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Standard Packs and Prices for Ready Prepared Pharmaceutical Benefits

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Item code Drug name
Form and Strength
Pack size Price Manufacturer
13869Y ACARBOSEacarbose 100 mg tablet, 90 90 $22.93 AL,RW
13955L ACARBOSEacarbose 50 mg tablet, 90 90 $16.89 AL,RW
1003T ACICLOVIRaciclovir 200 mg tablet, 25 25 $7.45 HX
14539F ACLIDINIUMaclidinium 322 microgram/actuation inhalation: powder for, 60 actuations 1 $50.73 FK
14410K ACLIDINIUM + FORMOTEROLaclidinium 340 microgram/actuation + formoterol fumarate dihydrate 12 microgram/actuation powder for inhalation, 60 actuations 1 $72.12 FK
12330Y ADALIMUMABadalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices 2 $550.10 PF,RF,SZ,XT
12356H ADALIMUMABadalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices 2 $550.13 PF,RF,SZ,XT
12369B ADALIMUMABadalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices 2 $550.10 PF,RF,SZ,XT
12370C ADALIMUMABadalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices 2 $550.13 PF,RF,SZ,XT
12385W ADALIMUMABadalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices 2 $550.10 PF,RF,SZ,XT
12386X ADALIMUMABadalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices 2 $550.13 PF,RF,SZ,XT
12388B ADALIMUMABadalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices 2 $550.13 PF,RF,SZ,XT
12402R ADALIMUMABadalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices 2 $550.13 PF,RF,SZ,XT
12331B ADALIMUMABadalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes 2 $550.13 PF,RF,SZ,XT
12333D ADALIMUMABadalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes 2 $550.13 PF,RF,SZ,XT
12387Y ADALIMUMABadalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes 2 $550.13 PF,RF,SZ,XT
12416L ADALIMUMABadalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes 2 $550.13 PF,RF,SZ,XT
12332C ADALIMUMABadalimumab 20 mg/0.4 mL injection, 0.4 mL syringe 1 $349.25 XT
12350B ADALIMUMABadalimumab 20 mg/0.4 mL injection, 0.4 mL syringe 1 $349.25 XT
12351C ADALIMUMABadalimumab 20 mg/0.4 mL injection, 0.4 mL syringe 1 $349.25 XT
12354F ADALIMUMABadalimumab 20 mg/0.4 mL injection, 0.4 mL syringe 1 $349.25 XT
12357J ADALIMUMABadalimumab 20 mg/0.4 mL injection, 0.4 mL syringe 1 $349.25 XT
12436M ADALIMUMABadalimumab 20 mg/0.4 mL injection, 0.4 mL syringe 1 $349.25 XT
12440R ADALIMUMABadalimumab 20 mg/0.4 mL injection, 0.4 mL syringe 1 $349.25 XT
12380N ADALIMUMABadalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes 2 $550.13 EW,LR,OQ,VE
12382Q ADALIMUMABadalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes 2 $550.13 EW,LR,OQ,VE
12453K ADALIMUMABadalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes 2 $550.13 EW,LR,OQ,VE
12455M ADALIMUMABadalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes 2 $550.13 EW,LR,OQ,VE
12347W ADALIMUMABadalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices 2 $550.13 EW,LR,OQ,VE
12381P ADALIMUMABadalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices 2 $550.13 EW,LR,OQ,VE
12383R ADALIMUMABadalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices 2 $550.10 EW,LR,OQ,VE
12414J ADALIMUMABadalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices 2 $550.10 EW,LR,OQ,VE
12432H ADALIMUMABadalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices 2 $550.13 EW,LR,OQ,VE
12433J ADALIMUMABadalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices 2 $550.13 EW,LR,OQ,VE
12454L ADALIMUMABadalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices 2 $550.13 EW,LR,OQ,VE
13221W ADALIMUMABadalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices 2 $550.10 EW,LR,OQ
12360M ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL pen device 1 $668.73 EW,VE
12374G ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL pen device 1 $668.73 EW,VE
12419P ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL pen device 1 $668.73 EW,VE
12426B ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL pen device 1 $668.73 EW,VE
12448E ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL pen device 1 $668.69 EW,VE
12449F ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL pen device 1 $668.69 EW,VE
12450G ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL pen device 1 $668.73 EW,VE
14587R ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL pen device 1 $668.69 EW
12339K ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL syringe 1 $668.73 EW,VE
12372E ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL syringe 1 $668.73 EW,VE
12393G ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL syringe 1 $668.73 EW,VE
12395J ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL syringe 1 $668.69 EW,VE
12408C ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL syringe 1 $668.69 EW,VE
12409D ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL syringe 1 $668.73 EW,VE
12524E ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL syringe 1 $668.73 EW,VE
14622N ADALIMUMABadalimumab 80 mg/0.8 mL injection, 0.8 mL syringe 1 $668.69 EW
13363H ADAPALENE + BENZOYL PEROXIDEadapalene 0.1% + benzoyl peroxide 2.5% gel, 30 g 1 $25.09 GA
12655C ADRENALINE (EPINEPHRINE)adrenaline (epinephrine) 500 microgram/0.3 mL injection, 0.3 mL pen device 1 $75.75 XT
8697R ADRENALINE (EPINEPHRINE)adrenaline (epinephrine) 150 microgram/0.3 mL injection, 0.3 mL pen device 1 $75.75 AF,AL,XT
8698T ADRENALINE (EPINEPHRINE)adrenaline (epinephrine) 300 microgram/0.3 mL injection, 0.3 mL pen device 1 $75.75 AF,AL,XT
13499L ALENDRONATEalendronate 70 mg tablet, 4 4 $6.31 AL,SZ,TX,WG
13835E ALENDRONATE + COLECALCIFEROLalendronate 70 mg + colecalciferol 140 microgram (5600 units) tablet, 4 4 $9.57 MQ
14003B ALENDRONATE + COLECALCIFEROLalendronate 70 mg + colecalciferol 70 microgram (2800 units) tablet, 4 4 $9.57 MQ
13358C ALLOPURINOLallopurinol 100 mg tablet, 200 200 $7.26 AF,GX,RF,SZ,TX,VO,WG
13358C ALLOPURINOLallopurinol 100 mg tablet, 200 200 $12.88 RW
13575L ALLOPURINOLallopurinol 300 mg tablet, 60 60 $6.16 AF,GX,RF,SZ,TX,VO,WG
13575L ALLOPURINOLallopurinol 300 mg tablet, 60 60 $11.80 RW
13897K ALOGLIPTINalogliptin 6.25 mg tablet, 28 28 $40.89 TK
13977P ALOGLIPTINalogliptin 12.5 mg tablet, 28 28 $40.89 TK
13953J ALOGLIPTINalogliptin 25 mg tablet, 28 28 $40.89 TK
13989G ALOGLIPTIN + METFORMINalogliptin 12.5 mg + metformin hydrochloride 1 g tablet, 56 56 $43.68 TK
14062D ALOGLIPTIN + METFORMINalogliptin 12.5 mg + metformin hydrochloride 500 mg tablet, 56 56 $42.32 TK
14061C ALOGLIPTIN + METFORMINalogliptin 12.5 mg + metformin hydrochloride 850 mg tablet, 56 56 $43.29 TK
14486K AMANTADINEamantadine hydrochloride 100 mg capsule, 100 100 $23.50 DZ,NV
13032X AMIFAMPRIDINEamifampridine 10 mg tablet, 100 100 $2226.36 OJ
13410T AMILORIDE + HYDROCHLOROTHIAZIDEamiloride hydrochloride dihydrate 5 mg + hydrochlorothiazide 50 mg tablet, 50 50 $6.27 AS
1486F AMILORIDE + HYDROCHLOROTHIAZIDEamiloride hydrochloride dihydrate 5 mg + hydrochlorothiazide 50 mg tablet, 50 50 $7.47 AS
11331J AMINO ACID FORMULA SUPPLEMENTED WITH PREBIOTICS, PROBIOTICS AND LONG CHAIN POLYUNSATURATED FATTY ACIDSamino acid formula supplemented with prebiotics, probiotics and long chain polyunsaturated fatty acids powder for oral liquid, 400 g 1 $39.07 SB
11340W AMINO ACID FORMULA SUPPLEMENTED WITH PREBIOTICS, PROBIOTICS AND LONG CHAIN POLYUNSATURATED FATTY ACIDSamino acid formula supplemented with prebiotics, probiotics and long chain polyunsaturated fatty acids powder for oral liquid, 400 g 1 $39.07 SB
11343B AMINO ACID FORMULA SUPPLEMENTED WITH PREBIOTICS, PROBIOTICS AND LONG CHAIN POLYUNSATURATED FATTY ACIDSamino acid formula supplemented with prebiotics, probiotics and long chain polyunsaturated fatty acids powder for oral liquid, 400 g 1 $39.07 SB
12072J AMINO ACID FORMULA WITH CARBOHYDRATE WITHOUT PHENYLALANINEamino acid formula with carbohydrate without phenylalanine modified release tablet, 6 x 77 1 $328.61 OH
10806R AMINO ACID FORMULA WITH CARBOHYDRATE, VITAMINS, MINERALS AND TRACE ELEMENTS WITHOUT PHENYLALANINEamino acid formula with carbohydrate, vitamins, minerals and trace elements without phenylalanine powder for oral liquid, 30 x 20 g sachets 1 $237.28 OH
12006X AMINO ACID FORMULA WITH FAT, CARBOHYDRATE WITHOUT METHIONINEamino acid formula with fat, carbohydrate without methionine modified release tablet, 6 x 77 1 $590.82 OH
10683G AMINO ACID FORMULA WITH FAT, CARBOHYDRATE WITHOUT PHENYLALANINEamino acid formula with fat, carbohydrate without phenylalanine tablet: modified release, 4 x 110 g 1 $263.14 OH
12015J AMINO ACID FORMULA WITH FAT, CARBOHYDRATE WITHOUT PHENYLALANINE AND TYROSINEamino acid formula with fat, carbohydrate without phenylalanine and tyrosine modified release tablet, 6 x 77 1 $598.52 OH
12014H AMINO ACID FORMULA WITH FAT, CARBOHYDRATE WITHOUT VALINE, LEUCINE AND ISOLEUCINEamino acid formula with fat, carbohydrate without valine, leucine and isoleucine modified release tablet, 6 x 77 1 $590.82 OH
3417W AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS AND TRACE ELEMENTS WITHOUT METHIONINE AND SUPPLEMENTED WITH DOCOSAHEXAENOIC ACIDamino acid formula with fat, carbohydrate, vitamins, minerals and trace elements without methionine and supplemented with docosahexaenoic acid oral liquid, 36 x 125 mL bottles 1 $543.28 SB
10632N AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS AND TRACE ELEMENTS WITHOUT PHENYLALANINEamino acid formula with fat, carbohydrate, vitamins, minerals and trace elements without phenylalanine oral liquid: powder for, 30 x 34 g bottles 1 $363.80 OH
9330C AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS AND TRACE ELEMENTS WITHOUT PHENYLALANINE AND TYROSINE, AND SUPPLEMENTED WITH DOCOSAHEXAENOIC ACIDamino acid formula with fat, carbohydrate, vitamins, minerals and trace elements without phenylalanine and tyrosine, and supplemented with docosahexaenoic acid oral liquid, 36 x 125 mL bottles 1 $543.28 SB
10934L AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS AND TRACE ELEMENTS, WITHOUT PHENYLALANINE AND TYROSINEamino acid formula with fat, carbohydrate, vitamins, minerals and trace elements, without phenylalanine and tyrosine powder for oral liquid, 30 x 34 g bottles 1 $704.54 OH
10522T AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND MEDIUM CHAIN TRIGLYCERIDESamino acid formula with fat, carbohydrate, vitamins, minerals, trace elements and medium chain triglycerides powder for oral liquid, 400 g 1 $41.96 NT
10527C AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND MEDIUM CHAIN TRIGLYCERIDESamino acid formula with fat, carbohydrate, vitamins, minerals, trace elements and medium chain triglycerides powder for oral liquid, 400 g 1 $41.96 NT
11161K AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND MEDIUM CHAIN TRIGLYCERIDESamino acid formula with fat, carbohydrate, vitamins, minerals, trace elements and medium chain triglycerides powder for oral liquid, 400 g 1 $41.96 SB
11183N AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND MEDIUM CHAIN TRIGLYCERIDESamino acid formula with fat, carbohydrate, vitamins, minerals, trace elements and medium chain triglycerides powder for oral liquid, 400 g 1 $41.96 SB
12643K AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND MEDIUM CHAIN TRIGLYCERIDESamino acid formula with fat, carbohydrate, vitamins, minerals, trace elements and medium chain triglycerides powder for oral liquid, 800 g 1 $81.97 QH
12650T AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND MEDIUM CHAIN TRIGLYCERIDESamino acid formula with fat, carbohydrate, vitamins, minerals, trace elements and medium chain triglycerides powder for oral liquid, 800 g 1 $81.97 QH
10715Y AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT LYSINE AND LOW IN TRYPTOPHANamino acid formula with vitamins and minerals without lysine and low in tryptophan powder for oral liquid, 30 x 18 g sachets 1 $227.93 NU
2650L AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT LYSINE AND LOW IN TRYPTOPHANamino acid formula with vitamins and minerals without lysine and low in tryptophan powder for oral liquid, 400 g 1 $82.29 SB
10466W AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT LYSINE AND LOW IN TRYPTOPHANamino acid formula with vitamins and minerals without lysine and low in tryptophan powder for oral liquid, 500 g 1 $295.73 SB
9438R AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT LYSINE AND LOW IN TRYPTOPHANamino acid formula with vitamins and minerals without lysine and low in tryptophan powder for oral liquid, 30 x 24 g sachets 1 $455.86 VF
8417B AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINEamino acid formula with vitamins and minerals without methionine powder for oral liquid, 400 g 1 $78.18 SB
1548L AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINEamino acid formula with vitamins and minerals without methionine oral liquid, 30 x 125 mL pouches 1 $850.56 SB
8744F AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINEamino acid formula with vitamins and minerals without methionine powder for oral liquid, 30 x 25 g sachets 1 $637.93 VF
2640Y AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINEamino acid formula with vitamins and minerals without methionine oral liquid, 30 x 174 mL sachets 1 $837.74 VF
10693T AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINEamino acid formula with vitamins and minerals without methionine oral liquid: powder for, 30 x 36 g sachets 1 $433.78 NU
12273Y AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINEamino acid formula with vitamins and minerals without methionine powder for oral liquid, 30 x 29 g sachets 1 $837.74 SB
8058D AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINE, THREONINE AND VALINE AND LOW IN ISOLEUCINEamino acid formula with vitamins and minerals without methionine, threonine and valine and low in isoleucine powder for oral liquid, 400 g 1 $78.18 SB
3443F AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINE, THREONINE AND VALINE AND LOW IN ISOLEUCINEamino acid formula with vitamins and minerals without methionine, threonine and valine and low in isoleucine powder for oral liquid, 30 x 25 g sachets 1 $637.93 VF
10730R AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINE, THREONINE AND VALINE AND LOW IN ISOLEUCINEamino acid formula with vitamins and minerals without methionine, threonine and valine and low in isoleucine powder for oral liquid, 30 x 18 g sachets 1 $216.88 NU
12136R AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine powder for oral liquid, 30 x 28 g sachets 1 $416.07 SB
2806Q AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine oral semi-solid, 36 x 109 g tubs 1 $503.99 SB
5483N AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine oral liquid, 30 x 85 g sachets 1 $214.97 VF
14290D AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine oral liquid, 30 x 125 mL pouches 1 $416.07 NU
9021T AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine oral liquid, 30 x 125 mL pouches 1 $416.07 SB
9396M AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine oral liquid, 36 x 125 mL bottles 1 $258.27 SB
8846N AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine oral liquid, 30 x 130 mL pouches 1 $315.36 VF
10411Y AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine oral liquid, 30 x 174 mL pouches 1 $420.90 VF
2474F AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine oral liquid, 30 x 174 mL pouches 1 $420.90 VF
8746H AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine oral liquid, 18 x 250 mL 18 $168.77 SB
9397N AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine oral liquid, 60 x 62.5 mL pouches 1 $336.01 SB
2382J AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine oral liquid, 30 x 87 mL pouches 1 $210.24 VF
2739E AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine powder for oral liquid, 500 g 1 $137.61 SB
8591E AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine powder for oral liquid, 30 x 25 g sachets 1 $315.53 VF
1909L AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine powder for oral liquid, 30 x 34 g sachets 1 $420.90 VF
10258X AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINEamino acid formula with vitamins and minerals without phenylalanine oral liquid: powder for, 30 x 36 g sachets 1 $215.21 SB
2701E AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE AND TYROSINEamino acid formula with vitamins and minerals without phenylalanine and tyrosine oral liquid, 30 x 174 mL pouches 1 $837.74 VF
12274B AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE AND TYROSINEamino acid formula with vitamins and minerals without phenylalanine and tyrosine powder for oral liquid, 30 x 28 g sachets 1 $837.74 SB
8445L AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE AND TYROSINEamino acid formula with vitamins and minerals without phenylalanine and tyrosine powder for oral liquid, 400 g 1 $78.18 SB
1547K AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE AND TYROSINEamino acid formula with vitamins and minerals without phenylalanine and tyrosine oral liquid, 30 x 125 mL pouches 1 $671.63 SB
10260B AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE AND TYROSINEamino acid formula with vitamins and minerals without phenylalanine and tyrosine oral liquid: powder for, 30 x 36 g sachets 1 $433.78 SB
2654Q AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT VALINE, LEUCINE AND ISOLEUCINEamino acid formula with vitamins and minerals without valine, leucine and isoleucine oral liquid, 30 x 174 mL pouches 1 $837.74 VF
2380G AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT VALINE, LEUCINE AND ISOLEUCINEamino acid formula with vitamins and minerals without valine, leucine and isoleucine powder for oral liquid, 400 g 1 $78.18 SB
1546J AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT VALINE, LEUCINE AND ISOLEUCINEamino acid formula with vitamins and minerals without valine, leucine and isoleucine oral liquid, 30 x 125 mL pouches 1 $850.56 SB
2375B AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT VALINE, LEUCINE AND ISOLEUCINEamino acid formula with vitamins and minerals without valine, leucine and isoleucine oral liquid, 30 x 130 mL pouches 1 $637.93 VF
8057C AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT VALINE, LEUCINE AND ISOLEUCINEamino acid formula with vitamins and minerals without valine, leucine and isoleucine powder for oral liquid, 500 g 1 $279.00 SB
12285N AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT VALINE, LEUCINE AND ISOLEUCINEamino acid formula with vitamins and minerals without valine, leucine and isoleucine powder for oral liquid, 30 x 28 g sachets 1 $837.74 SB
8632H AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT VALINE, LEUCINE AND ISOLEUCINEamino acid formula with vitamins and minerals without valine, leucine and isoleucine powder for oral liquid, 30 x 25 g sachets 1 $637.93 VF
10259Y AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT VALINE, LEUCINE AND ISOLEUCINEamino acid formula with vitamins and minerals without valine, leucine and isoleucine oral liquid: powder for, 30 x 36 g sachets 1 $433.78 SB
9499Y AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT VALINE, LEUCINE AND ISOLEUCINE WITH FAT, CARBOHYDRATE AND TRACE ELEMENTS AND SUPPLEMENTED WITH DOCOSAHEXAENOIC ACIDamino acid formula with vitamins and minerals without valine, leucine and isoleucine with fat, carbohydrate and trace elements and supplemented with docosahexaenoic acid oral liquid, 36 x 125 mL bottles 1 $543.28 SB
14118C AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT VALINE, LEUCINE, ISOLEUCINE AND SUPPLEMENTED WITH ARACHIDONIC ACID AND DOCOSAHEXAENOIC ACIDamino acid formula with vitamins and minerals without valine, leucine, isoleucine and supplemented with arachidonic acid and docosahexaenoic acid containing 5 g of protein equivalent powder for oral liquid, 30 x 12.5 g sachets 1 $216.89 VF
11185Q AMINO ACID FORMULA WITH VITAMINS AND MINERALS, LOW PHENYLALANINE AND SUPPLEMENTED WITH DOCOSAHEXAENOIC ACID AND ARACHIDONIC ACIDamino acid formula with vitamins and minerals, low phenylalanine and supplemented with docosahexaenoic acid and arachidonic acid powder for oral liquid, 30 x 12.5 g sachets 1 $118.63 SB
11859E AMINO ACID FORMULA WITH VITAMINS AND MINERALS, LOW PHENYLALANINE AND SUPPLEMENTED WITH DOCOSAHEXAENOIC ACID AND ARACHIDONIC ACIDamino acid formula with vitamins and minerals, low phenylalanine and supplemented with docosahexaenoic acid and arachidonic acid powder for oral liquid, 30 x 12.5 g sachets 1 $118.63 VF
11836Y AMINO ACID FORMULA WITH VITAMINS AND MINERALS, LOW PHENYLALANINE AND SUPPLEMENTED WITH DOCOSAHEXAENOIC ACID AND ARACHIDONIC ACIDamino acid formula with vitamins and minerals, low phenylalanine and supplemented with docosahexaenoic acid and arachidonic acid powder for oral liquid, 30 x 25 g sachets 1 $237.27 VF
14114W AMINO ACID FORMULA WITH VITAMINS AND MINERALS, WITHOUT METHIONINE AND SUPPLEMENTED WITH ARACHIDONIC ACID AND DOCOSAHEXAENOIC ACIDamino acid formula with vitamins and minerals, without methionine and supplemented with arachidonic acid and docosahexaenoic acid containing 5 g of protein equivalent powder for oral liquid, 30 x 12.5 g sachets 1 $216.89 VF
14126L AMINO ACID FORMULA WITH VITAMINS AND MINERALS, WITHOUT PHENYLALANINE, TYROSINE AND SUPPLEMENTED WITH ARACHIDONIC ACID AND DOCOSAHEXAENOIC ACIDamino acid formula with vitamins and minerals, without phenylalanine, tyrosine and supplemented with arachidonic acid and docosahexaenoic acid containing 5 g of protein equivalent powder for oral liquid, 30 x 12.5 g sachets 1 $216.89 VF
14239K AMINO ACID FORMULA WITH VITAMINS, MINERALS AND LONG CHAIN POLYUNSATURATED FATTY ACIDS WITHOUT PHENYLALANINEamino acid formula with vitamins, minerals and long chain polyunsaturated fatty acids without phenylalanine powder for oral liquid, 4 x 400 g 4 $304.00 VF
8479G AMINO ACID FORMULA WITH VITAMINS, MINERALS AND LONG CHAIN POLYUNSATURATED FATTY ACIDS WITHOUT PHENYLALANINEamino acid formula with vitamins, minerals and long chain polyunsaturated fatty acids without phenylalanine powder for oral liquid, 400 g 1 $71.44 SB
8678R AMINO ACID FORMULA WITHOUT PHENYLALANINEamino acid formula without phenylalanine 1 g tablet, 75 1 $48.42 SB
10161T AMINO ACID FORMULA WITHOUT VALINE, LEUCINE AND ISOLEUCINEamino acid formula without valine, leucine and isoleucine containing 5 g of protein equivalent powder for oral liquid, 30 x 6 g sachets 1 $246.53 VF
1180D AMINO ACID SYNTHETIC FORMULAamino acid synthetic formula powder for oral liquid, 400 g 1 $35.87 SB
1192R AMINO ACID SYNTHETIC FORMULAamino acid synthetic formula powder for oral liquid, 400 g 1 $35.87 SB
1521C AMINO ACID SYNTHETIC FORMULAamino acid synthetic formula powder for oral liquid, 400 g 1 $35.88 SB
2250K AMINO ACID SYNTHETIC FORMULAamino acid synthetic formula powder for oral liquid, 400 g 1 $35.88 AB
8574G AMINO ACID SYNTHETIC FORMULAamino acid synthetic formula powder for oral liquid, 400 g 1 $35.87 AB
8575H AMINO ACID SYNTHETIC FORMULAamino acid synthetic formula powder for oral liquid, 400 g 1 $35.87 AB
2246F AMINO ACID SYNTHETIC FORMULA SUPPLEMENTED WITH LONG CHAIN POLYUNSATURATED FATTY ACIDSamino acid synthetic formula supplemented with long chain polyunsaturated fatty acids powder for oral liquid, 400 g 1 $38.52 SB
2560R AMINO ACID SYNTHETIC FORMULA SUPPLEMENTED WITH LONG CHAIN POLYUNSATURATED FATTY ACIDSamino acid synthetic formula supplemented with long chain polyunsaturated fatty acids powder for oral liquid, 400 g 1 $38.52 SB
9339M AMINO ACID SYNTHETIC FORMULA SUPPLEMENTED WITH LONG CHAIN POLYUNSATURATED FATTY ACIDSamino acid synthetic formula supplemented with long chain polyunsaturated fatty acids powder for oral liquid, 400 g 1 $28.46 AB
9340N AMINO ACID SYNTHETIC FORMULA SUPPLEMENTED WITH LONG CHAIN POLYUNSATURATED FATTY ACIDSamino acid synthetic formula supplemented with long chain polyunsaturated fatty acids powder for oral liquid, 400 g 1 $28.46 AB
13615N AMINO ACID SYNTHETIC FORMULA SUPPLEMENTED WITH LONG CHAIN POLYUNSATURATED FATTY ACIDS AND MEDIUM CHAIN TRIGLYCERIDESamino acid synthetic formula supplemented with long chain polyunsaturated fatty acids and medium chain triglycerides with 2-fucosyllactose and lacto-N-neotetraose powder for oral liquid, 400 g 1 $38.52 NT
13627F AMINO ACID SYNTHETIC FORMULA SUPPLEMENTED WITH LONG CHAIN POLYUNSATURATED FATTY ACIDS AND MEDIUM CHAIN TRIGLYCERIDESamino acid synthetic formula supplemented with long chain polyunsaturated fatty acids and medium chain triglycerides with 2-fucosyllactose and lacto-N-neotetraose powder for oral liquid, 400 g 1 $38.52 NT
1545H AMINO ACID SYNTHETIC FORMULA SUPPLEMENTED WITH LONG CHAIN POLYUNSATURATED FATTY ACIDS AND MEDIUM CHAIN TRIGLYCERIDESamino acid synthetic formula supplemented with long chain polyunsaturated fatty acids and medium chain triglycerides powder for oral liquid, 400 g 1 $38.53 SB
5466Q AMINO ACID SYNTHETIC FORMULA SUPPLEMENTED WITH LONG CHAIN POLYUNSATURATED FATTY ACIDS AND MEDIUM CHAIN TRIGLYCERIDESamino acid synthetic formula supplemented with long chain polyunsaturated fatty acids and medium chain triglycerides powder for oral liquid, 400 g 1 $38.52 SB
5467R AMINO ACID SYNTHETIC FORMULA SUPPLEMENTED WITH LONG CHAIN POLYUNSATURATED FATTY ACIDS AND MEDIUM CHAIN TRIGLYCERIDESamino acid synthetic formula supplemented with long chain polyunsaturated fatty acids and medium chain triglycerides powder for oral liquid, 400 g 1 $38.52 SB
8736T AMISULPRIDEamisulpride 100 mg/mL oral liquid, 60 mL 1 $67.82 SW
13532F AMLODIPINEamlodipine 5 mg tablet, 30 30 $5.11 AF,BG,CR,GQ,GX,IB,RW,SZ,TW,TX,VO,WG
13532F AMLODIPINEamlodipine 5 mg tablet, 30 30 $16.28 AS
13562T AMLODIPINEamlodipine 10 mg tablet, 30 30 $5.11 AF,BG,CR,GQ,GX,IB,RW,SZ,TX,VO,WG
13562T AMLODIPINEamlodipine 10 mg tablet, 30 30 $16.29 AS
13479K AMLODIPINE + ATORVASTATINamlodipine 10 mg + atorvastatin 10 mg tablet, 30 30 $6.04 AF
13479K AMLODIPINE + ATORVASTATINamlodipine 10 mg + atorvastatin 10 mg tablet, 30 30 $11.04 AS
13384K AMLODIPINE + ATORVASTATINamlodipine 10 mg + atorvastatin 20 mg tablet, 30 30 $6.24 AF
13384K AMLODIPINE + ATORVASTATINamlodipine 10 mg + atorvastatin 20 mg tablet, 30 30 $11.24 AS
13536K AMLODIPINE + ATORVASTATINamlodipine 10 mg + atorvastatin 40 mg tablet, 30 30 $7.15 AF
13536K AMLODIPINE + ATORVASTATINamlodipine 10 mg + atorvastatin 40 mg tablet, 30 30 $12.15 AS
13963X AMLODIPINE + ATORVASTATINamlodipine 10 mg + atorvastatin 80 mg tablet, 30 30 $8.52 AF
13963X AMLODIPINE + ATORVASTATINamlodipine 10 mg + atorvastatin 80 mg tablet, 30 30 $13.52 AS
13596N AMLODIPINE + ATORVASTATINamlodipine 5 mg + atorvastatin 10 mg tablet, 30 30 $5.36 AF
13567C AMLODIPINE + ATORVASTATINamlodipine 5 mg + atorvastatin 20 mg tablet, 30 30 $6.09 AF
13415C AMLODIPINE + ATORVASTATINamlodipine 5 mg + atorvastatin 40 mg tablet, 30 30 $6.46 AF
13415C AMLODIPINE + ATORVASTATINamlodipine 5 mg + atorvastatin 40 mg tablet, 30 30 $11.46 AS
13597P AMLODIPINE + ATORVASTATINamlodipine 5 mg + atorvastatin 80 mg tablet, 30 30 $7.83 AF
13597P AMLODIPINE + ATORVASTATINamlodipine 5 mg + atorvastatin 80 mg tablet, 30 30 $12.83 AS
13454D AMLODIPINE + VALSARTANamlodipine 10 mg + valsartan 160 mg tablet, 28 28 $12.94 NM
13454D AMLODIPINE + VALSARTANamlodipine 10 mg + valsartan 160 mg tablet, 28 28 $16.94 NV
13389Q AMLODIPINE + VALSARTANamlodipine 10 mg + valsartan 320 mg tablet, 28 28 $15.21 NM
13389Q AMLODIPINE + VALSARTANamlodipine 10 mg + valsartan 320 mg tablet, 28 28 $19.21 NV
13516J AMLODIPINE + VALSARTANamlodipine 5 mg + valsartan 160 mg tablet, 28 28 $12.41 NM
13516J AMLODIPINE + VALSARTANamlodipine 5 mg + valsartan 160 mg tablet, 28 28 $16.41 NV
13604B AMLODIPINE + VALSARTANamlodipine 5 mg + valsartan 320 mg tablet, 28 28 $15.00 NM
13604B AMLODIPINE + VALSARTANamlodipine 5 mg + valsartan 320 mg tablet, 28 28 $19.00 NV
13421J AMLODIPINE + VALSARTANamlodipine 5 mg + valsartan 80 mg tablet, 28 28 $10.38 NM
13421J AMLODIPINE + VALSARTANamlodipine 5 mg + valsartan 80 mg tablet, 28 28 $14.38 NV
13514G AMLODIPINE + VALSARTAN + HYDROCHLOROTHIAZIDEamlodipine 10 mg + valsartan 160 mg + hydrochlorothiazide 12.5 mg tablet, 28 28 $14.45 NM
13514G AMLODIPINE + VALSARTAN + HYDROCHLOROTHIAZIDEamlodipine 10 mg + valsartan 160 mg + hydrochlorothiazide 12.5 mg tablet, 28 28 $18.45 NV
13390R AMLODIPINE + VALSARTAN + HYDROCHLOROTHIAZIDEamlodipine 10 mg + valsartan 160 mg + hydrochlorothiazide 25 mg tablet, 28 28 $15.97 NM
13390R AMLODIPINE + VALSARTAN + HYDROCHLOROTHIAZIDEamlodipine 10 mg + valsartan 160 mg + hydrochlorothiazide 25 mg tablet, 28 28 $25.97 NV
13573J AMLODIPINE + VALSARTAN + HYDROCHLOROTHIAZIDEamlodipine 10 mg + valsartan 320 mg + hydrochlorothiazide 25 mg tablet, 28 28 $18.24 NM
13573J AMLODIPINE + VALSARTAN + HYDROCHLOROTHIAZIDEamlodipine 10 mg + valsartan 320 mg + hydrochlorothiazide 25 mg tablet, 28 28 $22.24 NV
13448T AMLODIPINE + VALSARTAN + HYDROCHLOROTHIAZIDEamlodipine 5 mg + valsartan 160 mg + hydrochlorothiazide 12.5 mg tablet, 28 28 $13.93 NM
13448T AMLODIPINE + VALSARTAN + HYDROCHLOROTHIAZIDEamlodipine 5 mg + valsartan 160 mg + hydrochlorothiazide 12.5 mg tablet, 28 28 $23.93 NV
13603Y AMLODIPINE + VALSARTAN + HYDROCHLOROTHIAZIDEamlodipine 5 mg + valsartan 160 mg + hydrochlorothiazide 25 mg tablet, 28 28 $15.44 NM
13603Y AMLODIPINE + VALSARTAN + HYDROCHLOROTHIAZIDEamlodipine 5 mg + valsartan 160 mg + hydrochlorothiazide 25 mg tablet, 28 28 $19.44 NV
11998L AMOXICILLINamoxicillin 250 mg capsule, 20 20 $5.11 AF,AL,RF,TX
11998L AMOXICILLINamoxicillin 250 mg capsule, 20 20 $9.79 AS
11947T AMOXICILLINamoxicillin 500 mg capsule, 20 20 $5.11 AF,AL,BG,GQ,RF,SZ,TX,WG
11947T AMOXICILLINamoxicillin 500 mg capsule, 20 20 $9.78 AS
11941L AMOXICILLIN + CLAVULANIC ACIDamoxicillin 500 mg + clavulanic acid 125 mg tablet, 10 10 $5.41 AF,AL,RW,SZ,TW,TX,TY,WG,XT
11941L AMOXICILLIN + CLAVULANIC ACIDamoxicillin 500 mg + clavulanic acid 125 mg tablet, 10 10 $10.82 AS
11933C AMOXICILLIN + CLAVULANIC ACIDamoxicillin 875 mg + clavulanic acid 125 mg tablet, 10 10 $5.71 AL,BG,HQ,RW,SZ,TW,TX,WG,XT
11933C AMOXICILLIN + CLAVULANIC ACIDamoxicillin 875 mg + clavulanic acid 125 mg tablet, 10 10 $12.49 AS
13858J ANASTROZOLEanastrozole 1 mg tablet, 30 30 $10.21 AF,GQ,SZ,TX,WG
13525W APIXABANapixaban 5 mg tablet, 60 60 $56.79 BQ
13464P APIXABANapixaban 2.5 mg tablet, 60 60 $58.35 BQ
12306Q APOMORPHINEapomorphine hydrochloride hemihydrate 50 mg/5 mL injection, 5 x 5 mL ampoules 5 $171.01 TD
14407G APOMORPHINEapomorphine hydrochloride hemihydrate 50 mg/5 mL injection, 5 x 5 mL ampoules 5 $169.63 TD
12137T APOMORPHINEapomorphine hydrochloride hemihydrate 30 mg/3 mL injection, 5 x 3 mL pen devices 5 $135.74 TD
14485J APOMORPHINEapomorphine hydrochloride hemihydrate 30 mg/3 mL injection, 5 x 3 mL pen devices 5 $133.24 TD
12133N APOMORPHINEapomorphine hydrochloride hemihydrate 30 mg/3 mL injection, 5 x 3 mL cartridges 5 $135.74 IT
14309D APOMORPHINEapomorphine hydrochloride hemihydrate 30 mg/3 mL injection, 5 x 3 mL cartridges 5 $133.24 IT
12142C APOMORPHINEapomorphine hydrochloride hemihydrate 100 mg/20 mL injection, 5 x 20 mL vials 5 $419.67 IT
14375N APOMORPHINEapomorphine hydrochloride hemihydrate 100 mg/20 mL injection, 5 x 20 mL vials 5 $416.90 IT
12319J APOMORPHINEapomorphine hydrochloride hemihydrate 50 mg/10 mL injection, 5 x 10 mL syringes 5 $226.22 TD
14377Q APOMORPHINEapomorphine hydrochloride hemihydrate 50 mg/10 mL injection, 5 x 10 mL syringes 5 $224.84 TD
10036F ARACHIDONIC ACID AND DOCOSAHEXAENOIC ACID WITH CARBOHYDRATEarachidonic acid and docosahexaenoic acid with carbohydrate containing 200 mg arachidonic acid and 100 mg docosahexaenoic acid powder for oral liquid, 30 x 4 g sachets 1 $82.01 VF
5482M ARGININE WITH CARBOHYDRATEarginine with carbohydrate containing 2 g arginine powder for oral liquid, 30 x 4 g sachets 1 $164.91 VF
9437Q ARGININE WITH CARBOHYDRATEarginine with carbohydrate containing 500 mg arginine powder for oral liquid, 30 x 4 g sachets 1 $109.92 VF
10093F ARGININE WITH CARBOHYDRATEarginine with carbohydrate containing 5 g arginine powder for oral liquid, 30 x 7.6 g sachets 1 $218.23 VF
10922W ARMODAFINILarmodafinil 50 mg tablet, 30 30 $47.45 TB
13260X ASCIMINIBasciminib 40 mg tablet, 60 60 $6043.29 NV
13540P ATENOLOLatenolol 50 mg tablet, 30 30 $5.11 AF,BG,GQ,RW,SZ,TY,WG
13540P ATENOLOLatenolol 50 mg tablet, 30 30 $18.55 IX
13600T ATENOLOLatenolol 50 mg/10 mL oral liquid, 300 mL 1 $35.72 AE
9092M ATOMOXETINEatomoxetine 10 mg capsule, 28 28 $33.24 SZ,TX
9093N ATOMOXETINEatomoxetine 18 mg capsule, 28 28 $33.24 SZ,TX
9094P ATOMOXETINEatomoxetine 25 mg capsule, 28 28 $33.24 SZ,TX
9095Q ATOMOXETINEatomoxetine 40 mg capsule, 28 28 $33.24 TX
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