Jul 1, 2017 - 1039(E) 01.04.2017. 715 Thalidomide. Capsule 100 mg. 1 Capsule. 57.80. 0.95905. 55.43. 1039(E) 01.04.2017.
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
