Page 1 Sl Medicines Dosage form Unit Existing No and

Page 1 Sl No Medicines Dosage form and Strength Unit Existing Ceiling Price Multiplication factor CP wef 1.7.2017 Existing SO No Existing SO date...

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Page 1

Sl No

Medicines

1 5-aminosalicylic Acid

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

15.99

0.95905

15.34

1333(E)

27.04.2017

Suppository 500 mg Retention Enema Tablet 400 mg

1 Suppository

1 Tablet

7.07

0.95905

6.78

1009(E)

31.3.2017

Injection 250 mg/5 ml Tablet 300 mg

1 ml

2.13

0.95905

2.04

1039(E)

01.04.2017

1 Tablet

44.62

0.95905

42.79

1039(E)

01.04.2017

1 Tablet

86.22

0.95905

82.69

1039(E)

01.04.2017

1 Tablet

19.00

0.95905

18.22

1008(E)

31.3.2017

7 Acetazolamide

Tablet 600 mg (A)+ 300 mg (B) Tablet 60 mg (A) + 30 mg (B) Tablet 250 mg

1 Tablet

3.32

0.95905

3.18

1039(E)

01.04.2017

8 Acetazolamide

Capsule 250 mg

1 Capsule

4.11

0.95905

3.94

1039(E)

01.04.2017

9 Acetylsalicylic acid

1 Tablet

1.14

0.95905

1.09

1039(E)

01.04.2017

1 Tablet

1.16

0.95905

1.11

1039(E)

01.04.2017

11 Acetylsalicylic acid

Effervescent/ Dispersible/ Enteric coated Tablet 150 mg Effervescent/ Dispersible/ Enteric coated Tablet 75 mg Tablet 150 mg

1 Tablet

0.39

0.95905

0.37

1039(E)

01.04.2017

12 Acetylsalicylic acid

Tablet 75 mg

1 Tablet

0.29

0.95905

0.28

1039(E)

01.04.2017

13 Acetylsalicylic acid

Tablet 100 mg

1 Tablet

0.16865

0.95905

0.16174

1039(E)

01.04.2017

14 Acyclovir

Ointment 3%

1 gm

9.85

0.95905

9.45

1039(E)

01.04.2017

2 5-aminosalicylic Acid 3 5-Fluorouracil 4 Abacavir 5 Abacavir (A) + Lamivudine (B) 6 Abacavir (A) + Lamivudine (B)

10 Acetylsalicylic acid

Page 2

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

15 Acyclovir

Tablet 200 mg

1 Tablet

6.41

0.95905

6.15

1039(E)

01.04.2017

16 Acyclovir

Tablet 400 mg

1 Tablet

11.65

0.95905

11.17

1039(E)

01.04.2017

17 Acyclovir

1 ml

1.20

0.95905

1.15

1039(E)

01.04.2017

Each Pack

434.20

0.95905

416.42

1039(E)

01.04.2017

Each Pack

336.18

0.95905

322.41

1039(E)

01.04.2017

20 Adenosine

Oral Liquid 400 mg/5ml Powder for Injection 500 mg Powder for Injection 250 mg Injection 3 mg/ml

1 ml

84.38

0.95905

80.92

1039(E)

01.04.2017

21 Adrenaline

Injection 1 mg/ml

1 ml

14.81

0.95905

14.20

1569(E)

15.05.2017

22 Albendazole

Tablet 400 mg

1 Tablet

7.29

0.95905

6.99

1039(E)

01.04.2017

23 Albendazole

1 ml

1.51

0.95905

1.45

1039(E)

01.04.2017

24 Allopurinol

Oral Liquid 200 mg/5ml Tablet 300 mg

1 Tablet

7.08

0.95905

6.79

1039(E)

01.04.2017

25 Allopurinol

Tablet 100 mg

1 Tablet

1.79

0.95905

1.72

1039(E)

01.04.2017

26 Alprostadil

1 ml

5,358.16

0.95905

5,138.74

1039(E)

01.04.2017

27 Amiodarone

Injection 0.5 mg/ml Tablet 200 mg

1 Tablet

10.72

0.95905

10.28

1039(E)

01.04.2017

28 Amiodarone

Tablet 100 mg

1 Tablet

5.40

0.95905

5.18

1039(E)

01.04.2017

29 Amiodarone

Injection 50 mg/ml

1 ml

18.55

0.95905

17.79

1039(E)

01.04.2017

30 Amitriptyline

Tablet 50 mg

1 Tablet

5.50

0.95905

5.27

1039(E)

01.04.2017

18 Acyclovir 19 Acyclovir

Page 3

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

31 Amitriptyline

Tablet 75 mg

1 Tablet

5.31

0.95905

5.09

1039(E)

01.04.2017

32 Amitriptyline

Tablet 25 mg

1 Tablet

2.14

0.95905

2.05

1039(E)

01.04.2017

33 Amitriptyline

Tablet 10 mg

1 Tablet

2.17

0.95905

2.08

1039(E)

01.04.2017

34 Amlodipine

Tablet 10 mg

1 Tablet

4.80

0.95905

4.60

1039(E)

01.04.2017

35 Amlodipine

Tablet 5 mg

1 Tablet

2.38

0.95905

2.28

1039(E)

01.04.2017

36 Amlodipine

Tablet 2.5 mg

1 Tablet

1.56

0.95905

1.50

1039(E)

01.04.2017

37 Amoxicillin

1 ml

1.28

0.95905

1.23

1039(E)

01.04.2017

38 Amoxicillin

Oral Liquid 250 mg/5ml Capsule 500 mg

1 Capsule

5.81

0.95905

5.57

1039(E)

01.04.2017

39 Amoxicillin

Capsule 250 mg

1 Capsule

2.09

0.95905

2.00

1039(E)

01.04.2017

40 Amoxicillin (A) + Clavulanic acid (B)

Dry Syrup 125 mg (A) + 31.25 (B)/5 ml Tablet 500 mg (A) + 125 mg (B) Powder for Injection 1 gm (A) +200 mg (B) Oral Liquid 200 mg (A) + 28.5 mg (B)/5ml Powder for Injection 500 mg (A) + 100 mg (B)

1 ml

2.04

0.95905

1.96

1039(E)

01.04.2017

16.46

0.95905

15.79

1039(E)

01.04.2017

116.16

0.95905

111.40

1039(E)

01.04.2017

1.71

0.95905

1.64

1039(E)

01.04.2017

85.18

0.95905

81.69

1039(E)

01.04.2017

41 Amoxicillin (A) + Clavulanic acid (B) 42 Amoxicillin (A) + Clavulanic acid (B)

43 Amoxicillin (A) + Clavulanic acid (B)

44 Amoxicillin (A) + Clavulanic acid (B)

1 Tablet Each Pack

1 ml

Each Pack

Page 4

Sl No

Medicines

45 Amphotericin B – Conventional 46 Amphotericin B – Lipid/ Liposomal 47 Ampicillin 48 Ampicillin 49 Anti-rabies immunoglobulin 50 Anti-rabies immunoglobulin 51 Artemether (A) + Lumefantrine (B) 52 Artemether (A) + Lumefantrine (B) 53 Artemether (A) + Lumefantrine (B) 54 Artemether (A) + Lumefantrine (B)

55 Artesunate 56 Artesunate 57 Artesunate (A) + Sulphadoxine Pyrimethamine (B) 58 Ascorbic Acid (Vitamin C) 59 Atazanavir (A) + Ritonavir (B)

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

Powder for Injection 50 mg Powder for Injection 50 mg Powder for Injection 1 gm Powder for Injection 500 mg Injection 150 IU/ml Injection 300 IU/ml Tablet 20 mg (A) + 120 mg (B) Tablet 40 mg (A) + 240 mg (B) Tablet 80 mg (A) + 480 mg (B) Oral Liquid 80 mg (A) +480 mg (B) /5ml Powder for Injection 120 mg Powder for Injection 60 mg 1 Tablet 50 mg (A) + 1 Tablet (500 mg + 25 mg) (B) Tablet 500 mg

Each Pack

281.05

1

281.05

1039(E)

01.04.2017

Each Pack

3,394.25

1

3,394.25

1039(E)

01.04.2017

Each Pack

20.20

0.95905

19.37

1039(E)

01.04.2017

Each Pack

12.44

0.95905

11.93

1039(E)

01.04.2017

1 ml

2,517.40

1

2,517.40

1009(E)

31.3.2017

1 ml

88.75

1

88.75

1008(E)

31.3.2017

1 Tablet

11.85

0.95905

11.36

1039(E)

01.04.2017

1 Tablet

15.27

0.95905

14.64

1039(E)

01.04.2017

1 Tablet

21.92

0.95905

21.02

1039(E)

01.04.2017

3.82

0.95905

3.66

1008(E)

31.3.2017

Each Pack

377.59

1

377.59

1039(E)

01.04.2017

Each Pack

198.33

1

198.33

1039(E)

01.04.2017

20.08

0.95905

19.26

1039(E)

01.04.2017

1 Tablet

0.86

0.95905

0.82

1039(E)

01.04.2017

Tablet 300 mg (A) + 100 mg (B)

1 Tablet

93.41

0.95905

89.58

1039(E)

01.04.2017

1 ml

Combi Pack

Page 5

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

60 Atenolol

Tablet 50 mg

1 Tablet

1.69

0.95905

1.62

1039(E)

01.04.2017

61 Atenolol

Tablet 100 mg

1 Tablet

3.30

0.95905

3.16

1039(E)

01.04.2017

62 Atorvastatin

Tablet 10 mg

1 Tablet

5.19

0.95905

4.98

1039(E)

01.04.2017

63 Atorvastatin

Tablet 20 mg

1 Tablet

12.58

0.95905

12.06

1039(E)

01.04.2017

64 Atorvastatin

Tablet 40 mg

1 Tablet

18.26

0.95905

17.51

1039(E)

01.04.2017

65 Atracurium

Injection 10 mg/ml

Each Pack

49.59

0.95905

47.56

1039(E)

01.04.2017

66 Atropine

1 ml

3.80

0.95905

3.64

1039(E)

01.04.2017

67 Atropine

Injection 0.6 mg/ml Ointment 1%

1 gm

3.43

0.95905

3.29

1039(E)

01.04.2017

68 Atropine

Drops 1%

1 ml

3.11

0.95905

2.98

1039(E)

01.04.2017

69 Azathioprine

Tablet 50 mg

1 Tablet

9.20

1

9.20

1039(E)

01.04.2017

70 Azithromycin

1 ml

2.91

0.95905

2.79

1039(E)

01.04.2017

71 Azithromycin

Oral Liquid 200 mg/5ml Capsule 250 mg

1 Capsule

9.94

0.95905

9.53

1039(E)

01.04.2017

72 Azithromycin

Capsule 500 mg

1 Capsule

15.68

0.95905

15.04

1039(E)

01.04.2017

73 Azithromycin

Tablet 500 mg

1 Tablet

18.82

0.95905

18.05

1010(E)

30.03.2017

74 Azithromycin

Tablet 250 mg

1 Tablet

9.28

0.95905

8.90

1010(E)

30.03.2017

75 Azithromycin

Powder for Injection 500 mg Tablet 10 mg

Each Pack

180.39

0.95905

173.00

1039(E)

01.04.2017

9.75

1

9.75

1039(E)

01.04.2017

76 Baclofen

1 Tablet

Page 6

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

77 Baclofen

Tablet 20 mg

1 Tablet

13.43

1

13.43

1039(E)

01.04.2017

78 Baclofen

Tablet 5 mg

1 Tablet

5.03

1

5.03

1039(E)

01.04.2017

79 Benzathine benzylpenicillin

Each Pack

11.49

0.95905

11.02

1039(E)

01.04.2017

Each Pack

7.61

0.95905

7.30

1039(E)

01.04.2017

81 Benzoyl Peroxide

Powder for Injection 12 lac units Powder for Injection 6 lac units Gel 2.5%

1 gm

3.55

0.95905

3.40

1039(E)

01.04.2017

82 Benzoyl Peroxide

Cream 2.5%

1 gm

2.22

0.95905

2.13

1039(E)

01.04.2017

83 Betamethasone

Cream 0.05%

1 gm

0.55

0.95905

0.53

1039(E)

01.04.2017

84 Betamethasone

Injection 4 mg/ml

1 ml

3.97

0.95905

3.81

1039(E)

01.04.2017

85 Betamethasone

Gel 0.05%

1 gm

0.50

0.95905

0.48

1039(E)

01.04.2017

86 Bicalutamide

Tablet 50 mg

1 Tablet

64.91

0.95905

62.25

1039(E)

01.04.2017

87 Bisacodyl

Tablet 5 mg

1 Tablet

0.95

0.95905

0.91

1039(E)

01.04.2017

88 Bisacodyl

Suppository 5 mg

1 Suppository

7.98

0.95905

7.65

1039(E)

01.04.2017

89 Bleomycin

Powder for Injection 15 Units Powder for Injection 2 mg Inhalation (MDI/DPI) 100 mcg/dose

Each Pack

563.26

0.95905

540.19

1039(E)

01.04.2017

Each Pack

11,636.60

0.95905

11,160.08

1039(E)

01.04.2017

1.24

0.95905

1.19

1039(E)

01.04.2017

80 Benzathine benzylpenicillin

90 Bortezomib 91 Budesonide

1 Dose

Page 7

Sl No

Medicines

92 Budesonide

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

1.53

0.95905

1.47

1039(E)

01.04.2017

1 ml

10.13

0.95905

9.72

1039(E)

01.04.2017

1 ml

12.22

0.95905

11.72

1039(E)

01.04.2017

1 Dose

0.85

0.95905

0.82

1333(E)

27.04.2017

1 Dose

0.96

0.95905

0.92

1333(E)

27.04.2017

1 Dose

2.79

0.95905

2.68

1039(E)

01.04.2017

1 Dose

2.23

0.95905

2.14

1039(E)

01.04.2017

1 Dose

1.77

0.95905

1.70

1039(E)

01.04.2017

1 Dose

100 Bupivacaine

Inhalation (MDI/DPI) 200 mcg/dose Respiratory Solution for use in Nebulizer 0.5 mg/ml Respiratory Solution for use in Nebulizer 1 mg/ml Nasal Spray 100 mcg/dose Nasal Spray 50 mcg/dose Inhalation (MDI/DPI) 400 mcg (A) + 6 mcg (B) Inhalation (MDI/DPI) 200 mcg (A) + 6 mcg (B) Inhalation (MDI/DPI) 100 mcg (A) + 6 mcg (B) Injection 0.25%

1 ml

2.31

0.95905

2.22

1039(E)

01.04.2017

101 Bupivacaine

Injection 0.50%

1 ml

3.71

0.95905

3.56

1039(E)

01.04.2017

102 Bupivacaine

Injection 0.5% with 7.5% glucose

1 ml

5.88

0.95905

5.64

1039(E)

01.04.2017

93 Budesonide

94 Budesonide

95 Budesonide 96 Budesonide 97 Budesonide (A)+ Formoterol (B)

98 Budesonide (A)+ Formoterol (B)

99 Budesonide (A)+ Formoterol (B)

Page 8

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

103 Caffeine

Injection 20 mg/ml

1 ml

237.48

0.95905

227.76

1039(E)

01.04.2017

104 Caffeine

1 ml

201.70

0.95905

193.44

1039(E)

01.04.2017

105 Calamine

Oral Liquid 20 mg/ml Lotion (As per IP)

1 ml

0.80

0.95905

0.77

1039(E)

01.04.2017

106 Calcium folinate

Tablet 15 mg

1 Tablet

37.02

0.95905

35.50

1039(E)

01.04.2017

107 Capecitabine

Tablet 500 mg

1 Tablet

119.58

0.95905

114.68

1039(E)

01.04.2017

108 Capreomycin

Each Pack

327.72

0.95905

314.30

1039(E)

01.04.2017

109 Carbamazepine

Powder for Injection 1 gm CR Tablet 200 mg

1 Tablet

1.47

0.95905

1.41

1039(E)

01.04.2017

110 Carbamazepine

CR Tablet 400 mg

1 Tablet

2.89

0.95905

2.77

1039(E)

01.04.2017

111 Carbamazepine

Tablet 400 mg

1 Tablet

3.13

0.95905

3.00

1039(E)

01.04.2017

112 Carbamazepine

Tablet 200 mg

1 Tablet

1.31

0.95905

1.26

1039(E)

01.04.2017

113 Carbamazepine

1 ml

0.18355

0.95905

0.17603

1039(E)

01.04.2017

114 Carbamazepine

Oral Liquid 100 mg/5ml Tablet 100 mg

1 Tablet

0.65

0.95905

0.62

1039(E)

01.04.2017

115 Carbimazole

Tablet 10 mg

1 Tablet

3.49

0.95905

3.35

1039(E)

01.04.2017

116 Carbimazole

Tablet 5 mg

1 Tablet

1.79

0.95905

1.72

1039(E)

01.04.2017

117 Carboplatin

Injection 10 mg/ml

1 ml

50.35

0.95905

48.29

1039(E)

01.04.2017

118 Carboxymethylcellulose

Drops 0.5%

1 ml

12.08

0.95905

11.59

1039(E)

01.04.2017

119 Carboxymethylcellulose

Drops 1%

1 ml

16.76

0.95905

16.07

1039(E)

01.04.2017

Page 9

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

120 Cefadroxil

Tablet 500 mg

1 Tablet

3.82

0.95905

3.66

1039(E)

01.04.2017

121 Cefadroxil

1 ml

0.59

0.95905

0.57

1039(E)

01.04.2017

122 Cefadroxil

Oral Liquid 125 mg/5ml Capsule 500 mg

1 Capsule

6.77

0.95905

6.49

1039(E)

01.04.2017

123 Cefadroxil

Tablet 1 gm

1 Tablet

5.94

0.95905

5.70

1039(E)

01.04.2017

124 Cefazolin

Powder for Injection 1 gm Powder for Injection 500 mg Tablet 400 mg

Each Pack

23.23

0.95905

22.28

1039(E)

01.04.2017

Each Pack

14.72

0.95905

14.12

1039(E)

01.04.2017

1 Tablet

20.88

0.95905

20.02

1039(E)

01.04.2017

1 ml

2.03

0.95905

1.95

1039(E)

01.04.2017

1 ml

1.37

0.95905

1.31

1039(E)

01.04.2017

129 Cefixime

Oral Liquid 100 mg/5ml Oral Liquid 50 mg/5ml Tablet 200 mg

1 Tablet

8.65

0.95905

8.30

1039(E)

01.04.2017

130 Cefixime

Capsule 400 mg

1 Capsule

27.66

0.95905

26.53

1039(E)

01.04.2017

131 Cefixime

Capsule 200 mg

1 Capsule

13.65

0.95905

13.09

1039(E)

01.04.2017

132 Cefotaxime

Powder for Injection 1 gm Powder for Injection 500 mg Powder for Injection 250 mg Powder for Injection 250 mg

Each Pack

32.48

0.95905

31.15

1039(E)

01.04.2017

Each Pack

19.42

0.95905

18.62

1039(E)

01.04.2017

Each Pack

14.76

0.95905

14.16

1039(E)

01.04.2017

Each Pack

61.58

0.95905

59.06

1039(E)

01.04.2017

125 Cefazolin 126 Cefixime 127 Cefixime 128 Cefixime

133 Cefotaxime 134 Cefotaxime 135 Ceftazidime

Page 10

Sl No

Medicines

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

Each Pack

198.02

0.95905

189.91

1039(E)

01.04.2017

Each Pack

121.24

0.95905

116.28

1039(E)

01.04.2017

Each Pack

42.65

0.95905

40.90

1039(E)

01.04.2017

Each Pack

48.74

0.95905

46.74

1271(E)

21.04.2017

Each Pack

23.35

0.95905

22.39

1039(E)

01.04.2017

1 ml

0.56

0.95905

0.54

1039(E)

01.04.2017

142 Cetirizine

Powder for Injection 1 gm Powder for Injection 2 gm Powder for Injection 500 mg Powder for Injection 1 gm Powder for Injection 250 mg Oral Liquid 5 mg/5ml Tablet 10 mg

1 Tablet

1.56

0.95905

1.50

1039(E)

01.04.2017

143 Cetirizine

Capsule 10 mg

1 Capsule

2.25

0.95905

2.16

1039(E)

01.04.2017

144 Cetrimide

1 ml

0.30

0.95905

0.29

1039(E)

01.04.2017

145 Chlorambucil

Solution 20% (concentrate for dilution) Tablet 5 mg

1 Tablet

75.26

0.95905

72.18

1039(E)

01.04.2017

146 Chlorambucil

Tablet 2 mg

1 Tablet

33.49

0.95905

32.12

1039(E)

01.04.2017

147 Chloroquine

1 ml

0.27

1

0.27

1039(E)

01.04.2017

148 Chloroquine

Oral Liquid 50 mg/5ml Tablet 150 mg

1 Tablet

0.60

1

0.60

1039(E)

01.04.2017

149 Chlorpheniramine

Tablet 4 mg

1 Tablet

0.08682

0.95905

0.08326

1039(E)

01.04.2017

150 Cholecalciferol

Tablet 1000 IU

1 Tablet

3.55

0.95905

3.40

1039(E)

01.04.2017

151 Cholecalciferol

Oral Liquid 400 IU/ml

1 ml

2.23

0.95905

2.14

1039(E)

01.04.2017

136 Ceftazidime 137 Ceftriaxone 138 Ceftriaxone 139 Ceftriaxone 140 Ceftriaxone 141 Cetirizine

Dosage form and Strength

Page 11

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

4.51

0.95905

4.33

1039(E)

01.04.2017

152 Cholecalciferol

Capsule 1000 IU

1 Capsule

153 Cholecalciferol

Tablet 60000 IU

1 Tablet

22.94

0.95905

22.00

1039(E)

01.04.2017

154 Cholecalciferol

Capsule 60000 IU

1 Capsule

27.94

0.95905

26.80

1039(E)

01.04.2017

155 Ciprofloxacin

Tablet 250 mg

1 Tablet

1.65

0.95905

1.58

1039(E)

01.04.2017

156 Ciprofloxacin

Tablet 500 mg

1 Tablet

3.37

0.95905

3.23

1039(E)

01.04.2017

157 Ciprofloxacin

1 ml

0.15968

0.95905

0.15314

1039(E)

01.04.2017

158 Ciprofloxacin

Injection 200 mg/100ml Drops 0.30%

1 ml

1.44

0.95905

1.38

1039(E)

01.04.2017

159 Ciprofloxacin

Ointment 0.3%

1 gm

1.06

0.95905

1.02

1039(E)

01.04.2017

160 Ciprofloxacin

1 ml

0.59

0.95905

0.57

1008(E)

31.3.2017

161 Cisplatin

Oral Liquid 250 mg/5ml Injection 1 mg/ml

1 ml

6.52

0.95905

6.25

1039(E)

01.04.2017

162 Clarithromycin

Tablet 250 mg

1 Tablet

26.49

0.95905

25.41

1039(E)

01.04.2017

163 Clarithromycin

Tablet 500 mg

1 Tablet

46.69

0.95905

44.78

1039(E)

01.04.2017

164 Clarithromycin

1 ml

4.09

0.95905

3.92

1039(E)

01.04.2017

165 Clindamycin

Oral Liquid 125 mg/5ml Capsule 150 mg

1 Capsule

13.13

0.95905

12.59

1039(E)

01.04.2017

166 Clindamycin

Capsule 300 mg

1 Capsule

21.43

0.95905

20.55

1039(E)

01.04.2017

167 Clindamycin

Tablet 300 mg

1 Tablet

13.83

0.95905

13.26

1039(E)

01.04.2017

168 Clobazam

Tablet 10 mg

1 Tablet

8.55

0.95905

8.20

1039(E)

01.04.2017

Page 12

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

169 Clobazam

Tablet 5 mg

1 Tablet

4.86

0.95905

4.66

1039(E)

01.04.2017

170 Clofazimine

Capsule 100 mg

1 Capsule

2.24

1

2.24

1039(E)

01.04.2017

171 Clofazimine

Capsule 50 mg

1 Capsule

1.31

1

1.31

1039(E)

01.04.2017

172 Clomiphene

Capsule 50 mg

1 Capsule

28.97

0.95905

27.78

1687(E)

24.05.2017

173 Clomiphene

Capsule 100 mg

1 Capsule

52.66

0.95905

50.50

1039(E)

01.04.2017

174 Clomiphene

Tablet 50 mg

1 Tablet

7.05

0.95905

6.76

1039(E)

01.04.2017

175 Clomiphene

Tablet 100 mg

1 Tablet

11.07

0.95905

10.62

1039(E)

01.04.2017

176 Clomipramine

Tablet 75 mg

1 Tablet

13.58

0.95905

13.02

1039(E)

01.04.2017

177 Clomipramine

Tablet 25 mg

1 Tablet

5.25

0.95905

5.04

1039(E)

01.04.2017

178 Clomipramine

Tablet 10 mg

1 Tablet

2.38

0.95905

2.28

1039(E)

01.04.2017

179 Clonazepam

Tablet 0.25 mg

1 Tablet

1.73

0.95905

1.66

1039(E)

01.04.2017

180 Clonazepam

Tablet 0.5 mg

1 Tablet

2.94

0.95905

2.82

1039(E)

01.04.2017

181 Clonazepam

Tablet 1 mg

1 Tablet

4.00

0.95905

3.84

1039(E)

01.04.2017

182 Clopidogrel

Tablet 75 mg

1 Tablet

6.57

0.95905

6.30

1039(E)

01.04.2017

183 Clotrimazole

Cream 1%

1 gm

2.57

0.95905

2.46

1871(E)

09.06.2017

184 Clotrimazole

Drops 1%

1 ml

2.87

0.95905

2.75

1039(E)

01.04.2017

185 Clotrimazole

Lotion 1%

1 ml

3.39

0.95905

3.25

1687(E)

24.05.2017

Page 13

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

186 Clotrimazole

Pessary 100 mg

1 Pessary

8.22

0.95905

7.88

1039(E)

01.04.2017

187 Clozapine

Tablet 100 mg

1 Tablet

7.33

0.95905

7.03

1039(E)

01.04.2017

188 Clozapine

Tablet 25 mg

1 Tablet

2.38

0.95905

2.28

1039(E)

01.04.2017

189 Clozapine

Tablet 50 mg

1 Tablet

4.55

0.95905

4.36

1039(E)

01.04.2017

190 Coagulation factor VIII

Powder for Injection 250 IU Powder for Injection 500 IU Tablet 0.5 mg

Each pack

3,389.14

1

3,389.14

1039(E)

01.04.2017

Each Pack

8,316.70

1

8,316.70

1687(E)

24.05.2017

2.94

0.95905

2.82

1039(E)

01.04.2017

7,400.00

1

7,400.00

1041(E)

01.04.2017

30,180.00

1

30,180.00

1041(E)

01.04.2017

0.20394

0.95905

0.19559

1039(E)

01.04.2017

191 Coagulation factor VIII 192 Colchicine

1 Tablet

193 Bare Metal Stents (BMS) 194 Drug Eluting Stents (DES) including metallic DES and Bioresorbable Vascular Scaffold (BVS)/ Biodegradable Stents

195 Co-trimoxazole (Sulphamethoxazole (A)+Trimethoprim (B)] 196 Co-trimoxazole (Sulphamethoxazole (A)+Trimethoprim (B)] 197 Co-trimoxazole (Sulphamethoxazole (A)+Trimethoprim (B)] 198 Cyclophosphamide

Oral Liquid 200 mg (A)+40 mg (B)/5ml

1 ml

Tablet 400 mg (A)+80 mg (B)

1 Tablet

0.49

0.95905

0.47

1039(E)

01.04.2017

Tablet 800 mg (A)+160 mg (B)

1 Tablet

1.00

0.95905

0.96

1039(E)

01.04.2017

Tablet 50 mg

1 Tablet

3.68

1

3.68

1039(E)

01.04.2017

199 Cyclophosphamide

Powder for Injection 500 mg

Each Pack

72.42

1

72.42

1039(E)

01.04.2017

Page 14

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

200 Cycloserine

Capsule 250 mg

1 Capsule

51.37

0.95905

49.27

1039(E)

01.04.2017

201 Cycloserine

Tablet 250 mg

1 Tablet

44.16

0.95905

42.35

1039(E)

01.04.2017

202 Cyclosporine

Capsule 100 mg

1 Capsule

93.01

1

93.01

1039(E)

01.04.2017

203 Cyclosporine

Capsule 50 mg

1 Capsule

47.77

1

47.77

1039(E)

01.04.2017

204 Cyclosporine

1 ml

85.77

1

85.77

1039(E)

01.04.2017

205 Cyclosporine

Oral Liquid 100 mg/ml Capsule 25 mg

1 Capsule

24.96

1

24.96

1039(E)

01.04.2017

206 Cyclosporine

Injection 50 mg/ml

1 ml

244.75

1

244.75

1008(E)

31.3.2017

207 Cytosine arabinoside

Each Pack

464.71

0.95905

445.68

1039(E)

01.04.2017

Each Pack

180.27

0.95905

172.89

1039(E)

01.04.2017

Each Pack

972.31

0.95905

932.49

1039(E)

01.04.2017

Each Pack

415.65

0.95905

398.63

1039(E)

01.04.2017

Each Pack

937.67

0.95905

899.27

1039(E)

01.04.2017

212 Dapsone

Powder for Injection 500 mg Injection 100 mg/ml Powder for Injection 1000 mg Powder for Injection 200 mg Powder for Injection 500 mg Tablet 100 mg

1 Tablet

0.21414

0.95905

0.20537

1009(E)

31.3.2017

213 Darunavir

Tablet 600 mg

1 Tablet

157.93

0.95905

151.46

1039(E)

01.04.2017

214 Dexamethasone

Tablet 0.5 mg

1 Tablet

0.18355

0.95905

0.17603

1039(E)

01.04.2017

215 Dexamethasone

Injection 4 mg/ml

Each Pack (2 ml)

5.38

0.95905

5.16

1039(E)

01.04.2017

208 Cytosine arabinoside 209 Cytosine arabinoside 210 Dacarbazine 211 Dacarbazine

Page 15

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

216 Dexamethasone

Injection 4 mg/ml

217 Dexamethasone

Injection 4 mg/ml

218 Dexamethasone

Injection 4 mg/ml

219 Diazepam

Tablet 2 mg

Each Pack (30 ml) Each Pack (20 ml) Each Pack (10 ml) 1 Tablet

33.38

0.95905

32.01

1039(E)

01.04.2017

24.97

0.95905

23.95

1039(E)

01.04.2017

13.03

0.95905

12.50

1039(E)

01.04.2017

1.42

0.95905

1.36

1039(E)

01.04.2017

220 Diazepam

Tablet 5 mg

1 Tablet

1.35

0.95905

1.29

1039(E)

01.04.2017

221 Diazepam

Suppository 5 mg

1 Suppository

5.65

0.95905

5.42

1039(E)

01.04.2017

222 Diazepam

Injection 5 mg/ml

1 ml

5.73

0.95905

5.50

1039(E)

01.04.2017

223 Diazepam

1 ml

2.59

0.95905

2.48

1039(E)

01.04.2017

224 Diclofenac

Oral Liquid 2 mg/5ml Tablet 50 mg

1 Tablet

1.80

0.95905

1.73

1039(E)

01.04.2017

225 Diclofenac

Injection 25 mg/ml

1 ml

1.38

0.95905

1.32

1039(E)

01.04.2017

226 Diclofenac

Capsule 50 mg

1 Capsule

0.58

0.95905

0.56

1687(E)

24.05.2017

227 Dicyclomine

Injection 10 mg/ml (1ml & 2ml Pack) Injection 10 mg/ml (10ml & 30ml Pack) Tablet 100 mg

1 ml

3.01

0.95905

2.89

1525(E)

11.05.2017

1 ml

1.95

0.95905

1.87

1525(E)

11.05.2017

1 Tablet

1.28

0.95905

1.23

1039(E)

01.04.2017

Oral Liquid 120 mg/5ml Tablet 50 mg

1 ml

0.44

0.95905

0.42

1039(E)

01.04.2017

1 Tablet

0.51

0.95905

0.49

1039(E)

01.04.2017

228 Dicyclomine

229 Diethylcarbamazine 230 Diethylcarbamazine 231 Diethylcarbamazine

Page 16

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

232 Digoxin

Tablet 0.25 mg

1 Tablet

1.13

0.95905

1.08

1039(E)

01.04.2017

233 Digoxin

1 ml

3.16

0.95905

3.03

1334(E)

27.04.2017

234 Diltiazem

Injection 0.25 mg/ml SR Tablet 90 mg

1 Tablet

8.83

0.95905

8.47

1039(E)

01.04.2017

235 Diltiazem

Capsule 90 mg

1 Capsule

9.09

0.95905

8.72

1039(E)

01.04.2017

236 Diltiazem

Tablet 30 mg

1 Tablet

2.27

0.95905

2.18

1039(E)

01.04.2017

237 Diltiazem

Tablet 60 mg

1 Tablet

4.62

0.95905

4.43

1039(E)

01.04.2017

238 Diltiazem

Injection 5 mg/ml

1 ml

2.98

0.95905

2.86

1039(E)

01.04.2017

239 Dinoprostone

Gel 0.5 mg

1 gm

76.69

0.95905

73.55

1039(E)

01.04.2017

240 Dobutamine

Injection 50 mg/ml

Each Pack

35.48

0.95905

34.03

1039(E)

01.04.2017

241 Docetaxel

Powder for Injection 20 mg Powder for Injection 80 mg Tablet 10 mg

Each Pack

2,832.12

0.95905

2,716.14

1039(E)

01.04.2017

Each Pack

10,767.88

0.95905

10,326.94

1039(E)

01.04.2017

1 Tablet

2.28

0.95905

2.19

1039(E)

01.04.2017

1 ml

1.02

0.95905

0.98

1039(E)

01.04.2017

245 Donepezil

Oral Liquid 1 mg/ml Tablet 10 mg

1 Tablet

15.18

0.95905

14.56

1039(E)

01.04.2017

246 Donepezil

Tablet 5 mg

1 Tablet

10.64

0.95905

10.20

1039(E)

01.04.2017

247 Dopamine

Injection 40 mg/ml

1 ml

5.12

0.95905

4.91

1039(E)

01.04.2017

242 Docetaxel 243 Domperidone 244 Domperidone

Page 17

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

33.97

0.95905

32.58

1039(E)

01.04.2017

248 Doxorubicin

Injection 2 mg/ml

1 ml

249 Doxycycline

Capsule 100 mg

1 Capsule

2.37

0.95905

2.27

1039(E)

01.04.2017

250 Doxycycline

Tablet 100 mg

1 Tablet

0.92

0.95905

0.88

1039(E)

01.04.2017

251 DPT + Hib + Hep B vaccine

Per 0.1 ml

72.87

1

72.87

1687(E)

24.05.2017

252 DPT vaccine

Per 0.5 ml

12.85

1

12.85

1688(E)

24.05.2017

253 Efavirenz

Tablet 600 mg

1 Tablet

64.44

1

64.44

1039(E)

01.04.2017

254 Efavirenz

Tablet 200 mg

1 Tablet

20.57

1

20.57

1039(E)

01.04.2017

255 Efavirenz

Capsule 200 mg

1 Capsule

21.85

1

21.85

1039(E)

01.04.2017

256 Efavirenz

Capsule 600 mg

1 Capsule

56.91

1

56.91

1039(E)

01.04.2017

257 Enalapril

Tablet 2.5 mg

1 Tablet

1.82

0.95905

1.75

1039(E)

01.04.2017

258 Enalapril

Tablet 5 mg

1 Tablet

3.03

0.95905

2.91

1039(E)

01.04.2017

259 Enoxaparin

0.1 ml

92.24

1

92.24

1039(E)

01.04.2017

0.1 ml

92.24

1

92.24

1039(E)

01.04.2017

261 Entecavir

Injection 40 mg/0.4ml Injection 60 mg/0.6ml Tablet 0.5 mg

1 Tablet

72.40

0.95905

69.44

1039(E)

01.04.2017

262 Entecavir

Tablet 1 mg

1 Tablet

115.03

0.95905

110.32

1039(E)

01.04.2017

263 Erythropoietin

Injection 10000 IU/ml Injection 2000 IU/ml

Each pack

2,461.35

1

2,461.35

1271(E)

21.04.2017

Each pack

582.98

1

582.98

1271(E)

21.04.2017

260 Enoxaparin

264 Erythropoietin

Page 18

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

265 Escitalopram

Tablet 10 mg

1 Tablet

7.67

0.95905

7.36

1039(E)

01.04.2017

266 Escitalopram

Tablet 20 mg

1 Tablet

12.11

0.95905

11.61

1039(E)

01.04.2017

267 Escitalopram

Tablet 5 mg

1 Tablet

4.33

0.95905

4.15

1039(E)

01.04.2017

268 Ethambutol

Tablet 800 mg

1 Tablet

3.84

0.95905

3.68

1039(E)

01.04.2017

269 Ethambutol

Tablet 600 mg

1 Tablet

3.21

0.95905

3.08

1039(E)

01.04.2017

270 Ethambutol

Tablet 400 mg

1 Tablet

2.18

0.95905

2.09

1039(E)

01.04.2017

271 Ethambutol

Tablet 200 mg

1 Tablet

0.96

0.95905

0.92

1039(E)

01.04.2017

272 Ethinylestradiol

Tablet 0.01 mg

1 Tablet

2.14

0.95905

2.05

1039(E)

01.04.2017

273 Ethinylestradiol

Tablet 0.05 mg

1 Tablet

3.40

0.95905

3.26

1039(E)

01.04.2017

274 Ethinylestradiol (A) + Levonorgestrel (B) 275 Ethionamide

Tablet 0.03 mg (A) + 0.15 mg (B) Tablet 250 mg

1 Tablet

3.13

0.95905

3.00

1039(E)

01.04.2017

1 Tablet

14.94

0.95905

14.33

1039(E)

01.04.2017

276 Etoposide

Injection 20 mg/ml

1 ml

33.92

0.95905

32.53

1039(E)

01.04.2017

277 Etoposide

Capsule 50 mg

1 Capsule

51.44

0.95905

49.33

1333(E)

27.04.2017

278 Fentanyl

1 ml

21.48

0.95905

20.60

1039(E)

01.04.2017

279 Filgrastim

Injection 50mcg/ml Injection 300 mcg

1,298.39

1

1,298.39

1039(E)

01.04.2017

280 Fluconazole

Tablet 400 mg

1 Tablet

29.56

0.95905

28.35

1039(E)

01.04.2017

281 Fluconazole

Injection 200 mg /100 ml

Each Pack

100.69

0.95905

96.57

1039(E)

01.04.2017

Each pack

Page 19

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

282 Fluconazole

Tablet 200 mg

1 Tablet

17.77

0.95905

17.04

1039(E)

01.04.2017

283 Fluconazole

Capsule 100 mg

1 Capsule

23.90

0.95905

22.92

1039(E)

01.04.2017

284 Fluconazole

Capsule 200 mg

1 Capsule

34.54

0.95905

33.13

1039(E)

01.04.2017

285 Fluconazole

Capsule 150 mg

1 Capsule

17.55

0.95905

16.83

1688(E)

24.05.2017

286 Fluconazole

Tablet 150 mg

1 Tablet

11.21

0.95905

10.75

1039(E)

01.04.2017

287 Fluconazole

Tablet 100 mg

1 Tablet

7.55

0.95905

7.24

1039(E)

01.04.2017

288 Flunarizine

Tablet 10 mg

1 Tablet

4.47

0.95905

4.29

1039(E)

01.04.2017

289 Flunarizine

Tablet 5 mg

1 Tablet

2.61

0.95905

2.50

1039(E)

01.04.2017

290 Fluoxetine

Capsule 10 mg

1 Capsule

2.82

0.95905

2.70

1039(E)

01.04.2017

291 Fluoxetine

Capsule 40 mg

1 Capsule

5.24

0.95905

5.03

1039(E)

01.04.2017

292 Fluoxetine

Capsule 60 mg

1 Capsule

9.26

0.95905

8.88

1039(E)

01.04.2017

293 Fluoxetine

Tablet 10 mg

1 Tablet

2.36

0.95905

2.26

1039(E)

01.04.2017

294 Fluoxetine

Tablet 40 mg

1 Tablet

5.05

0.95905

4.84

1039(E)

01.04.2017

295 Fluoxetine

Tablet 60 mg

1 Tablet

7.00

0.95905

6.71

1039(E)

01.04.2017

296 Fluoxetine

Capsule 20 mg

1 Capsule

3.45

0.95905

3.31

1039(E)

01.04.2017

297 Fluoxetine

Tablet 20 mg

1 Tablet

3.75

0.95905

3.60

1039(E)

01.04.2017

298 Fluphenazine

Depot Injection 25 mg/ml

1 ml

47.34

0.95905

45.40

1039(E)

01.04.2017

Page 20

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

299 Folic Acid

Tablet 5 mg

1 Tablet

1.31

0.95905

1.26

1039(E)

01.04.2017

300 Folic Acid

Capsule 5 mg

1 Capsule

5.33

0.95905

5.11

1039(E)

01.04.2017

301 Furosemide

Tablet 40 mg

1 Tablet

0.47

0.95905

0.45

1039(E)

01.04.2017

302 Furosemide

Injection 10 mg/ml

Each Pack

1.03

0.95905

0.99

1039(E)

01.04.2017

303 Fusidic acid

Cream 2%

1 gm

8.63

0.95905

8.28

1039(E)

01.04.2017

304 Ganciclovir

Each Pack

1,531.30

0.95905

1,468.59

1039(E)

01.04.2017

305 Ganciclovir

Powder for Injection 500 mg Capsule 250 mg

1 Capsule

109.09

0.95905

104.62

1008(E)

31.3.2017

306 Gefitinib

Tablet 250 mg

1 Tablet

405.52

0.95905

388.91

1039(E)

01.04.2017

307 Gemcitabine

Each Pack

5,019.49

0.95905

4,813.94

1039(E)

01.04.2017

Each Pack

1,090.42

0.95905

1,045.77

1039(E)

01.04.2017

309 Gentamicin

Powder for Injection 1 gm Powder for Injection 200 mg Injection 40 mg/ml

25.77

0.95905

24.71

1039(E)

01.04.2017

310 Gentamicin

Injection 40 mg/ml

17.00

0.95905

16.30

1039(E)

01.04.2017

311 Gentamicin

Injection 40 mg/ml

4.56

0.95905

4.37

1039(E)

01.04.2017

312 Gentamicin

Injection 40 mg/ml

28.20

0.95905

27.05

1039(E)

01.04.2017

313 Gentamicin

Drops 0.3%

Each Pack (20 ml) Each Pack (10 ml) Each Pack (2 ml) Each Pack (30 ml) 1 ml

0.86

0.95905

0.82

1039(E)

01.04.2017

314 Gentamicin

Injection 10 mg/ml

1 ml

3.00

0.95905

2.88

1009(E)

31.3.2017

308 Gemcitabine

Page 21

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

315 Glimepiride

Tablet 1 mg

1 Tablet

3.40

0.95905

3.26

1039(E)

01.04.2017

316 Glimepiride

Tablet 2 mg

1 Tablet

5.39

0.95905

5.17

1039(E)

01.04.2017

317 Glucose

Injection 5%

100ml Glass

17.06

0.95905

16.36

1039(E)

01.04.2017

318 Glucose

Injection 5%

250ml Glass

23.57

0.95905

22.60

1039(E)

01.04.2017

319 Glucose

Injection 5%

500ml Glass

33.45

0.95905

32.08

1039(E)

01.04.2017

320 Glucose

Injection 5%

1000ml Glass

60.78

0.95905

58.29

1039(E)

01.04.2017

321 Glucose

Injection 5%

15.44

0.95905

14.81

1039(E)

01.04.2017

322 Glucose

Injection 5%

21.29

0.95905

20.42

1039(E)

01.04.2017

323 Glucose

Injection 5%

28.87

0.95905

27.69

1039(E)

01.04.2017

324 Glucose

Injection 5%

49.04

0.95905

47.03

1039(E)

01.04.2017

325 Glucose

Injection 25%

100ml NonGlass 250ml NonGlass 500ml NonGlass 1000ml NonGlass 1 ml

0.16268

0.95905

0.15602

1039(E)

01.04.2017

326 Glucose

Injection 10%

26.58

0.95905

25.49

1688(E)

24.05.2017

327 Glucose

Injection 10%

328 Glucose (A) + Sodium Chloride (B)

Injection 5% (A) + 0.9% (B) Injection 5% (A) + 0.9% (B) Injection 5% (A) + 0.9% (B)

329 Glucose (A) + Sodium Chloride (B) 330 Glucose (A) + Sodium Chloride (B)

Each Pack (500 ml) Each Pack (1000 ml) 100ml Glass

24.43

0.95905

23.43

1688(E)

24.05.2017

17.11

0.95905

16.41

1039(E)

01.04.2017

250ml Glass

23.67

0.95905

22.70

1039(E)

01.04.2017

500ml Glass

33.62

0.95905

32.24

1039(E)

01.04.2017

Page 22

Sl No

Medicines

331 Glucose (A) + Sodium Chloride (B) 332 Glucose (A) + Sodium Chloride (B) 333 Glucose (A) + Sodium Chloride (B) 334 Glucose (A) + Sodium Chloride (B) 335 Glucose (A) + Sodium Chloride (B) 336 Glucose (A) + Sodium Chloride (B)

Dosage form and Strength

Unit

Injection 5% (A) + 0.9% (B) Injection 5% (A) + 0.9% (B) Injection 5% (A) + 0.9% (B) Injection 5% (A) + 0.9% (B) Injection 5% (A) + 0.9% (B) Injection 5% (A) + 0.9% (B)

337 Glucose (A) + Sodium Chloride (B)

Injection 5% (A) + 0.9% (B)

338 Glucose

Injection 5%

339 Glucose

Injection 5%

340 Glyceryl Trinitrate

Injection 5 mg/ml

341 Glyceryl Trinitrate

Sublingual Tablet 0.5 mg Injection 0.2 mg/ml

342 Glycopyrrolate

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

1000ml Glass

61.15

0.95905

58.65

1039(E)

01.04.2017

100ml NonGlass 250ml NonGlass 500ml NonGlass 1000ml NonGlass 500ml Non Glass with special features 1000ml Non Glass with special features 500ml Non Glass with special features 1000ml Non Glass with special features 1 ml

15.46

0.95905

14.83

1039(E)

01.04.2017

21.38

0.95905

20.50

1039(E)

01.04.2017

29.04

0.95905

27.85

1039(E)

01.04.2017

49.42

0.95905

47.40

1039(E)

01.04.2017

64.99

0.95905

62.33

1051(E)

01.04.2017

75.96

0.95905

72.85

1051(E)

01.04.2017

62.53

0.95905

59.97

1051(E)

01.04.2017

72.28

0.95905

69.32

1051(E)

01.04.2017

6.21

0.95905

5.96

1334(E)

27.04.2017

1.71

0.95905

1.64

1039(E)

01.04.2017

11.63

0.95905

11.15

1039(E)

01.04.2017

1 Tablet 1 ml

Page 23

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

343 Griseofulvin

Tablet 250 mg

1 Tablet

1.51

0.95905

1.45

1039(E)

01.04.2017

344 Griseofulvin

Tablet 375 mg

1 Tablet

4.08

0.95905

3.91

1039(E)

01.04.2017

345 Haloperidol

Tablet 1.5 mg

1 Tablet

1.56

0.95905

1.50

1039(E)

01.04.2017

346 Haloperidol

Tablet 5 mg

1 Tablet

3.25

0.95905

3.12

1039(E)

01.04.2017

347 Haloperidol

Tablet 10 mg

1 Tablet

4.17

0.95905

4.00

1039(E)

01.04.2017

348 Haloperidol

Tablet 20 mg

1 Tablet

4.66

0.95905

4.47

1039(E)

01.04.2017

349 Haloperidol

1 ml

1.95

0.95905

1.87

1039(E)

01.04.2017

350 Haloperidol

Oral Liquid 2 mg/ 5ml Injection 5 mg/ml

1 ml

5.52

0.95905

5.29

1039(E)

01.04.2017

351 Halothane

Inhalation

1 ml

5.55

0.95905

5.32

1039(E)

01.04.2017

352 Heparin

Injection 1000 IU/ml Injection 5000 IU/ml

1 ml

14.80

1

14.80

1334(E)

27.04.2017

1 ml

36.73

1

36.73

1688(E)

24.05.2017

1 ml

71.06

1

71.06

1688(E)

24.05.2017

5.64

0.95905

5.41

1039(E)

01.04.2017

3,509.95

0.95905

3,366.22

1334(E)

27.04.2017

353 Heparin 354 Hepatitis B vaccine 355 Homatropine

Drops 2%

1 ml

356 Hormone releasing IUD

1 IUD

357 Human chorionic Gonadotropin

Contains 52 mg of Levonorgestrel Injection 1000 IU

Each Pack

192.84

1

192.84

1039(E)

01.04.2017

358 Human chorionic Gonadotropin

Injection 5000 IU

Each Pack

378.71

1

378.71

1039(E)

01.04.2017

1 ml

139.98

1

139.98

1039(E)

01.04.2017

359 Human Normal Immunoglobulin

Page 24

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

360 Hydrochlorothiazide

Tablet 50 mg

1 Tablet

0.0783

0.95905

0.07509

1039(E)

01.04.2017

361 Hydrochlorothiazide

Tablet 12.5 mg

1 Tablet

0.93

0.95905

0.89

1039(E)

01.04.2017

362 Hydrochlorothiazide

Tablet 25 mg

1 Tablet

1.60

0.95905

1.53

1039(E)

01.04.2017

363 Hydrocortisone

Each Pack

35.31

1

35.31

1039(E)

01.04.2017

364 Hydrocortisone

Powder for Injection 100 mg Injection 100 mg

Each Pack

35.31

1

35.31

1039(E)

01.04.2017

365 Hydrocortisone

Injection 200 mg

Each Pack

54.44

1

54.44

1039(E)

01.04.2017

366 Hydrocortisone

Tablet 10 mg

1 Tablet

5.34

1

5.34

1008(E)

31.3.2017

367 Hydrocortisone

Tablet 5 mg

1 Tablet

2.75

1

2.75

1008(E)

31.3.2017

368 Hydroxychloroquine

Tablet 400 mg

1 Tablet

11.30

0.95905

10.84

1039(E)

01.04.2017

369 Hydroxychloroquine

Tablet 200 mg

1 Tablet

5.61

0.95905

5.38

1039(E)

01.04.2017

370 Hydroxypropyl methylcellulose

Injection 2%

1 ml

35.48

0.95905

34.03

1039(E)

01.04.2017

371 Hydroxyurea

Capsule 500 mg

1 Capsule

11.63

0.95905

11.15

1039(E)

01.04.2017

372 Hyoscine Butylbromide

Tablet 10 mg

1 Tablet

2.82

0.95905

2.70

1039(E)

01.04.2017

373 Hyoscine butylbromide

Injection 20 mg/ml

1 ml

9.86

0.95905

9.46

1039(E)

01.04.2017

374 Ibuprofen

Tablet 200 mg

1 Tablet

0.36

0.95905

0.35

1039(E)

01.04.2017

375 Ibuprofen

Tablet 400 mg

1 Tablet

0.66

0.95905

0.63

1039(E)

01.04.2017

376 Ibuprofen

Oral Liquid 100 mg/5ml

1 ml

0.18

0.95905

0.17

1039(E)

01.04.2017

Page 25

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

1.00

0.95905

0.96

1687(E)

24.05.2017

217.53

0.95905

208.62

1039(E)

01.04.2017

377 Ibuprofen

Capsule 400 mg

1 Capsule

378 Imatinib

Tablet 400 mg

1 Tablet

379 Imatinib

Capsule 100 mg

1 Capsule

73.45

0.95905

70.44

1039(E)

01.04.2017

380 Imatinib

Capsule 400 mg

1 Capsule

241.66

0.95905

231.76

1039(E)

01.04.2017

381 Imatinib

Tablet 100 mg

1 Tablet

75.15

0.95905

72.07

1010(E)

30.03.2017

382 Insulin (Soluble)

Injection 40 IU/ml

1 ml

13.66

1

13.66

1039(E)

01.04.2017

383 Intermediate Acting (NPH) Insulin

Injection 40 IU/ml

1 ml

13.66

1

13.66

1039(E)

01.04.2017

384 Ipratropium

1 ml

2.40

0.95905

2.30

1039(E)

01.04.2017

1 Dose

0.58

0.95905

0.56

1039(E)

01.04.2017

386 Iron sucrose

Respirator solution for use in Nebulizer 250 mcg/ml Inhalation (MDI/DPI) 20 mcg/dose Injection 20 mg/ml

1 ml

50.85

0.95905

48.77

1039(E)

01.04.2017

387 Isoflurane

Inhalation

1 ml

9.48

1

9.48

1039(E)

01.04.2017

388 Isosorbide dinitrate

Tablet 10 mg

1 Tablet

0.70

0.95905

0.67

1039(E)

01.04.2017

389 Isosorbide dinitrate

Tablet 5 mg

1 Tablet

0.72

0.95905

0.69

1039(E)

01.04.2017

390 Isosorbide-5-mononitrate

SR Tablet 30 mg

1 Tablet

4.63

0.95905

4.44

1039(E)

01.04.2017

391 Isosorbide-5-mononitrate

SR Tablet 60 mg

1 Tablet

6.04

0.95905

5.79

1039(E)

01.04.2017

385 Ipratropium

Page 26

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

392 Isosorbide-5-mononitrate

Tablet 10 mg

1 Tablet

1.86

0.95905

1.78

1039(E)

01.04.2017

393 Isosorbide-5-mononitrate

Tablet 20 mg

1 Tablet

2.90

0.95905

2.78

1039(E)

01.04.2017

394 Isosorbide-5-mononitrate

SR Capsule 60 mg

1 Capsule

3.29

0.95905

3.16

1333(E)

27.04.2017

395 Isosorbide-5-mononitrate

SR Capsule 30 mg

1 Capsule

3.32

0.95905

3.18

1333(E)

27.04.2017

396 Ispaghula

Granules/ Husk/ Powder As licensed

1 gm

0.74

0.95905

0.71

1039(E)

01.04.2017

1 IUD

260.87

0.95905

250.19

1688(E)

24.05.2017

Each Pack

36.99

0.95905

35.48

1039(E)

01.04.2017

Each Pack

34.48

0.95905

33.07

1039(E)

01.04.2017

Each Pack

20.19

0.95905

19.36

1039(E)

01.04.2017

401 Ketamine

Powder for Injection 1 gm Powder for Injection 750 mg Powder for Injection 500 mg Injection 50 mg/ml

1 ml

9.88

0.95905

9.48

1039(E)

01.04.2017

402 Ketamine

Injection 10 mg/ml

1 ml

10.02

0.95905

9.61

1039(E)

01.04.2017

403 Labetalol

Injection 5 mg/ml

1 ml

47.96

0.95905

46.00

1039(E)

01.04.2017

404 Lactulose

Oral Liquid 10 g/15 ml Tablet 150 mg (A) + 200 mg (B) + 30 mg(C) Tablet 150 mg (A) + 300 mg (B) Dispersible Tablet 30 mg (A) + 50 mg

1 ml

1.00

1

1.00

1039(E)

01.04.2017

1 Tablet

14.76

0.95905

14.16

1039(E)

01.04.2017

1 Tablet

18.98

0.95905

18.20

1039(E)

01.04.2017

1 Tablet

4.68

0.95905

4.49

1008(E)

31.3.2017

397 IUD containing Copper 398 Kanamycin 399 Kanamycin 400 Kanamycin

405 Lamivudine (A) + Nevirapine (B) + Stavudine (C) 406 Lamivudine (A) + Zidovudine (B) 407 Lamivudine (A)+ Nevirapine (B) + Stavudine (C)

Page 27

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

Each Pack

1,518.86

0.95905

1,456.66

1039(E)

01.04.2017

Each Pack

980.41

0.95905

940.26

1009(E)

31.3.2017

1 Tablet

9.48

0.95905

9.09

1039(E)

01.04.2017

410 Leflunomide

(B) + 6 mg (C) Powder for Injection 10000 KU Powder for Injection 5000KU Tablet 10 mg

411 Leflunomide

Tablet 20 mg

1 Tablet

18.49

0.95905

17.73

1039(E)

01.04.2017

412 Letrozole

Tablet 2.5 mg

1 Tablet

37.00

0.95905

35.48

1039(E)

01.04.2017

413 Levetiracetam

ER Tablet 750 mg

1 Tablet

16.45

0.95905

15.78

1039(E)

01.04.2017

414 Levetiracetam

Tablet 250 mg

1 Tablet

5.54

0.95905

5.31

1039(E)

01.04.2017

415 Levetiracetam

Tablet 500 mg

1 Tablet

11.19

0.95905

10.73

1039(E)

01.04.2017

416 Levetiracetam

Tablet 750 mg

1 Tablet

17.19

0.95905

16.49

1039(E)

01.04.2017

417 Levetiracetam

Injection 100 mg/ml Oral Liquid 100 mg/ml CR Tablet 100 mg (A) + 25 mg (B) Tablet 100 mg (A) + 25 mg (B) Tablet 100 mg (A) + 10 mg (B) Tablet 250 mg (A) + 25 mg (B) CR Tablet 200 mg (A) + 50 mg (B)

1 ml

20.65

0.95905

19.80

1039(E)

01.04.2017

1 ml

3.45

0.95905

3.31

1039(E)

01.04.2017

1 Tablet

3.16

0.95905

3.03

1039(E)

01.04.2017

1 Tablet

2.14

0.95905

2.05

1039(E)

01.04.2017

1 Tablet

1.47

0.95905

1.41

1039(E)

01.04.2017

1 Tablet

3.53

0.95905

3.39

1039(E)

01.04.2017

1 Tablet

3.89

0.95905

3.73

1008(E)

31.3.2017

408 L-Asparaginase 409 L-Asparaginase

418 Levetiracetam 419 Levodopa (A) + Carbidopa (B) 420 Levodopa (A) + Carbidopa (B) 421 Levodopa (A) + Carbidopa (B) 422 Levodopa (A) + Carbidopa (B) 423 Levodopa (A) + Carbidopa (B)

Page 28

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

424 Levofloxacin

Tablet 250 mg

1 Tablet

4.17

0.95905

4.00

1039(E)

01.04.2017

425 Levofloxacin

Tablet 500 mg

1 Tablet

6.35

0.95905

6.09

1039(E)

01.04.2017

426 Levofloxacin

Tablet 750 mg

1 Tablet

10.34

0.95905

9.92

1039(E)

01.04.2017

427 Levonorgestrel

Tablet 0.75 mg

1 Tablet

21.78

0.95905

20.89

1008(E)

31.3.2017

428 Levothyroxine

Tablet 100 mcg

1 Tablet

1.13

0.95905

1.08

1039(E)

01.04.2017

429 Levothyroxine

Tablet 12.5 mcg

1 Tablet

1.28

0.95905

1.23

1039(E)

01.04.2017

430 Levothyroxine

Tablet 125 mcg

1 Tablet

1.45

0.95905

1.39

1039(E)

01.04.2017

431 Levothyroxine

Tablet 150 mcg

1 Tablet

1.46

0.95905

1.40

1039(E)

01.04.2017

432 Levothyroxine

Tablet 25 mcg

1 Tablet

1.24

0.95905

1.19

1039(E)

01.04.2017

433 Levothyroxine

Tablet 50 mcg

1 Tablet

0.93

0.95905

0.89

1039(E)

01.04.2017

434 Levothyroxine

Tablet 75 mcg

1 Tablet

1.23

0.95905

1.18

1039(E)

01.04.2017

435 Levothyroxine

Tablet 88 mcg

1 Tablet

1.45

0.95905

1.39

1039(E)

01.04.2017

436 Lignocaine

Injection 2%

1 ml

0.93

0.95905

0.89

1039(E)

01.04.2017

437 Lignocaine

Injection 1%

Each Pack

7.51

0.95905

7.20

1039(E)

01.04.2017

438 Lignocaine

Injection 2%(Preservative free for IV use) Topical forms 25%

1 ml

0.92

0.95905

0.88

1039(E)

01.04.2017

1 gm or 1 ml

0.99

0.95905

0.95

1039(E)

01.04.2017

439 Lignocaine

Page 29

Sl No

Medicines

440 Lignocaine

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

1 ml

3.48

0.95905

3.34

1009(E)

31.3.2017

1 ml

0.87

0.95905

0.83

1039(E)

01.04.2017

442 Linezolid

Injection 5% with 7.5% Glucose Injection 2% (A) + 1:200000 (5mcg/ml) (B) Tablet 600 mg

1 Tablet

31.26

0.95905

29.98

1039(E)

01.04.2017

443 Lithium

Tablet 300 mg

1 Tablet

1.38

0.95905

1.32

1039(E)

01.04.2017

444 Loperamide

Tablet 2 mg

1 Tablet

1.87

0.95905

1.79

1039(E)

01.04.2017

445 Loperamide

Capsule 2 mg

1 Capsule

3.39

0.95905

3.25

1039(E)

01.04.2017

446 Lopinavir (A) + Ritonavir (B)

1 Tablet

43.12

0.95905

41.35

1039(E)

01.04.2017

1 Tablet

22.25

0.95905

21.34

1008(E)

31.3.2017

448 Lorazepam

Tablet 200 mg (A) + 50 mg (B) Tablet 100 mg (A) + 25 mg (B) Tablet 1 mg

1 Tablet

1.96

0.95905

1.88

1039(E)

01.04.2017

449 Lorazepam

Tablet 2 mg

1 Tablet

2.38

0.95905

2.28

1039(E)

01.04.2017

450 Lorazepam

injection 2 mg/ml

1 ml

7.36

0.95905

7.06

1039(E)

01.04.2017

451 Magnesium Sulphate

1 ml

4.52

0.95905

4.33

1009(E)

31.3.2017

452 Mannitol

Injection 500 mg/ml Injection 20%

1 ml

0.28

0.95905

0.27

1039(E)

01.04.2017

453 Mebendazole

Tablet 100 mg

1 Tablet

2.77

0.95905

2.66

1039(E)

01.04.2017

454 Mebendazole

Oral Liquid 100 mg/5ml Tablet 10 mg

1 ml

0.74

0.95905

0.71

1039(E)

01.04.2017

1 Tablet

5.09

0.95905

4.88

1039(E)

01.04.2017

441 Lignocaine (A) + Adrenaline (B)

447 Lopinavir (A) + Ritonavir (B)

455 Medroxyprogesteroneacetate

Page 30

Sl No

Medicines

456 Mefenamic acid

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

1 ml

0.49

0.95905

0.47

1039(E)

01.04.2017

457 Mefenamic acid

Oral Liquid 100 mg/5ml Tablet 500 mg

1 Tablet

2.31

0.95905

2.22

1039(E)

01.04.2017

458 Mefenamic acid

Tablet 250 mg

1 Tablet

1.82

0.95905

1.75

1039(E)

01.04.2017

459 Mefloquine

Tablet 250 mg

1 Tablet

48.24

0.95905

46.26

1039(E)

01.04.2017

460 Meglumine Diatrizoate

Injection 60%w/v

1 ml

7.82

0.95905

7.50

1009(E)

31.3.2017

461 Meglumine Diatrizoate

Injection 76%w/v

1 ml

9.03

0.95905

8.66

1009(E)

31.3.2017

462 Melphalan

Tablet 5 mg

1 Tablet

152.68

0.95905

146.43

1039(E)

01.04.2017

463 Melphalan

Tablet 2 mg

1 Tablet

89.02

0.95905

85.37

1039(E)

01.04.2017

464 Mesna

Injection 100 mg/ml Controlled Release Tablet 1000 mg Immediate Release Tablet 1000 mg Controlled Release Tablet 500 mg Immediate Release Tablet 500 mg Immediate Release Tablet 750 mg controlled Released Tablet

1 ml

15.22

0.95905

14.60

1039(E)

01.04.2017

1 Tablet

3.45

0.95905

3.31

1039(E)

01.04.2017

1 Tablet

3.41

0.95905

3.27

1039(E)

01.04.2017

1 Tablet

1.80

0.95905

1.73

1039(E)

01.04.2017

1 Tablet

1.42

0.95905

1.36

1039(E)

01.04.2017

1 Tablet

2.88

0.95905

2.76

1039(E)

01.04.2017

1 Tablet

2.27

0.95905

2.18

1039(E)

01.04.2017

465 Metformin 466 Metformin

467 Metformin 468 Metformin

469 Metformin

470 Metformin

Page 31

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

471 Methotrexate

750 mg Injection 25 mg/ml

1 ml

43.64

1

43.64

1039(E)

01.04.2017

472 Methotrexate

Tablet 10 mg

1 Tablet

11.02

1

11.02

1039(E)

01.04.2017

473 Methotrexate

Tablet 7.5 mg

1 Tablet

10.52

1

10.52

1039(E)

01.04.2017

474 Methotrexate

Tablet 2.5 mg

1 Tablet

4.34

1

4.34

1039(E)

01.04.2017

475 Methotrexate

Injection 50 mg/ml

1 ml

36.35

1

36.35

1039(E)

01.04.2017

476 Methotrexate

Tablet 5 mg

1 Tablet

7.60

1

7.60

1039(E)

01.04.2017

477 Methyldopa

Tablet 250 mg

1 Tablet

2.30

0.95905

2.21

1039(E)

01.04.2017

478 Methyldopa

Tablet 500 mg

1 Tablet

4.42

0.95905

4.24

1039(E)

01.04.2017

479 Methylergometrine

1 ml

13.50

0.95905

12.95

1039(E)

01.04.2017

480 Methylergometrine

Injection 0.2 mg/ml Tablet 0.125 mg

1 Tablet

7.49

0.95905

7.18

1039(E)

01.04.2017

481 Methylprednisolone

Tablet 16 mg

1 Tablet

8.44

0.95905

8.09

1039(E)

01.04.2017

482 Methylprednisolone

Tablet 8 mg

1 Tablet

4.83

0.95905

4.63

1039(E)

01.04.2017

483 Methylprednisolone

Injection 40 mg/ml

1 ml

45.41

0.95905

43.55

1039(E)

01.04.2017

484 Metoclopramide

Tablet 10 mg

1 Tablet

1.10

0.95905

1.05

1039(E)

01.04.2017

485 Metoclopramide

Oral Liquid 5 mg/5ml Injection 5 mg/ml (10 ml Pack)

1 ml

0.42

0.95905

0.40

1039(E)

01.04.2017

1 ml

1.35

0.95905

1.29

1009(E)

31.3.2017

486 Metoclopramide

Page 32

Sl No

Medicines

487 Metoclopramide

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

1 ml

2.22

0.95905

2.13

1009(E)

31.3.2017

488 Metoprolol

Injection 5 mg/ml (2 ml Pack) SR Tablet 25 mg

1 Tablet

3.82

0.95905

3.66

1039(E)

01.04.2017

489 Metoprolol

SR Tablet 50 mg

1 Tablet

5.46

0.95905

5.24

1039(E)

01.04.2017

490 Metoprolol

Capsule 50 mg

1 Capsule

6.10

0.95905

5.85

1039(E)

01.04.2017

491 Metoprolol

Capsule 25 mg

1 Capsule

4.00

0.95905

3.84

1039(E)

01.04.2017

492 Metoprolol

Tablet 25 mg

1 Tablet

2.94

0.95905

2.82

1039(E)

01.04.2017

493 Metoprolol

Tablet 50 mg

1 Tablet

4.45

0.95905

4.27

1039(E)

01.04.2017

494 Metronidazole

Tablet 400 mg

1 Tablet

0.76

0.95905

0.73

1039(E)

01.04.2017

495 Metronidazole

Tablet 200 mg

1 Tablet

0.41

0.95905

0.39

1039(E)

01.04.2017

496 Metronidazole

1 ml

0.28

0.95905

0.27

1039(E)

01.04.2017

1 ml

0.12276

0.95905

0.11773

1039(E)

01.04.2017

498 Midazolam

Oral Liquid 200 mg/5ml Injection 500 mg/100 ml Injection 5 mg/ml

1 ml

13.73

0.95905

13.17

1039(E)

01.04.2017

499 Midazolam

Injection 1 mg/ml

1 ml

5.59

0.95905

5.36

1039(E)

01.04.2017

500 Mifepristone

Tablet 200 mg

1 Tablet

304.38

0.95905

291.92

1039(E)

01.04.2017

501 Misoprostol

Tablet 200 mcg

1 Tablet

15.80

0.95905

15.15

1039(E)

01.04.2017

502 Misoprostol

Tablet 100 mcg

1 Tablet

8.24

0.95905

7.90

1039(E)

01.04.2017

503 Morphine

Injection 10 mg/ml

1 ml

22.47

0.95905

21.55

1688(E)

24.05.2017

497 Metronidazole

Page 33

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

5.04

0.95905

4.83

1688(E)

24.05.2017

504 Morphine

Tablet 10 mg

1 Tablet

505 Morphine

Injection 15 mg/ml

1 ml

28.04

0.95905

26.89

1687(E)

24.05.2017

506 Moxifloxacin

Tablet 400 mg

1 Tablet

23.97

0.95905

22.99

1039(E)

01.04.2017

507 Mycophenolate mofetil

Tablet 250 mg

1 Tablet

37.67

1

37.67

1039(E)

01.04.2017

508 Mycophenolate mofetil

Tablet 500 mg

1 Tablet

74.53

1

74.53

1039(E)

01.04.2017

509 N-acetylcysteine

Sachet 200 mg

1 gm

7.13

0.95905

6.84

1039(E)

01.04.2017

510 N-acetylcysteine

Injection 200 mg/ml injection 0.4 mg/ml Drops 5%

1 ml

21.20

0.95905

20.33

1039(E)

01.04.2017

1 ml

82.08

0.95905

78.72

1039(E)

01.04.2017

1 ml

21.58

0.95905

20.70

1039(E)

01.04.2017

1 ml

4.12

0.95905

3.95

1039(E)

01.04.2017

514 Neostigmine

injection 0.5 mg/ml Tablet 15 mg

1 Tablet

4.41

0.95905

4.23

1039(E)

01.04.2017

515 Nevirapine

Tablet 200 mg

1 Tablet

13.54

0.95905

12.99

1039(E)

01.04.2017

516 Nevirapine

1 ml

0.79

0.95905

0.76

1039(E)

01.04.2017

517 Nifedipine

Oral Liquid 50 mg/5ml Tablet 10 mg

1 Tablet

1.17

0.95905

1.12

1039(E)

01.04.2017

518 Nifedipine

Capsule 10 mg

1 Capsule

0.81

0.95905

0.78

1039(E)

01.04.2017

519 Nitrofurantoin

Oral Liquid 25 mg/5ml Tablet 100 mg

1 ml

0.77

0.95905

0.74

1039(E)

01.04.2017

1 Tablet

6.84

0.95905

6.56

1039(E)

01.04.2017

511 Naloxone 512 Natamycin 513 Neostigmine

520 Nitrofurantoin

Page 34

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

6.64

0.95905

6.37

1039(E)

01.04.2017

24.38

0.95905

23.38

1333(E)

27.04.2017

521 Nitrofurantoin

Capsule 100 mg

1 Capsule

522 Noradrenaline

Injection 2 mg/ml

1 ml

523 Norethisterone

Tablet 5 mg

1 Tablet

4.84

0.95905

4.64

1039(E)

01.04.2017

524 Omeprazole

Capsule 20 mg

1 Capsule

2.36

0.95905

2.26

1039(E)

01.04.2017

525 Omeprazole

Tablet 40 mg

1 Tablet

7.89

0.95905

7.57

1039(E)

01.04.2017

526 Omeprazole

Capsule 40 mg

1 Capsule

4.67

0.95905

4.48

1039(E)

01.04.2017

527 Omeprazole

Tablet 20 mg

1 Tablet

4.66

0.95905

4.47

1039(E)

01.04.2017

528 Omeprazole

1 gm

1.16

0.95905

1.11

1039(E)

01.04.2017

529 Omeprazole

Powder for oral Liquid 20 mg Tablet 10 mg

1 Tablet

4.19

0.95905

4.02

1039(E)

01.04.2017

530 Omeprazole

Capsule 10 mg

1 Capsule

2.00

0.95905

1.92

1039(E)

01.04.2017

531 Ondansetron

Tablet 4 mg

1 Tablet

4.44

1

4.44

1039(E)

01.04.2017

532 Ondansetron

Injection 2 mg/ml

1 ml

5.54

1

5.54

1039(E)

01.04.2017

533 Ondansetron

Tablet 8 mg

1 Tablet

9.24

1

9.24

1039(E)

01.04.2017

534 Ondansetron

1 ml

1.06

1

1.06

1039(E)

01.04.2017

535 Oral Rehydration Salts

Oral Liquid 2 mg/5ml As Licensed

1 ml

0.12897

1

0.12897

1039(E)

01.04.2017

536 Oral Rehydration Salts

As Licensed

1 gm

0.72

1

0.72

1039(E)

01.04.2017

537 Oxytocin

Injection 5IU/ml

1 ml

16.69

0.95905

16.01

1039(E)

01.04.2017

Page 35

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

538 Oxytocin

Injection 10 IU/ml

1 ml

37.27

0.95905

35.74

1009(E)

31.3.2017

539 Paclitaxel

1 ml

211.16

0.95905

202.51

1039(E)

01.04.2017

1 ml

211.16

0.95905

202.51

1039(E)

01.04.2017

541 Pantoprazole

Injection 30 mg / 5ml Injection 100 mg/16.7 ml Injection 40 mg

42.13

0.95905

40.40

1039(E)

01.04.2017

542 Paracetamol

Tablet 650 mg

1 Tablet

1.74

0.95905

1.67

1039(E)

01.04.2017

543 Paracetamol

Tablet 500 mg

1 Tablet

0.85

0.95905

0.82

1039(E)

01.04.2017

544 Paracetamol

Oral Liquid 250 mg/5ml Oral Liquid 120 mg/5ml Suppository 80 mg

1 ml

0.57

0.95905

0.55

1039(E)

01.04.2017

1 ml

0.50

0.95905

0.48

1039(E)

01.04.2017

Each Suppository Each Suppository 1 ml

6.16

0.95905

5.91

1039(E)

01.04.2017

7.28

0.95905

6.98

1039(E)

01.04.2017

0.32

0.95905

0.31

1039(E)

01.04.2017

Each Pack (2 ml) Each Pack ( 0.5 ml) Each Pack (1 ml) Each Pack (3 ml) Each Pack (4 ml)

6.10

0.95905

5.85

1039(E)

01.04.2017

2.90

0.95905

2.78

1687(E)

24.05.2017

3.97

0.95905

3.81

1687(E)

24.05.2017

8.24

0.95905

7.90

1687(E)

24.05.2017

10.37

0.95905

9.95

1687(E)

24.05.2017

540 Paclitaxel

545 Paracetamol 546 Paracetamol 547 Paracetamol 548 Paracetamol 549 Paracetamol 550 Paracetamol 551 Paracetamol 552 Paracetamol 553 Paracetamol

Suppository 170 mg Oral Liquid 125 mg/5ml Injection 150 mg/ml Injection 150 mg/ml Injection 150 mg/ml Injection 150 mg/ml Injection 150 mg/ml

Each Pack

Page 36

Sl No

Medicines

554 Paracetamol

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

12.51

0.95905

12.00

1687(E)

24.05.2017

16.78

0.95905

16.09

1687(E)

24.05.2017

0.55

0.95905

0.53

1039(E)

01.04.2017

1 ml

0.48

0.95905

0.46

1039(E)

01.04.2017

1 ml

0.49

0.95905

0.47

1039(E)

01.04.2017

1 ml

0.60

0.95905

0.58

1039(E)

01.04.2017

Each Pack (5 ml) Each Pack (7 ml) 1 ml

560 Pegylated interferon alfa 2a

Injection 150 mg/ml Injection 150 mg/ml Oral Liquid 150 mg/5ml Oral Liquid 100 mg/5ml Oral Liquid 650 mg/5ml Oral Liquid 500 mg/5ml Injection 180mcg

Each Pack

7,486.68

1

7,486.68

1008(E)

31.3.2017

561 Pegylated interferon alfa 2b

Injection 100mcg

Each Pack

14,802.08

1

14,802.08

1039(E)

01.04.2017

562 Pegylated interferon alfa 2b

Injection 80mcg

Each Pack

11,833.84

1

11,833.84

1039(E)

01.04.2017

563 Pegylated interferon alfa 2b

Injection 120mcg

Each Pack

13,784.92

1

13,784.92

1008(E)

31.3.2017

564 Penicillamine

Capsule 250 mg

1 Capsule

13.49

0.95905

12.94

1039(E)

01.04.2017

565 Permethrin

Cream 5%

1 gm

1.65

0.95905

1.58

1039(E)

01.04.2017

566 Permethrin

Lotion 1%

1 gm

0.86

0.95905

0.82

1039(E)

01.04.2017

567 Permethrin

Cream 1%

1 gm

1.52

0.95905

1.46

1687(E)

24.05.2017

568 Permethrin

Gel 5%

1 gm

1.38

0.95905

1.32

1687(E)

24.05.2017

569 Permethrin

Lotion 5%

1 ml

0.92

0.95905

0.88

1687(E)

24.05.2017

570 Pheniramine

Injection 22.75 mg/ml(10ml)

1 ml

1.06

0.95905

1.02

1569(E)

15.05.2017

555 Paracetamol 556 Paracetamol 557 Paracetamol 558 Paracetamol 559 Paracetamol

Page 37

Sl No

Medicines

571 Pheniramine

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

1 ml

1.44

0.95905

1.38

1569(E)

15.05.2017

572 Phenobarbitone

Injection 22.75 mg/ml (2ml) Tablet 60 mg

1 Tablet

1.67

0.95905

1.60

1039(E)

01.04.2017

573 Phenobarbitone

Tablet 30 mg

1 Tablet

1.16

0.95905

1.11

1569(E)

15.05.2017

574 Phenobarbitone

1 ml

18.13

0.95905

17.39

1039(E)

01.04.2017

1 ml

0.36

0.95905

0.35

1039(E)

01.04.2017

576 Phenytoin

Injection 200 mg/ml Oral Liquid 20 mg/5ml ER Tablet 300 mg

1 Tablet

5.50

0.95905

5.27

1039(E)

01.04.2017

577 Phenytoin

Tablet 300 mg

1 Tablet

4.48

0.95905

4.30

1039(E)

01.04.2017

578 Phenytoin

Tablet 50 mg

1 Tablet

0.71

0.95905

0.68

1039(E)

01.04.2017

579 Phenytoin

injection 25 mg/ml

1 ml

2.38

0.95905

2.28

1039(E)

01.04.2017

580 Phenytoin

1 ml

0.84

0.95905

0.81

1039(E)

01.04.2017

581 Phenytoin

Oral Liquid 125 mg/5ml Capsule 300 mg

1 Capsule

3.61

0.95905

3.46

1039(E)

01.04.2017

582 Phenytoin

ERCapsule 300 mg

1 Capsule

3.61

0.95905

3.46

1039(E)

01.04.2017

583 Phenytoin

Capsule 100 mg

1 Capsule

1.44

0.95905

1.38

1039(E)

01.04.2017

584 Phenytoin

1 ml

0.28

0.95905

0.27

1039(E)

01.04.2017

585 Phenytoin

Oral Liquid 30 mg/5ml Tablet 100 mg

1 Tablet

1.47

0.95905

1.41

1010(E)

30.03.2017

586 Phenytoin

Injection 50 mg/ml

1 ml

5.08

0.95905

4.87

1039(E)

01.04.2017

575 Phenobarbitone

Page 38

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

9.56

1

9.56

1039(E)

01.04.2017

587 Pilocarpine

Drops 2%

1 ml

588 Piperacillin (A) + Tazobactam (B)

Each Pack

83.64

0.95905

80.21

1039(E)

01.04.2017

Each Pack

197.86

0.95905

189.76

1039(E)

01.04.2017

Each Pack

415.63

0.95905

398.61

1039(E)

01.04.2017

1 ml

2.29

0.95905

2.20

1039(E)

01.04.2017

1 ml

0.27

0.95905

0.26

1039(E)

01.04.2017

593 Povidone iodine

Powder for Injection 1 g (A) + 125 mg (B) Powder for Injection 2 g (A) + 250 mg (B) Powder for Injection 4 g (A) + 500 mg (B) Injection 150 mg/ml Oral Liquid 500 mg/5ml Solution 7.5%

1 ml

0.74

0.95905

0.71

1039(E)

01.04.2017

594 Povidone iodine

Solution 5%

1 ml

0.34

0.95905

0.33

1039(E)

01.04.2017

595 Povidone iodine

Solution 4%

1 ml

1.65

0.95905

1.58

1039(E)

01.04.2017

596 Povidone iodine

Solution 10%

1 ml

0.67

0.95905

0.64

1039(E)

01.04.2017

597 Pralidoxime chloride (2-PAM)

Injection 25 mg/ml

1 ml

3.52

0.95905

3.38

1039(E)

01.04.2017

598 Prednisolone

Drops 1%

1 ml

3.18

0.95905

3.05

1039(E)

01.04.2017

599 Prednisolone

1 ml

0.41

0.95905

0.39

1039(E)

01.04.2017

600 Prednisolone

Oral Liquid 5 mg / 5ml Tablet 5 mg

1 Tablet

0.53

0.95905

0.51

1039(E)

01.04.2017

601 Prednisolone

Tablet 10 mg

1 Tablet

0.92

0.95905

0.88

1039(E)

01.04.2017

589 Piperacillin (A) + Tazobactam (B)

590 Piperacillin (A) + Tazobactam (B)

591 Potassium chloride 592 Potassium chloride

Page 39

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

602 Prednisolone

Tablet 20 mg

1 Tablet

1.85

0.95905

1.77

1039(E)

01.04.2017

603 Prednisolone

Oral Liquid 15 mg / 5ml Injection 20 mg/2ml Tablet 40 mg

1 ml

0.72

0.95905

0.69

1039(E)

01.04.2017

1 ml

3.39

0.95905

3.25

1009(E)

31.3.2017

1 Tablet

2.66

0.95905

2.55

1008(E)

31.3.2017

Injection 40 IU /ml

1 ml

13.66

1

13.66

1039(E)

01.04.2017

1 gm

19.34

0.95905

18.55

1039(E)

01.04.2017

608 Primaquine

Cream 2.5% (A) + 2.5% (B ) Tablet 15 mg

1 Tablet

4.34

0.95905

4.16

1039(E)

01.04.2017

609 Primaquine

Tablet 7.5 mg

1 Tablet

2.00

0.95905

1.92

1039(E)

01.04.2017

610 Primaquine

Tablet 2.5 mg

1 Tablet

1.47

0.95905

1.41

1039(E)

01.04.2017

611 Procarbazine

Capsule 50 mg

1 Capsule

31.37

0.95905

30.09

1039(E)

01.04.2017

612 Procarbazine

Tablet 50 mg

1 Tablet

42.74

0.95905

40.99

1039(E)

01.04.2017

613 Proparacaine

Drops 0.5%

1 ml

9.44

0.95905

9.05

1039(E)

01.04.2017

614 Propofol

Injection 10 mg/ml

1 ml

6.83

0.95905

6.55

1039(E)

01.04.2017

615 Propranolol

Tablet 80 mg

1 Tablet

4.72

0.95905

4.53

1039(E)

01.04.2017

616 Propranolol

Capsule 80 mg

1 Capsule

5.46

0.95905

5.24

1039(E)

01.04.2017

617 Propranolol

Tablet 10 mg

1 Tablet

1.09

0.95905

1.05

1039(E)

01.04.2017

604 Prednisolone 605 Prednisolone 606 Premix Insulin 30:70 Injection (Regular:NPH) 607 Prilocaine (A) + Lignocaine (B)

Page 40

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

618 Propranolol

Capsule 40 mg

1 Capsule

3.60

0.95905

3.45

1039(E)

01.04.2017

619 Propranolol

Tablet 40 mg

1 Tablet

2.61

0.95905

2.50

1039(E)

01.04.2017

620 Protamine

Injection 10 mg/ml

1 ml

8.39

0.95905

8.05

1039(E)

01.04.2017

621 Pyrazinamide

Tablet 500 mg

1 Tablet

3.84

0.95905

3.68

1039(E)

01.04.2017

622 Pyrazinamide

Tablet 750 mg

1 Tablet

5.84

0.95905

5.60

1039(E)

01.04.2017

623 Pyrazinamide

Tablet 1000 mg

1 Tablet

8.56

0.95905

8.21

1039(E)

01.04.2017

624 Pyrazinamide

Tablet 1500 mg

1 Tablet

9.47

0.95905

9.08

1039(E)

01.04.2017

625 Pyrazinamide

1 ml

0.56

0.95905

0.54

1008(E)

31.3.2017

626 Pyridoxine

Oral Liquid 250 mg/5ml Tablet 100 mg

1 Tablet

5.30

0.95905

5.08

1039(E)

01.04.2017

627 Quinine

Tablet 300 mg

1 Tablet

5.19

0.95905

4.98

1039(E)

01.04.2017

628 Quinine

Injection 300 mg/ml

1 ml

9.22

0.95905

8.84

1039(E)

01.04.2017

Each Pack

310.08

1

310.08

1039(E)

01.04.2017

629 Rabies Vaccine 630 Raltegravir

Tablet 400 mg

1 Tablet

142.00

0.95905

136.19

1039(E)

01.04.2017

631 Ramipril

Tablet 2.5 mg

1 Tablet

4.70

0.95905

4.51

1039(E)

01.04.2017

632 Ramipril

Tablet 5 mg

1 Tablet

7.42

0.95905

7.12

1039(E)

01.04.2017

633 Ramipril

Capsule 2.5 mg

1 Capsule

4.47

0.95905

4.29

1039(E)

01.04.2017

634 Ramipril

Capsule 5 mg

1 Capsule

6.99

0.95905

6.70

1039(E)

01.04.2017

Page 41

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

635 Ranitidine

Tablet 150 mg

1 Tablet

0.70

0.95905

0.67

1039(E)

01.04.2017

636 Ranitidine

1 ml

0.55

0.95905

0.53

1039(E)

01.04.2017

637 Ranitidine

Oral Liquid 75 mg/5ml Injection 25 mg/ml

1 ml

1.51

0.95905

1.45

1039(E)

01.04.2017

638 Ribavirin

Capsule 200 mg

1 Capsule

75.90

1

75.90

1039(E)

01.04.2017

639 Rifampicin

Capsule 600 mg

1 Capsule

10.98

0.95905

10.53

1039(E)

01.04.2017

640 Rifampicin

1 ml

0.37

0.95905

0.35

1010(E)

30.03.2017

641 Rifampicin

Oral Liquid 100 mg/5ml Capsule 150 mg

1 Capsule

1.90

0.95905

1.82

1010(E)

30.03.2017

642 Rifampicin

Capsule 300 mg

1 Capsule

3.60

0.95905

3.45

1010(E)

30.03.2017

643 Rifampicin

Tablet 150 mg

1 Tablet

1.53

0.95905

1.47

1688(E)

24.05.2017

644 Rifampicin

Tablet 300 mg

1 Tablet

2.77

0.95905

2.66

1039(E)

01.04.2017

645 Rifampicin

Capsule 450 mg

1 Capsule

4.67

0.95905

4.48

1010(E)

30.03.2017

646 Risperidone

Tablet 1 mg

1 Tablet

2.91

0.95905

2.79

1039(E)

01.04.2017

647 Risperidone

Tablet 2 mg

1 Tablet

4.66

0.95905

4.47

1039(E)

01.04.2017

648 Risperidone

Tablet 4 mg

1 Tablet

9.47

0.95905

9.08

1039(E)

01.04.2017

649 Risperidone

1 ml

1.82

0.95905

1.75

1039(E)

01.04.2017

650 Ritonavir

Oral Liquid 1 mg/ml Tablet 100 mg

1 Tablet

27.45

0.95905

26.33

1039(E)

01.04.2017

651 Ritonavir

Capsule 100 mg

1 Capsule

26.70

0.95905

25.61

1039(E)

01.04.2017

Page 42

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

652 Rituximab

Injection 10 mg/ml

1 ml

717.63

0.95905

688.24

1039(E)

01.04.2017

653 Salbutamol

1 ml

0.67

0.95905

0.64

1039(E)

01.04.2017

654 Salbutamol

Respirator solution for use in Nebulizer 5 mg/ml Tablet 4 mg

1 Tablet

0.17335

0.95905

0.16625

1039(E)

01.04.2017

655 Salbutamol

Tablet 2 mg

1 Tablet

0.15131

0.95905

0.14511

1039(E)

01.04.2017

656 Salbutamol

Capsule 4 mg

1 Capsule

0.57

0.95905

0.55

1039(E)

01.04.2017

657 Salbutamol

Oral Liquid 2 mg/5ml Inhalation (MDI/DPI) 100 mcg/dose Ointment 6%

1 ml

0.15

0.95905

0.14

1039(E)

01.04.2017

1 Dose

0.38

0.95905

0.36

1039(E)

01.04.2017

1 gm

1.70

0.95905

1.63

1039(E)

01.04.2017

660 Snake venom antiserum Soluble/liquid polyvalent 661 Snake venom antiserumLyophilized polyvalent 662 Sodium Bicarbonate

Injection

10 ml Pack

351.44

0.95905

337.05

1334(E)

27.04.2017

Powder for Injection Injection 8.4%

10 ml Pack

527.21

0.95905

505.62

1688(E)

24.05.2017

1 ml

1.22

0.95905

1.17

1039(E)

01.04.2017

663 Sodium Bicarbonate

Injection 7.5%

1 ml

1.32

0.95905

1.27

1039(E)

01.04.2017

664 Sodium Chloride

Injection 0.9%

100ml Glass

16.61

0.95905

15.93

1039(E)

01.04.2017

665 Sodium Chloride

Injection 0.9%

250ml Glass

22.39

0.95905

21.47

1039(E)

01.04.2017

666 Sodium Chloride

Injection 0.9%

500ml Glass

31.12

0.95905

29.85

1039(E)

01.04.2017

658 Salbutamol

659 Salicylic acid

Page 43

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

667 Sodium Chloride

Injection 0.9%

1000ml Glass

56.15

0.95905

53.85

1039(E)

01.04.2017

668 Sodium Chloride

Injection 0.9%

14.96

0.95905

14.35

1039(E)

01.04.2017

669 Sodium Chloride

Injection 0.9%

20.11

0.95905

19.29

1039(E)

01.04.2017

670 Sodium Chloride

Injection 0.9%

26.51

0.95905

25.42

1039(E)

01.04.2017

671 Sodium Chloride

Injection 0.9%

44.29

0.95905

42.48

1039(E)

01.04.2017

672 Sodium Chloride

Injection 0.9%

31.97

0.95905

30.66

1051(E)

01.04.2017

673 Sodium Chloride

Injection 0.9%

47.19

0.95905

45.26

1051(E)

01.04.2017

674 Sodium Chloride

Injection 0.9%

66.84

0.95905

64.10

1051(E)

01.04.2017

675 Sodium Chloride

Injection 0.9%

74.86

0.95905

71.79

1051(E)

01.04.2017

676 Sodium Nitroprusside

Injection 10 mg/ml

100ml NonGlass 250ml NonGlass 500ml NonGlass 1000ml NonGlass 100ml Non Glass with special features 250ml Non Glass with special features 500ml Non Glass with special features 1000ml Non Glass with special features 1 ml

24.42

0.95905

23.42

1039(E)

01.04.2017

677 Sodium Valproate

Tablet 300 mg

1 Tablet

3.76

0.95905

3.61

1039(E)

01.04.2017

678 Sodium Valproate

Tablet 200 mg

1 Tablet

2.93

0.95905

2.81

1569(E)

15.05.2017

Page 44

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

679 Sodium Valproate

Tablet 500 mg

1 Tablet

6.56

0.95905

6.29

1039(E)

01.04.2017

680 Sodium Valproate

CR Tablet 500 mg

1 Tablet

8.82

0.95905

8.46

1687(E)

24.05.2017

681 Sodium Valproate

CR Tablet 300 mg

1 Tablet

5.73

0.95905

5.50

1687(E)

24.05.2017

682 Sodium Valproate

Injection 100 mg/ml Oral Liquid 200 mg/5ml Tablet 400 mg

1 ml

5.45

0.95905

5.23

1039(E)

01.04.2017

1 ml

0.55

0.95905

0.53

1039(E)

01.04.2017

631.52

0.95905

605.66

1039(E)

01.04.2017

Each pack

1,438.04

0.95905

1,379.15

1039(E)

01.04.2017

686 Spironolactone

Powder for Injection 3 mg Tablet 25 mg

1 Tablet

1.80

0.95905

1.73

1039(E)

01.04.2017

687 Spironolactone

Tablet 50 mg

1 Tablet

3.60

0.95905

3.45

1687(E)

24.05.2017

688 Stavudine (A) + Lamivudine (B)

1 Tablet

9.03

0.95905

8.66

1039(E)

01.04.2017

Each Pack

1,191.15

0.95905

1,142.37

1039(E)

01.04.2017

Each Pack

1,693.59

0.95905

1,624.24

1039(E)

01.04.2017

Each Pack

7.97

1

7.97

1039(E)

01.04.2017

Each Pack

9.46

1

9.46

1039(E)

01.04.2017

693 Succinyl Choline

Tablet 30 mg (A) +150 mg (B) Injection 7,50,000 IU Injection 15,00,000 IU Powder for Injection 750 mg Powder for Injection 1 gm Injection 50 mg/ml

1 ml

4.58

0.95905

4.39

1009(E)

31.3.2017

694 Sucralfate

Oral Liquid 1 g

1 ml

0.67

0.95905

0.64

1039(E)

01.04.2017

695 Sulfasalazine

Tablet 500 mg

1 Tablet

3.77

0.95905

3.62

1039(E)

01.04.2017

683 Sodium Valproate 684 Sofosbuvir 685 Somatostatin

689 Streptokinase 690 Streptokinase 691 Streptomycin 692 Streptomycin

1 Tablet

Page 45

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

696 Tacrolimus

Capsule 2 mg

1 Capsule

72.40

0.95905

69.44

1039(E)

01.04.2017

697 Tacrolimus

Capsule 0.5 mg

1 Capsule

20.92

0.95905

20.06

1010(E)

30.03.2017

698 Tacrolimus

Capsule 1 mg

1 Capsule

36.96

0.95905

35.45

1010(E)

30.03.2017

699 Tamoxifen

Tablet 10 mg

1 Tablet

2.44

0.95905

2.34

1039(E)

01.04.2017

700 Tamoxifen

Tablet 20 mg

1 Tablet

2.75

0.95905

2.64

1039(E)

01.04.2017

701 Telmisartan

Tablet 20 mg

1 Tablet

3.45

0.95905

3.31

1039(E)

01.04.2017

702 Telmisartan

Tablet 40 mg

1 Tablet

6.24

0.95905

5.98

1039(E)

01.04.2017

703 Telmisartan

Tablet 80 mg

1 Tablet

9.51

0.95905

9.12

1039(E)

01.04.2017

704 Temozolomide

Capsule 100 mg

1 Capsule

1,971.40

0.95905

1,890.67

1039(E)

01.04.2017

705 Temozolomide

Capsule 20 mg

1 Capsule

564.30

0.95905

541.19

1039(E)

01.04.2017

706 Temozolomide

Capsule 250 mg

1 Capsule

4,434.02

0.95905

4,252.45

1039(E)

01.04.2017

707 Temozolomide

Tablet 20 mg

1 Tablet

354.54

0.95905

340.02

1039(E)

01.04.2017

708 Temozolomide

Tablet 100 mg

1 Tablet

1,463.33

0.95905

1,403.41

1039(E)

01.04.2017

709 Temozolomide

Tablet 250 mg

1 Tablet

3,621.90

0.95905

3,473.58

1039(E)

01.04.2017

710 Tenofovir

Tablet 300 mg

1 Tablet

44.65

0.95905

42.82

1039(E)

01.04.2017

711 Tenofovir (A) + Lamivudine (B)

Tablet 300 mg (A) + 300 mg (B) Tablet 300 mg (A) + 300 mg (B) + 600

1 Tablet

40.73

0.95905

39.06

1039(E)

01.04.2017

1 Tablet

93.52

0.95905

89.69

1039(E)

01.04.2017

712 Tenofovir (A) + Lamivudine (B) + Efavirenz (C)

Page 46

Sl No

Medicines

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

24.89

1

24.89

1039(E)

01.04.2017

5.64

1

5.64

1039(E)

01.04.2017

57.80

0.95905

55.43

1039(E)

01.04.2017

713 Tetanus Toxoid

mg (C) Injection

714 Tetanus Toxoid

Injection

715 Thalidomide

Capsule 100 mg

Each Pack (5 ml) Each Pack (0.5ml) 1 Capsule

716 Thalidomide

Capsule 50 mg

1 Capsule

33.40

0.95905

32.03

1039(E)

01.04.2017

717 Thiamine

Injection 100 mg/ml Tablet 100 mg

1 ml

23.47

0.95905

22.51

1039(E)

01.04.2017

3.54

0.95905

3.40

1039(E)

01.04.2017

Each Pack

46.76

0.95905

44.85

1039(E)

01.04.2017

Each Pack

38.54

0.95905

36.96

1039(E)

01.04.2017

721 Timolol

Powder for Injection 1 gm Powder for Injection 0.5 gm Drops 0.5%

1 ml

11.28

0.95905

10.82

1039(E)

01.04.2017

722 Timolol

Drops 0.25%

1 ml

4.88

0.95905

4.68

1039(E)

01.04.2017

723 Tiotropium

1 Dose

2.34

0.95905

2.24

1039(E)

01.04.2017

1 Dose

2.20

0.95905

2.11

1039(E)

01.04.2017

725 Tramadol

Inhalation (DPI) 18 mcg/dose Inhalation (MDI) 9 mcg/dose Tablet 100 mg

1 Tablet

18.61

0.95905

17.85

1039(E)

01.04.2017

726 Tramadol

Capsule 50 mg

1 Capsule

4.28

0.95905

4.10

1039(E)

01.04.2017

727 Tramadol

Tablet 50 mg

1 Tablet

7.63

0.95905

7.32

1039(E)

01.04.2017

728 Tramadol

Injection 50 mg/ml (20 ml Pack)

1 ml

1.18

0.95905

1.13

1009(E)

31.3.2017

718 Thiamine 719 Thiopentone 720 Thiopentone

724 Tiotropium

1 Tablet

Page 47

Sl No

Medicines

729 Tramadol

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

1 ml

9.91

0.95905

9.50

1009(E)

31.3.2017

730 Tramadol

Injection 50 mg/ml (upto 2 ml Pack) Capsule 100 mg

1 Capsule

9.08

0.95905

8.71

1008(E)

31.3.2017

731 Tranexamic acid

Tablet 500 mg

1 Tablet

15.76

0.95905

15.11

1039(E)

01.04.2017

732 Tranexamic acid

1 ml

13.55

0.95905

13.00

1039(E)

01.04.2017

56,912.83

0.95905

54,582.25

1039(E)

01.04.2017

734 Trihexyphenidyl

Injection 100 mg/ml Injection 440 mg/50 ml Tablet 2 mg

1 Tablet

1.15

0.95905

1.10

1039(E)

01.04.2017

735 Tropicamide

Eye Drop 1%

1 ml

9.52

0.95905

9.13

1039(E)

01.04.2017

736 Vancomycin

Each Pack

431.83

0.95905

414.15

1039(E)

01.04.2017

Each Pack

259.74

0.95905

249.10

1039(E)

01.04.2017

Each Pack

201.20

0.95905

192.96

1333(E)

27.04.2017

Each Pack

171.56

0.95905

164.53

1039(E)

01.04.2017

Each Pack

82.80

0.95905

79.41

1039(E)

01.04.2017

1 ml

1.10

0.95905

1.05

1039(E)

01.04.2017

742 Verapamil

Powder for Injection 1 gm Powder for Injection 500 mg Powder for Injection 250 mg Powder for Injection 10 mg Powder for Injection 4 mg Injection 2.5 mg/ml Tablet 40 mg

1 Tablet

0.71

0.95905

0.68

1039(E)

01.04.2017

743 Verapamil

Tablet 80 mg

1 Tablet

1.31

0.95905

1.26

1039(E)

01.04.2017

744 Vincristine

Injection 1 mg/ml

1 ml

47.28

0.95905

45.34

1039(E)

01.04.2017

733 Trastuzumab

737 Vancomycin 738 Vancomycin 739 Vecuronium 740 Vecuronium 741 Verapamil

Each Pack

Page 48

Sl No

Medicines

745 Vitamin A

Dosage form and Strength

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

1 ml

1.80

0.95905

1.73

1039(E)

01.04.2017

746 Vitamin A

Injection 50000 IU/ml Tablet 50000 IU

1 Tablet

0.67

0.95905

0.64

1039(E)

01.04.2017

747 Warfarin

Tablet 1 mg

1 Tablet

2.28

0.95905

2.19

1039(E)

01.04.2017

748 Warfarin

Tablet 5 mg

1 Tablet

2.24

0.95905

2.15

1039(E)

01.04.2017

749 Warfarin

Tablet 2 mg

1 Tablet

2.52

0.95905

2.42

1008(E)

31.3.2017

750 Warfarin

Tablet 3 mg

1 Tablet

2.95

0.95905

2.83

1008(E)

31.3.2017

751 Water for Injection

Injection

2.13

0.95905

2.04

1039(E)

01.04.2017

752 Water for Injection

Injection

2.21

0.95905

2.12

1039(E)

01.04.2017

753 Xylometazoline

Nasal Drops 0.1%

Each Pack (5 ml) Each Pack (10 ml) 1 ml

4.92

0.95905

4.72

1039(E)

01.04.2017

754 Xylometazoline

Nasal Drops 0.05%

1 ml

3.72

0.95905

3.57

1039(E)

01.04.2017

755 Zidovudine

Tablet 300 mg

1 Tablet

12.94

1

12.94

1039(E)

01.04.2017

756 Zidovudine

Capsule 300 mg

1 Capsule

1.88

1

1.88

1039(E)

01.04.2017

757 Zidovudine (A) + Lamivudine (B) + Nevirapine (C)

1 Tablet

19.06

0.95905

18.28

1039(E)

01.04.2017

3,812.10

0.95905

3,655.99

1008(E)

31.3.2017

759 Zolpidem

Tablet 300 mg (A) + 150 mg (B) + 200 mg(C) Powder for Injection 4 mg Tablet 10 mg

1 Tablet

7.99

0.95905

7.66

1039(E)

01.04.2017

760 Zolpidem

Tablet 5 mg

1 Tablet

5.09

0.95905

4.88

1039(E)

01.04.2017

758 Zoledronic Acid

Each Pack

Page 49

Sl No 761 Zolpidem

Medicines

Dosage form and Strength Capsule 5 mg

Unit

Existing Ceiling Price

Multiplication factor

CP wef 1.7.2017

Existing SO No

Existing SO date

1 Capsule

6.96

0.95905

6.67

1039(E)

01.04.2017