Browse by Standard Packs
Standard Packs and Prices for Ready Prepared Pharmaceutical Benefits
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| Item code | Drug name Form and Strength |
Pack size | Price | Manufacturer |
|---|---|---|---|---|
| 9095Q | ATOMOXETINEatomoxetine 40 mg capsule, 28 | 28 | $33.24 | SZ |
| 9096R | ATOMOXETINEatomoxetine 60 mg capsule, 28 | 28 | $33.24 | SZ,TX |
| 13495G | ATORVASTATINatorvastatin 10 mg tablet, 30 | 30 | $5.11 | AF,AS,BG,CR,HX,RA,RF,TX,VO,WG |
| 13529C | ATORVASTATINatorvastatin 20 mg tablet, 30 | 30 | $5.21 | AF,AS,BG,CR,HX,RA,RF,TX,VO,WG |
| 13468W | ATORVASTATINatorvastatin 40 mg tablet, 30 | 30 | $6.11 | AF,AS,BG,CR,HX,RA,RF,TX,VO,WG |
| 13374X | ATORVASTATINatorvastatin 80 mg tablet, 30 | 30 | $6.70 | AF,AS,BG,CR,HX,RA,RF,TX,VO,WG |
| 10539Q | AXITINIBaxitinib 1 mg tablet, 28 | 28 | $531.06 | PF |
| 10572K | AXITINIBaxitinib 1 mg tablet, 28 | 28 | $531.06 | PF |
| 10540R | AXITINIBaxitinib 5 mg tablet, 28 | 28 | $2470.97 | PF |
| 10556N | AXITINIBaxitinib 5 mg tablet, 28 | 28 | $2470.97 | PF |
| 13623B | AZACITIDINEazacitidine 200 mg tablet, 7 | 7 | $6690.85 | BQ |
| 13619T | AZACITIDINEazacitidine 300 mg tablet, 7 | 7 | $6681.83 | BQ |
| 13624C | AZACITIDINEazacitidine 300 mg tablet, 7 | 7 | $6665.19 | BQ |
| 13522Q | BACLOFENbaclofen 10 mg tablet, 100 | 100 | $12.38 | AF,NV,RW,TX |
| 13359D | BACLOFENbaclofen 25 mg tablet, 100 | 100 | $24.21 | AF,NV,RW,TX |
| 13484Q | BALSALAZIDEbalsalazide sodium 750 mg capsule, 280 | 280 | $149.87 | PK |
| 14514X | BECLOMETASONEbeclometasone dipropionate 100 microgram/actuation breath activated inhalation, 200 actuations | 1 | $20.37 | IL |
| 14378R | BECLOMETASONEbeclometasone dipropionate 50 microgram/actuation breath activated inhalation, 200 actuations | 1 | $14.18 | IL |
| 14540G | BECLOMETASONEbeclometasone dipropionate 50 microgram/actuation inhalation, 200 actuations | 1 | $9.47 | IL |
| 14541H | BECLOMETASONEbeclometasone dipropionate 100 microgram/actuation inhalation, 200 actuations | 1 | $17.26 | IL |
| 14538E | BECLOMETASONE + FORMOTEROLbeclometasone dipropionate 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations | 1 | $36.94 | EU |
| 14376P | BECLOMETASONE + FORMOTEROLbeclometasone dipropionate 100 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations | 1 | $26.41 | EU |
| 14310E | BECLOMETASONE + FORMOTEROL + GLYCOPYRRONIUMbeclometasone dipropionate 100 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation + glycopyrronium 10 microgram/actuation inhalation, 120 actuations | 1 | $64.30 | EU |
| 13790T | BENZATHINE BENZYLPENICILLINbenzathine benzylpenicillin 1.2 million units powder for injection [1 vial] (&) inert substance diluent [5 mL vial], 1 pack | 1 | $50.33 | YO |
| 13816E | BENZATHINE BENZYLPENICILLINbenzathine benzylpenicillin 1.2 million units powder for injection [1 vial] (&) inert substance diluent [5 mL vial], 1 pack | 1 | $50.33 | YO |
| 1775K | BENZYLPENICILLINbenzylpenicillin 600 mg injection, 1 vial | 1 | $6.42 | CS |
| 3398W | BENZYLPENICILLINbenzylpenicillin 600 mg injection, 1 vial | 1 | $6.42 | CS |
| 2647H | BENZYLPENICILLINbenzylpenicillin 3 g injection, 1 vial | 1 | $10.06 | CS |
| 3399X | BENZYLPENICILLINbenzylpenicillin 3 g injection, 1 vial | 1 | $10.06 | CS |
| 10800K | BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% cream, 15 g | 1 | $7.57 | AF |
| 10800K | BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% cream, 15 g | 1 | $5.12 | AL |
| 10801L | BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% cream, 15 g | 1 | $6.97 | AF |
| 10801L | BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% cream, 15 g | 1 | $4.52 | AL |
| 10802M | BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% cream, 15 g | 1 | $6.85 | AF |
| 10802M | BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% cream, 15 g | 1 | $4.40 | AL |
| 10813D | BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% cream, 15 g | 1 | $7.17 | AF |
| 10813D | BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% cream, 15 g | 1 | $4.72 | AL |
| 10824Q | BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% cream, 15 g | 1 | $8.77 | AF |
| 10824Q | BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% cream, 15 g | 1 | $6.32 | AL |
| 10795E | BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% ointment, 15 g | 1 | $8.77 | AF |
| 10795E | BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% ointment, 15 g | 1 | $6.32 | AL |
| 10816G | BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% ointment, 15 g | 1 | $6.97 | AF |
| 10816G | BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% ointment, 15 g | 1 | $4.52 | AL |
| 10820L | BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% ointment, 15 g | 1 | $7.57 | AF |
| 10820L | BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% ointment, 15 g | 1 | $5.12 | AL |
| 10821M | BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% ointment, 15 g | 1 | $7.17 | AF |
| 10821M | BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% ointment, 15 g | 1 | $4.72 | AL |
| 10823P | BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% ointment, 15 g | 1 | $6.85 | AF |
| 10823P | BETAMETHASONE DIPROPIONATEbetamethasone (as dipropionate) 0.05% ointment, 15 g | 1 | $4.40 | AL |
| 2812B | BETAMETHASONE VALERATEbetamethasone (as valerate) 0.02% cream, 100 g | 1 | $7.70 | AL,LN |
| 2812B | BETAMETHASONE VALERATEbetamethasone (as valerate) 0.02% cream, 100 g | 1 | $9.75 | AS |
| 2812B | BETAMETHASONE VALERATEbetamethasone (as valerate) 0.02% cream, 100 g | 1 | $10.20 | AF |
| 10794D | BETAMETHASONE VALERATEbetamethasone (as valerate) 0.05% cream, 15 g | 1 | $6.45 | AS |
| 10794D | BETAMETHASONE VALERATEbetamethasone (as valerate) 0.05% cream, 15 g | 1 | $3.89 | LN |
| 10799J | BETAMETHASONE VALERATEbetamethasone (as valerate) 0.05% cream, 15 g | 1 | $7.65 | AS |
| 10799J | BETAMETHASONE VALERATEbetamethasone (as valerate) 0.05% cream, 15 g | 1 | $5.09 | LN |
| 10807T | BETAMETHASONE VALERATEbetamethasone (as valerate) 0.05% cream, 15 g | 1 | $5.85 | AS |
| 10807T | BETAMETHASONE VALERATEbetamethasone (as valerate) 0.05% cream, 15 g | 1 | $3.29 | LN |
| 10808W | BETAMETHASONE VALERATEbetamethasone (as valerate) 0.05% cream, 15 g | 1 | $6.05 | AS |
| 10808W | BETAMETHASONE VALERATEbetamethasone (as valerate) 0.05% cream, 15 g | 1 | $3.49 | LN |
| 10810Y | BETAMETHASONE VALERATEbetamethasone (as valerate) 0.05% cream, 15 g | 1 | $5.73 | AS |
| 10810Y | BETAMETHASONE VALERATEbetamethasone (as valerate) 0.05% cream, 15 g | 1 | $3.17 | LN |
| 14425F | BETAXOLOLbetaxolol 0.5% eye drops, 5 mL | 1 | $14.42 | NV |
| 14425F | BETAXOLOLbetaxolol 0.5% eye drops, 5 mL | 1 | $9.66 | NM |
| 13933H | BICARBONATEsodium bicarbonate 840 mg capsule, 100 | 100 | $10.59 | AS |
| 14315K | BIMATOPROSTbimatoprost 0.03% eye drops, 3 mL | 1 | $22.13 | AF,SZ,TY,VE,WG |
| 14422C | BIMATOPROSTbimatoprost 0.03% eye drops, 30 x 0.4 mL ampoules | 1 | $18.97 | VE |
| 14317M | BIMATOPROST + TIMOLOLbimatoprost 0.03% + timolol 0.5% eye drops, 3 mL | 1 | $25.99 | VE |
| 14351H | BIMATOPROST + TIMOLOLbimatoprost 0.03% + timolol 0.5% eye drops, 30 x 0.4 mL ampoules | 1 | $23.72 | VE |
| 11948W | BINIMETINIBbinimetinib 15 mg tablet, 84 | 84 | $3694.08 | FB |
| 11961M | BINIMETINIBbinimetinib 15 mg tablet, 84 | 84 | $3694.08 | FB |
| 14446H | BISACODYLbisacodyl 5 mg enteric tablet, 200 | 200 | $8.84 | AE |
| 1260H | BISACODYLbisacodyl 10 mg suppository, 10 | 1 | $6.24 | VZ |
| 1260H | BISACODYLbisacodyl 10 mg suppository, 10 | 1 | $5.81 | PP |
| 14447J | BISACODYLbisacodyl 10 mg suppository, 10 | 1 | $5.44 | VZ |
| 14447J | BISACODYLbisacodyl 10 mg suppository, 10 | 1 | $5.01 | PP |
| 1258F | BISACODYLbisacodyl 10 mg suppository, 12 | 1 | $5.36 | PP |
| 14305X | BISACODYLbisacodyl 10 mg suppository, 12 | 1 | $4.56 | PP |
| 13444N | BISOPROLOLbisoprolol fumarate 10 mg tablet, 28 | 28 | $7.94 | AF,GQ,LR,RW,SZ,TX,VO,WG |
| 13444N | BISOPROLOLbisoprolol fumarate 10 mg tablet, 28 | 28 | $12.45 | AL |
| 13419G | BISOPROLOLbisoprolol fumarate 2.5 mg tablet, 28 | 28 | $6.70 | AF,GQ,LR,RW,SZ,TX,VO,WG |
| 13419G | BISOPROLOLbisoprolol fumarate 2.5 mg tablet, 28 | 28 | $12.21 | AL |
| 13443M | BISOPROLOLbisoprolol fumarate 5 mg tablet, 28 | 28 | $6.83 | AF,GQ,LR,RW,SZ,TX,VO,WG |
| 13443M | BISOPROLOLbisoprolol fumarate 5 mg tablet, 28 | 28 | $11.33 | AL |
| 11980M | BRIGATINIBbrigatinib 30 mg tablet, 28 | 28 | $1701.76 | TK |
| 14496Y | BRIMONIDINEbrimonidine tartrate 0.15% eye drops, 5 mL | 1 | $10.10 | VE |
| 14497B | BRIMONIDINEbrimonidine tartrate 0.2% eye drops, 5 mL | 1 | $11.55 | VE |
| 14497B | BRIMONIDINEbrimonidine tartrate 0.2% eye drops, 5 mL | 1 | $10.57 | VB |
| 14491Q | BRIMONIDINE + TIMOLOLbrimonidine tartrate 0.2% + timolol 0.5% eye drops, 5 mL | 1 | $15.12 | VE |
| 14321R | BRINZOLAMIDEbrinzolamide 1% eye drops, 5 mL | 1 | $15.41 | NV |
| 14321R | BRINZOLAMIDEbrinzolamide 1% eye drops, 5 mL | 1 | $12.14 | NM |
| 14423D | BRINZOLAMIDE + BRIMONIDINEbrinzolamide 1% + brimonidine tartrate 0.2% eye drops, 5 mL | 1 | $13.74 | NV |
| 14495X | BRINZOLAMIDE + TIMOLOLbrinzolamide 1% + timolol 0.5% eye drops, 5 mL | 1 | $15.61 | NV |
| 13979R | BROMOCRIPTINEbromocriptine 2.5 mg tablet, 30 | 30 | $10.83 | SZ |
| 1443Y | BROMOCRIPTINEbromocriptine 2.5 mg tablet, 30 | 30 | $12.03 | SZ |
| 14470N | BUDESONIDEbudesonide 400 microgram/actuation powder for inhalation, 200 actuations | 1 | $24.47 | AP |
| 14571X | BUDESONIDEbudesonide 3 mg enteric capsule, 50 | 50 | $29.47 | FD |
| 14469M | BUDESONIDEbudesonide 1 mg/2 mL inhalation solution, 30 x 2 mL ampoules | 1 | $26.46 | AP |
| 14438X | BUDESONIDEbudesonide 500 microgram/2 mL inhalation solution, 30 x 2 mL ampoules | 1 | $24.05 | AP |
| 14331G | BUDESONIDEbudesonide 100 microgram/actuation powder for inhalation, 200 actuations | 1 | $11.70 | AP |
| 14503H | BUDESONIDEbudesonide 200 microgram/actuation powder for inhalation, 200 actuations | 1 | $19.08 | AP |
| 14151T | BUDESONIDE + FORMOTEROLbudesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 60 actuations | 1 | $14.41 | OX |
| 14159F | BUDESONIDE + FORMOTEROLbudesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 60 actuations | 1 | $14.41 | OX |
| 14166N | BUDESONIDE + FORMOTEROLbudesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 60 actuations | 1 | $14.41 | OX |
| 13258T | BUDESONIDE + FORMOTEROLbudesonide 400 microgram/actuation + formoterol fumarate dihydrate 12 microgram/actuation powder for inhalation, 60 actuations | 1 | $26.13 | EV,OX,XT |
| 13258T | BUDESONIDE + FORMOTEROLbudesonide 400 microgram/actuation + formoterol fumarate dihydrate 12 microgram/actuation powder for inhalation, 60 actuations | 1 | $28.13 | AP |
| 14398T | BUDESONIDE + FORMOTEROLbudesonide 400 microgram/actuation + formoterol fumarate dihydrate 12 microgram/actuation powder for inhalation, 60 actuations | 1 | $24.93 | EV,OX,XT |
| 14398T | BUDESONIDE + FORMOTEROLbudesonide 400 microgram/actuation + formoterol fumarate dihydrate 12 microgram/actuation powder for inhalation, 60 actuations | 1 | $26.96 | AP |
| 10015D | BUDESONIDE + FORMOTEROLbudesonide 100 microgram/actuation + formoterol fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations | 1 | $16.81 | XT |
| 10015D | BUDESONIDE + FORMOTEROLbudesonide 100 microgram/actuation + formoterol fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations | 1 | $19.29 | AP |
| 12042T | BUDESONIDE + FORMOTEROLbudesonide 100 microgram/actuation + formoterol fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations | 1 | $16.81 | XT |
| 12042T | BUDESONIDE + FORMOTEROLbudesonide 100 microgram/actuation + formoterol fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations | 1 | $19.29 | AP |
| 12089G | BUDESONIDE + FORMOTEROLbudesonide 100 microgram/actuation + formoterol fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations | 1 | $16.81 | XT |
| 12089G | BUDESONIDE + FORMOTEROLbudesonide 100 microgram/actuation + formoterol fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations | 1 | $19.29 | AP |
| 14467K | BUDESONIDE + FORMOTEROLbudesonide 100 microgram/actuation + formoterol fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations | 1 | $15.61 | XT |
| 14467K | BUDESONIDE + FORMOTEROLbudesonide 100 microgram/actuation + formoterol fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations | 1 | $18.09 | AP |
| 14535B | BUDESONIDE + FORMOTEROLbudesonide 100 microgram/actuation + formoterol fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations | 1 | $15.61 | XT |
| 14535B | BUDESONIDE + FORMOTEROLbudesonide 100 microgram/actuation + formoterol fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations | 1 | $18.09 | AP |
| 10018G | BUDESONIDE + FORMOTEROLbudesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations | 1 | $26.12 | XT |
| 10018G | BUDESONIDE + FORMOTEROLbudesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations | 1 | $28.60 | AP |
| 12082X | BUDESONIDE + FORMOTEROLbudesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations | 1 | $26.12 | XT |
| 12082X | BUDESONIDE + FORMOTEROLbudesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations | 1 | $28.60 | AP |
| 14436T | BUDESONIDE + FORMOTEROLbudesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations | 1 | $24.92 | XT |
| 14436T | BUDESONIDE + FORMOTEROLbudesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations | 1 | $27.46 | AP |
| 14468L | BUDESONIDE + FORMOTEROLbudesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations | 1 | $24.92 | XT |
| 14468L | BUDESONIDE + FORMOTEROLbudesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations | 1 | $27.46 | AP |
| 14437W | BUDESONIDE + FORMOTEROLbudesonide 100 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations | 1 | $29.91 | AP |
| 14440B | BUDESONIDE + FORMOTEROLbudesonide 100 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations | 1 | $29.91 | AP |
| 14365C | BUDESONIDE + FORMOTEROLbudesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations | 1 | $26.41 | EV,XT |
| 14365C | BUDESONIDE + FORMOTEROLbudesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations | 1 | $30.41 | AP |
| 14434Q | BUDESONIDE + FORMOTEROLbudesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations | 1 | $26.41 | EV |
| 14439Y | BUDESONIDE + FORMOTEROLbudesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations | 1 | $26.41 | XT |
| 14439Y | BUDESONIDE + FORMOTEROLbudesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations | 1 | $30.41 | AP |
| 14435R | BUDESONIDE + FORMOTEROLbudesonide 400 microgram/actuation + formoterol fumarate dihydrate 12 microgram/actuation powder for inhalation, 2 x 60 actuations | 2 | $49.86 | EV |
| 14536C | BUDESONIDE + GLYCOPYRRONIUM + FORMOTEROLbudesonide 160 microgram/actuation + glycopyrronium 7.2 microgram/actuation + formoterol fumarate dihydrate 5 microgram/actuation inhalation, 120 actuations | 1 | $68.68 | AP |
| 14516B | CABERGOLINEcabergoline 1 mg tablet, 30 | 30 | $38.87 | PF |
| 14543K | CABERGOLINEcabergoline 2 mg tablet, 30 | 30 | $51.28 | PF |
| 13901P | CABERGOLINEcabergoline 500 microgram tablet, 8 | 8 | $56.03 | PF |
| 13520N | CALCIPOTRIOL + BETAMETHASONE DIPROPIONATEcalcipotriol 0.005% + betamethasone (as dipropionate) 0.05% foam, 60 g | 1 | $75.75 | LO |
| 13577N | CALCIPOTRIOL + BETAMETHASONE DIPROPIONATEcalcipotriol 0.005% + betamethasone (as dipropionate) 0.05% ointment, 30 g | 1 | $28.41 | LO,SZ |
| 2997R | CALCITONIN SALMONcalcitonin salmon 100 units/mL injection, 5 x 1 mL ampoules | 5 | $39.90 | EU |
| 13457G | CALCITRIOLcalcitriol 0.25 microgram capsule, 100 | 100 | $18.52 | AF,XT,ZS |
| 13457G | CALCITRIOLcalcitriol 0.25 microgram capsule, 100 | 100 | $20.81 | IX |
| 13547B | CALCIUMcalcium carbonate 1.5 g (calcium 600 mg) tablet, 240 | 240 | $13.54 | AE |
| 11726E | CALCIUMcalcium carbonate 1.25 g (calcium 500 mg) chewable tablet, 120 | 120 | $10.44 | PP |
| 13485R | CALCIUMcalcium carbonate 1.25 g (calcium 500 mg) chewable tablet, 120 | 120 | $9.24 | PP |
| 13592J | CANDESARTANcandesartan cilexetil 4 mg tablet, 30 | 30 | $5.11 | AF,BG,RF,SZ,TX,WG |
| 13592J | CANDESARTANcandesartan cilexetil 4 mg tablet, 30 | 30 | $18.56 | LM |
| 13436E | CANDESARTANcandesartan cilexetil 8 mg tablet, 30 | 30 | $5.11 | AF,BG,RF,SZ,TX,WG |
| 13436E | CANDESARTANcandesartan cilexetil 8 mg tablet, 30 | 30 | $18.56 | LM |
| 13565Y | CANDESARTANcandesartan cilexetil 16 mg tablet, 30 | 30 | $6.53 | AF,BG,RF,SZ,TX,WG |
| 13565Y | CANDESARTANcandesartan cilexetil 16 mg tablet, 30 | 30 | $20.00 | LM |
| 13438G | CANDESARTANcandesartan cilexetil 32 mg tablet, 30 | 30 | $6.70 | AF,BG,RF,SZ,TX,WG |
| 13438G | CANDESARTANcandesartan cilexetil 32 mg tablet, 30 | 30 | $18.31 | LM |
| 13391T | CANDESARTAN + HYDROCHLOROTHIAZIDEcandesartan cilexetil 16 mg + hydrochlorothiazide 12.5 mg tablet, 30 | 30 | $6.70 | AF,BG,IB,RF,SZ,TX,VO,WG |
| 13391T | CANDESARTAN + HYDROCHLOROTHIAZIDEcandesartan cilexetil 16 mg + hydrochlorothiazide 12.5 mg tablet, 30 | 30 | $19.79 | LM |
| 13452B | CANDESARTAN + HYDROCHLOROTHIAZIDEcandesartan cilexetil 32 mg + hydrochlorothiazide 12.5 mg tablet, 30 | 30 | $6.70 | AF,BG,RF,SZ,TX,VO,WG |
| 13452B | CANDESARTAN + HYDROCHLOROTHIAZIDEcandesartan cilexetil 32 mg + hydrochlorothiazide 12.5 mg tablet, 30 | 30 | $17.88 | LM |
| 13392W | CANDESARTAN + HYDROCHLOROTHIAZIDEcandesartan cilexetil 32 mg + hydrochlorothiazide 25 mg tablet, 30 | 30 | $7.24 | AF,BG,RF,SZ,TX,VO,WG |
| 13392W | CANDESARTAN + HYDROCHLOROTHIAZIDEcandesartan cilexetil 32 mg + hydrochlorothiazide 25 mg tablet, 30 | 30 | $18.09 | LM |
| 14051M | CARBAMAZEPINEcarbamazepine 100 mg/5 mL oral liquid, 300 mL | 1 | $15.38 | NV |
| 14509P | CARBAMAZEPINEcarbamazepine 100 mg tablet, 100 | 100 | $6.41 | NM,VQ |
| 14509P | CARBAMAZEPINEcarbamazepine 100 mg tablet, 100 | 100 | $7.74 | NV |
| 2422L | CARBAMAZEPINEcarbamazepine 100 mg tablet, 100 | 100 | $7.61 | NM,VQ |
| 2422L | CARBAMAZEPINEcarbamazepine 100 mg tablet, 100 | 100 | $8.94 | NV |
| 5039F | CARBAMAZEPINEcarbamazepine 100 mg tablet, 100 | 100 | $7.61 | NM,VQ |
| 5039F | CARBAMAZEPINEcarbamazepine 100 mg tablet, 100 | 100 | $8.94 | NV |
| 14338P | CARBAMAZEPINEcarbamazepine 200 mg tablet, 100 | 100 | $9.91 | NM,VQ |
| 14338P | CARBAMAZEPINEcarbamazepine 200 mg tablet, 100 | 100 | $11.22 | NV |
| 1706T | CARBAMAZEPINEcarbamazepine 200 mg tablet, 100 | 100 | $11.11 | NM,VQ |
| 1706T | CARBAMAZEPINEcarbamazepine 200 mg tablet, 100 | 100 | $12.42 | NV |
| 1724R | CARBAMAZEPINEcarbamazepine 200 mg tablet, 100 | 100 | $11.11 | NM,VQ |
| 1724R | CARBAMAZEPINEcarbamazepine 200 mg tablet, 100 | 100 | $12.42 | NV |
| 14050L | CARBAMAZEPINEcarbamazepine 200 mg modified release tablet, 200 | 200 | $20.18 | NV |
| 13918M | CARBAMAZEPINEcarbamazepine 400 mg modified release tablet, 200 | 200 | $36.18 | NV |
| 1153Q | CARBIMAZOLEcarbimazole 5 mg tablet, 100 | 100 | $12.74 | GH,NB,TN |
| 13967D | CARBIMAZOLEcarbimazole 5 mg tablet, 100 | 100 | $11.54 | GH,NB,TN |
| 8369L | CARBOHYDRATE, FAT, VITAMINS, MINERALS AND TRACE ELEMENTScarbohydrate, fat, vitamins, minerals and trace elements powder for oral liquid, 400 g | 1 | $31.30 | SB |
| 10039J | CARBOHYDRATES, FAT, VITAMINS, MINERALS, TRACE ELEMENTS AND SUPPLEMENTED WITH ARACHIDONIC ACID AND DOCOSAHEXAENOIC ACIDcarbohydrates, fat, vitamins, minerals, trace elements and supplemented with arachidonic acid and docosahexaenoic acid providing 200 kilocalories powder for oral liquid, 30 x 43 g sachets | 1 | $106.03 | VF |
| 14420Y | CARBOMER-980carbomer-980 0.2% eye drops, 30 x 600 mg ampoules | 1 | $6.69 | UO |
| 5504Q | CARBOMER-980carbomer-980 0.2% eye drops, 30 x 600 mg ampoules | 1 | $7.49 | UO |
| 8578L | CARBOMER-980carbomer-980 0.2% eye drops, 30 x 600 mg ampoules | 1 | $7.49 | UO |
| 14385D | CARBOMER-980carbomer-980 0.2% eye gel, 10 g | 1 | $5.75 | PP,UL |
| 14385D | CARBOMER-980carbomer-980 0.2% eye gel, 10 g | 1 | $9.60 | UO |
| 14522H | CARMELLOSE SODIUMcarmellose sodium 0.5% eye drops, 30 x 0.4 mL ampoules | 1 | $5.36 | VE |
| 2338C | CARMELLOSE SODIUMcarmellose sodium 0.5% eye drops, 30 x 0.4 mL ampoules | 1 | $6.16 | VE |
| 5506T | CARMELLOSE SODIUMcarmellose sodium 0.5% eye drops, 30 x 0.4 mL ampoules | 1 | $6.16 | VE |
| 14319P | CARMELLOSE SODIUMcarmellose sodium 0.5% eye drops, 10 mL | 1 | $13.95 | CX |
| 14452P | CARMELLOSE SODIUMcarmellose sodium 1% eye drops, 30 x 0.4 mL ampoules | 1 | $5.36 | VE |
| 2324H | CARMELLOSE SODIUMcarmellose sodium 1% eye drops, 30 x 0.4 mL ampoules | 1 | $6.16 | VE |
| 5505R | CARMELLOSE SODIUMcarmellose sodium 1% eye drops, 30 x 0.4 mL ampoules | 1 | $6.16 | VE |
| 13417E | CARVEDILOLcarvedilol 6.25 mg tablet, 60 | 60 | $6.74 | AF,PB,RF,RW,SZ,TX,WG,ZS |
| 13418F | CARVEDILOLcarvedilol 12.5 mg tablet, 60 | 60 | $7.83 | AF,PB,RF,RW,SZ,TX,WG,ZS |
| 13387N | CARVEDILOLcarvedilol 25 mg tablet, 60 | 60 | $9.18 | AF,PB,RF,RW,SZ,TX,WG,ZS |
| 11963P | CEFALEXINcefalexin 250 mg capsule, 20 | 20 | $5.11 | AF,TX |
| 11963P | CEFALEXINcefalexin 250 mg capsule, 20 | 20 | $9.83 | AS |
| 2655R | CEFALEXINcefalexin 250 mg capsule, 20 | 20 | $5.11 | AF,TX |
| 2655R | CEFALEXINcefalexin 250 mg capsule, 20 | 20 | $9.83 | AS |
| 10778G | CEFALEXINcefalexin 500 mg capsule, 20 | 20 | $5.11 | AF,BG,CR,GQ,SZ,TX,VO,WG |
| 10778G | CEFALEXINcefalexin 500 mg capsule, 20 | 20 | $11.39 | AS |
| 11934D | CEFALEXINcefalexin 500 mg capsule, 20 | 20 | $5.11 | AF,BG,CR,GQ,SZ,TX,VO,WG |
| 11934D | CEFALEXINcefalexin 500 mg capsule, 20 | 20 | $11.39 | AS |
| 1797N | CEFAZOLINcefazolin 1 g injection, 5 vials | 5 | $6.70 | AE |
| 1799Q | CEFAZOLINcefazolin 1 g injection, 5 vials | 5 | $6.70 | AE |
| 8315P | CEFEPIMEcefepime 1 g injection, 1 vial | 1 | $4.49 | PK |
| 8316Q | CEFEPIMEcefepime 2 g injection, 1 vial | 1 | $4.78 | PK |
| 12112L | CEFTRIAXONEceftriaxone 2 g injection, 10 vials | 10 | $37.21 | AL |
| 12114N | CEFTRIAXONEceftriaxone 1 g injection, 10 vials | 10 | $37.00 | AL |
| 1783W | CEFTRIAXONEceftriaxone 500 mg injection, 1 vial | 1 | $3.65 | AE |
| 13643C | CEFUROXIMEcefuroxime 125 mg/5 mL powder for oral liquid, 70 mL | 1 | $52.13 | RQ |
| 13653N | CEFUROXIMEcefuroxime 125 mg/5 mL powder for oral liquid, 70 mL | 1 | $52.13 | RQ |
| 11319R | CERTOLIZUMAB PEGOLcertolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices | 2 | $1003.44 | UC |
| 11322X | CERTOLIZUMAB PEGOLcertolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices | 2 | $1003.44 | UC |
| 11323Y | CERTOLIZUMAB PEGOLcertolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices | 2 | $1003.44 | UC |
| 12027B | CERTOLIZUMAB PEGOLcertolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices | 2 | $1003.44 | UC |
| 10904X | CERTOLIZUMAB PEGOLcertolizumab pegol 200 mg/mL injection, 2 x 1 mL syringes | 2 | $1003.44 | UC |
| 10905Y | CERTOLIZUMAB PEGOLcertolizumab pegol 200 mg/mL injection, 2 x 1 mL syringes | 2 | $1003.44 | UC |
| 10909E | CERTOLIZUMAB PEGOLcertolizumab pegol 200 mg/mL injection, 2 x 1 mL syringes | 2 | $1003.44 | UC |
| 12063X | CERTOLIZUMAB PEGOLcertolizumab pegol 200 mg/mL injection, 2 x 1 mL syringes | 2 | $1003.44 | UC |
| 1163F | CHLORAMBUCILchlorambucil 2 mg tablet, 25 | 25 | $32.01 | AS |
| 14658L | CHLORMETHINEchlormethine 0.016% (160 microgram/g) gel, 60 g | 1 | $1699.06 | JZ |
| 13500M | CHLORTALIDONEchlortalidone 25 mg tablet, 50 | 50 | $5.14 | GH |
| 1585K | CHLORTALIDONEchlortalidone 25 mg tablet, 50 | 50 | $6.34 | GH |
| 13300B | CHORIOGONADOTROPIN ALFAchoriogonadotropin alfa 250 microgram/0.5 mL injection, 0.5 mL pen device | 1 | $52.84 | SG |
| 14640M | CHORIOGONADOTROPIN ALFAchoriogonadotropin alfa 250 microgram/0.5 mL injection, 0.5 mL syringe | 1 | $127.29 | SG |
| 14348E | CICLESONIDEciclesonide 160 microgram/actuation inhalation, 120 actuations | 1 | $22.18 | EU |
| 14312G | CICLESONIDEciclesonide 80 microgram/actuation inhalation, 120 actuations | 1 | $13.24 | EU |
| 13911E | CICLOSPORINciclosporin 100 mg capsule, 30 | 30 | $105.45 | TX |
| 13883Q | CICLOSPORINciclosporin 25 mg capsule, 30 | 30 | $24.90 | NM,NV,TX,WG |
| 13910D | CICLOSPORINciclosporin 50 mg capsule, 30 | 30 | $51.73 | NM,NV,TX,WG |
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