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1 ACTIVATED PROTHROMBIN COMPLEX CONC 500 VIAL 80,000 8,000 5,100,000

2 ANTIHEMOPHILIC FACTOR IX 500 IU VIAL 50,000 30,000 2,000,000

3 ANTIHEMOPHILIC FACTOR VII 1.2MG VIAL 50,000 10,000 9,200,000

4 ANTIHEMOPHILIC FACTOR VII 2.4MG VIAL 100,000 6,000 15,400,000

5 ANTIHEMOPHILIC FACTOR VIII 250U VIAL 25,000 100,000 1,300,000

6 ANTIHEMOPHILIC FACTOR VIII 500U VIAL 50,000 243,000 2,500,000

7 ANTIHEMOPHILIC FACTOR VIII VONWILLEBRAND 600U VIAL 200,000 20,000 2,800,000

8 BICARBONATE CONCENTRATE FRESENIUS 20,000 900,000 22,000

9 BICARBONATE CONCENTRATE IDEMSA 20,000 100,000 31,000

10 BICARBONATE CONCENTRATE SMART CARD 20,000 350,000 31,000

11 CHLORAMBUCIL 2MG TAB 2,000 550,000 3,100

12 CICLOSPORIN 100MG CAP (Iminoral) 1,200 8,000,000 10,200

13 CICLOSPORIN 100MG CAP (Neoral) 20,000 3,000,000 15,000

14 CICLOSPORIN 25MG CAP (Iminoral) 300 16,000,000 2,700

15 CICLOSPORIN 25MG CAP (Neoral) 5,000 7,000,000 4,000

16 CICLOSPORIN 50MG CAP (Neoral) 10,000 750,000 7,500

17 DEFERASIROX 125MG TAB 1,250 500,000 6,400

18 DEFERASIROX 250MG TAB 2,500 500,000 12,800

19 DEFERASIROX 500MG TAB 5,000 500,000 26,000

20 DEFEROXAMINE MESYLATE 500MG VIAL 1,700 9,000,000 44,000

21 DESMOPRESSIN ACETATE 0.1MG TAB 4,500 400,000 8,000

22 HEMODIALYSIS ACIDIC II 5LIT CONC SOLUTION 12,000 1,350,000 33,500

23 HEMODIALYSIS I 5LIT CONC SOLUTION 12,000 300,000 33,500

24 HEMODIALYSIS II 5LIT CONC SOLUTION 12,000 450,000 33,500

25 HEMODIALYSIS III 5L CONC SOLUTION 12,000 30,000 33,500

26 HEPATITIS B IMMUNE GLOBULIN IM 1250U/5ML VIAL 1,250,000 3,000 800,000

27 HEPATITIS B IMMUNE GLOBULIN IM 180U/1ML VIAL 180,000 7,500 320,000

28 HEPATITIS B IMMUNE GLOBULIN IM 250U/1ML VIAL 250,000 5,000 400,000

29 HEPATITIS B IMMUNE GLOBULIN IM 540U/3ML VIAL 540,000 5,000 950,000

30 I131 100mCi Theraputic 363,000 2,200 570,000

31 I131 150mCi Theraputic 544,000 520 770,000

32 I131 200mCi Theraputic 726,000 1,300 960,000

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33 I131 50mCi Theraputic 181,000 2,700 350,000

34 IMMUNE GLOBULIN 1G (IV ) VIAL 400,000 410,000 420,000

35 INSULIN ISOPHAN (NPH) HUMAN 100U/ML VIAL 10,000 3,750,000 38,000

36 INSULIN REGULAR HUMAN 100U/ML VIAL 10,000 950,000 38,000

37 INTERFERON B 1A 30 MCG AMP (Avonex) 1,000,000 140,000 1,150,000

38 INTERFERON B 1A 30MCG AMP (Cinovex) 500,000 330,000 500,000

39 INTERFERON B 1A 44MCG/0.5ML AMP (Rebif) 500,000 500,000 330,000

40 INTERFERON B 1B 8MIU VIAL (Betaferon) 400,000 500,000 320,000

41 LEUCOVORIN CALCIUM 15MG TAB 2,000 300,000 412

42 Mo99 100mCi Generator 387,000 600 1,700,000

43 Mo99 200mCi Generator 605,000 1,000 1,670,000

44 Mo99 300mCi Generator 847,000 1,000 1,660,000

45 Mo99 400mCi Generator 1,089,000 7,200 1,900,000

46 MYCOPHENOLATE MOFETIL 250MG CAP 7,000 700,000 9,000

47 MYCOPHENOLATE MOFETIL 500MG TAB 11,000 19,000,000 13,000

48 PENICILLAMINE 250MG CAP 2,000 900,000 1,700

49 PERITONEAL DIALYSIS I 1.5% 2L SOL 12,000 1,200,000 60,000

50 PERITONEAL DIALYSIS II 2.5% 2L SOL 12,000 340,000 60,000

51 PERITONEAL DIALYSIS III 4.25% 2L SOL 12,000 160,000 60,000

52 PROTHROMBIN COMPLEX CONC 500 VIAL 80,000 4,000 2,100,000

53 SIROLIMUS 1MG TAB 10,000 360,000 39,000

54 TACROLIMUS 0.5MG CAP 1,000 30,000 15,000

55 TACROLIMUS 1MG CAP 2,000 400,000 25,000

56 ARGININE 500MG TAB 2000 14,500 7,200

57 BIOTIN 5MG TAB 500 1,000,000 900

58 BETAINE ANHYDROUS 180G ORAL POWDER 40000 550 6,000,000

59 CO ENZYME Q10 100MG CAP 1500 120,000 2,500

60 CO ENZYME Q10 30MG CAP 500 150,000 2,400

61 CREATIN 1G TAB 1000 1,200 2,200

62 CYSTEAMINE BITARTRATE 150MG CAP 10000 80,000 23,500

63 CYSTEAMINE BITARTRATE 50MG CAP 4000 30,000 10,000

64 GLUTAMIC ACID 330MG TAB 400 50,000 700

65 GLYCIN 1G BULK 300 50,000 700

66 LARONIDASE 100IU 5ML AMP 500000 1,500 7,200,000

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67 LORENZOS OIL 500ML SOL 10000 100 1,250,000

68 NATAMYCIN 5% 15ML OPH DROP 350000 1,500 514,000

69 NITISINONE 10MG CAP 10000 15,000 720,000

70 NITISINONE 2MG CAP 20000 3,000 200,000

71 NITISINONE 5MG CAP 50000 5,000 400,000

72 PRALIDOXIME 200MG/10ML VIAL 11000 70,000 14,000

73 SERIN 600MG CAP 10000 2,000 14,000

74 SODIUM BENZOATE 2G/10ML AMP 50000 5,000 50,000

75 SODIUM PHENYL BUTYRATE 2G/10ML AMP 100000 3,000 94,000

76 SODIUM PHENYL BUTYRATE 500MG TAB 20000 12,000 22,000

77 TETRAHYDROBIOPTERIN 50MG TAB 40000 5,000 60,000

78 URIDINE 1MG TAB 500 500 2,000