PROJECT PROCUREMENT MANAGEMENT PLAN 2017

Date: October 6,2016

PHARMACY SECTION
Project Name/Cluster/Team/Center/Office/Bureau/Service/Department
DRUGS AND MEDICINES

First Semester Second Semester Recommended Source of

DM NO. Item Desc/Gen. Spec. Total Qty Unit Unit Price Total Amnt Q1 Q1 Q2 Q2 Q3 Q3 Q4 Q4 Procurement Funding

Qty Cost Qty Cost Qty Cost Qty Cost Method

DM-001 Acetazolamide 250mg tablet 400 tablet 20.00 8,000.00 100 2,000.00 100 2,000.00 100 2,000.00 100 2,000.00

DM-002 Acetylcisteine 200mg sachet 2,000 sachet 11.38 22,760.00 500 5,690.00 500 5,690.00 500 5,690.00 500 5,690.00

DM-003 5 bottle 1,659.16 8,295.80 3 4,977.48 0 - 2 3,318.32 0 -

DM-004 Acetylcisteine 600mg effervesent tablet 4,000 tablet 15.00 60,000.00 1000 15,000.00 1000 15,000.00 1000 15,000.00 1000 15,000.00

DM-005 Actvated Charcoal 1kg/ can 8 can 3,500.00 28,000.00 2 7,000.00 2 7,000.00 2 7,000.00 2 7,000.00

DM-006 1,000 tablet 23.54 23,540.00 300 7,062.00 200 4,708.00 300 7,062.00 200 4,708.00

DM-007 Adenosine 3mg/ml, 2ml vial (IV) 20 vial 750.00 15,000.00 5 3,750.00 5 3,750.00 5 3,750.00 5 3,750.00

DM-008 Al hydroxide 225mg/200mg Mg hydroxide/5ml susp., 120ml bottle 20 bottle 25.75 515.00 5 128.75 5 128.75 5 128.75 5 128.75

DM-009 10 tablet 205.00 2,050.00 5 1,025.00 0 - 5 1,025.00 0 -

DM-010 Allopurinol 100mg tablet 1,000 tablet 0.72 720.00 300 216.00 200 144.00 300 216.00 200 144.00

DM-011 1,000 tablet 1.75 1,750.00 300 525.00 200 350.00 300 525.00 200 350.00

DM-012 Alprazolam 250mcg tablet 200 tablet 4.12 824.00 100 412.00 0 - 100 412.00 0 -

DM-013 2,000 amp/vial 23.07 46,140.00 500 11,535.00 500 11,535.00 500 11,535.00 500 11,535.00

DM-014 Amino Acids Crystaline 5% (IV Infusion) 500ml bottle 3,000 bottle 366.00 1,098,000.00 750 274,500.00 750 274,500.00 750 274,500.00 750 274,500.00

DM-015 100 ampule 24.85 2,485.00 50 1,242.50 0 - 50 1,242.50 0 -

DM-016 Amiodarone 200mg tablet (as HCl) 500 tablet 22.09 11,045.00 300 6,627.00 0 - 200 4,418.00 0 -

DM-017 100 ampule 216.44 21,644.00 50 10,822.00 0 - 50 10,822.00 0 -

DM-018 Amlodipine 10mg/tab. (as Besylate) 30,000 tablet 1.08 32,400.00 7500 8,100.00 7500 8,100.00 7500 8,100.00 7500 8,100.00

DM-019 10,000 tablet 0.97 9,700.00 2500 2,425.00 2500 2,425.00 2500 2,425.00 2500 2,425.00

DM-020 Amoxicillin 100mg/ml granules/ powder for drops 10ml (as Trihydrate) 100 bottle 16.68 1,668.00 50 834.00 0 - 50 834.00 0 -

DM-021 Amoxicillin 250mg/5ml granules/ powder for suspension 60ml (as Trihydrate) 200 bottle 19.05 3,810.00 100 1,905.00 0 - 100 1,905.00 0 -

DM-022 2,000 capsule 0.98 1,960.00 500 490.00 500 490.00 500 490.00 500 490.00

DM-023 6,000 capsule 1.26 7,560.00 1500 1,890.00 1500 1,890.00 1500 1,890.00 1500 1,890.00

DM-024 Ampicillin 1g vial (IM,IV) (as Sodium salt) 4,000 vial 9.27 37,080.00 1000 9,270.00 1000 9,270.00 1000 9,270.00 1000 9,270.00

DM-025 Ampicillin 500mg vial (IM,IV) (as Sodium salt) 3,600 vial 5.93 21,348.00 900 5,337.00 900 5,337.00 900 5,337.00 900 5,337.00

DM-026 3,600 vial 105.00 378,000.00 900 94,500.00 900 94,500.00 900 94,500.00 900 94,500.00

DM-027 Ampicillin Sulbactam (500mg Ampicillin + 250mg Sulbactam) vial (IM,IV) (as Sodium salt) 8,000 vial 55.00 440,000.00 2000 110,000.00 2000 110,000.00 2000 110,000.00 2000 110,000.00

DM-028 Anti-Tetanus Serum (equine) 1,500IU/ml, 1ml amp/vial (IM) 3,200 ampule 28.23 90,336.00 800 22,584.00 800 22,584.00 800 22,584.00 800 22,584.00

DM-029 60,000 tablet 0.72 43,200.00 15000 10,800.00 15000 10,800.00 15000 10,800.00 15000 10,800.00

PREPARED BY: FUNDED BY: RECOMMENDED BY: APPROVED BY:

MARLIZA P. BALETE, RPh, MS CORNELIA Y. BONDOC, MPA EDUARDO M. BADUA III, MD, FPSP RICARDO B. RUNEZ, MD, FPCS, MHA, CESE
PHARMACIST IV BUDGET OFFICER CHIEF OF MEDICAL PROFESSIONAL STAFF II MEDICAL CENTER CHIEF II

Page 1
 MARLIZA P. BALETE, RPh, MS CORNELIA Y. BONDOC, MPA EDUARDO M. BADUA III, MD, FPSP RICARDO B. RUNEZ, MD, FPCS, MHA, CESE
PHARMACIST IV BUDGET OFFICER CHIEF OF MEDICAL PROFESSIONAL STAFF II MEDICAL CENTER CHIEF II

DM-030 Ascorbic Acid 100mg/ml, 15ml drops 200 bottle 12.60 2,520.00 100 1,260.00 0 - 100 1,260.00 0 -
DM-031 Ascorbic Acid 100mg/5ml, 60ml syrup 200 bottle 11.85 2,370.00 100 1,185.00 0 - 100 1,185.00 0 -
DM-032 Ascorbic 250mg/ml, 2ml ampule 400 ampule 25.00 10,000.00 100 2,500.00 100 2,500.00 100 2,500.00 100 2,500.00
DM-033 Aspirin 300mg tablet 100 tablet 2.50 250.00 50 125.00 0 - 50 125.00 0 -
DM-034 Aspirin 80mg tablet 10,000 tablet 1.43 14,300.00 2500 3,575.00 2500 3,575.00 2500 3,575.00 2500 3,575.00
DM-035 Atenolol 100mg tablet 2,000 tablet 13.67 27,340.00 500 6,835.00 500 6,835.00 500 6,835.00 500 6,835.00
DM-036 Atorvastatin 20mg tablet 1,000 tablet 18.00 18,000.00 300 5,400.00 200 3,600.00 300 5,400.00 200 3,600.00
DM-037 Atorvastatin 40mg tablet 8,000 tablet 23.00 184,000.00 2000 46,000.00 2000 46,000.00 2000 46,000.00 2000 46,000.00
DM-038 Atorvastatin 80mg tablet 4,000 tablet 25.00 100,000.00 1000 25,000.00 1000 25,000.00 1000 25,000.00 1000 25,000.00
DM-039 Atracurium Besylate 10mg/ml, 2.5ml amp. (IV) 2,000 ampule 88.01 176,020.00 500 44,005.00 500 44,005.00 500 44,005.00 500 44,005.00
DM-040 1,000 ampule 3.60 3,600.00 500 1,800.00 0 - 500 1,800.00 0 -
DM-041 Atropine Sulfate Ophthalmic drops 1%, 10ml bottle 10 bottle 173.50 1,735.00 5 867.50 0 - 5 867.50 0 -
DM-042 50 vial 565.00 28,250.00 25 14,125.00 0 - 25 14,125.00 0 -
DM-043 3,200 tablet 80.00 256,000.00 800 64,000.00 800 64,000.00 800 64,000.00 800 64,000.00
DM-044 Baclofen 10mg tablet 2,000 tablet 16.00 32,000.00 500 8,000.00 500 8,000.00 500 8,000.00 500 8,000.00
DM-045 Betahistine 24mg tablet 1,000 tablet 32.00 32,000.00 500 16,000.00 0 - 500 16,000.00 0 -
DM-046 Biperiden 2mg/tablet (as Hcl) 80,000 tablet 3.77 301,600.00 20000 75,400.00 20000 75,400.00 20000 75,400.00 20000 75,400.00
DM-047 Bisacodyl 10mg adult suppository 4,000 suppository 15.75 63,000.00 1000 15,750.00 1000 15,750.00 1000 15,750.00 1000 15,750.00
DM-048 Bisacodyl 5mg pediatric suppository 100 suppository 39.14 3,914.00 50 1,957.00 0 - 50 1,957.00 0 -
DM-049 Bisacodyl 5mg tablet 400 tablet 1.53 612.00 100 153.00 100 153.00 100 153.00 100 153.00
DM-050 Bleomycin Sulfate 15 units vial 20 vial 1,828.25 36,565.00 10 18,282.50 0 - 10 18,282.50 0 -
DM-051 Budesonide + Formoterol 160/4.5mcg/ unit dose 10 canister 664.83 6,648.30 5 3,324.15 0 - 5 3,324.15 0 -
DM-052 Budesonide Nebule 250mcg/ml, 2ml (unit dose) 400 nebule 19.56 7,824.00 100 1,956.00 100 1,956.00 100 1,956.00 100 1,956.00
DM-053 Bumetamide 1mg tablet 100 tablet 10.00 1,000.00 50 500.00 0 - 50 500.00 0 -
DM-054 Bupivacaine 0.5%, 10ml/amp (as Hcl) 1,000 ampule 130.81 130,810.00 300 39,243.00 200 26,162.00 300 39,243.00 200 26,162.00
DM-055 Bupivacaine 0.5%, 4ml/amp (spinal) w/ 8 dextrose (as Hcl) HEAVY 3,600 polyamp 180.25 648,900.00 900 162,225.00 900 162,225.00 900 162,225.00 900 162,225.00
DM-056 Butamirate Citrate 50mg MR tablet 3,200 tablet 14.55 46,560.00 800 11,640.00 800 11,640.00 800 11,640.00 800 11,640.00
DM-057 Butorphanol 2mg/ml, 1ml amp. (IM,IV) (as Tartrate) 1,000 ampule 318.00 318,000.00 300 95,400.00 200 63,600.00 300 95,400.00 200 63,600.00
DM-058 Calcium Carbonate tablet/chewable (equiv. to 500mg & 600mg elemental ca) 1,000 tablet 1.03 1,030.00 300 309.00 200 206.00 300 309.00 200 206.00
DM-059 Calcium Folinate(Leucoverin Calcium) 10mg/ml, 5ml ampule/vial (IM,IV) 100 ampule 267.54 26,754.00 50 13,377.00 0 - 50 13,377.00 0 -
DM-060 Calcium Gluconate 10%, 10ml amp./ Vial (IV) 400 vial 10.92 4,368.00 100 1,092.00 100 1,092.00 100 1,092.00 100 1,092.00
DM-061 Capecitabine 500mg tablet 100 tablet 189.44 18,944.00 50 9,472.00 0 - 50 9,472.00 0 -
DM-062 Captopril 25mg tablet 4,000 tablet 0.83 3,320.00 1000 830.00 1000 830.00 1000 830.00 1000 830.00
DM-063 Capecitabine 500mg tablet 500 tablet 86.25 43,125.00 300 25,875.00 0 - 200 17,250.00 0 -
DM-064 12,000 tablet 1.54 18,480.00 3000 4,620.00 3000 4,620.00 3000 4,620.00 3000 4,620.00
DM-065 Carbimazole 20mg tablet 200 tablet 10.00 2,000.00 100 1,000.00 0 - 100 1,000.00 0 -
DM-066 Carbimazole 5mg tablet 500 tablet 3.13 1,565.00 300 939.00 0 - 200 626.00 0 -
DM-067 Carboplatin 450mg vial 200 vial 1,211.88 242,376.00 100 121,188.00 0 - 100 121,188.00 0 -
DM-068 Carvedilol 25mg tablet 2,000 tablet 5.00 10,000.00 500 2,500.00 500 2,500.00 500 2,500.00 500 2,500.00
DM-069 Carvedilol 6.25mg tablet 6,000 tablet 2.06 12,360.00 1500 3,090.00 1500 3,090.00 1500 3,090.00 1500 3,090.00
DM-070 Castor Oil USP Grade 60ml 200 bottle 25.00 5,000.00 100 2,500.00 0 - 100 2,500.00 0 -
DM-071 Cefalexin 100mg/ml, 10ml drops (as Monohydrate) 40 bottle 30.90 1,236.00 10 309.00 10 309.00 10 309.00 10 309.00
DM-072 Cefalexin 250mg/5ml, 60ml suspension/syrup (as Monohydrate) 100 bottle 25.60 2,560.00 50 1,280.00 0 - 50 1,280.00 0 -
DM-073 10,000 capsule 2.35 23,500.00 2500 5,875.00 2500 5,875.00 2500 5,875.00 2500 5,875.00

PREPARED BY: FUNDED BY: RECOMMENDED BY: APPROVED BY:

MARLIZA P. BALETE, RPh, MS CORNELIA Y. BONDOC, MPA EDUARDO M. BADUA III, MD, FPSP RICARDO B. RUNEZ, MD, FPCS, MHA, CESE
PHARMACIST IV BUDGET OFFICER CHIEF OF MEDICAL PROFESSIONAL STAFF II MEDICAL CENTER CHIEF II

Page 2
 PREPARED BY: FUNDED BY: RECOMMENDED BY: APPROVED BY:

MARLIZA P. BALETE, RPh, MS CORNELIA Y. BONDOC, MPA EDUARDO M. BADUA III, MD, FPSP RICARDO B. RUNEZ, MD, FPCS, MHA, CESE
PHARMACIST IV BUDGET OFFICER CHIEF OF MEDICAL PROFESSIONAL STAFF II MEDICAL CENTER CHIEF II

DM-074 Cefazolin 1g vial (IM,IV) (as Sodium salt) 6,000 vial 110.00 660,000.00 1500 165,000.00 1500 165,000.00 1500 165,000.00 1500
DM-075 Cefazolin 500mg vial (IM,IV) (as Sodium salt) 1,000 vial 90.00 90,000.00 250 22,500.00 250 22,500.00 250 22,500.00 250
DM-076 Cefepime 1g vial (IM,IV) (as Hcl) 1,000 vial 188.49 188,490.00 250 47,122.50 250 47,122.50 250 47,122.50 250
DM-077 Cefepime 500mg vial (IM,IV) (as Hcl) 500 vial 259.56 129,780.00 250 64,890.00 0 - 250 64,890.00 0
DM-078 Cefixime 100mg/5ml, 60ml granules suspension 100 bottle 180.25 18,025.00 50 9,012.50 0 - 50 9,012.50 0
DM-079 Cefixime 200mg capsule 1,000 capsule 19.67 19,670.00 250 4,917.50 250 4,917.50 250 4,917.50 250
DM-080 Cefixime 20mg/ml granules drops, 10ml 10 bottle 160.00 1,600.00 5 800.00 0 - 5 800.00 0
DM-081 12,000 vial 390.00 4,680,000.00 3000 1,170,000.00 3000 1,170,000.00 3000 1,170,000.00 3000
DM-082 Ceftazidime 1g vial (as Pentahydrate) 10,000 vial 350.00 3,500,000.00 2500 875,000.00 2500 875,000.00 2500 875,000.00 2500
DM-083 Ceftriaxone 1g vial (as Disodium/ Sodium salt) 18,000 vial 110.00 1,980,000.00 4500 495,000.00 4500 495,000.00 4500 495,000.00 4500
DM-084 Cefuroxime 125mg/5ml, 70ml granules/suspension (as Axetil) 100 bottle 185.40 18,540.00 25 4,635.00 25 4,635.00 25 4,635.00 25
DM-085 Cefuroxime 250mg tablet (as Axetil) 500 tablet 26.73 13,365.00 250 6,682.50 0 - 250 6,682.50 0
DM-086 Cefuroxime 500mg tablet (as Axetil) 5,000 tablet 15.32 76,600.00 1250 19,150.00 1250 19,150.00 1250 19,150.00 1250
DM-087 Cefuroxime 750mg vial (IM,IV) (as Sodium salt) 6,000 vial 21.63 129,780.00 1500 32,445.00 1500 32,445.00 1500 32,445.00 1500
DM-088 Celecoxib 200mg capsule 30,000 capsule 9.00 270,000.00 7500 67,500.00 7500 67,500.00 7500 67,500.00 7500
DM-089 Celecoxib 400mg capsule 4,000 capsule 15.00 60,000.00 1000 15,000.00 1000 15,000.00 1000 15,000.00 1000
DM-090 Cetirizine 10mg tablet (as Dihydrochloride) 2,000 tablet 1.33 2,660.00 500 665.00 500 665.00 500 665.00 500
DM-091 Cetirizine 10mg/ml drops, 10ml (as Dihydrochloride) 100 bottle 72.10 7,210.00 50 3,605.00 0 - 50 3,605.00 0
DM-092 Chloramphenicol 125mg/5ml, 60ml suspension (as Palmitate) 200 bottle 18.98 3,796.00 50 949.00 50 949.00 50 949.00 50
DM-093 Chloramphenicol 1g vial (IM,IV) (as Sodium Succinate) 400 vial 17.03 6,812.00 100 1,703.00 100 1,703.00 100 1,703.00 100
DM-094 Chloramphenicol 500mg capsule 1,000 capsule 2.22 2,220.00 250 555.00 250 555.00 250 555.00 250
DM-095 Chlorpheniramine 10mg/ml, 1ml amp/vial (IM,IV) (as Maleate) 100 amp/vial 11.58 1,158.00 50 579.00 0 - 50 579.00 0
DM-096 60,000 tablet 2.27 136,200.00 15000 34,050.00 15000 34,050.00 15000 34,050.00 15000
DM-097 Chlorpromazine 100mg tablet (as HCl) 20,000 tablet 1.80 36,000.00 5000 9,000.00 5000 9,000.00 5000 9,000.00 5000
DM-098 Cinnarizine 25mg tablet 500 tablet 1.05 525.00 250 262.50 0 - 250 262.50 0
DM-099 Ciprofloxacin 2mg/ml, 100ml vial (as Lactate) IV infusion 10,000 vial 45.75 457,500.00 2500 114,375.00 2500 114,375.00 2500 114,375.00 2500
DM-100 Ciprofloxacin 500mg tablet (as Hydrochloride) 10,000 tablet 1.44 14,400.00 2500 3,600.00 2500 3,600.00 2500 3,600.00 2500
DM-101 Cisplatin 50mg vial (IV) 30 vial 256.67 7,700.10 15 3,850.05 0 - 15 3,850.05 0
DM-102 300 bottle 293.94 88,182.00 75 22,045.50 75 22,045.50 75 22,045.50 75
DM-103 Clarithromycin 500mg tab OD Modified Release tablet 500 tablet 40.94 20,470.00 250 10,235.00 0 - 250 10,235.00 0
DM-104 Clarithromycin 500mg tablet as base tab 500 tablet 12.36 6,180.00 250 3,090.00 0 - 250 3,090.00 0
DM-105 Clindamycin 150mg/ml, 4ml ampule (IM,IV) (as PO4) 10,000 ampule 274.00 2,740,000.00 2500 685,000.00 2500 685,000.00 2500 685,000.00 2500
DM-106 100 bottle 128.00 12,800.00 25 3,200.00 25 3,200.00 25 3,200.00 25
DM-107 Clindamycin HCl 150mg capsule 500 capsule 2.10 1,050.00 250 525.00 0 - 250 525.00 0
DM-108 Clindamycin HCl 300mg capsule 20,000 capsule 2.85 57,000.00 5000 14,250.00 5000 14,250.00 5000 14,250.00 5000
DM-109 150 tube 74.04 11,106.00 75 5,553.00 0 - 75 5,553.00 0
DM-110 Clonazepam 2mg tablet 1,000 tablet 2.06 2,060.00 250 515.00 250 515.00 250 515.00 250
DM-111 500 ampule 30.18 15,090.00 250 7,545.00 0 - 250 7,545.00 0
DM-112 8,000 tablet 23.12 184,960.00 2000 46,240.00 2000 46,240.00 2000 46,240.00 2000
DM-113 Clopidogrel 75mg tablet 10,000 tablet 4.82 48,200.00 2500 12,050.00 2500 12,050.00 2500 12,050.00 2500
DM-114 Cloxacillin 500mg capsule 5,000 capsule 2.56 12,800.00 1250 3,200.00 1250 3,200.00 1250 3,200.00 1250
DM-115 Clozapine 100mg tablet 6,000 tablet 16.99 101,940.00 1500 25,485.00 1500 25,485.00 1500 25,485.00 1500
DM-116 Co-Amoxiclav 250mg/62.5mg/5ml,60ml granules/powder for suspension 500 bottle 144.20 72,100.00 125 18,025.00 125 18,025.00 125 18,025.00 125
DM-117 Co-Amoxiclav 400mg/57mg/5ml,70ml granules/powder for suspension 100 bottle 123.60 12,360.00 50 6,180.00 0 - 50 6,180.00 0

PREPARED BY: FUNDED BY: RECOMMENDED BY: APPROVED BY:

MARLIZA P. BALETE, RPh, MS CORNELIA Y. BONDOC, MPA EDUARDO M. BADUA III, MD, FPSP RICARDO B. RUNEZ, MD, FPCS, MHA, CESE
PHARMACIST IV BUDGET OFFICER CHIEF OF MEDICAL PROFESSIONAL STAFF II MEDICAL CENTER CHIEF II
Page 3
 PREPARED BY: FUNDED BY: RECOMMENDED BY: APPROVED BY:

MARLIZA P. BALETE, RPh, MS CORNELIA Y. BONDOC, MPA EDUARDO M. BADUA III, MD, FPSP RICARDO B. RUNEZ, MD, FPCS, MHA, CESE
PHARMACIST IV BUDGET OFFICER CHIEF OF MEDICAL PROFESSIONAL STAFF II MEDICAL CENTER CHIEF II

DM-118 Co-Amoxiclav 625mg tablet (as Trihydrtate) 10,000 tablet 9.46 94,600.00 2500 23,650.00 2500 23,650.00 2500 23,650.00 2500 23,650.00
DM-119 Cobrab Antivenom 200 vampule 1,350.00 270,000.00 100 135,000.00 0 - 100 135,000.00 0 -
DM-120 Combined Amino Acids + Sorbitol Solution (IV infusion) 500ml bottle 50 bottle 412.00 20,600.00 25 10,300.00 0 - 25 10,300.00 0 -
DM-121 Co-Trimoxazole 200mg/40mg/5ml suspension, 60ml 100 bottle 14.26 1,426.00 50 713.00 0 - 50 713.00 0 -
DM-122 Co-Trimoxazole 400mg/80mg cap/tab 500 cap/tab 0.80 400.00 250 200.00 0 - 250 200.00 0 -
DM-123 Co-Trimoxazole 400mg/80mg/5ml suspension, 60ml 100 bottle 17.38 1,738.00 50 869.00 0 - 50 869.00 0 -
DM-124 Co-Trimoxazole 800mg/160mg cap/tab 1,000 cap/tab 1.22 1,220.00 250 305.00 250 305.00 250 305.00 250 305.00
DM-125 Cyclophosphamide 1g vial (IV) 50 vial 360.50 18,025.00 25 9,012.50 0 - 25 9,012.50 0 -
DM-126 Cyclophosphamide 500mg vial (IV) 40 vial 149.35 5,974.00 20 2,987.00 0 - 20 2,987.00 0 -
DM-127 Dacarbazine 200mg vial 30 vial 1,800.00 54,000.00 15 27,000.00 0 - 15 27,000.00 0 -
DM-128 Dactinomycin 500mcg vial 50 vial 360.50 18,025.00 25 9,012.50 0 - 25 9,012.50 0 -
DM-129 Dexamethasone 4mg tablet 800 tablet 10.30 8,240.00 200 2,060.00 200 2,060.00 200 2,060.00 200 2,060.00
DM-130 Dexamethasone 4mg/ml, 2ml amp/vial (IM,IV) (asSodium Phosphate) 2,000 amp/vial 33.22 66,440.00 500 16,610.00 500 16,610.00 500 16,610.00 500 16,610.00
DM-131 Dextran 70 in 0.9% Sodium Chloride 100 bottle 400.00 40,000.00 50 20,000.00 0 - 50 20,000.00 0 -
DM-132 Diazepam 5mg/ml, 2ml amp (IM,IV) 6,000 ampule 60.65 363,900.00 1500 90,975.00 1500 90,975.00 1500 90,975.00 1500 90,975.00
DM-133 1,000 ampule 18.54 18,540.00 250 4,635.00 250 4,635.00 250 4,635.00 250 4,635.00
DM-134 Diclofenac Sodium 50mg cap/tab (as Sodium or Potassium salt) 600 cap/tab 0.59 354.00 300 177.00 0 - 300 177.00 0 -
DM-135 8,000 tablet 4.33 34,640.00 2000 8,660.00 2000 8,660.00 2000 8,660.00 2000 8,660.00
DM-136 400 ampule 122.62 49,048.00 200 24,524.00 0 - 200 24,524.00 0 -
DM-137 Digoxin 50mcg (0.05mg)/ml elixir, 60ml 10 bottle 601.35 6,013.50 5 3,006.75 0 - 5 3,006.75 0 -
DM-138 Diloxanide Furoate 125mg/5ml syrup/suspension 30ml 10 bottle 120.00 1,200.00 5 600.00 0 - 5 600.00 0 -
DM-139 Diloxanide Furoate 500mg tablet 100 tablet 20.45 2,045.00 50 1,022.50 0 - 50 1,022.50 0 -
DM-140 Diltiazem 60mg tablet( as Hydrochloride) 2,000 tablet 18.14 36,280.00 500 9,070.00 500 9,070.00 500 9,070.00 500 9,070.00
DM-141 Diphenhydramine HCl 12.5mg/5ml syrup 60ml 150 bottle 14.00 2,100.00 75 1,050.00 0 - 75 1,050.00 0 -
DM-142 20,000 capsule 0.96 19,200.00 5000 4,800.00 5000 4,800.00 5000 4,800.00 5000 4,800.00
DM-143 Diphenhydramine HCl 50mg/ml, 1ml amp (IM,IV) (as HCl) 5,000 ampule 65.14 325,700.00 1250 81,425.00 1250 81,425.00 1250 81,425.00 1250 81,425.00
DM-144 Diphtheria Anti toxin 20,000 iu 10ml vial (IV) 8 vial 1,200.00 9,600.00 4 4,800.00 0 - 4 4,800.00 0 -
DM-145 Dobutamine 12.5mg/ml, 20ml (IV) (as HCl) 4,000 vial 134.67 538,680.00 1000 134,670.00 1000 134,670.00 1000 134,670.00 1000 134,670.00
DM-146 Dobutamine 2mg/ml, 250ml D5W (pre-mixed) (IV) (as Hcl) 500 bottle 360.30 180,150.00 250 90,075.00 0 - 250 90,075.00 0 -
DM-147 Docetaxel 20mg/2ml vial 50 vial 1,040.30 52,015.00 25 26,007.50 0 - 25 26,007.50 0 -
DM-148 Docetaxel 80mg/8ml vial 50 vial 3,965.50 198,275.00 25 99,137.50 0 - 25 99,137.50 0 -
DM-149 1,500 tablet 3.51 5,265.00 375 1,316.25 375 1,316.25 375 1,316.25 375 1,316.25
DM-150 Dopamine 1.6mg/ml, 250ml D5W (pre-mixed) (IV) (as Hcl) 100 bottle 320.00 32,000.00 50 16,000.00 0 - 50 16,000.00 0 -
DM-151 5,000 bottle 200.00 1,000,000.00 1250 250,000.00 1250 250,000.00 1250 250,000.00 1250 250,000.00
DM-152 Dopamine 40mg/ml, 5ml amp./vial (IV) (as HCl) 400 amp/vial 49.55 19,820.00 200 9,910.00 0 - 200 9,910.00 0 -
DM-153 Doxorubicin powder 10mg vial (IV) (as HCl) 50 vial 263.90 13,195.00 25 6,597.50 0 - 25 6,597.50 0 -
DM-154 Doxorubicin powder 50mg vial (IV) (as HCl) 200 vial 566.50 113,300.00 50 28,325.00 50 28,325.00 50 28,325.00 50 28,325.00
DM-155 Doxycycline 100mg/cap (as Hyclate) 800 capsule 1.18 944.00 100 118.00 100 118.00 100 118.00 100 118.00
DM-156 1,000 tablet 73.00 73,000.00 250 18,250.00 250 18,250.00 250 18,250.00 250 18,250.00
DM-157 Ephedrine Sulfate 50mg/ml, 1ml amp (IM,IV) 3,500 ampule 58.20 203,700.00 875 50,925.00 875 50,925.00 875 50,925.00 875 50,925.00
DM-158 Epinephrine 1:1000 1mg/ml, 1ml amp (IM,SC) (as Hydrochloride) 12,000 ampule 43.15 517,800.00 3000 129,450.00 3000 129,450.00 3000 129,450.00 3000 129,450.00
DM-159 Epoetin Alfa 4,000 IU/ 0.4ml, prefilled syringe IV,SC (Recombinant human erythropoetin) 1,000 p. syrine 669.50 669,500.00 250 167,375.00 250 167,375.00 250 167,375.00 250 167,375.00
DM-160 Erythromycin 200mg/5ml granules/powder for suspension 60ml (as Ethyl Succinate) 10 bottle 46.35 463.50 5 231.75 0 - 5 231.75 0 -
DM-161 Erythromycin 500mg tab. (as Stearate) 100 tablet 4.18 418.00 50 209.00 0 - 50 209.00 0 -

PREPARED BY: FUNDED BY: RECOMMENDED BY: APPROVED BY:

MARLIZA P. BALETE, RPh, MS CORNELIA Y. BONDOC, MPA EDUARDO M. BADUA III, MD, FPSP RICARDO B. RUNEZ, MD, FPCS, MHA, CESE
PHARMACIST IV BUDGET OFFICER CHIEF OF MEDICAL PROFESSIONAL STAFF
Page 4 II MEDICAL CENTER CHIEF II
 PREPARED BY: FUNDED BY: RECOMMENDED BY: APPROVED BY:

MARLIZA P. BALETE, RPh, MS CORNELIA Y. BONDOC, MPA EDUARDO M. BADUA III, MD, FPSP RICARDO B. RUNEZ, MD, FPCS, MHA, CESE
PHARMACIST IV BUDGET OFFICER CHIEF OF MEDICAL PROFESSIONAL STAFF II MEDICAL CENTER CHIEF II

DM-162 Erythromycin Ophthalmic Ointment 0.5%, 3.5g tube 200 tube 151.92 30,384.00 50 7,596.00 50 7,596.00 50 7,596.00 50 7,596.00
DM-163 Escitalopram 10mg tab (as oxalate) 6,000 tablet 10.30 61,800.00 1500 15,450.00 1500 15,450.00 1500 15,450.00 1500 15,450.00
DM-164 Esmolol 100mg/ml, 10ml vial (as HCl) 10 vial 476.00 4,760.00 5 2,380.00 0 - 5 2,380.00 0 -
DM-165 Ethambutol 200mg tablet (as HCl) 200 tablet 4.05 810.00 100 405.00 0 - 100 405.00 0 -
DM-166 Etoposide 20mg/ml, 5ml amp/vial (IV) 40 amp/vial 350.20 14,008.00 20 7,004.00 0 - 20 7,004.00 0 -
DM-167 Famotidine 10mg/ml, 2ml amp (IM,IV) 500 ampule 98.98 49,490.00 250 24,745.00 0 - 250 24,745.00 0 -
DM-168 Felodipine 10mg MR tablet 100 tablet 20.87 2,087.00 50 1,043.50 0 - 50 1,043.50 0 -
DM-169 Felodipine 5mg tablet 100 tablet 8.67 867.00 50 433.50 0 - 50 433.50 0 -
DM-170 Fenofibrate 160mg tablet 200 tablet 30.90 6,180.00 100 3,090.00 0 - 100 3,090.00 0 -
DM-171 Fenofibrate 200mg tablet 100 tablet 9.27 927.00 50 463.50 0 - 50 463.50 0 -
DM-172 Fentanyl 50mcg/ml, 2ml amp (IV) (as Citrate) 4,000 ampule 87.55 350,200.00 1000 87,550.00 1000 87,550.00 1000 87,550.00 1000 87,550.00
DM-173 Ferrous Fumarate tablet 500mg (100mg elemental iron)+ B complex 10,000 tablet 3.00 30,000.00 2500 7,500.00 2500 7,500.00 2500 7,500.00 2500 7,500.00
DM-174 Ferrous Sulfate 15mg elemental iron/0.6ml drops, 30ml bottle 20 bottle 40.00 800.00 10 400.00 0 - 10 400.00 0 -
DM-175 Ferrous Sulfate 30mg elemental iron/5ml syrup, 60ml bottle 20 bottle 10.96 219.20 10 109.60 0 - 10 109.60 0 -
DM-176 Filgrastin 300mcg vial 50 vial 1,100.00 55,000.00 25 27,500.00 0 - 25 27,500.00 0 -
DM-177 Flu vaccine 20 p. syrine 329.60 6,592.00 10 3,296.00 0 - 10 3,296.00 0 -
DM-178 Fluconazole 150mg tablet 100 tablet 152.44 15,244.00 50 7,622.00 0 - 50 7,622.00 0 -
DM-179 300 capsule 248.23 74,469.00 150 37,234.50 0 - 150 37,234.50 0 -
DM-180 Fluconazole 2mg/ml, 100ml vial (IV infusion) 100 vial 194.67 19,467.00 50 9,733.50 0 - 50 9,733.50 0 -
DM-181 Fluorouracil 25mg/ml, 10ml vial (IV, IV Infusion) 50 vial 400.00 20,000.00 25 10,000.00 0 - 25 10,000.00 0 -
DM-182 Fluorouracil 50mg/ml, 10ml amp/vial (IV, IV Infusion) 200 amp/vial 97.85 19,570.00 100 9,785.00 0 - 100 9,785.00 0 -
DM-183 Fluoxetin 20mg dispersal tablet/capsule 4,000 cap/tab 9.64 38,560.00 1000 9,640.00 1000 9,640.00 1000 9,640.00 1000 9,640.00
DM-184 Fluphenazine 25mg/ml, 10ML 1,000 vial 330.00 330,000.00 250 82,500.00 250 82,500.00 250 82,500.00 250 82,500.00
DM-185 5,000 tablet 3.09 15,450.00 1250 3,862.50 1250 3,862.50 1250 3,862.50 1250 3,862.50
DM-186 Fondaparinux 2.5mg/0.5ml solution (as Sodium salt) 1,000 p. syringe 1,153.60 1,153,600.00 250 288,400.00 250 288,400.00 250 288,400.00 250 288,400.00
DM-187 Furosemide 10mg/ml, 2ml amp (IM,IV) 40,000 ampule 2.89 115,600.00 10000 28,900.00 10000 28,900.00 10000 28,900.00 10000 28,900.00
DM-188 Furosemide 40mg tablet 4,000 tablet 0.88 3,520.00 1000 880.00 1000 880.00 1000 880.00 1000 880.00
DM-189 Gabapentine 100mg capsule 1,000 capsule 12.36 12,360.00 250 3,090.00 250 3,090.00 250 3,090.00 250 3,090.00
DM-190 Gabapentine 300mg capsule 200 capsule 10.79 2,158.00 100 1,079.00 0 - 100 1,079.00 0 -
DM-191 Gemcitabine 1g vial 100 vial 8,400.00 840,000.00 50 420,000.00 0 - 50 420,000.00 0 -
DM-192 Gemcitabine 200mg vial 200 vial 1,800.00 360,000.00 50 90,000.00 50 90,000.00 50 90,000.00 50 90,000.00
DM-193 Gentamycin 40mg/ml, 2ml amp/vial (IM,IV) (as SO4) 10,000 amp/vial 5.39 53,900.00 2500 13,475.00 2500 13,475.00 2500 13,475.00 2500 13,475.00
DM-194 Glibenclamide 5mg tablet 200 tablet 0.46 92.00 100 46.00 0 - 100 46.00 0 -
DM-195 Gliclazide 30mg MR tablet 4,000 tablet 3.40 13,600.00 1000 3,400.00 1000 3,400.00 1000 3,400.00 1000 3,400.00
DM-196 3,000 tablet 4.28 12,840.00 750 3,210.00 750 3,210.00 750 3,210.00 750 3,210.00
DM-197 Glipizide 5mg tablet 200 tablet 7.21 1,442.00 100 721.00 0 - 100 721.00 0 -
DM-198 Glyceryl Trinitrate (Nitroglycerin) 5mg patch 100 patch 66.95 6,695.00 50 3,347.50 0 - 50 3,347.50 0 -
DM-199 10,000 tablet 10.17 101,700.00 2500 25,425.00 2500 25,425.00 2500 25,425.00 2500 25,425.00
DM-200 500 ampule 46.23 23,115.00 250 11,557.50 0 - 250 11,557.50 0 -
DM-201 Hepa B vaccine 10 vial 73.32 733.20 5 366.60 0 - 5 366.60 0 -
DM-202 Heparin Standard 1000IU/ml, 5ml (IV as Sodium salt) 100 vial 54.71 5,471.00 25 1,367.75 25 1,367.75 25 1,367.75 25 1,367.75
DM-203 Human Albumin 20%, 50ml 300 vial 2,200.00 660,000.00 75 165,000.00 75 165,000.00 75 165,000.00 75 165,000.00
DM-204 Hydralazine 20mg/ml, 1ml (IM,IV) (as Hcl) 1,500 ampule 211.15 316,725.00 375 79,181.25 375 79,181.25 375 79,181.25 375 79,181.25
DM-205 Hydralazine 25mg tablet (asHCl) 2,000 tablet 15.37 30,740.00 500 7,685.00 500 7,685.00 500 7,685.00 500 7,685.00

Page 5
 PREPARED BY: FUNDED BY: RECOMMENDED BY: APPROVED BY:

MARLIZA P. BALETE, RPh, MS CORNELIA Y. BONDOC, MPA EDUARDO M. BADUA III, MD, FPSP RICARDO B. RUNEZ, MD, FPCS, MHA, CESE
PHARMACIST IV BUDGET OFFICER CHIEF OF MEDICAL PROFESSIONAL STAFF II MEDICAL CENTER CHIEF II

DM-206 Hydrocortisone 1% cream, 5g tube 20 tube 138.02 2,760.40 10 1,380.20 0 - 10 1,380.20 0 -

DM-207 Hydrocortisone 125mg/ml, 2ml vial (IV) (as Sodium Succinate) act o vial 1,500 vial 165.43 248,145.00 750 124,072.50 0 - 750 124,072.50 0 -
DM-208 Hydrocortisone 50mg/ml, 2ml vial (IV) (as Sodium Succinate) act o vial 4,000 vial 110.00 440,000.00 1000 110,000.00 1000 110,000.00 1000 110,000.00 1000 110,000.00
DM-209 Hydroxyethyl starh 6% solution 500ml bottle (IV infusion) 800 bottle 581.18 464,944.00 100 58,118.00 100 58,118.00 100 58,118.00 100 58,118.00
DM-210 Hydroxyurea 500mg tablet 200 tablet 17.51 3,502.00 100 1,751.00 0 - 100 1,751.00 0 -
DM-211 Hydroxyzine 25mg tablet (as Dihydrochloride) 500 tablet 15.40 7,700.00 125 1,925.00 125 1,925.00 125 1,925.00 125 1,925.00
DM-212 Hydroxyzine 50mg/ml, 1ml (IM,IV) 1,000 ampule 496.78 496,780.00 250 124,195.00 250 124,195.00 250 124,195.00 250 124,195.00
DM-213 Hyoscine 10mg tablet (as N- Butyl Bromide) 500 tablet 1.83 915.00 250 457.50 0 - 250 457.50 0 -
DM-214 Hyoscine 20mg/ml, 1ml amp(IM,IV,SC) (as N-Butyl Bromide) 3,000 ampule 12.45 37,350.00 750 9,337.50 750 9,337.50 750 9,337.50 750 9,337.50
DM-215 Hyoscine 5mg/5ml, 60ml syrup (as N-Butyl Bromide) 20 bottle 32.96 659.20 10 329.60 0 - 10 329.60 0 -
DM-216 100 bottle 32.06 3,206.00 25 801.50 25 801.50 25 801.50 25 801.50
DM-217 Ibuprofen 400mg tablet 2,000 tablet 0.87 1,740.00 500 435.00 500 435.00 500 435.00 500 435.00
DM-218 Iopamidol 755mg/ml equiv. to 370mg iodine, 50ml vial 1,500 vial 1,133.00 1,699,500.00 375 424,875.00 375 424,875.00 375 424,875.00 375 424,875.00
DM-219 Ipratropium + Salbutamol MDI x 200 doses 100 canister 115.36 11,536.00 25 2,884.00 25 2,884.00 25 2,884.00 25 2,884.00
DM-220 30,000 nebule 25.00 750,000.00 7500 187,500.00 7500 187,500.00 7500 187,500.00 7500 187,500.00
DM-221 30 bottle 664.35 19,930.50 15 9,965.25 0 - 15 9,965.25 0 -
DM-222 Isoniazid + Rifampicin + Pyrazinamide + Ethambutol 75mg + 150mg +400mg + 275mg tablet 1,200 tablet 5.67 6,804.00 300 1,701.00 300 1,701.00 300 1,701.00 300 1,701.00
DM-223 Isoniazid + Rifampicin + Pyrazinamide 75mg + 150mg +400mg tablet 1,200 tablet 5.25 6,300.00 300 1,575.00 300 1,575.00 300 1,575.00 300 1,575.00
DM-224 800 tablet 5.67 4,536.00 200 1,134.00 200 1,134.00 200 1,134.00 200 1,134.00
DM-225 30 bottle 35.73 1,071.90 15 535.95 0 - 15 535.95 0 -
DM-226 Isophane Insulin Human (intermediate, acting, Neutral) inj. 100IU/ml, 10ml vial (IM,SC) 80 vial 233.95 18,716.00 20 4,679.00 20 4,679.00 20 4,679.00 20 4,679.00
DM-227 1,600 capsule 4.41 7,056.00 400 1,764.00 400 1,764.00 400 1,764.00 400 1,764.00
DM-228 Isosorbide dinitrate 10mg tablet 400 tablet 10.04 4,016.00 100 1,004.00 100 1,004.00 100 1,004.00 100 1,004.00
DM-229 Isosorbide dinitrate 1mg/ml, 10ml amp (IV) 1,600 ampule 410.86 657,376.00 400 164,344.00 400 164,344.00 400 164,344.00 400 164,344.00
DM-230 Isosorbide dinitrate 5mg tablet SL 2,000 tablet 8.32 16,640.00 500 4,160.00 500 4,160.00 500 4,160.00 500 4,160.00
DM-231 Isoxsuprine 10mg tablet (as HCl) 100 tablet 9.73 973.00 50 486.50 0 - 50 486.50 0 -
DM-232 Isoxsuprine 5mg/ml, 2ml amp (IM, IV infusion )(as HCl) 200 ampule 108.15 21,630.00 50 5,407.50 50 5,407.50 50 5,407.50 50 5,407.50
DM-233 Ketamine HCl 50mg/ml, 10ml vial (IM,IV) 30 vial 772.50 23,175.00 15 11,587.50 0 - 15 11,587.50 0 -
DM-234 Ketoprofen 100mg tablet 100 tablet 15.45 1,545.00 50 772.50 0 - 50 772.50 0 -
DM-235 Ketoprofen 50mg/ml, 2ml amp (IM) 40 ampule 57.82 2,312.80 10 578.20 10 578.20 10 578.20 10 578.20
DM-236 Ketorolac 30mg/ml, 1ml (IM,IV) (asTrometamol) 60,000 ampule 19.46 1,167,600.00 15000 291,900.00 15000 291,900.00 15000 291,900.00 15000 291,900.00
DM-237 Lactulose 3.3g/5ml (66% syrup), 120ml bottle 2,500 bottle 66.61 166,525.00 625 41,631.25 625 41,631.25 625 41,631.25 625 41,631.25
DM-239 Lamotrigine 50mg tablet 3,000 tablet 27.34 82,020.00 750 20,505.00 750 20,505.00 750 20,505.00 750 20,505.00
DM-240 Levofloxacin 500mg tablet 2,500 tablet 16.07 40,175.00 625 10,043.75 625 10,043.75 625 10,043.75 625 10,043.75
DM-241 Levofloxacin 5mg/ml solution for IV infusion, 100ml vial 100 vial 275.53 27,553.00 50 13,776.50 0 - 50 13,776.50 0 -
DM-242 Levofloxacin 750mg tablet 1,500 tablet 48.41 72,615.00 375 18,153.75 375 18,153.75 375 18,153.75 375 18,153.75
DM-243 Levothyroxine 50mcg/tab (as Anhydrous Sodium) 100 tablet 4.49 449.00 50 224.50 0 - 50 224.50 0 -
DM-244 Levothyroxine 100mcg/tab (as Anhydrous Sodium) 100 tablet 5.96 596.00 50 298.00 0 - 50 298.00 0 -
DM-245 Lidocaine 2%, 5ml polyamp (as HCl) 12,000 polyamp 6.64 79,680.00 3000 19,920.00 3000 19,920.00 3000 19,920.00 3000 19,920.00
DM-246 Lidocaine 5% ointment 35g tube (as Hydrochloride) 3 tube 618.00 1,854.00 3 1,854.00 0 - 0 - 0 -
DM-247 Lidocaine HCl in 4mg/ml,250ml D5W (pre-mixed) (IV)(as HCl) 50 bottle 357.41 17,870.50 25 8,935.25 0 - 25 8,935.25 0 -
DM-248 Lidocaine spray 10%, 50ml (as HCl) 10 bottle 1,094.38 10,943.80 5 5,471.90 0 - 5 5,471.90 0 -
DM-249 1,500 tablet 5.15 7,725.00 750 3,862.50 0 - 750 3,862.50 0 -

Page 6
DM-250 Loperamide 2mg capsule 800 capsule 1.50 1,200.00 200 300.00 200 300.00 200 300.00 200 300.00

PREPARED BY: FUNDED BY: RECOMMENDED BY: APPROVED BY:

MARLIZA P. BALETE, RPh, MS CORNELIA Y. BONDOC, MPA EDUARDO M. BADUA III, MD, FPSP RICARDO B. RUNEZ, MD, FPCS, MHA, CESE
PHARMACIST IV BUDGET OFFICER CHIEF OF MEDICAL PROFESSIONAL STAFF II MEDICAL CENTER CHIEF II

DM-251 Loratadine 10mg tablet 600 tablet 2.43 1,458.00 150 364.50 150 364.50 150 364.50 150 364.50
DM-252 Loratadine 5mg/5ml syrup, 30ml 20 bottle 142.66 2,853.20 10 1,426.60 0 - 10 1,426.60 0 -
DM-253 3,000 tablet 7.42 22,260.00 1500 11,130.00 0 - 1500 11,130.00 0 -
DM-254 Losartan + Hydrochlorothiazide 50mg +12.5mg tablet 4,000 tablet 3.61 14,440.00 1000 3,610.00 1000 3,610.00 1000 3,610.00 1000 3,610.00
DM-255 5,000 tablet 4.12 20,600.00 1250 5,150.00 1250 5,150.00 1250 5,150.00 1250 5,150.00
DM-256 15,000 tablet 2.53 37,950.00 3750 9,487.50 3750 9,487.50 3750 9,487.50 3750 9,487.50
DM-257 Magnesium Sulfate 250mg/ml, 20ml amp (IM,IV) (as Heptahydrate) 2,000 ampule 12.36 24,720.00 500 6,180.00 500 6,180.00 500 6,180.00 500 6,180.00
DM-258 Mannitol 20%, 500ml bottle (IV) 5,000 bottle 72.10 360,500.00 1250 90,125.00 1250 90,125.00 1250 90,125.00 1250 90,125.00
DM-259 Mebendazole 100mg/5ml suspension 30ml 10 bottle 16.74 167.40 5 83.70 0 - 5 83.70 0 -
DM-260 Mebendazole 500mg tablet/chewable tablet 150 tablet 2.03 304.50 75 152.25 0 - 75 152.25 0 -
DM-261 Mecobalamin 500mcg/ml ampule (IM/IV) 1,200 ampule 164.80 197,760.00 300 49,440.00 300 49,440.00 300 49,440.00 300 49,440.00
DM-262 Medroxyprogesterone Acetate 5mg tablet 100 tablet 25.75 2,575.00 50 1,287.50 0 - 50 1,287.50 0 -
DM-263 Mefenamic Acid 250mg cap/tab 2,000 cap/tab 2.16 4,320.00 500 1,080.00 500 1,080.00 500 1,080.00 500 1,080.00
DM-264 Mefenamic Acid 500mg cap/tab 60,000 cap/tab 0.45 27,000.00 15000 6,750.00 15000 6,750.00 15000 6,750.00 15000 6,750.00
DM-265 2,000 vial 215.27 430,540.00 500 107,635.00 500 107,635.00 500 107,635.00 500 107,635.00
DM-266 Meropenem 500mg vial (IV) (as Trihydrate) 1,000 vial 352.26 352,260.00 250 88,065.00 250 88,065.00 250 88,065.00 250 88,065.00
DM-267 Metformin 500mg tab/film coated tab (as HCl) 20,000 tablet 0.93 18,600.00 5000 4,650.00 5000 4,650.00 5000 4,650.00 5000 4,650.00
DM-268 Methimazole 5mg tablet 100 tablet 7.83 783.00 25 195.75 25 195.75 25 195.75 25 195.75
DM-269 Methotrexate 25mg/ml, 2ml amp/vial (IM,IV, Intrathecal) (as base) 200 amp/vial 133.90 26,780.00 50 6,695.00 50 6,695.00 50 6,695.00 50 6,695.00
DM-270 Methyldopa 250mg tablet 12,000 tablet 17.67 212,040.00 3000 53,010.00 3000 53,010.00 3000 53,010.00 3000 53,010.00
DM-271 Methylergometrine Maleate 125mcg tablet(as Hydrogen Maleate or Maleate) 6,000 tablet 3.72 22,320.00 1500 5,580.00 1500 5,580.00 1500 5,580.00 1500 5,580.00
DM-272 Methylergometrine Maleate 200mcg/ml, 1ml amp (IM,IV) (as Hydrogen Maleate or Maleate) 8,000 ampule 17.67 141,360.00 2000 35,340.00 2000 35,340.00 2000 35,340.00 2000 35,340.00
DM-273 20 vial 872.67 17,453.40 10 8,726.70 0 - 10 8,726.70 0 -
DM-274 Methyprednisolone 16mg tablet 500 tablet 23.69 11,845.00 125 2,961.25 125 2,961.25 125 2,961.25 125 2,961.25
DM-275 8,000 ampule 2.94 23,520.00 2000 5,880.00 2000 5,880.00 2000 5,880.00 2000 5,880.00
DM-276 Metoprolol 100mg tablet (as Tartrate) 12,000 tablet 1.90 22,800.00 3000 5,700.00 3000 5,700.00 3000 5,700.00 3000 5,700.00
DM-277 Metoprolol 50mg tablet (as Tartrate) 18,000 tablet 0.89 16,020.00 4500 4,005.00 4500 4,005.00 4500 4,005.00 4500 4,005.00
DM-278 100 bottle 17.25 1,725.00 50 862.50 0 - 50 862.50 0 -
DM-279 Metronidazole 500mg tablet 18,000 tablet 0.88 15,840.00 4500 3,960.00 4500 3,960.00 4500 3,960.00 4500 3,960.00
DM-280 Metronidazole 5mg/ml, 100ml vial IV infusion 16,000 vial 13.83 221,280.00 4000 55,320.00 4000 55,320.00 4000 55,320.00 4000 55,320.00
DM-281 Metronidazole rectal suppository 1g 30 suppository 30.90 927.00 15 463.50 0 - 15 463.50 0 -
DM-282 Midazolam 1mg/ml, 5ml amp (IM,IV) 3,000 ampule 98.68 296,040.00 750 74,010.00 750 74,010.00 750 74,010.00 750 74,010.00
DM-283 Midazolam 5mg/ml, 3ml amp (IM,IV) 1,000 ampule 115.88 115,880.00 250 28,970.00 250 28,970.00 250 28,970.00 250 28,970.00
DM-284 Montelukast 10mg tablet (as Sodium) 2,000 tablet 13.42 26,840.00 500 6,710.00 500 6,710.00 500 6,710.00 500 6,710.00
DM-285 Morphine 10mg CR tab (as Sulfate) 2,000 tablet 23.36 46,720.00 500 11,680.00 500 11,680.00 500 11,680.00 500 11,680.00
DM-286 Morphine 15mg/ml, 1ml amp (IM,IV,SC) (as Sulfate) 800 ampule 33.99 27,192.00 200 6,798.00 200 6,798.00 200 6,798.00 200 6,798.00
DM-287 Morphine 30mg CR tab (as Sulfate) 2,000 tablet 52.30 104,600.00 500 26,150.00 500 26,150.00 500 26,150.00 500 26,150.00
DM-288 Mupirocin 2%, 5g tube 800 tube 84.03 67,224.00 200 16,806.00 200 16,806.00 200 16,806.00 200 16,806.00
DM-289 Nalbuphine 10mg/ml, 1ml amp (IM,IV,SC) (as HCl) 6,000 ampule 30.90 185,400.00 1500 46,350.00 1500 46,350.00 1500 46,350.00 1500 46,350.00
DM-290 Nalidixic Acid 250mg/5ml, 60ml suspension bottle 10 bottle 103.00 1,030.00 5 515.00 0 - 5 515.00 0 -
DM-291 100 ampule 206.00 20,600.00 50 10,300.00 0 - 50 10,300.00 0 -
DM-292 Neostigmine 500mcg/ml, 1ml ampule (IM,IV,SC) (as Methylsulfate) 200 ampule 92.08 18,416.00 100 9,208.00 0 - 100 9,208.00 0 -

Page 7
DM-293 5,000 ampule 679.80 3,399,000.00 1250 849,750.00 1250 849,750.00 1250 849,750.00 1250 849,750.00
DM-294 Nifedipine 5mg capsule 100 capsule 1.08 108.00 50 54.00 0 - 50 54.00 0 -

PREPARED BY: FUNDED BY: RECOMMENDED BY: APPROVED BY:

MARLIZA P. BALETE, RPh, MS CORNELIA Y. BONDOC, MPA EDUARDO M. BADUA III, MD, FPSP RICARDO B. RUNEZ, MD, FPCS, MHA, CESE
PHARMACIST IV BUDGET OFFICER CHIEF OF MEDICAL PROFESSIONAL STAFF II MEDICAL CENTER CHIEF II

DM-295 Nifedipine 30mg MR tablet 400 tablet 15.48 6,192.00 100 1,548.00 100 1,548.00 100 1,548.00 100 1,548.00
DM-296 Nimodipine 30mg tablet 1,500 tablet 41.20 61,800.00 375 15,450.00 375 15,450.00 375 15,450.00 375 15,450.00
DM-297 Norepinephrine 1mg/ml, 2ml amp (IV infusion) (as Bitartrate) 10,000 ampule 463.50 4,635,000.00 2500 1,158,750.00 2500 1,158,750.00 2500 1,158,750.00 2500 1,158,750.00
DM-298 Nystatin 100,000 "u"/ml, 30ml suspension 10 bottle 257.50 2,575.00 5 1,287.50 0 - 5 1,287.50 0 -
DM-299 Ofloxacin 0.3%, 5ml bottle ear drops solution 20 bottle 131.84 2,636.80 10 1,318.40 0 - 10 1,318.40 0 -
DM-300 Ofloxacin 2mg/ml, 100ml vial (Iv infusion) 10 vial 328.06 3,280.60 5 1,640.30 0 - 5 1,640.30 0 -
DM-301 Ofloxacin 400mg tablet 800 tablet 5.84 4,672.00 200 1,168.00 200 1,168.00 200 1,168.00 200 1,168.00
DM-302 Ofloxacin Ophthalmic Drop 0.3%, 5ml bottle solution 20 bottle 207.03 4,140.60 10 2,070.30 0 - 10 2,070.30 0 -
DM-303 Olanzapine 10mg tablet 500 tablet 30.00 15,000.00 125 3,750.00 125 3,750.00 125 3,750.00 125 3,750.00
DM-304 Omeprazole 20mg capsule 12,000 capsule 1.38 16,560.00 3000 4,140.00 3000 4,140.00 3000 4,140.00 3000 4,140.00
DM-305 Omeprazole 40mg + 10ml solvent amp/vial (IV) 25,000 amp/vial 61.75 1,543,750.00 6250 385,937.50 6250 385,937.50 6250 385,937.50 6250 385,937.50
DM-306 Ondansetron 2mg/ml, 4ml ampule (IM,IV) 300 ampule 247.20 74,160.00 75 18,540.00 75 18,540.00 75 18,540.00 75 18,540.00
DM-307 Oral Rehydration Solution sachet 3,000 sachet 10.29 30,870.00 750 7,717.50 750 7,717.50 750 7,717.50 750 7,717.50
DM-308 Oseltamivir 75mg capsule (as Phosphate) 100 capsule 33.99 3,399.00 50 1,699.50 0 - 50 1,699.50 0 -
DM-309 Oxantel Pyrantel (100mg Oxantel + 100mg Pyrantel)/5ml susp. 10ml (as Embonate) 10 bottle 70.04 700.40 5 350.20 0 - 5 350.20 0 -
DM-310 Oxiplatin 100mg vial 30 vial 6,460.91 193,827.30 15 96,913.65 0 - 15 96,913.65 0 -
DM-311 Oxytocin 10 "IU"/ml, 1ml ampule (IM,IV) 15,000 ampule 120.00 1,800,000.00 3750 450,000.00 3750 450,000.00 3750 450,000.00 3750 450,000.00
DM-312 Oxytetracycline ointment 3.5g tube 100 tube 95.00 9,500.00 25 2,375.00 25 2,375.00 25 2,375.00 25 2,375.00
DM-313 Paclitaxel 100mg vial 300 vial 8,755.00 2,626,500.00 75 656,625.00 75 656,625.00 75 656,625.00 75 656,625.00
DM-314 Paclitaxel 30mg vial 150 vial 2,884.00 432,600.00 75 216,300.00 0 - 75 216,300.00 0 -
DM-315 Paracetamol 100mg/ml, (alcohol free), 15ml 50 bottle 12.20 610.00 25 305.00 0 - 25 305.00 0 -
DM-316 Paracetamol 10mg/ml, 100ml solution for infusion (IV) 300 vial 250.00 75,000.00 75 18,750.00 75 18,750.00 75 18,750.00 75 18,750.00
DM-317 50,000 ampule 7.00 350,000.00 12500 87,500.00 12500 87,500.00 12500 87,500.00 12500 87,500.00
DM-318 Paracetamol 250mg/5ml (alcohol free), 60ml syrup/suspension 250 bottle 10.71 2,677.50 125 1,338.75 0 - 125 1,338.75 0 -
DM-319 Paracetamol 500mg tablet 20,000 tablet 0.22 4,400.00 5000 1,100.00 5000 1,100.00 5000 1,100.00 5000 1,100.00
DM-320 300 vial 60.20 18,060.00 75 4,515.00 75 4,515.00 75 4,515.00 75 4,515.00
DM-321 200 vial 5.40 1,080.00 50 270.00 50 270.00 50 270.00 50 270.00
DM-322 4,000 vial 14.91 59,640.00 1000 14,910.00 1000 14,910.00 1000 14,910.00 1000 14,910.00
DM-323 Phennoxymethyl Penicillin (penicillin V) 250mg/5ml granules/powder susp., 60ml (as K salt) 10 bottle 92.70 927.00 5 463.50 0 - 5 463.50 0 -
DM-324 Phenobarbital 130mg/ml, 1ml ampule (IM,IV) (as Sodium) 2,500 ampule 489.79 1,224,475.00 625 306,118.75 625 306,118.75 625 306,118.75 625 306,118.75
DM-325 Phenobarbital 15mg (1/4 grain) 2,000 tablet 1.95 3,900.00 500 975.00 500 975.00 500 975.00 500 975.00
DM-326 Phenobarbital 60mg (1 grain) 8,000 tablet 2.05 16,400.00 2000 4,100.00 2000 4,100.00 2000 4,100.00 2000 4,100.00
DM-327 Phenobarbital gr 1/2 (30mg) 5,000 tablet 2.27 11,350.00 1250 2,837.50 1250 2,837.50 1250 2,837.50 1250 2,837.50
DM-328 Phenoxymethyl Penicillin 500mg cap/tab (as Sodium salt) 200 cap/tab 10.79 2,158.00 50 539.50 50 539.50 50 539.50 50 539.50
DM-329 200 capsule 7.89 1,578.00 50 394.50 50 394.50 50 394.50 50 394.50
DM-330 500 ampule 410.97 205,485.00 125 51,371.25 125 51,371.25 125 51,371.25 125 51,371.25
DM-331 Phethidine (Meperiden) 50mg/ml, 2ml amp (Im, IV, SC) (as HCl) 30 ampule 180.81 5,424.30 15 2,712.15 0 - 15 2,712.15 0 -
DM-332 1,500 ampule 17.50 26,250.00 375 6,562.50 375 6,562.50 375 6,562.50 375 6,562.50
DM-333 Piperacillin+Tazobactam (4g Piperacillin+500mg Tazobactam) per vial (IV infusion) (as Sodium salt) 2,000 vial 124.12 248,240.00 500 62,060.00 500 62,060.00 500 62,060.00 500 62,060.00
DM-334 Pneumococcal Vaccine 10 vial 556.20 5,562.00 5 2,781.00 0 - 5 2,781.00 0 -
DM-335 Potassium 750mg durules (approx. equiv. to 10 mEq) 5,000 tablet 20.03 100,150.00 1250 25,037.50 1250 25,037.50 1250 25,037.50 1250 25,037.50

Page 8
DM-336 Potassium Chloride 2mEq/ml, 20ml vial (IV infusion) 5,000 vial 18.54 92,700.00 1250 23,175.00 1250 23,175.00 1250 23,175.00 1250 23,175.00
DM-337 Prednisolone eye drops suspension 0.5%,5ml(as acetate) 10 bottle 432.60 4,326.00 5 2,163.00 0 - 5 2,163.00 0 -
DM-338 200 bottle 92.70 18,540.00 50 4,635.00 50 4,635.00 50 4,635.00 50 4,635.00

PREPARED BY: FUNDED BY: RECOMMENDED BY: APPROVED BY:

MARLIZA P. BALETE, RPh, MS CORNELIA Y. BONDOC, MPA EDUARDO M. BADUA III, MD, FPSP RICARDO B. RUNEZ, MD, FPCS, MHA, CESE
PHARMACIST IV BUDGET OFFICER CHIEF OF MEDICAL PROFESSIONAL STAFF II MEDICAL CENTER CHIEF II

DM-339 Prednisone 20mg tablet 2,000 tablet 5.15 10,300.00 500 2,575.00 500 2,575.00 500 2,575.00 500 2,575.00
DM-340 Prednisone 30mg tablet 600 tablet 13.39 8,034.00 150 2,008.50 150 2,008.50 150 2,008.50 150 2,008.50
DM-341 Prednisone 50mg tablet 200 tablet 57.89 11,578.00 50 2,894.50 50 2,894.50 50 2,894.50 50 2,894.50
DM-342 Prednisone 5mg tablet 200 tablet 0.66 132.00 50 33.00 50 33.00 50 33.00 50 33.00
DM-343 Primaquine 15mg base tab (as Diphosphate) 100 tablet 2.06 206.00 25 51.50 25 51.50 25 51.50 25 51.50
DM-344 Prophylthiouracil 50mg tablet 3,000 tablet 10.51 31,530.00 750 7,882.50 750 7,882.50 750 7,882.50 750 7,882.50
DM-345 1,500 amp/vial 350.00 525,000.00 375 131,250.00 375 131,250.00 375 131,250.00 375 131,250.00
DM-346 Propranolol 10mg tablet (as HCl) 2,000 tablet 6.54 13,080.00 500 3,270.00 500 3,270.00 500 3,270.00 500 3,270.00
DM-347 Propranolol 40mg tablet (as HCl) 500 tablet 11.78 5,890.00 125 1,472.50 125 1,472.50 125 1,472.50 125 1,472.50
DM-348 Pyrazynamide 250mg/5ml, 120ml suspension bottle 10 bottle 60.26 602.60 5 301.30 0 - 5 301.30 0 -
DM-349 Pyridoxine (Vit. B6) 100mg/ml, 10ml ampule (IM,IV) (as Hydrochloride) 50 ampule 92.70 4,635.00 25 2,317.50 0 - 5 463.50 0 -
DM-350 Quetiapine 25mg tablet 100 rablet 23.47 2,347.00 25 586.75 25 586.75 25 586.75 25 586.75
DM-351 Quinine 300mg/ml, 1ml ampule Iv (as diHCl) 50 ampule 51.50 2,575.00 25 1,287.50 0 - 25 1,287.50 0 -
DM-352 Quinine Sulfate 300mg (325)/tablet (as Sulfate) 100 tablet 5.15 515.00 25 128.75 25 128.75 25 128.75 25 128.75
DM-353 Rabbies Vaccine (0.5ml of 4% Sodium Chloride) ampule 100 ampule 4,120.00 412,000.00 25 103,000.00 25 103,000.00 25 103,000.00 25 103,000.00
DM-354 Rabbies Vaccine Lyophillyzed powder 2.5 IU/ml, 1 dose vial + 1ml Diluent (ID,IM) 10 vial 3,141.50 31,415.00 5 15,707.50 0 - 5 15,707.50 0 -
DM-355 Ranitidine 150mg tablet (as HCl) 1,000 tablet 6.18 6,180.00 250 1,545.00 250 1,545.00 250 1,545.00 250 1,545.00
DM-356 Ranitidine 25mg/ml, 2ml amp(IM,IV, IV infusion) (as HCl) 10,000 ampule 3.04 30,400.00 2500 7,600.00 2500 7,600.00 2500 7,600.00 2500 7,600.00
DM-357 Ranitidine 300mg tablet (as HCl) 500 tablet 3.09 1,545.00 125 386.25 125 386.25 125 386.25 125 386.25
DM-358 Recombinant H Granulocyte stimulating 50 vial 387.91 19,395.50 25 9,697.75 0 - 25 9,697.75 0 -
DM-359 Regular Insulin 100IU/ml, 3ml prefilled syringe (IM,IV,SC) 40 vial 232.78 9,311.20 10 2,327.80 10 2,327.80 10 2,327.80 10 2,327.80
DM-360 Rifampicin 200mg/5ml suspension 120ml bottle 20 bottle 116.91 2,338.20 5 584.55 5 584.55 5 584.55 5 584.55
DM-361 Risperidone 2mg tablet 20,000 tablet 11.90 238,000.00 5000 59,500.00 5000 59,500.00 5000 59,500.00 5000 59,500.00
DM-362 Risperidone 4mg tablet 4,000 tablet 20.00 80,000.00 1000 20,000.00 1000 20,000.00 1000 20,000.00 1000 20,000.00
DM-363 Rocuronium Bromide 10mg/ml, 5ml amp/vial (IV) 200 amp/vial 360.50 72,100.00 50 18,025.00 50 18,025.00 50 18,025.00 50 18,025.00
DM-364 Ropivacaine 2mg/ml, 10ml ampule (IV) 10 ampule 206.00 2,060.00 5 1,030.00 0 - 5 1,030.00 0 -
DM-365 Ropivacaine 7.5mg/ml, 10ml ampule (IV) 10 ampule 257.50 2,575.00 5 1,287.50 0 - 5 1,287.50 0 -
DM-366 Rosiglitazone 4mg tablet (as Maleate) 50 tablet 56.65 2,832.50 25 1,416.25 0 - 25 1,416.25 0 -
DM-367 Salbutamol 2mg tablet 500 tablet 2.00 1,000.00 125 250.00 125 250.00 125 250.00 125 250.00
DM-368 400 bottle 51.50 20,600.00 100 5,150.00 100 5,150.00 100 5,150.00 100 5,150.00
DM-369 Salbutamol MDI 100mcg/dose x 200 doses (as SO4) 100 canister 78.80 7,880.00 25 1,970.00 25 1,970.00 25 1,970.00 25 1,970.00
DM-370 Salbutamol nebules 2mg/ml, 2.5ml (unit dose) (as Sulfate) 50,000 nebule 2.16 108,000.00 12500 27,000.00 12500 27,000.00 12500 27,000.00 12500 27,000.00
DM-371 Sambong 250mg tablet 4,000 tablet 1.80 7,200.00 1000 1,800.00 1000 1,800.00 1000 1,800.00 1000 1,800.00
DM-372 1,500 tablet 10.30 15,450.00 375 3,862.50 375 3,862.50 375 3,862.50 375 3,862.50
DM-373 120 bottle 11,000.00 1,320,000.00 30 330,000.00 30 330,000.00 30 330,000.00 30 330,000.00
DM-374 2 Jar 927.00 1,854.00 2 1,854.00 0 - 0 - 0 -
DM-375 Silver Sulfadiazine Cream 1% 50g tube 200 tube 732.33 146,466.00 50 36,616.50 50 36,616.50 50 36,616.50 50 36,616.50
DM-376 Simvastatin 20mg tablet 5,000 tablet 1.85 9,250.00 1250 2,312.50 1250 2,312.50 1250 2,312.50 1250 2,312.50
DM-377 Simvastatin 40mg tablet 1,500 tablet 5.97 8,955.00 375 2,238.75 375 2,238.75 375 2,238.75 375 2,238.75
DM-378 Sodium Bicarbonate 1mEq/ml, 50ml amp/vial (IV infusion) 2,000 amp/vial 65.32 130,640.00 500 32,660.00 500 32,660.00 500 32,660.00 500 32,660.00

Page 9
DM-379 Sodium Sulfate 4 can 2,000.00 8,000.00 1 2,000.00 1 2,000.00 1 2,000.00 1 2,000.00
DM-380 Somatostatin 250mcg/amp (IV, IV infusion) 10 ampule 657.55 6,575.50 5 3,287.75 0 - 5 3,287.75 0 -
DM-381 Somatostatin 3mg amp/vial (IV, IV infusion) 10 amp/vial 1,030.00 10,300.00 5 5,150.00 0 - 5 5,150.00 0 -
DM-382 Spironolactone 100mg tablet 1,000 tablet 24.01 24,010.00 250 6,002.50 250 6,002.50 250 6,002.50 250 6,002.50
PREPARED BY: FUNDED BY: RECOMMENDED BY: APPROVED BY:

MARLIZA P. BALETE, RPh, MS CORNELIA Y. BONDOC, MPA EDUARDO M. BADUA III, MD, FPSP RICARDO B. RUNEZ, MD, FPCS, MHA, CESE
PHARMACIST IV BUDGET OFFICER CHIEF OF MEDICAL PROFESSIONAL STAFF II MEDICAL CENTER CHIEF II

DM-383 Spironolactone 50mg tablet 600 tablet 12.50 7,500.00 150 1,875.00 150 1,875.00 150 1,875.00 150 1,875.00
DM-384 150 vial 13.70 2,055.00 75 1,027.50 0 - 75 1,027.50 0 -
DM-385 Sucralfate 1g tablet 100 tablet 36.79 3,679.00 25 919.75 25 919.75 25 919.75 25 919.75
DM-386 Sulfadoxine/Pyrimethamine 500mg/25mg/tablet 100 tablet 5.68 568.00 25 142.00 25 142.00 25 142.00 25 142.00
DM-387 Suxamethonium (succinyl Choline) 20mg/ml, 10ml vial IV (as Chloride) 300 vial 225.57 67,671.00 75 16,917.75 75 16,917.75 75 16,917.75 75 16,917.75
DM-388 Tamoxifen 20mg tablet (as Citrate) 500 tablet 4.22 2,110.00 125 527.50 125 527.50 125 527.50 125 527.50
DM-389 Tamsulosin 200mcg capsule (as HCl) 800 capsule 44.81 35,848.00 200 8,962.00 200 8,962.00 200 8,962.00 200 8,962.00
DM-390 Terbutaline 500mcg/ml, 1ml amp (IM,IV,SC) (as SO4) 50 ampule 13.39 669.50 25 334.75 0 - 25 334.75 0 -
DM-391 Terbutaline nebule 2.5mg/ml, 2ml (unit dose)(as SO4) 100 ampule 10.30 1,030.00 25 257.50 25 257.50 25 257.50 25 257.50
DM-392 Terbutaline syrup 1.5mg/5ml, 60ml (as SO4) 10 bottle 51.50 515.00 5 257.50 0 - 5 257.50 0 -
DM-393 Tetanus Immune Globulin Human (TIG) 250”u”/ml, 2ml vial (IM) 50 vial 659.20 32,960.00 25 16,480.00 0 - 25 16,480.00 0 -
DM-394 Tetanus Toxoid 0.5ml ampule (IM) 3,000 ampule 29.36 88,080.00 750 22,020.00 750 22,020.00 750 22,020.00 750 22,020.00
DM-395 Tetracaine 20mg amp., sterile powder (spinal) (as HCl) 10 ampule 479.47 4,794.70 5 2,397.35 0 - 5 2,397.35 0 -
DM-396 Theophylline anhydrous 150mg tablet 50 tablet 3.09 154.50 25 77.25 0 - 25 77.25 0 -
DM-397 Thiamine 100mg/ml, 1ml amp/vial (IV) 50 amp/vial 103.00 5,150.00 25 2,575.00 0 - 25 2,575.00 0 -
DM-398 Thiamine 300mg tablet (as Hydrochloride) 100 tablet 5.15 515.00 25 128.75 25 128.75 25 128.75 25 128.75
DM-399 Thiopenthal Sodiun 1g vial + 50ml diluent (IV) 10 vial 459.38 4,593.80 5 2,296.90 0 - 5 2,296.90 0 -
DM-400 Thiotropium 18mcg/dose (as Bromide) w/ appropriate accompanying dispenser 5 canister 74.78 373.90 3 224.34 0 - 2 149.56 0 -
DM-401 Timolol eye drops solution 0.5%,5ml bot 10 bottle 185.40 1,854.00 5 927.00 0 - 5 927.00 0 -
DM-402 Tobramycin Ophthalmic drops 0.3%, 3.5g bottle 5 bottle 111.24 556.20 3 333.72 0 - 2 222.48 0 -
DM-403 Tobramycin Ophthalmic Ointment 0.3%,3.5g tube 10 tube 301.65 3,016.50 5 1,508.25 0 - 5 1,508.25 0 -
DM-404 Tramadol 50mg capsule (as HCl) 1,000 capsule 2.48 2,480.00 250 620.00 250 620.00 250 620.00 250 620.00
DM-405 Tramadol 50mg/ml, 2ml ampule (IM,IV, SC) (as HCl) 20,000 ampule 10.25 205,000.00 5000 51,250.00 5000 51,250.00 5000 51,250.00 5000 51,250.00
DM-406 Tranexamic Acid 100mg/ml, 5ml ampule (IM,IV) 10,000 ampule 18.44 184,400.00 2500 46,100.00 2500 46,100.00 2500 46,100.00 2500 46,100.00
DM-407 400 capsule 10.60 4,240.00 100 1,060.00 100 1,060.00 100 1,060.00 100 1,060.00
DM-408 3,000 capsule 7.21 21,630.00 750 5,407.50 750 5,407.50 750 5,407.50 750 5,407.50
DM-409 Ursodeoxycholic Acid 250mg capsule 1,200 capsule 37.60 45,120.00 300 11,280.00 300 11,280.00 300 11,280.00 300 11,280.00
DM-410 Valproate disodium/ Valproic Acid 250mg/tab. (as disodium salt or as valproic acid) 4,000 tablet 13.91 55,640.00 1000 13,910.00 1000 13,910.00 1000 13,910.00 1000 13,910.00
DM-411 Vancomycin 500mg vial (IV) (as HCl) 1,000 vial 263.68 263,680.00 250 65,920.00 250 65,920.00 250 65,920.00 250 65,920.00
DM-412 Verapamil 180mg tablet (as Hydrochloride) 360 tablet 45.47 16,369.20 90 4,092.30 90 4,092.30 90 4,092.30 90 4,092.30
DM-413 Verapamil 2.5mg/ml, 2ml ampule (IV) (as Hydrochloride) 100 ampule 135.20 13,520.00 25 3,380.00 25 3,380.00 25 3,380.00 25 3,380.00
DM-414 Verapamil 240mg tablet (as Hydrochloride) 200 tablet 59.37 11,874.00 50 2,968.50 50 2,968.50 50 2,968.50 50 2,968.50
DM-415 Vinblastin 10mg/10ml 30 vial 715.85 21,475.50 15 10,737.75 0 - 15 10,737.75 0 -
DM-416 Vincristine 1mg/ml, 1ml vial (IV) (as Sulfate) 20 vial 151.93 3,038.60 10 1,519.30 0 - 10 1,519.30 0 -
DM-417 Vincristine 2mg/2ml, 1ml vial (IV) (as Sulfate) 50 vial 252.87 12,643.50 25 6,321.75 0 - 25 6,321.75 0 -
DM-418 Vitamin B Complex 100mg+100mg+1mg per 3ml ampule (IV) 200 ampule 80.19 16,038.00 50 4,009.50 50 4,009.50 50 4,009.50 50 4,009.50
DM-419 Warfarin 2.5mg tablet 600 tablet 10.86 6,516.00 150 1,629.00 150 1,629.00 150 1,629.00 150 1,629.00
DM-420 Zinc 10mg/ml drops 20 bottle 41.20 824.00 5 206.00 5 206.00 5 206.00 5 206.00
DM-421 Zinc 20mg/5ml syrup 20 bottle 42.23 844.60 5 211.15 5 211.15 5 211.15 5 211.15

Page 10
 DM-422 Zolendronic Acid 4mg/5ml 10 vial 19,054.68 190,546.80 5 95,273.40 0 - 5 95,273.40 0 -
DM-423 Zolpidem 10mg tab 100 tablet 35.09 3,509.00 25 877.25 25 877.25 25 877.25 25 877.25

PREPARED BY: FUNDED BY: RECOMMENDED BY: APPROVED BY:

MARLIZA P. BALETE, RPh, MS CORNELIA Y. BONDOC, MPA EDUARDO M. BADUA III, MD, FPSP RICARDO B. RUNEZ, MD, FPCS, MHA, CESE
PHARMACIST IV BUDGET OFFICER CHIEF OF MEDICAL PROFESSIONAL STAFF II MEDICAL CENTER CHIEF II

INTRAVENOUS FLUIDS
DM-424 6% Dextran 70 in 0.9% NaCl 500ml (Iv Infusion) 200 bottle 412.00 82,400.00 50 20,600.00 50 20,600.00 50 20,600.00 50 20,600.00
DM-425 0.9% NaCl 20ml polyamp 400 polyamp 19.00 7,600.00 100 1,900.00 100 1,900.00 100 1,900.00 100 1,900.00
DM-426 Dextrose 10% in Water 3ml ampule (as solvent) 600 polyamp 10.30 6,180.00 150 1,545.00 150 1,545.00 150 1,545.00 150 1,545.00
DM-427 Dextrose 10% in Water 500ml 1000 bottle 46.35 46,350.00 250 11,587.50 250 11,587.50 250 11,587.50 250 11,587.50
DM-428 Dextrose 5% 0.3 NaCl 500ml 4800 bottle 40.00 192,000.00 1200 48,000.00 1200 48,000.00 1200 48,000.00 1200 48,000.00
DM-429 Dextrose 5% 0.9 NaCl 1L 4320 bottle 45.00 194,400.00 1080 48,600.00 1080 48,600.00 1080 48,600.00 1080 48,600.00
DM-430 Dextrose 5% Balance multiple maint.sol'n 500ml 8640 bottle 45.00 388,800.00 2160 97,200.00 2160 97,200.00 2160 97,200.00 2160 97,200.00
DM-431 Dextrose 5% Balanced Multiple Maint. Sol'n. 1000Ml 3000 bottle 46.35 139,050.00 750 34,762.50 750 34,762.50 750 34,762.50 750 34,762.50
DM-432 Dextrose 5% Balanced Multiple Replacement. Sol'n. 1000Ml 720 bottle 55.00 39,600.00 180 9,900.00 180 9,900.00 180 9,900.00 180 9,900.00
DM-433 Dextrose 5% in Lactated Ringers 1000ml 42000 bottle 37.00 1,554,000.00 10500 388,500.00 10500 388,500.00 10500 388,500.00 10500 388,500.00
DM-434 Dextrose 5% in Water 1000ml 800 bottle 45.00 36,000.00 200 9,000.00 200 9,000.00 200 9,000.00 200 9,000.00
DM-435 Dextrose 5% in Water 500ml 9600 bottle 45.00 432,000.00 2400 108,000.00 2400 108,000.00 2400 108,000.00 2400 108,000.00
DM-436 Dextrose 50% in Water 50ml 3000 bottle 28.00 84,000.00 750 21,000.00 750 21,000.00 750 21,000.00 750 21,000.00
DM-437 Plain Lactated Ringers Solution 1000ml 7200 bottle 45.00 324,000.00 1800 81,000.00 1800 81,000.00 1800 81,000.00 1800 81,000.00
DM-438 Plain NSS 1000ml 96000 bottle 36.05 3,460,800.00 24000 865,200.00 24000 865,200.00 24000 865,200.00 24000 865,200.00
DM-439 Water for injection (triple distilled water), 50ml vial 24000 vial 16.50 396,000.00 6000 99,000.00 6000 99,000.00 6000 99,000.00 6000 99,000.00

SUPPLIES
Intravenous Administration Set (Macoset) 20 drops/ml 16000 set 30.90 494,400.00 4000 123,600.00 4000 123,600.00 4000 123,600.00 4000 123,600.00
Intravenous Administration Set (Micoset) 60 drops/ml 10000 set 36.05 360,500.00 2500 90,125.00 2500 90,125.00 2500 90,125.00 2500 90,125.00
IV Cannula G18 with injection port 12000 set 71.00 852,000.00 3000 213,000.00 3000 213,000.00 3000 213,000.00 3000 213,000.00
IV Cannula G20 with injection port 12000 set 71.00 852,000.00 3000 213,000.00 3000 213,000.00 3000 213,000.00 3000 213,000.00
IV Cannula G22 with injection port 4000 set 71.00 284,000.00 1000 71,000.00 1000 71,000.00 1000 71,000.00 1000 71,000.00
IV Cannula G24 with injection port 4000 set 83.50 334,000.00 1000 83,500.00 1000 83,500.00 1000 83,500.00 1000 83,500.00
IV Cannula G26 with injection port 12000 set 94.00 1,128,000.00 3000 282,000.00 3000 282,000.00 3000 282,000.00 3000 282,000.00
Blood Transfusion Set 10,000 set 40.00 400,000.00 2500 100,000.00 2500 100,000.00 2500 100,000.00 2500 100,000.00
Soluset 6,000 set 150.00 900,000.00 1500 225,000.00 1500 225,000.00 1500 225,000.00 1500 225,000.00
TOTAL 75,965,300.50

PREPARED BY: FUNDED BY: RECOMMENDED BY: APPROVED BY:

MARLIZA P. BALETE, RPh, MS CORNELIA Y. BONDOC, MPA EDUARDO M. BADUA III, MD, FPSP RICARDO B. RUNEZ, MD, FPCS, MHA, CESE
PHARMACIST IV BUDGET OFFICER CHIEF OF MEDICAL PROFESSIONAL STAFF II MEDICAL CENTER CHIEF II

Page 11