRENATAL VITAMINS FOLIC ACID TAB 5 MG 1000
711922002 FOLIC ACID 5MG TABS 20030100 PRENATAL VITAMINS FOLIC ACID TAB 5 MG 100
720727001 GULF FOLIC ACID 5MG TABS 20030100 PRENATAL VITAMINS FOLIC ACID TAB 5 MG 1000
Page 81 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
720727002 GULF FOLIC ACID 5MG TABS 20030100 PRENATAL VITAMINS FOLIC ACID TAB 5 MG 100
813338018 VAXIGRIP S/DOSE 0.5ML PREFILL 26000000 BIOLOGICALS INFLUENZA VIRUS VACCINE SPLIT IM SUSP 1
813338019 VAXIGRIP S/DOSE 0.5ML PREFILL 26000000 BIOLOGICALS INFLUENZA VIRUS VACCINE SPLIT IM SUSP 10
836591003 VAXIGRIP S/DOSE 0.25ML PAED 26000000 BIOLOGICALS INFLUENZA VIRUS VACCINE SPLIT IM SUSP 1
838853005 MUTAGRIP SINGLE DOSE 26000000 BIOLOGICALS INFLUENZA VIRUS VACCINE TYPES A & B SURFACE ANTIGE 1
838853006 MUTAGRIP SINGLE DOSE 26000000 BIOLOGICALS INFLUENZA VIRUS VACCINE TYPES A & B SURFACE ANTIGE 10
732826004 INFLUVAC 0.5ML 26000000 BIOLOGICALS INFLUENZA VIRUS VACCINE WHOLE INJ 1
711345001 FLUVAX 2009 PRE-FILLED SYR 26000000 BIOLOGICALS INFLUENZA VIRUS VACCINE WHOLE INJ 10
711737001 FLUARIX PREFILLED SYRINGE 0.5M 26000000 BIOLOGICALS INFLUENZA VIRUS VACCINE WHOLE INJ 1
715602001 CALAMINE LOTION - DAROL LOTION 43020200 EMOLLIENTS & LOTIONS *CALAMINE LOTION*** 100
739324012 LOTIO CALAMINE 43020200 EMOLLIENTS & LOTIONS *CALAMINE PHENOLATED LOTION*** 200
739324020 LOTIO CALAMINE 43020200 EMOLLIENTS & LOTIONS *CALAMINE PHENOLATED LOTION*** 2500
739324047 LOTIO CALAMINE 43020200 EMOLLIENTS & LOTIONS *CALAMINE PHENOLATED LOTION*** 100
839027001 CALAMINE LOTION 43020200 EMOLLIENTS & LOTIONS *CALAMINE PHENOLATED LOTION*** 100
839027028 CALAMINE LOTION 43020200 EMOLLIENTS & LOTIONS *CALAMINE PHENOLATED LOTION*** 2500
861758005 LINK LOT CALAMINE 43020200 EMOLLIENTS & LOTIONS *CALAMINE PHENOLATED LOTION*** 100
861758013 LINK LOT CALAMINE 43020200 EMOLLIENTS & LOTIONS *CALAMINE PHENOLATED LOTION*** 200
861758021 LINK LOT CALAMINE 43020200 EMOLLIENTS & LOTIONS *CALAMINE PHENOLATED LOTION*** 50
865311005 CALAMINE LOTION 43020200 EMOLLIENTS & LOTIONS *CALAMINE PHENOLATED LOTION*** 100
865311013 CALAMINE LOTION 43020200 EMOLLIENTS & LOTIONS *CALAMINE PHENOLATED LOTION*** 200
865311014 CALAMINE LOTION 43020200 EMOLLIENTS & LOTIONS *CALAMINE PHENOLATED LOTION*** 50
872490009 CALAMINE LOTION BP 43020200 EMOLLIENTS & LOTIONS *CALAMINE PHENOLATED LOTION*** 50
872490017 CALAMINE LOTION BP 43020200 EMOLLIENTS & LOTIONS *CALAMINE PHENOLATED LOTION*** 100
872490025 CALAMINE LOTION BP 43020200 EMOLLIENTS & LOTIONS *CALAMINE PHENOLATED LOTION*** 200
705561001 CALAMINE LOTION BP 43020200 EMOLLIENTS & LOTIONS *CALAMINE PHENOLATED LOTION*** 100
Page 82 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
705561002 CALAMINE LOTION BP 43020200 EMOLLIENTS & LOTIONS *CALAMINE PHENOLATED LOTION*** 500
705561003 CALAMINE LOTION BP 43020200 EMOLLIENTS & LOTIONS *CALAMINE PHENOLATED LOTION*** 2500
706615001 ARM CALAMINE LOT 43020200 EMOLLIENTS & LOTIONS *CALAMINE PHENOLATED LOTION*** 50
706615002 ARM CALAMINE LOT 43020200 EMOLLIENTS & LOTIONS *CALAMINE PHENOLATED LOTION*** 100
706615003 ARM CALAMINE LOT 43020200 EMOLLIENTS & LOTIONS *CALAMINE PHENOLATED LOTION*** 200
712969001 CLICKS CALAMINE LOT 43020200 EMOLLIENTS & LOTIONS *CALAMINE PHENOLATED LOTION*** 100
717243001 CALAMINE - ALCHEMIST LOTN 43020200 EMOLLIENTS & LOTIONS *CALAMINE PHENOLATED LOTION*** 100
3000385001 CALAMINE LOTN 43020200 EMOLLIENTS & LOTIONS *CALAMINE PHENOLATED LOTION*** 100
3000385002 CALAMINE LOTN 43020200 EMOLLIENTS & LOTIONS *CALAMINE PHENOLATED LOTION*** 200
709776001 BISMA-REX POWDER 43060300 ANTACIDS AL HYD-BIS ALUM-CA CARB-MG CARB-MG TRISIL-NA BICAR 150
709776002 BISMA-REX POWDER 43060300 ANTACIDS AL HYD-BIS ALUM-CA CARB-MG CARB-MG TRISIL-NA BICAR 450
701673003 SB CIROGEN COUGH MIXTURE 43060600 COUGHS & COLDS AMMONIUM CHLORIDE & IPECAC SYRUP 22-0.24 MG/5ML 50
703456001 FAMS MIST TUSSI INFANS 43060600 COUGHS & COLDS AMMONIUM CHLORIDE & IPECAC SYRUP 22-0.24 MG/5ML 100
898880009 MIST TUSSI INFANS 43060600 COUGHS & COLDS AMMONIUM CHLORIDE & IPECAC SYRUP 22-0.24 MG/5ML 100
898880017 MIST TUSSI INFANS 43060600 COUGHS & COLDS AMMONIUM CHLORIDE & IPECAC SYRUP 22-0.24 MG/5ML 2500
722779001 RESMED CHILDRENS COUGH MIX MIS 43060600 COUGHS & COLDS AMMONIUM CHLORIDE & IPECAC SYRUP 22-0.24 MG/5ML 100
827762003 SWIMMERS EAR CLEANSER 43060700 PATENT ENT & EYE PRODUCT ACETIC ACID OTIC SOLN 1% 1
707464001 AQUA 7.5ML EAR 43060700 PATENT ENT & EYE PRODUCT ACETIC ACID OTIC SOLN 1% 1
711967001 ACETIC ACID 1% ML 43060700 PATENT ENT & EYE PRODUCT ACETIC ACID OTIC SOLN 1% 500
80539001 SWIMMERS EAR DROPS 43060700 PATENT ENT & EYE PRODUCT ACETIC ACID OTIC SOLN 1% 10
721264001 SPORT SWIMMERS EAR LIQUID 43060700 PATENT ENT & EYE PRODUCT ACETIC ACID OTIC SOLN 1% 25
723092001 CLICKS EAR DROPS 30ML 43060700 PATENT ENT & EYE PRODUCT ACETIC ACID OTIC SOLN 1% 1
721221001 ACETIC ACID 2% 43060700 PATENT ENT & EYE PRODUCT ACETIC ACID OTIC SOLN 2% 500
756849004 PREPARATION H OINT 43060800 MISCELLANEOUS PATENT MEDICINES
*RECTAL PROTECTANT-EMOLLIENT OINTMENTS** 25
Page 83 of 83
PRODUCT CODE PRODUCT NAME THERAPEUTIC
CLASS THERAPEUTIC CLASS DESCRIPTION GENERIC PRODUCT NAME
TOTAL PACKAGE
QUANTITY
756849012 PREPARATION H OINT 43060800 MISCELLANEOUS PATENT MEDICINES
*RECTAL PROTECTANT-EMOLLIENT OINTMENTS** 50
756830001 PREPARATION H SUPP 43060800 MISCELLANEOUS PATENT MEDICINES
*RECTAL PROTECTANT-EMOLLIENT SUPPOSITORIES** 12
704716001 HIBITANE 0.2% IN WATER 50010000 HOSPITAL DISINFECTANTS CHLORHEXIDINE GLUCONATE SOLN 0.2 MG/ML 1000
704716002 HIBITANE 0.2% IN WATER 50010000 HOSPITAL DISINFECTANTS CHLORHEXIDINE GLUCONATE SOLN 0.2 MG/ML 5000