Supply, Delivery, Management and Operation of Outsourced ...

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REPUBLIC OF THE PHILIPPINES

QUEZON CITY GOVERNMENT

BIDS AND AWARDS COMMITTEE –

GOODS AND SERVICES

PHILIPPINE BIDDING DOCUMENTS (As Harmonized with Development Partners)

Supply, Delivery, Management and

Operation of Outsourced Warehouse

Pharmacies for the Hospitals and

Health Centers

PROJECT NO. CONSO-21-DRUGS AND MEDS-03

Government of the Republic of the Philippines

Sixth Edition

July 2020

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Preface

These Philippine Bidding Documents (PBDs) for the procurement of Goods

through Competitive Bidding have been prepared by the Government of the

Philippines for use by any branch, constitutional commission or office, agency,

department, bureau, office, or instrumentality of the Government of the Philippines,

National Government Agencies, including Government-Owned and/or Controlled

Corporations, Government Financing Institutions, State Universities and Colleges, and

Local Government Unit. The procedures and practices presented in this document

have been developed through broad experience, and are for mandatory use in projects

that are financed in whole or in part by the Government of the Philippines or any

foreign government/foreign or international financing institution in accordance with

the provisions of the 2016 revised Implementing Rules and Regulations of Republic

Act No. 9184.

The Bidding Documents shall clearly and adequately define, among others: (i)

the objectives, scope, and expected outputs and/or results of the proposed contract or

Framework Agreement, as the case may be; (ii) the eligibility requirements of

Bidders; (iii) the expected contract or Framework Agreement duration, the estimated

quantity in the case of procurement of goods, delivery schedule and/or time frame;

and (iv) the obligations, duties, and/or functions of the winning bidder.

Care should be taken to check the relevance of the provisions of the PBDs

against the requirements of the specific Goods to be procured. If duplication of a

subject is inevitable in other sections of the document prepared by the Procuring

Entity, care must be exercised to avoid contradictions between clauses dealing with

the same matter.

Moreover, each section is prepared with notes intended only as information for

the Procuring Entity or the person drafting the Bidding Documents. They shall not be

included in the final documents. The following general directions should be observed

when using the documents:

a. All the documents listed in the Table of Contents are normally required

for the procurement of Goods. However, they should be adapted as

necessary to the circumstances of the particular Procurement Project.

b. Specific details, such as the “name of the Procuring Entity” and

“address for bid submission,” should be furnished in the Instructions to

Bidders, Bid Data Sheet, and Special Conditions of Contract. The final

documents should contain neither blank spaces nor options.

c. This Preface and the footnotes or notes in italics included in the

Invitation to Bid, Bid Data Sheet, General Conditions of Contract,

Special Conditions of Contract, Schedule of Requirements, and

Specifications are not part of the text of the final document, although

they contain instructions that the Procuring Entity should strictly follow.

d. The cover should be modified as required to identify the Bidding

Documents as to the Procurement Project, Project Identification

Number, and Procuring Entity, in addition to the date of issue.

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e. Modifications for specific Procurement Project details should be

provided in the Special Conditions of Contract as amendments to the

Conditions of Contract. For easy completion, whenever reference has to

be made to specific clauses in the Bid Data Sheet or Special Conditions

of Contract, these terms shall be printed in bold typeface on Sections I

(Instructions to Bidders) and III (General Conditions of Contract),

respectively.

f. For guidelines on the use of Bidding Forms and the procurement of

Foreign-Assisted Projects, these will be covered by a separate issuance

of the Government Procurement Policy Board.

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Table of Contents

Glossary of Acronyms, Terms, and Abbreviations ………………………….4

Section I. Invitation to Bid……………………………………………………..7

Section II. Instructions to Bidders…………………………………………...8

1. Scope of Bid ………………………………………………………………………. 12

2. Funding Information………………………………………………………………. 12

3. Bidding Requirements ……………………………………………………………. 12

4. Corrupt, Fraudulent, Collusive, and Coercive Practices 12

5. Eligible Bidders…………………………………………………………………… 13

6. Origin of Goods ………………………………………………………………….. 13

7. Subcontracts ……………………………………………………………………… 13

8. Pre-Bid Conference ………………………………………………………………. 13

9. Clarification and Amendment of Bidding Documents …………………………… 14

10. Documents comprising the Bid: Eligibility and Technical Components ………….

144

11. Documents comprising the Bid: Financial Component …………………………... 14

12. Bid Prices …………………………………………………………………………. 14

13. Bid and Payment Currencies ……………………………………………………… 15

14. Bid Security ………………………………………………………………………. 15

15. Sealing and Marking of Bids ………………………………………………………16

16. Deadline for Submission of Bids …………………………………………………. 16

17. Opening and Preliminary Examination of Bids ………………………………….. 16

18. Domestic Preference ……………………………………………………………… 16

19. Detailed Evaluation and Comparison of Bids ……………………………………. 16

20. Post-Qualification ………………………………………………………………… 17

21. Signing of the Contract …………………………………………………………… 17

Section III. Bid Data Sheet …………………………………………………..18

Section IV. General Conditions of Contract ……………………...………..20 1. Scope of Contract ………………………………………………………………… 21

2. Advance Payment and Terms of Payment ……………………………………….. 21

3. Performance Security ……………………………………………………………. 21

4. Inspection and Tests ……………………………………………………………… 21

5. Warranty …………………………………………………………………………. 21

6. Liability of the Supplier ………………………………………………………….. 22

Section V. Special Conditions of Contract ………………………………….23

Section VI. Schedule of Requirements ……………………………………....27

Section VII. Technical Specifications …………………………………………47

Section VIII. Checklist of Technical and Financial Documents …………..30

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Glossary of Acronyms, Terms, and

Abbreviations

ABC – Approved Budget for the Contract.

BAC – Bids and Awards Committee.

Bid – A signed offer or proposal to undertake a contract submitted by a bidder in response to

and in consonance with the requirements of the bidding documents. Also referred to as

Proposal and Tender. (2016 revised IRR, Section 5[c])

Bidder – Refers to a contractor, manufacturer, supplier, distributor and/or consultant who

submits a bid in response to the requirements of the Bidding Documents. (2016 revised IRR,

Section 5[d])

Bidding Documents – The documents issued by the Procuring Entity as the bases for bids,

furnishing all information necessary for a prospective bidder to prepare a bid for the Goods,

Infrastructure Projects, and/or Consulting Services required by the Procuring Entity. (2016

revised IRR, Section 5[e])

BIR – Bureau of Internal Revenue.

BSP – Bangko Sentral ng Pilipinas.

Consulting Services – Refer to services for Infrastructure Projects and other types of projects

or activities of the GOP requiring adequate external technical and professional expertise that

are beyond the capability and/or capacity of the GOP to undertake such as, but not limited to:

(i) advisory and review services; (ii) pre-investment or feasibility studies; (iii) design; (iv)

construction supervision; (v) management and related services; and (vi) other technical

services or special studies. (2016 revised IRR, Section 5[i])

CDA - Cooperative Development Authority.

Contract – Refers to the agreement entered into between the Procuring Entity and the

Supplier or Manufacturer or Distributor or Service Provider for procurement of Goods and

Services; Contractor for Procurement of Infrastructure Projects; or Consultant or Consulting

Firm for Procurement of Consulting Services; as the case may be, as recorded in the Contract

Form signed by the parties, including all attachments and appendices thereto and all

documents incorporated by reference therein.

CIF – Cost Insurance and Freight.

CIP – Carriage and Insurance Paid.

CPI – Consumer Price Index.

DDP – Refers to the quoted price of the Goods, which means “delivered duty paid.”

DTI – Department of Trade and Industry.

EXW – Ex works.

FCA – “Free Carrier” shipping point.

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FOB – “Free on Board” shipping point.

Foreign-funded Procurement or Foreign-Assisted Project– Refers to procurement whose

funding source is from a foreign government, foreign or international financing institution as

specified in the Treaty or International or Executive Agreement. (2016 revised IRR, Section

5[b]).

Framework Agreement – Refers to a written agreement between a procuring entity and a

supplier or service provider that identifies the terms and conditions, under which specific

purchases, otherwise known as “Call-Offs,” are made for the duration of the agreement. It is

in the nature of an option contract between the procuring entity and the bidder(s) granting the

procuring entity the option to either place an order for any of the goods or services identified

in the Framework Agreement List or not buy at all, within a minimum period of one (1) year

to a maximum period of three (3) years. (GPPB Resolution No. 27-2019)

GFI – Government Financial Institution.

GOCC – Government-owned and/or –controlled corporation.

Goods – Refer to all items, supplies, materials and general support services, except

Consulting Services and Infrastructure Projects, which may be needed in the transaction of

public businesses or in the pursuit of any government undertaking, project or activity,

whether in the nature of equipment, furniture, stationery, materials for construction, or

personal property of any kind, including non-personal or contractual services such as the

repair and maintenance of equipment and furniture, as well as trucking, hauling, janitorial,

security, and related or analogous services, as well as procurement of materials and supplies

provided by the Procuring Entity for such services. The term “related” or “analogous

services” shall include, but is not limited to, lease or purchase of office space, media

advertisements, health maintenance services, and other services essential to the operation of

the Procuring Entity. (2016 revised IRR, Section 5[r])

GOP – Government of the Philippines.

GPPB – Government Procurement Policy Board.

INCOTERMS – International Commercial Terms.

Infrastructure Projects – Include the construction, improvement, rehabilitation, demolition,

repair, restoration or maintenance of roads and bridges, railways, airports, seaports,

communication facilities, civil works components of information technology projects,

irrigation, flood control and drainage, water supply, sanitation, sewerage and solid waste

management systems, shore protection, energy/power and electrification facilities, national

buildings, school buildings, hospital buildings, and other related construction projects of the

government. Also referred to as civil works or works. (2016 revised IRR, Section 5[u])

LGUs – Local Government Units.

NFCC – Net Financial Contracting Capacity.

NGA – National Government Agency.

PhilGEPS - Philippine Government Electronic Procurement System.

Procurement Project – refers to a specific or identified procurement covering goods,

infrastructure project or consulting services. A Procurement Project shall be described,

detailed, and scheduled in the Project Procurement Management Plan prepared by the agency

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which shall be consolidated in the procuring entity's Annual Procurement Plan. (GPPB

Circular No. 06-2019 dated 17 July 2019)

PSA – Philippine Statistics Authority.

SEC – Securities and Exchange Commission.

SLCC – Single Largest Completed Contract.

Supplier – refers to a citizen, or any corporate body or commercial company duly organized

and registered under the laws where it is established, habitually established in business and

engaged in the manufacture or sale of the merchandise or performance of the general services

covered by his bid. (Item 3.8 of GPPB Resolution No. 13-2019, dated 23 May 2019).

Supplier as used in these Bidding Documents may likewise refer to a distributor,

manufacturer, contractor, or consultant.

UN – United Nations.

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Section I. Invitation to Bid

Notes on the Invitation to Bid

The Invitation to Bid (IB) provides information that enables potential Bidders to decide

whether to participate in the procurement at hand. The IB shall be posted in accordance with

Section 21.2 of the 2016 revised IRR of RA No. 9184.

Apart from the essential items listed in the Bidding Documents, the IB should also indicate

the following:

a. The date of availability of the Bidding Documents, which shall be from the time the

IB is first advertised/posted until the deadline for the submission and receipt of bids;

b. The place where the Bidding Documents may be acquired or the website where it may

be downloaded;

c. The deadline for the submission and receipt of bids; and

d. Any important bid evaluation criteria (e.g., the application of a margin of preference

in bid evaluation).

The IB should be incorporated in the Bidding Documents. The information contained in the

IB must conform to the Bidding Documents and in particular to the relevant information in

the Bid Data Sheet.

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REPUBLIC OF THE PHILIPPINES

QUEZON CITY GOVERNMENT

BAC – GOODS AND SERVICES

INVITATION TO BID

ITEM

NO.

PROJECT

NO. OFFICE PROJECT NAME AMOUNT

SOURCE OF

FUND

DELIVERY

PERIOD

1 CONSO-21-FOOD

SUPPLIES-02

ROSARIO MACLANG

BAUTISTA GENERAL

HOSPITAL/QUEZON CITY GENERAL HOSPITAL

FOOD SUPPLIES P 23,398,803.00 GENERAL

FUND 8 MONTHS

2

CONSO-21-

DRUGS AND MEDS-03

VARIOUS OFFICES

(QCGH, NDH, QCHD, RMBGH

AND OFFICE OF THE CITY MAYOR)

SUPPLY, DELIVERY,

MANAGEMENT AND

OPERATION OF

OUTSOURCED

WAREHOUSE PHARMACIES

FOR THE HOSPITALS AND

HEALTH CENTERS

P 721,322,182.47 GENERAL

FUND 8 MONTHS

3 CAO-21-OE-04 OFFICE OF THE CITY

ADMINISTRATOR

DESKTOP COMPUTER

AND OTHERS P 57,790,500.00

GENERAL

FUND 8 MONTHS

1. The QUEZON CITY LOCAL GOVERNMENT, through the General Fund of various years

intends to apply the sums stated above being the ABC to payments under the contract for the

above stated projects/Purchase Request numbers. Bids received in excess of the ABC shall be

automatically rejected at bid opening.

The QUEZON CITY LOCAL GOVERNMENT, through the General Fund of various years

intends to apply the sums stated above being the ABC to payments under the contract for the

above stated projects/Purchase Request numbers of contract for each lot/item. Bids received in

excess of the ABC shall be automatically rejected at bid opening.

2. The QUEZON CITY LOCAL GOVERNMENT now invites bids for Various Projects.

Delivery of the Goods is required as stated above. Bidders should have completed, within the

last three (3) years from the date of submission and receipt of bids, a contract similar to the

Project. The description of an eligible bidder is contained in the Bidding Documents,

particularly, in Section II. Instructions to Bidders.

3. Bidding will be conducted through open competitive bidding procedures using a non-

discretionary “pass/fail” criterion as specified in the 2016 revised Implementing Rules and

Regulations (IRR) of Republic Act (RA) No. 9184.

a. Bidding is restricted to Filipino citizens/sole proprietorships, partnerships, or

organizations with at least sixty percent (60%) interest or outstanding capital stock

belonging to citizens of the Philippines, and to citizens or organizations of a country the

laws or regulations of which grant similar rights or privileges to Filipino citizens,

pursuant to RA No. 5183.

4. Prospective Bidders may obtain further information from QUEZON CITY GOVERNMENT

Bids and Awards Committee (BAC) Secretariat and inspect the Bidding Documents at the

address given below during weekdays from 8:00 a.m. – 5:00 p.m.

5. A complete set of Bidding Documents may be acquired by interested Bidders on Wednesday,

March 31, 2021 from the given address and website(s) below and upon payment of the

applicable fee for the Bidding Documents, pursuant to the latest Guidelines issued by the

March 30, 2021

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GPPB. The Procuring Entity shall allow the bidder to present its proof of payment for the fees

in person.

STANDARD RATES:

The following are the requirements for purchase of Bidding Documents;

1. PhilGEPS Registration Certificate (Platinum – 3 pages)

2. Document Request List (DRL)

3. Authorization to Purchase Bidding Documents

3.1 Corporate Secretary Certificate (for corporation)

3.2 Special Power of Attorney (for single proprietorship)

4. Notarized Joint Venture Agreement (as applicable)

6. The Quezon City Local Government will hold a Pre-Bid Conference on 10:00 A.M. of

Thursday, April 8, 2021 at 2nd Floor, Procurement Department-Bidding Room, Finance

Building, Quezon City Hall Compound, and/or through video conferencing via Zoom

which shall be open to prospective bidders.

Topic: BAC-GOODS Pre Bid Conference Meeting

Join Zoom Meeting

https://us02web.zoom.us/j/84835002246?pwd=OVRuVE0weXZMNXYwZG5LaWd1dXk1Q

T09

Meeting ID: 848 3500 2246

Passcode: 154733

7. Bids must be duly received by the BAC Secretariat through manual submission at the 2nd Floor,

Procurement Department, Finance Building, Quezon City Hall Compound on or before 11:00

A.M. of Thursday, April 22, 2021. Late bids shall not be accepted.

8. All Bids must be accompanied by a bid security in any of the acceptable forms and in the

amount stated in ITB Clause 14.

9. Bid opening shall be on 1:00 P.M. of Thursday, April 22, 2021 at the given address below

and/or via Zoom. Bids will be opened in the presence of the bidders’ representatives who

choose to attend the activity.

Topic: BAC-GOODS & SERVICES BIDDING

Join Zoom Meeting

https://us02web.zoom.us/j/85850855933?pwd=R2dZUUp4Z3lyU29iZGV1WmdKRjZCdz0

9

Meeting ID: 858 5085 5933

Passcode: 118682

10. The Quezon City Local Government reserves the right to reject any and all bids, declare a

failure of bidding, or not award the contract at any time prior to contract award in accordance

with Sections 35.6 and 41 of the 2016 revised IRR of RA No. 9184, without thereby incurring

any liability to the affected bidder or bidders.

Approved Budget for the Contract Maximum Cost of Bidding Documents

(in Philippine Peso)

More than 500,000 up to 1 Million 1,000.00

More than 1 Million up to 5 Million 5,000.00




More than 500 Million 75,000.00

https://us02web.zoom.us/j/84835002246?pwd=OVRuVE0weXZMNXYwZG5LaWd1dXk1QT09

https://us02web.zoom.us/j/84835002246?pwd=OVRuVE0weXZMNXYwZG5LaWd1dXk1QT09



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11. For further information, please refer to:

ATTY. DOMINIC B. GARCIA

OIC, Procurement Department

2nd Floor, Procurement Department,

Finance Building, Quezon City Hall Compound

Elliptical Road, Barangay Central Diliman, Quezon City.

Email Add: [email protected]

Tel. No. (02)8988-4242 loc. 8506/8710

Website: www.quezoncity.gov.ph

12. You may visit the following websites:

For downloading of Bidding Documents: www.quezoncity.gov.ph

By:

(Sgd.) ROWENA T. MACATAO

Chairperson, QC-BAC-Goods and Services

mailto:[email protected]

http://www.quezoncity.gov.ph/

http://www.quezoncity.gov.ph/

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Section II. Instructions to Bidders

Notes on the Instructions to Bidders

This Section on the Instruction to Bidders (ITB) provides the information necessary for

bidders to prepare responsive bids, in accordance with the requirements of the Procuring

Entity. It also provides information on bid submission, eligibility check, opening and

evaluation of bids, post-qualification, and on the award of contract.

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1. Scope of Bid

The Procuring Entity, Quezon City Local Government wishes to receive Bids for the

SUPPLY, DELIVERY, MANAGEMENT AND OPERATION OF

OUTSOURCED WAREHOUSE PHARMACIES FOR THE HOSPITALS AND

HEALTH CENTERS with identification number CONSO-21-DRUGS AND

MEDS-03.

[Note: The Project Identification Number is assigned by the Procuring Entity based

on its own coding scheme and is not the same as the PhilGEPS reference number,

which is generated after the posting of the bid opportunity on the PhilGEPS website.]

The Procurement Project (referred to herein as “Project”) is composed of One

Thousand Fifteen (1,015) items , the details of which are described in Section VII

(Technical Specifications).

2. Funding Information

2.1. The GOP through the source of funding as indicated below for 2021 in the

amount of SEVEN HUNDRED TWENTY ONE MILLION THREE

HUNDRED TWENTY TWO THOUSAND ONE HUNDRED EIGHTY

TWO PESOS AND 47/100 (Php 721,322,182.47).

2.2. The source of funding is:

a. LGUs, the Annual or Supplemental Budget, as approved by the

Sanggunian.

3. Bidding Requirements

The Bidding for the Project shall be governed by all the provisions of RA No. 9184

and its 2016 revised IRR, including its Generic Procurement Manuals and associated

policies, rules and regulations as the primary source thereof, while the herein clauses

shall serve as the secondary source thereof.

Any amendments made to the IRR and other GPPB issuances shall be applicable only

to the ongoing posting, advertisement, or IB by the BAC through the issuance of a

supplemental or bid bulletin.

The Bidder, by the act of submitting its Bid, shall be deemed to have verified and

accepted the general requirements of this Project, including other factors that may

affect the cost, duration and execution or implementation of the contract, project, or

work and examine all instructions, forms, terms, and project requirements in the

Bidding Documents.

4. Corrupt, Fraudulent, Collusive, and Coercive Practices

The Procuring Entity, as well as the Bidders and Suppliers, shall observe the highest

standard of ethics during the procurement and execution of the contract. They or

through an agent shall not engage in corrupt, fraudulent, collusive, coercive, and

obstructive practices defined under Annex “I” of the 2016 revised IRR of RA No.

9184 or other integrity violations in competing for the Project.

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5. Eligible Bidders

5.1. Only Bids of Bidders found to be legally, technically, and financially capable

will be evaluated.

5.2. Foreign ownership exceeding those allowed under the rules may participate

pursuant to:

i. When a Treaty or International or Executive Agreement as

provided in Section 4 of the RA No. 9184 and its 2016 revised

IRR allow foreign bidders to participate;

ii. Citizens, corporations, or associations of a country, included in

the list issued by the GPPB, the laws or regulations of which

grant reciprocal rights or privileges to citizens, corporations, or

associations of the Philippines;

iii. When the Goods sought to be procured are not available from

local suppliers; or

iv. When there is a need to prevent situations that defeat competition

or restrain trade.

5.3. Pursuant to Section 23.4.1.3 of the 2016 revised IRR of RA No.9184, the

Bidder shall have an SLCC that is at least one (1) contract similar to the

Project the value of which, adjusted to current prices using the PSA’s CPI,

must be at least equivalent to:

a. For the procurement of Non-expendable Supplies and Services: The

Bidder must have completed a single contract that is similar to this

Project, equivalent to at least fifty percent (50%) of the ABC.

5.4. The Bidders shall comply with the eligibility criteria under Section 23.4.1 of

the 2016 IRR of RA No. 9184.

6. Origin of Goods

There is no restriction on the origin of goods other than those prohibited by a decision

of the UN Security Council taken under Chapter VII of the Charter of the UN, subject

to Domestic Preference requirements under ITB Clause 18.

7. Subcontracts

7.1. The Bidder may subcontract portions of the Project to the extent allowed by

the Procuring Entity as stated herein, but in no case more than twenty percent

(20%) of the Project.

The Procuring Entity has prescribed that: Subcontracting is not allowed.

8. Pre-Bid Conference

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The Procuring Entity will hold a pre-bid conference for this Project on the specified

date and time and either at its physical address and/or through videoconferencing as

indicated in paragraph 6 of the IB.

9. Clarification and Amendment of Bidding Documents

Prospective bidders may request for clarification on and/or interpretation of any part

of the Bidding Documents. Such requests must be in writing and received by the

Procuring Entity, either at its given address or through electronic mail indicated in the

IB, at least ten (10) calendar days before the deadline set for the submission and

receipt of Bids.

10. Documents comprising the Bid: Eligibility and Technical Components

10.1. The first envelope shall contain the eligibility and technical documents of the

Bid as specified in Section VIII (Checklist of Technical and Financial

Documents).

10.2. The Bidder’s SLCC as indicated in ITB Clause 5.3 should have been

completed within the last three (3) years prior to the deadline for the

submission and receipt of bids.

10.3. If the eligibility requirements or statements, the bids, and all other documents

for submission to the BAC are in foreign language other than English, it must

be accompanied by a translation in English, which shall be authenticated by

the appropriate Philippine foreign service establishment, post, or the

equivalent office having jurisdiction over the foreign bidder’s affairs in the

Philippines. Similar to the required authentication above, for Contracting

Parties to the Apostille Convention, only the translated documents shall be

authenticated through an Apostille pursuant to GPPB Resolution No. 13-2019

dated 23 May 2019. The English translation shall govern, for purposes of

interpretation of the bid.

11. Documents comprising the Bid: Financial Component

11.1. The second bid envelope shall contain the financial documents for the Bid as

specified in Section VIII (Checklist of Technical and Financial

Documents).

11.2. If the Bidder claims preference as a Domestic Bidder or Domestic Entity, a

certification issued by DTI shall be provided by the Bidder in accordance with

Section 43.1.3 of the 2016 revised IRR of RA No. 9184.

11.3. Any bid exceeding the ABC indicated in paragraph 1 of the IB shall not be

accepted.

11.4. For Foreign-funded Procurement, a ceiling may be applied to bid prices

provided the conditions are met under Section 31.2 of the 2016 revised IRR of

RA No. 9184.

12. Bid Prices

12.1. Prices indicated on the Price Schedule shall be entered separately in the

following manner:

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a. For Goods offered from within the Procuring Entity’s country:

i. The price of the Goods quoted EXW (ex-works, ex-factory, ex-

warehouse, ex-showroom, or off-the-shelf, as applicable);

ii. The cost of all customs duties and sales and other taxes already

paid or payable;

iii. The cost of transportation, insurance, and other costs incidental to

delivery of the Goods to their final destination; and

iv. The price of other (incidental) services, if any, listed in e.

b. For Goods offered from abroad:

i. Unless otherwise stated in the BDS, the price of the Goods shall

be quoted delivered duty paid (DDP) with the place of destination

in the Philippines as specified in the BDS. In quoting the price,

the Bidder shall be free to use transportation through carriers

registered in any eligible country. Similarly, the Bidder may

obtain insurance services from any eligible source country.

ii. The price of other (incidental) services, if any, as listed in

Section VII (Technical Specifications).

13. Bid and Payment Currencies

13.1. For Goods that the Bidder will supply from outside the Philippines, the bid

prices may be quoted in the local currency or tradeable currency accepted by

the BSP at the discretion of the Bidder. However, for purposes of bid

evaluation, Bids denominated in foreign currencies, shall be converted to

Philippine currency based on the exchange rate as published in the BSP

reference rate bulletin on the day of the bid opening.

13.2. Payment of the contract price shall be made in:

a. Philippine Pesos.

14. Bid Security

14.1. The Bidder shall submit a Bid Securing Declaration1 or any form of Bid

Security in the amount indicated in the BDS, which shall be not less than the

percentage of the ABC in accordance with the schedule in the BDS.

14.2. The Bid and bid security in no case shall exceed One Hundred Twenty (120)

calendar days from the date of opening of bids, unless duly extended by the

bidder upon the request of the Head of the Procuring Entity (HoPE) of the

Quezon City Local Government. Any Bid not accompanied by an acceptable

bid security shall be rejected by the Procuring Entity as non-responsive.

1 In the case of Framework Agreement, the undertaking shall refer to entering into contract with the Procuring Entity and

furnishing of the performance security or the performance securing declaration within ten (10) calendar days from receipt of

Notice to Execute Framework Agreement.

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15. Sealing and Marking of Bids

Each Bidder shall submit one copy of the first and second components of its Bid.

The Procuring Entity may request additional hard copies and/or electronic copies of

the Bid. However, failure of the Bidders to comply with the said request shall not be a

ground for disqualification.

If the Procuring Entity allows the submission of bids through online submission or

any other electronic means, the Bidder shall submit an electronic copy of its Bid,

which must be digitally signed. An electronic copy that cannot be opened or is

corrupted shall be considered non-responsive and, thus, automatically disqualified.

16. Deadline for Submission of Bids

16.1. The Bidders shall submit on the specified date and time through manual

submission as indicated in paragraph 7 of the IB.

17. Opening and Preliminary Examination of Bids

17.1. The BAC shall open the Bids in public at the time, on the date, and at the place

specified in paragraph 9 of the IB. The Bidders’ representatives who are

present shall sign a register evidencing their attendance. In case

videoconferencing, webcasting or other similar technologies will be used,

attendance of participants shall likewise be recorded by the BAC Secretariat.

In case the Bids cannot be opened as scheduled due to justifiable reasons, the

rescheduling requirements under Section 29 of the 2016 revised IRR of RA

No. 9184 shall prevail.

17.2. The preliminary examination of bids shall be governed by Section 30 of the

2016 revised IRR of RA No. 9184.

18. Domestic Preference

18.1. The Procuring Entity will grant a margin of preference for the purpose of

comparison of Bids in accordance with Section 43.1.2 of the 2016 revised IRR

of RA No. 9184.

19. Detailed Evaluation and Comparison of Bids

19.1. The Procuring BAC shall immediately conduct a detailed evaluation of all

Bids rated “passed,” using non-discretionary pass/fail criteria. The BAC shall

consider the conditions in the evaluation of Bids under Section 32.2 of the

2016 revised IRR of RA No. 9184.

19.2. If the Project allows partial bids, bidders may submit a proposal on any of the

lots or items, and evaluation will be undertaken on a per lot or item basis, as

the case maybe. In this case, the Bid Security as required by ITB Clause 15

shall be submitted for each lot or item separately.

19.3. The descriptions of the lots or items shall be indicated in Section VII

(Technical Specifications), although the ABCs of these lots or items are

indicated in the BDS for purposes of the NFCC computation pursuant to

Section 23.4.2.6 of the 2016 revised IRR of RA No. 9184. The NFCC must be

17

sufficient for the total of the ABCs for all the lots or items participated in by

the prospective Bidder.

19.4. The Project shall be awarded as follows:

One Project having several items that shall be awarded as one contract.

19.5. Except for bidders submitting a committed Line of Credit from a Universal or

Commercial Bank in lieu of its NFCC computation, all Bids must include the

NFCC computation pursuant to Section 23.4.1.4 of the 2016 revised IRR of

RA No. 9184, which must be sufficient for the total of the ABCs for all the

lots or items participated in by the prospective Bidder. For bidders submitting

the committed Line of Credit, it must be at least equal to ten percent (10%) of

the ABCs for all the lots or items participated in by the prospective Bidder.

20. Post-Qualification

20.1. Within a non-extendible period of five (5) calendar days from receipt by the

Bidder of the notice from the BAC that it submitted the Lowest Calculated

Bid, the Bidder shall submit its latest income and business tax returns filed and

paid through the BIR Electronic Filing and Payment System (eFPS) and other

appropriate licenses and permits required by law and stated in the BDS.

21. Signing of the Contract

21.1. The documents required in Section 37.2 of the 2016 revised IRR of RA No.

9184 shall form part of the Contract. Additional Contract documents are

indicated in the BDS.

18

Section III. Bid Data Sheet

Notes on the Bid Data Sheet

The Bid Data Sheet (BDS) consists of provisions that supplement, amend, or specify in

detail, information, or requirements included in the ITB found in Section II, which are

specific to each procurement.

This Section is intended to assist the Procuring Entity in providing the specific information in

relation to corresponding clauses in the ITB and has to be prepared for each specific

procurement.

The Procuring Entity should specify in the BDS information and requirements specific to the

circumstances of the Procuring Entity, the processing of the procurement, and the bid

evaluation criteria that will apply to the Bids. In preparing the BDS, the following aspects

should be checked:

a. Information that specifies and complements provisions of the ITB must be

incorporated.

b. Amendments and/or supplements, if any, to provisions of the ITB as necessitated by

the circumstances of the specific procurement, must also be incorporated.

19

Bid Data Sheet ITB

Clause

5.3 For this purpose, contracts similar to the Project shall be:

a. A single contract similar to the item/s to be bid (Pharmacy Management

Related) and must be at least FIFTY percent (50%) of the ABC.

b. Completed within the last three (3) years prior to the deadline for the

submission and receipt of bids substantially in a FORM prescribed by the

QC-BAC-GOODS AND SERVICES, must be accompanied by a copy of

Certificate of Acceptance by the end-user or Official Receipt (O.R) or

Sales Invoice (S.I.) issued for the Contract.

7.1 Subcontracting is not allowed.

12 The price of the Goods shall be quoted DDP within Quezon City or the applicable

International Commercial Terms (INCOTERMS) for this Project.

14.1 The bid security shall be in the form of a Bid Securing Declaration, or any of the

following forms and amounts:

a. The amount of not less than Php 14,426,443.65 or equivalent to two

percent (2%) of ABC if bid security is in cash, cashier’s/manager’s check,

bank draft/guarantee or irrevocable letter of credit; or

b. The amount of not less than Php 36,066,109.12 or equivalent to five

percent (5%) of ABC if bid security is in Surety Bond.

19.3 [In case the Project will be awarded by lot, list the grouping of lots by specifying

the group title, items, and the quantity for every identified lot, and the

corresponding ABC for each lot.]

[In case the project will be awarded by item, list each item indicating its quantity

and ABC.]

20.2 List of required licenses and permits relevant to the Project and the corresponding

law requiring it.

Copy of valid, current License to Operate from FDA and/or DOH Accreditation as Supplier, Distributor or Manufacturer for Drugs and Medicines.

Copy of current and valid Certificate of Product Registration (CPR) for the

items. PDEA S4 License to ensure that the company can distribute regulated drugs as

needed by the City Hospitals and Barangay Health Centers including Lying-ins.

21.2 Additional required documents relevant to the Project that are required by

existing laws and/or the Procuring Entity.

Statement of the bidder specifying that the expiration dates of the drugs and medicines from the date of delivery shall be two (2) to three (3) years for oral respiratory drugs, intravenous and peritoneal solutions, topical, ophthalmologic and ENT preparations; one (1) to two (2) years for injectables; one (1) year for anesthetics.

Company Profile, stating the owners, brief history and business of the company and such other information as the Pharmacy Management Company;

20

Section IV. General Conditions of Contract

Notes on the General Conditions of Contract

The General Conditions of Contract (GCC) in this Section, read in conjunction with the

Special Conditions of Contract in Section V and other documents listed therein, should be a

complete document expressing all the rights and obligations of the parties.

Matters governing performance of the Supplier, payments under the contract, or matters

affecting the risks, rights, and obligations of the parties under the contract are included in the

GCC and Special Conditions of Contract.

Any complementary information, which may be needed, shall be introduced only through the

Special Conditions of Contract.

21

1. Scope of Contract

This Contract shall include all such items, although not specifically mentioned, that

can be reasonably inferred as being required for its completion as if such items were

expressly mentioned herein. All the provisions of RA No. 9184 and its 2016 revised

IRR, including the Generic Procurement Manual, and associated issuances, constitute

the primary source for the terms and conditions of the Contract, and thus, applicable

in contract implementation. Herein clauses shall serve as the secondary source for the

terms and conditions of the Contract.

This is without prejudice to Sections 74.1 and 74.2 of the 2016 revised IRR of RA

No. 9184 allowing the GPPB to amend the IRR, which shall be applied to all

procurement activities, the advertisement, posting, or invitation of which were issued

after the effectivity of the said amendment.

Additional requirements for the completion of this Contract shall be provided in the

Special Conditions of Contract (SCC).

2. Advance Payment and Terms of Payment

2.1. Advance payment of the contract amount is provided under Annex “D” of the

revised 2016 IRR of RA No. 9184.

2.2. The Procuring Entity is allowed to determine the terms of payment on the

partial or staggered delivery of the Goods procured, provided such partial

payment shall correspond to the value of the goods delivered and accepted in

accordance with prevailing accounting and auditing rules and regulations. The

terms of payment are indicated in the SCC.

3. Performance Security

Within ten (10) calendar days from receipt of the Notice of Award by the Bidder from

the Procuring Entity but in no case later than prior to the signing of the Contract by

both parties, the successful Bidder shall furnish the performance security in any of the

forms prescribed in Section 39 of the 2016 revised IRR of RA No. 9184.

4. Inspection and Tests

The Procuring Entity or its representative shall have the right to inspect and/or to test

the Goods to confirm their conformity to the Project specifications at no extra cost to

the Procuring Entity in accordance with the Generic Procurement Manual. In addition

to tests in the SCC, Section IV (Technical Specifications) shall specify what

inspections and/or tests the Procuring Entity requires, and where they are to be

conducted. The Procuring Entity shall notify the Supplier in writing, in a timely

manner, of the identity of any representatives retained for these purposes.

All reasonable facilities and assistance for the inspection and testing of Goods,

including access to drawings and production data, shall be provided by the Supplier to

the authorized inspectors at no charge to the Procuring Entity.

5. Warranty

6.1. In order to assure that manufacturing defects shall be corrected by the

Supplier, a warranty shall be required from the Supplier as provided under

Section 62.1 of the 2016 revised IRR of RA No. 9184.

22

6.2. The Procuring Entity shall promptly notify the Supplier in writing of any

claims arising under this warranty. Upon receipt of such notice, the Supplier

shall, repair or replace the defective Goods or parts thereof without cost to the

Procuring Entity, pursuant to the Generic Procurement Manual.

6. Liability of the Supplier

The Supplier’s liability under this Contract shall be as provided by the laws of the

Republic of the Philippines.

If the Supplier is a joint venture, all partners to the joint venture shall be jointly and

severally liable to the Procuring Entity.

23

Section V. Special Conditions of Contract

Notes on the Special Conditions of Contract

Similar to the BDS, the clauses in this Section are intended to assist the Procuring Entity in

providing contract-specific information in relation to corresponding clauses in the GCC

found in Section IV.

The Special Conditions of Contract (SCC) complement the GCC, specifying contractual

requirements linked to the special circumstances of the Procuring Entity, the Procuring

Entity’s country, the sector, and the Goods purchased. In preparing this Section, the

following aspects should be checked:

a. Information that complements provisions of the GCC must be incorporated.

b. Amendments and/or supplements to provisions of the GCC as necessitated by the

circumstances of the specific purchase, must also be incorporated.

However, no special condition which defeats or negates the general intent and purpose of the

provisions of the GCC should be incorporated herein.

24

Special Conditions of Contract GCC

Clause

1 [List here any additional requirements for the completion of this Contract. The

following requirements and the corresponding provisions may be deleted,

amended, or retained depending on its applicability to this Contract:]

Delivery and Documents –

For purposes of the Contract, “EXW,” “FOB,” “FCA,” “CIF,” “CIP,” “DDP”

and other trade terms used to describe the obligations of the parties shall have

the meanings assigned to them by the current edition of INCOTERMS published

by the International Chamber of Commerce, Paris. The Delivery terms of this

Contract shall be as follows:

[For Goods supplied from abroad, state:] “The delivery terms applicable to the

Contract are DDP delivered [indicate place of destination]. In accordance with

INCOTERMS.”

[For Goods supplied from within the Philippines, state:] “The delivery terms

applicable to this Contract are delivered [indicate place of destination]. Risk

and title will pass from the Supplier to the Procuring Entity upon receipt and

final acceptance of the Goods at their final destination.”

Delivery of the Goods shall be made by the Supplier in accordance with the

terms specified in Section VI (Schedule of Requirements).

For purposes of this Clause the Procuring Entity’s Representative at the Project

Site is [indicate name(s)].

Incidental Services –

The Supplier is required to provide all of the following services, including

additional services, if any, specified in Section VI. Schedule of Requirements:

Select appropriate requirements and delete the rest.

a. performance or supervision of on-site assembly and/or start-up of the

supplied Goods;

b. furnishing of tools required for assembly and/or maintenance of the

supplied Goods;

c. furnishing of a detailed operations and maintenance manual for each

appropriate unit of the supplied Goods;

d. performance or supervision or maintenance and/or repair of the

supplied Goods, for a period of time agreed by the parties, provided

that this service shall not relieve the Supplier of any warranty

obligations under this Contract; and

e. training of the Procuring Entity’s personnel, at the Supplier’s plant

and/or on-site, in assembly, start-up, operation, maintenance, and/or

repair of the supplied Goods.

f. [Specify additional incidental service requirements, as needed.]

The Contract price for the Goods shall include the prices charged by the

Supplier for incidental services and shall not exceed the prevailing rates charged

to other parties by the Supplier for similar services.

25

Spare Parts –

The Supplier is required to provide all of the following materials, notifications,

and information pertaining to spare parts manufactured or distributed by the

Supplier:

Select appropriate requirements and delete the rest.

a. such spare parts as the Procuring Entity may elect to purchase from the

Supplier, provided that this election shall not relieve the Supplier of any

warranty obligations under this Contract; and

b. in the event of termination of production of the spare parts:

i. advance notification to the Procuring Entity of the pending

termination, in sufficient time to permit the Procuring Entity to

procure needed requirements; and

ii. following such termination, furnishing at no cost to the Procuring

Entity, the blueprints, drawings, and specifications of the spare parts,

if requested.

The spare parts and other components required are listed in Section VI

(Schedule of Requirements) and the cost thereof are included in the contract

price.

The Supplier shall carry sufficient inventories to assure ex-stock supply of

consumable spare parts or components for the Goods for a period of [indicate

here the time period specified. If not used indicate a time period of three times

the warranty period].

Spare parts or components shall be supplied as promptly as possible, but in any

case, within [insert appropriate time period] months of placing the order.

Packaging –

The Supplier shall provide such packaging of the Goods as is required to prevent

their damage or deterioration during transit to their final destination, as indicated

in this Contract. The packaging shall be sufficient to withstand, without

limitation, rough handling during transit and exposure to extreme temperatures,

salt and precipitation during transit, and open storage. Packaging case size and

weights shall take into consideration, where appropriate, the remoteness of the

Goods’ final destination and the absence of heavy handling facilities at all points

in transit.

The packaging, marking, and documentation within and outside the packages

shall comply strictly with such special requirements as shall be expressly

provided for in the Contract, including additional requirements, if any, specified

below, and in any subsequent instructions ordered by the Procuring Entity.

The outer packaging must be clearly marked on at least four (4) sides as follows:

Name of the Procuring Entity

Name of the Supplier

26

Contract Description

Final Destination

Gross weight

Any special lifting instructions

Any special handling instructions

Any relevant HAZCHEM classifications

A packaging list identifying the contents and quantities of the package is to be

placed on an accessible point of the outer packaging if practical. If not practical

the packaging list is to be placed inside the outer packaging but outside the

secondary packaging.

Transportation –

Where the Supplier is required under Contract to deliver the Goods CIF, CIP, or

DDP, transport of the Goods to the port of destination or such other named place

of destination in the Philippines, as shall be specified in this Contract, shall be

arranged and paid for by the Supplier, and the cost thereof shall be included in

the Contract Price.

Where the Supplier is required under this Contract to transport the Goods to a

specified place of destination within the Philippines, defined as the Project Site,

transport to such place of destination in the Philippines, including insurance and

storage, as shall be specified in this Contract, shall be arranged by the Supplier,

and related costs shall be included in the contract price.

Where the Supplier is required under Contract to deliver the Goods CIF, CIP or

DDP, Goods are to be transported on carriers of Philippine registry. In the event

that no carrier of Philippine registry is available, Goods may be shipped by a

carrier which is not of Philippine registry provided that the Supplier obtains and

presents to the Procuring Entity certification to this effect from the nearest

Philippine consulate to the port of dispatch. In the event that carriers of

Philippine registry are available but their schedule delays the Supplier in its

performance of this Contract the period from when the Goods were first ready

for shipment and the actual date of shipment the period of delay will be

considered force majeure.

The Procuring Entity accepts no liability for the damage of Goods during transit

other than those prescribed by INCOTERMS for DDP deliveries. In the case of

Goods supplied from within the Philippines or supplied by domestic Suppliers

risk and title will not be deemed to have passed to the Procuring Entity until

their receipt and final acceptance at the final destination.

Intellectual Property Rights –

The Supplier shall indemnify the Procuring Entity against all third-party claims

of infringement of patent, trademark, or industrial design rights arising from use

of the Goods or any part thereof.

2.2 [If partial payment is allowed, state] “The terms of payment shall be as follows:

_____________.”

4 The inspections and tests that will be conducted are: Product

Presentation/Demonstration/Site Inspection, if applicable.

27

Schedule of Requirements Page 1 of 20

Section VI. Schedule of Requirements

Project Name: Supply, Delivery, Management and Operation of Outsourced

Warehouse Pharmacies for the Hospitals and Health Centers

Project No. CONSO-21-DRUGS AND MEDS-03

The delivery schedule expressed as weeks/months stipulates hereafter a delivery date which

is the date of delivery to the project site.

Item No.

Description Unit of Issue

Quantity Delivered,

Weeks/Months QUEZON CITY GENERAL HOSPITAL

1 0.9% NaCI for Irrigation solution 1L bottle 8,464

Upon Request by

the End-User not

later than December

31, 2021

2 0.9% NaCI for IV Infusion solution 1L bags 27 3 0.9% NaCI for IV Infusion solution 1L bottle 21,500 4 0.9% NaCI for IV Infusion solution 500ml bags 27 5 0.9% NaCI for IV Infusion solution 500ml glass bot. 500 6 0.9% NaCl for IV Infusion solution 100 mL bottle 1,550 7 0.9% NaCl for IV Infusion solution 500ml bottle 5,000 8 0.9% Sodium Chloride 50ml bottle/bag (IV

infusion) vial 420

9 10% Dextrose in Water 500ml bottle 1,800 10 5% Dextrose in 0.3% Sodium Chloride 1L bottle 3,800 11 5% Dextrose in 0.3% Sodium Chloride 500ml bottle 2,700 12 5% Dextrose in 0.3% Sodium Chloride 500ml

10mg/mL, 5mL bottle, white bottle-cap bottle 100

13 5% Dextrose in 0.9% Sodium Chloride 1L bottle 3,212 14 5% Dextrose in 0.9% Sodium Chloride 500ml bottle 1,100 15 5% Dextrose in Balance Multiple Maintenance

Solution (IMB) 500ml bottle 2,610

16 5% Dextrose in Balance Multiple Maintenance Solution (NM) 1L

bottle 4,700

17 5% Dextrose in Lactated Ringer's Solution 1L bottle 20,750 18 5% Dextrose in Lactated Ringer's Solution 500ml bottle 1,650 19 5% Dextrose in Water 1L bottle 1,650 20 5% Dextrose in Water 250ml bottle 2,800 21 5% Dextrose in Water 500ml bottle 4,300 22 5% Lidocaine HCI 2% (20MG/ML) 5ml plastic

polyamp polyamp 2,000

23 Acetazolamide 250mg tablet 1,200 24 Acetylcysteine 100 mg sachet sachet 50 25 Acetylcysteine 100mg/5 mL granules for

suspension, 150 mL bottle 20

26 Acetylcysteine 200mg sachet sachet 50 27 Acetylcysteine 600mg tablet 1,000 28 Acetylcysteine 600mg effervescent tablet tablet 2,000 29 Aciclovir 200 mg tablet 100 30 Aciclovir 400 mg tablet 150 31 Aciclovir 800 mg tablet 351 32 Adenosine 3 mg/ml, 2ml (IV) vial 445 33 All-in-One Admixtures 1875 ml bottle 120 34 All-in-One Admixtures 2500 ml bottle 120 35 Allopurinol 100mg tablet tablet 10 36 Allopurinol 300mg tablet tablet 10 37 Alprazolam 250mg tablet 430 38 Aluminum Hydroxide 225mg + Magnesium

Hydroxide 200mg per 5ml suspension, 120 ml bottle 250

39 Aluminum Magnesium tablet tablet 100 40 Amikacin Sulfate 250mg/ml, 2ml (IM/IV) vial 460 41 Amikacin Sulfate 50 mg/mL, 2mL (IM/IV) vial 320 42 Amino Acid Solutions for Infants 5-10%, 100 ml bottle 2 43 Amino Acids, Crystalline Standard 3.5%, 500ml

bottle bottle 352

44 Aminophylline (theophylline ethylenediamine) ampule 200

28


25mg/ml, 10ml (IV)

Upon Request by

the End-User not

later than December

31, 2021

45 Amiodarone Hydrochloride 50mg/ml, 3ml (IV) ampule 540 46 Amlodipine besilate 10mg tablet 2,450 47 Amlodipine besilate 5mg tablet 2,650 48 Amoxicillin 100mg/ml granules/powder for drops

(suspension),15 ml bottle 500

49 Amoxicillin Trihydrate 250 mg/5 mL granules/powder for suspension, 60mL

bottle 500

50 Amoxicillin Trihydrate 500mg capsule 4,850 51 Amphotericin B (Non-Lipid Complex) 50mg

lyophilized powder (IV infusion) vial 150

52 Ampicillin Sodium 1000mg + Sulbactam Sodium 500mg (IM/IV)

vial 820

53 Ampicillin Sodium 1g (IM/IV) vial 800 54 Ampicillin Sodium 250mg (IM/IV) vial 800 55 Ampicillin Sodium 500mg (IM/IV) vial 1,050 56 Ampicillin Sodium 500mg + Sulbactam Sodium

250mg (IM/IV) vial 519

57 Anti-tetanus serum (equine) 1500 IU/mL, 0.7 mL vial/ampul (IM)

pcs 600

58 Anti-tetanus Serum (equine) 1500iu/ml, 1ml (IM) ampule 30 59 Ascorbic Acid (Vitamin C) 100 mg/5 mL, 120 mL

Syrup bottle 500

60 Ascorbic Acid (Vitamin C) 100 mg/5 mL, 60 mL Syrup

bottle 500

61 Ascorbic Acid (Vitamin C) 100 mg/mL drops 30 mL bottle 500 62 Ascorbic Acid 500mg, film-coated tablet 15,940 63 Aspirin 80mg tablet 13,330 64 Atorvastatin calcium 10 mg tablet tablet 10 65 Atracurium Besylate 10mg/ml, 2.5ml ampule 350 66 Atropine Sulfate 1mg/ml, 1ml (IM/IV/SC) ampule 700 67 Atropine sulfate sterile ophthalmic suspension

10mg/mL (1%) 5 mL bottle w/ red bottle cap bottle 20

68 Azithromycin 200 mg/5 mL (as monohydrate), powder for suspension, 15 ml

bottle 300

69 Azithromycin 500mg (as monohydrate) tablet 880 70 Azithromycin 500mg powder (as base/as

dihydrate) (IV infusion) vial 340

71 Azithromycin 500mg tablet 1,000 72 Baclofen 10mg tablet 200 73 BCG vaccine, freeze-dried powder 500mcg/ml vial

+ 1ml diluent ampule (ID) 20 doses vial 250

74 Beractant 25 mg/mL suspension, 4 mL Intratracheal administration for neonatal intensive care

vial 3

75 Betahistine hydrochloride 24mg tablet 1,390 76 Betahistine hydrochloride 8mg tablet 100 77 Betamethasone Cream 0.1%, 5g tube (as valerate) tube 180 78 Biperiden hydrochloride 2mg tablet 450 79 Biphasic Isophane Human 70/30 (recombinant

DNA) 100 IU/mL, 5mL (SC) vial 305

80 Biphasic Isophane Human Insulin 70/30 (recombinant DNA) 100 IU/mL, 10mL (SC)

vial 305

81 Bisacodyl 10 mg (adult) suppository pcs 620 82 Bisacodyl 5mg (children) suppository pcs 50 83 Budesonide 160mcg + Formoterol 4.5mcg (as

fumarate dihydrate) x 60 doses with dispenser (DPI) bottle 260

84 Budesonide 250mcg/ml, 2ml (unit dose) for nebulization

nebule 4,760

85 Budesonide 250mcg/ml, 2ml (unit dose) for nebulization

net 1,000

86 Budesonide 80mcg + Formoterol 4.5mcg (as fumarate dihydrate) x 60 doses with dispenser (DPI)

inhaler 20

87 Bupivacaine Hydrochloride 0.5%, 10ml ampule 100 88 Bupivacaine Hydrochloride 0.5%, 10ml vial 220 89 Bupivacaine Hydrochloride 4ml amp (spinal) w/

8% dextrose ampule 550

90 Butamirate Citrate 50mg MR tablet 400

29


91 Butorphanol Tartrate 2mg/ml, 1ml ampule 300

Upon Request by

the End-User not

later than December

31, 2021

92 Calcium Carbonate 500mg tablet tablet 100 93 Calcium Carbonate 500mg tablet/chewable

(elemental calcium) tablet 1,250

94 Calcium Gluconate 10%, 10 mL (IV) ampule 880 95 Captopril 25mg tablet 10,720 96 Carbachol Intraocular Solution 0.01% 1.5 mL BFAD

approved vial 216

97 Carbamazepine 200mg tablet 500 98 Carbetocin 100mcg/mL, 1ml solution for Injection

(IV) amp/vl 200

99 Carboplatin 10mg/ml, 15ml (IV) vial 56 100 Carboplatin 10mg/ml, 45ml (IV) vial 56 101 Carboprost 250 mcg/ml solution for injection, 1ml ampule 800 102 Carvedilol 6.25mg tablet 1,390 103 Cefalexin 125mg/5mL, granules/powder for

syrup/suspension, 30 mL bottle 100

104 Cefalexin monohydrate 100mg/ml granules/powder for drops, 10 mL

bottle 100

105 Cefalexin monohydrate 250 mg/5 mL granules/powder for syrup/suspension, 60 mL

bottle 100

106 Cefalexin monohydrate 500mg capsule 1,300 107 Cefazolin Sodium 1gm (IM/IV) vial 1,520 108 Cefazolin Sodium 500mg (IM/IV) vial 70 109 Cefepime Hydrochloride 1g (IM, IV) vial 345 110 Cefixime 100 mg/5 mL, 60 mL suspension bottle 100 111 Cefixime 200mg tablet 5,780 112 Cefotaxime 250mg vial + 2 mL diluent (IM, IV) vial 250 113 Cefotaxime sodium 500 mg vial + 2 mL diluent (IM;

IV) vial 305

114 Cefoxitin Sodium 1gm (IM/IV) vial 710 115 Ceftazidime pentahydrate 1g (IM, IV) vial 850 116 Ceftazidime 1g Vial pcs 20 117 Ceftriaxone Sodium 1gm + 10ml diluent (IV) vial 3,160 118 Cefuroxime 200 mg capsule 100 119 Cefuroxime axetil 125 mg/5 mL granules for

suspension, 70 ml bottle 250

120 Cefuroxime axetil 250 mg/5 mL granules for suspension, 60 mL

bottle 250

121 Cefuroxime axetil 500mg tablet 10,273 122 Cefuroxime Sodium 250mg (IM, IV) vial 250 123 Cefuroxime Sodium 750mg (IM, IV) vial 5,590 124 Celecoxib 200mg capsule 4,271 125 Celecoxib 200mg tab tablet 1,000 126 Cetirizine dihydrochloride 1 mg/ml solution, 60 ml bottle 450 127 Cetirizine dihydrochloride 10 mg/ml oral drops, 10

ml bottle 200

128 Cetirizine dihydrochloride 10mg tablet 1,390 129 Chloramphenicol 125mg/5ml suspension, 60ml (as

palmitate) bottle 100

130 Chloramphenicol Sodium Succinate 1g (IV) vial 10 131 Chlorhexidine Gluconate 0.12% and 4%, 120 mL bottle 1,770 132 Chlorpromazine Hydrochloride 100mg tablet 1,050 133 Ciclosporin 100 mg capsule capsule 20 134 Ciclosporin 25 mg capsule capsule 20 135 Ciprofloxacin 400mg/200mL (IV infusion) or

2mg/ml, 200ml vial 1,250

136 Ciprofloxacin hydrochloride 500mg tablet 2,640 137 Ciprofloxacin Lactate 2mg/ml, 100ml (IV Infusion) vial 400 138 Cisplatin 1mg/ml, 10ml (IV) vial 455 139 Cisplatin 1mg/ml, 50ml (IV) vial 405 140 Clarithromycin 125mg/5mL granules/powder for

suspension, 50mL bottle 50

141 Clarithromycin 250mg/5ml granules powder for suspension 70ml

bottle 30

142 Clarithromycin 500mg tablet 1,270 143 Clindamycin 600mg/vial pcs 10 144 Clindamycin 75mg/5ml granules for suspension, 60 bottle 300

30


ml (as palmitate hydrochloride)

Upon Request by

the End-User not

later than December

31, 2021

145 Clindamycin Hydrochloride 150mg capsule 50 146 Clindamycin Hydrochloride 300mg capsule 4,770 147 Clindamycin Phosphate 150mg/ml, 2ml (IM, IV) ampule 780 148 Clindamycin Phosphate 150mg/ml, 4ml (IM, IV) ampule 2,740 149 Clonidine Hydrochloride 150mcg/ml, 1ml (IV) ampule 556 150 Clonidine Hydrochloride 75mcg tablet 6,150 151 Clopidogrel 75mg tablet 2,020 152 Cloxacillin 250 mg/5ml powder for oral solution, 60

ml bottle 50

153 Cloxacillin Sodium 500mg tab/cap 1,370 154 Clozapine 100mg tablet 100 155 Co-Amoxiclav (Amoxicillin + Potassium

Clavulanate) 200mg amoxicillin (as trihydrate) + 28.5mg potassium clavulanate per 5ml granules/powder for suspension, 70ml

bottle 100

156 Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) 400 mg amoxicillin (as trihydrate) + 57 mg potassium clavulanate per 5mL granules/powder for suspension, 70ml

bottle 1,100

157 Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) 500mg amoxicillin (as trihydrate) + 125 mg potassium clavulanate per tablet

tab/cap 6,725

158 Cotrimoxazole (400 mg Sulfamethoxazole + 80 mg trimethoprim/ 5 ml suspension, 60 ml

bottle 50

159 Cotrimoxazole (Sulfamethoxazole + Trimethoprim) 400 mg + 80 mg Tablet

tablet 7,500

160 Cotrimoxazole (sulfamethoxazole + trimethoprim) 800 mgsulfamethoxazole + 160mg trimethoprim tablet

tablet 2,150

161 Cyclophosphamide powder, 500mg vial vial 5 162 Dexamethasone 4 mg/mL, 2 mL ampul/vial (IM,

IV) (as sodium phosphate) ampule 2,270

163 Dextrose 50% solution for injection 50ml vial 1,900 164 Diazepam 5 mg/mL, 2 mL (IM, IV) ampule 1,980 165 Diazepam 5mg tablet 100 166 Diclofenac Sodium 25mg/ml, 3ml (IM, IV) ampule 3,650 167 Digoxin 250 mcg tablet 350 168 Digoxin 250mcg/ml, 2ml (IM, IV) ampule 330 169 Digoxin 50mcg/mL elixir, 60mL bottle 80 170 Diphenhydramine 12.5 mg/5ml, 60 ml syrup bottle 20 171 Diphenhydramine HCl 50mg/ml/amp, 10

ampule/box pcs 10

172 Diphenhydramine Hydrochloride 25 mg capsule 600 173 Diphenhydramine Hydrochloride 50mg capsule 1,200 174 Diphenhydramine Hydrochloride 50mg/ml, 1ml

(IM, IV) ampule 1,110

175 Dobutamine Hydrochloride 50mg/ml, 5ml (concentrate) (IV infusion)

ampule 1,010

176 Domperidone 10mg tablet 480 177 Domperidone 1mg/ml suspension, 60 mL bottle 20 178 Donepezil 10 mg/orodispersible tab (ODT) tablet 100 179 Donepezil 5 mg/orodispersible tab (ODT) tablet 50 180 Dopamine Hydrochloride 40mg/ml, 5ml (IV) ampule 930 181 Dopamine Hydrochloride 800 mcg/ml, 250ml D5W

(pre-mixed) (IV) ampule 1,050

182 Doxycycline 100mg (as hyclate) capsule 2,900 183 Enalapril 20 mg as maleate tablet 600 184 Enalapril 5 mg as maleate tablet 600 185 Enoxaparin Sodium 100mg/ml, 0.4ml pre-filled

syringe (SC) p-syr. 1,170

186 Enoxaparin Sodium 100mg/ml, 0.5ml pre-filled syringe (SC)

p-syr. 101

187 Eperisone 50mgtab tablet 100 188 Ephedrine Sulfate 50mg/ml( 1ml (IM/IV) ampule 400 189 Epinephine (adrenaline) Hydrochloride 1mg/ml,

1ml (IM, SC) ampule 9,949

190 Epoetin Alfa 4000IU/ml nebule 500

31


191 Ertapenem Sodium 1g powder, vial (IM/IV) vial 130

Upon Request by

the End-User not

later than December

31, 2021

192 Erythromycin 200mg/5ml, 60ml susp. as ethyl succinate

bottle 50

193 Erythromycin eye ointment 0.5% 3.5g tube 140 194 Erythromycin eye ointment 0.5% 5g tube 150 195 Erythropoietin 2000 IU/ 0.5ml, pre-filled syringe

with needle (IV,SC) syr 20

196 Erythropoietin 4000 IU/ 0.4 ml, pre-filled syringe with needle (IV, SC)

syr 20

197 Escitalopram oxalate 10mg tablet 400 198 Esmolol Hydrochloride 100mg/ml, 10ml ampule 14 199 Esmolol Hydrochloride 100mg/ml, 10ml vial 150 200 Fentanyl Citrate 50mcg/ml, 2ml (IV) ampule 900 201 Ferrous Sulfate tablet 1,000 202 Ferrous sulfate 15mg/0.6ml drops 30ml bottle 50 203 Ferrous sulfate 60mg + Folic Acid 400mcg tab/cap 3,010 204 Ferrous sulfate 60mg > 325mg elemental iron tablet 2,040 205 Ferrous sulfate drops 30mg/5ml syrup 60ml bottle 100 206 Fluconazole 200mg tablet 470 207 Fluconazole 50mg capsule 420 208 Fluorescein as sodium salt 10% (100mg/ml), 5ml

(IV) amp/vl 48

209 Fluticasone (as propionate) + Salmeterol (as xinafoate) 250 micrograms fluticasone + 25 micrograms salmeterol x 120 actuations

bottle 235

210 Fluticasone (as propionate) + Salmeterol (as xinafoate) 250 micrograms fluticasone + 50 micrograms salmeterol x 60 doses with dispenser DPI

bottle 120

211 Fluticasone (as propionate) + Salmeterol (as xinafoate) 50 micrograms fluticasone + 25 micrograms salmeterol x 120 actuations (with dose counter*)

bottle 140

212 Fluticasone (as propionate) 0.05%/dose x 120 doses Nasal Aqueous Solution

spray 1,070

213 Furosemide 10mg/ml, 2ml (IM, IV) ampule 3,620 214 Furosemide 20mg tablet 1,380 215 Furosemide 40mg tablet 1,580 216 Furosemide lOmg/ml, 2ml (IM, IV) ampule 202 217 Fusidic Acid Eye Drops Suspension 1%, 5g tube (as

sulfate) tube 5

218 Gabapentin 100mg tablet 480 219 Gadobutrol 1.0 mmol/mL Solution for injection 15

mL vial 2

220 Gadobutrol 1.0 mmol/mL solution for injection, 5ml pre-filled syringe

vial 5

221 Gentamicin Sulfate 40mg/ml, 2ml (IM, IV) ampule 1,180 222 Gentamicin Sulfate 40mg/ml, 2ml (IM, IV) ampule 280 223 Gentamicin Sulfate 80mg/ml, 2ml (IM, IV) ampule 100 224 Gliclazide 80mg tablet 990 225 Haloperidol 5mg/ml, 1ml (IM) ampule 10 226 Hepain (unfractionated) sodium 5000iu/ml; 5ml (IV

infusion, SC) (bovine origin) vial 380

227 Heparin (unfractionated) sodium 1000iu/ml, 5ml (IV infusion, SC) (bovine origin)

vial 220

228 Hepatitis B Immunoglobulin (human) 0.5ml (IM) vial 85 229 Hepatitis B Vaccine (recombinant DNA)

10mcg/0.5ml monodose (IM) (pediatric) vial 2,500

230 Human Albumin 20% IV infusion Solution 50ml bottle 350 231 Human Albumin 25% IV infusion Solution 50ml bottle 400 232 Human Pappiloma Virus Vaccine 4strains single

dose 0.5ml vial vial 200

233 Hydrocortisone Sodium Succinate 100mg (IV) ampule 2,880 234 Hydrocortisone Sodium Succinate 250mg (IV) vial 1,850 235 Hydroxyethyl Starch 6% 500ml bags 30 236 Hydroxyethyl Starch 6% 500ml bottle 1,600 237 Hyoscine N Butyl Bromide 10mg tablet 3,040 238 Hyoscine N Butyl Bromide 20mg/ml, 1ml (IM, IV, ampule 4,750

32


SC)

Upon Request by

the End-User not

later than December

31, 2021

239 Ibuprofen 100 mg/5 mL, 60 mL syrup/suspension bottle 150 240 Immunoglobulin Normal, Human 50mg/ml, 50ml

(IGIV) (IV) vial 100

241 Intraocular Irrigating Solution (Balanced Salt Solution) 500ml

bottle 300

242 Iopamidol 612 mg/mL equiv. to 300 mg iodine, 100 ml

vial 60

243 Iopamidol 612 mg/mL equiv. to 300 mg iodine, 50 ml

vial 60

244 Iopamidol 755 mg/mL equiv. to 370 mg iodine , 100ml

vial 7

245 Ipratropium (as bromide) (for nebulization) 250 micrograms/mL, 2 mL (unit dose)

nebule 236

246 Ipratropium + Salbutamol (for nebulization) 500 micrograms ipratropium (as bromide anhydrous) + 2.5 mg salbutamol (as base) x 2.5 mL (unit dose)

nebule 5,550

247 Irbesartan 150mg tablet 1,850 248 Irbesartan 300mg tablet 1,000 249 Iron Sucrose 20 mg/ml, 5ml ampule 650 250 Isoflurane Inhalation solution 100ml bottle 250 251 Isophane Insulin Human (recombinant DNA) 100

IU/mL, 10 mL (SC) vial 270

252 Isosorbide Dinitrate 1mg/ml, 10ml (IV) ampule 500 253 Isosorbide Dinitrate 5mg (sublingual) tablet 1,550 254 Isosorbide Dinitrate Img/ml, 10ml (IV) ampule 50 255 Isosorbide Mononitrate 30mg MR tablet 550 256 Isotonic Electrolyte Sodium Chloride 1L bottle 250 257 Ketamine Hydrochloride 50 mg/mL, 10 mL (IM, IV) vial 226 258 Ketorolac tromethamol 30mg/ml, 1ml (IM, IV) ampule 1,930 259 Lactated Ringer's Solution 1L bottle 6,050 260 Lactated Ringer's Solution 500ml bottle 3,700 261 Lactulose 3.3 g/5 mL (66%) syrup, 120 mL bottle 810 262 Lagundi [Vitex negundo L. (Fam. Verbenaceae)]

syrup 300mg/5ml syrup, 60ml bottle 100

263 Lagundi 300mg tablet 280 264 Lansoprazole 30 mg capsule 680 265 Levetiracetam 500mg tablet tablet 200 266 Levofloxacin 5 mg/mL (0.5% w/v) ophthalmic

solution, for intracameral use preservative free bottle 300

267 Levofloxacin 5 mg/mL solution for IV infusion, 100 ml

bottle 650

268 Levofloxacin 500mg tablet 400 269 Levothyroxine Na 100mcg tablet 60 270 Levothyroxine Na 50mcg tablet 160 271 Lidocaine (as Hydrochloride) 2%, 1.7 mL carpule

with epinephrine (local infiltration) carpule 2,500

272 Lidocaine (as Hydrochloride) 2%, 1.8 mL carpule with epinephrine (local infiltration)

carpule 1,920

273 Lidocaine Hydrochloride 10% pump spray 50ml bottle 361 274 Lidocaine Hydrochloride 2% (20mg/ml) 5ml

(IM/IV) ampule 1,120

275 Lidocaine Hydrochloride 2% (20mg/ml) 5ml preservative-free

amp/vl 301

276 Lidocaine Hydrochloride 2% 20mg/ml, 20ml (IM/IV)

ampule 420

277 Lidocaine Hydrochloride 2% Local anesthesia 50ml vial 1,051 278 Lipids 10%, 500 mL bottle 100 279 Lithium Carbonate MR 450mg tablet 200 280 Loperamide 2mg tablet tablet 200 281 Loratadine 10mg / film coated tablet 150 282 Losartan 100mg (as potassium salt) tube 500 283 Losartan 50mg (as potassium salt) tablet 1,440 284 Losartan K 50mg + Hydochlorthiazide 12.5mg tablet 250 285 Magnesium Sulfate (as heptahydrate) 250mg/ml,

20ml (IV) vial 1,370

286 Mannitol 20% 500ml bottle 3,075 287 Mebendazole 100mg/5ml, 30ml suspension bottle 100

33


288 Mebendazole 500mg tablet/chewable tablet 200

Upon Request by

the End-User not

later than December

31, 2021

289 Mecabalamin 600mcg tab tablet 200 290 Mefenamic acid 250mg tablet 50 291 Mefenamic acid 500mg tablet 3,670 292 Meropenem trihydrate 1g powder (IV) vial 781 293 Meropenem trihydrate 500mg powder (IV) vial 730 294 Meropenem trihydrate lg powder (IV) vial 200 295 Metformin (as hydrochloride) 500mg/film coated tablet 1,240 296 Methimazole (thiamazole) 5 mg tablet 150 297 Methotrexate 2.5 mg (as base) tablet 600 298 Methotrexate 25mg/ml, 2ml (IM, IV) vial 220 299 Methylergometrine maleate 200mcg/ml, 1ml (IM,

IV) ampule 500

300 Methylergometrine tablet tablet 100 301 Methylprednisolone 4mg tablet 100 302 Methylprednisolone sodium succinate powder 1g

/16ml + diluent vial (IM, IV, IV infusion) vial 110

303 Methylprednisolone sodium succinate powder, 125 mg/mL, 2mL vial + diluent vial (IM, IV, IV infusion)

vial 140

304 Metoclopramide Hydrochloride 5mg/ml, 2ml (IM, IV)

ampule 5,130

305 Metoprolol (as tartrate) 100mg tablet 220 306 Metoprolol (as tartrate) 50mg tablet 3,220 307 Metronidazole 125 mg/5 mL, 60 mL suspension bottle 240 308 Metronidazole 500mg tablet 2,030 309 Metronidazole 5mg/ml, 100ml (IV infusion) bottle 3,840 310 Midazolam 5mg/ml, 1ml (IM, IV) ampule 1,030 311 Midazolam 5mg/ml, 3ml (IM, IV) ampule 480 312 Milk nutrition supplement above 3 years old can 50 313 Milk nutrition supplement for 1-3 years old can 50 314 Modified Fluid Gelatin 4% 500ml solution bottle 1,530 315 Montelukast (as sodium salt) 10mg tablet 1,270 316 Montelukast (as sodium salt) 5mg Chewable tablet 130 317 Morphine Sulfate 10mg tablet 450 318 Morphine Sulfate 16mg/ml, 1ml (IM, IV) ampule 470 319 Multivitamins Adult Vit A: 600-700mcg or 2,000-

2,500 IU, Vit B1: 1.3-1.7mg, Vit B2: 0.7-3mg, Vit B6: 1.6-2mg, Vit B12: 2-6mcg, Vit C: 65-80mg, Vit D: 400 IU (10 mcg)

capsule 2,300

320 Multivitamins Adult cap capsule 10,000 321 Multivitamins per 1 ml, 15ml, drops bottle 200 322 Multivitamins per 5 ml, 60ml, syrup bottle 200 323 Multivitamins per 5 ml, 120ml, syrup bottle 200 324 Mupirocin Ointment 2%, 5g tube 1,705 325 Nalbuphine Hydrochloride 10mg/ml, 1ml (IM, IV,

SC) ampule 780

326 Naloxone Hydrochloride 400 mcg/ml, 1 ml (IM/IV/SC)

amp/vl 60

327 Naproxen Sodium 550mg tablet 221 328 Neostigmine 500mcg/ml, 5 > 10ml ampule 250 329 Nicardipine Hydrochloride 1mg/ml, 10ml (IV) ampule 2,054 330 Nifedipine 10mg capsule 2,936 331 Nifedipine 30mg MR capsule 875 332 Nimodipine 50mg tablet 500 333 Nitroglycerin (Glyceryl trinitrate) 1 mg/ml, 10 ml ampule 1,550 334 Norepinephrine bitartrate 1mg/ml, 10 ml

(concentrate solution for infusion) ampule 400

335 Norepinephrine bitartrate 1mg/ml, 4 ml (IV infusion)

ampule 1,890

336 Ofloxacin 200mg tablet 355 337 Ofloxacin 400mg/tablet tablet 100 338 Olanzapine 10mg tablet 170 339 Olanzapine 10mg orodispersible tablet (ODT) tablet 90 340 Omeprazole 20mg capsule 645 341 Omeprazole 20mg tablet 1,000 342 Omeprazole 40mg capsule 3,030 343 Omeprazole 40mg tablet 1,000

34


344 Omeprazole powder 40mg + 10ml solvent (IV) amp/vl 4,750

Upon Request by

the End-User not

later than December

31, 2021

345 Ondansetron 2 mg/ml, 2ml (IM, IV) ampule 370 346 Oral Rehydration Salts (ORS 75 replacement)

Sodium chloride 2.6 g, Trisodium citrate dihydrate 2.9 g, Potassium chloride 1.5 g, Glucose anhydrous 13.5 g, Total Weight — 20.5 g, Sodium 75

sachet 500

347 Oral Rehydration Salts (ORS 75 replacement) Sodium chloride 2.6 g, Trisodium citrate dihydrate 2.9 g, Potassium chloride 1.5 g, Glucose anhydrous 13.5 g, Total Weight — 20.5 g, Sodium 76

sachet 50


sachet 300


sachet 300

350 Oxacillin Sodium 500mg/vial vial 1,010 351 Oxymetazoline (as hydrochloride) 0.05%, 15ml

Nasal Spray bottle 530

352 Oxytocin (Syntetic) 10 IU/ml, 1ml (IM, IV) ampule 1,000 353 Paclitaxel 6 mg/ml, 16.7ml (IV, IV Infusion) vial 67 354 Paracetamol 100mg/ml drops, 15ml (alcohol-free) bottle 200 355 Paracetamol 10mg/ml, 100ml solution for infusion

(IV) vial 1,050

356 Paracetamol 125mg suppository supp 3,700 357 Paracetamol 150 mg/mL, 2mL amp soln for

injection (IM/IV) ampule 9,810

358 Paracetamol 250 mg/5ml syrup/suspension, 60ml (alcohol‐free)

ww 450

359 Paracetamol 250mg suppository supp 3,200 360 Paracetamol 500mg caplet 2,680 361 Penicillin G Benzathine (benzathine

benzylpenicillin) 1,200,000 units vial (MR) (IM) vial 1,340

362 Penicillin G Crystalline (benyzylpenicillin sodium) 1,000 units (IM/IV)

vial 300

363 Penicillin G Crystalline (benyzylpenicillin sodium) 1,000,000 units (IM/IV)

vial 2,600


vial 420


vial 3,100

366 Peritoneal Dialysis Solution w/ 1.5% dextrose 2L bottle 1,600 367 Permethrin lotion 5% 60ml bottle 100 368 Pethidine Hydrochloride 50 mg/mL, 2 mL (IM, IV,

SC) ampule 150

369 Phenobarbital 130mg/ml, 1 mL (IM, IV) ampule 440 370 Phenobarbital 30mg tablet 300 371 Phenobarbital 60mg tablet 300 372 Phenobarbital 90mg tablet 500 373 Phenylephrine (as hydrochloride) 2.5%, 5ml eye

drop solution with red bottle cap bottle 30

374 Phenytoin (as sodium salt) 100 mg capsule 100 375 Phytomenadione 10 mg/mL, 1 mL (IM, IV, SC) (as

mixed micelle) ampule 1,850

376 Pilocarpine 20 mg/mL (2%) Sterile Ophthalmic Solution, 15 mL green bottle cap

bottle 30

377 Piperacillin Sodium 2gm + Tazobactam Sodium 250mg (IV infusion)

vial 800


vial 1,356

379 Pneumococcal Polysaccharide Vaccine (PPSV23) 1 dose vial, 0.5ml

vial 113

380 Pneumococcal Polyvalent Vaccine, 25mcg/0.5mL, 0.5ml prefilled syringe or single dose vial (IM, SC)

p-syr. 70


vial 219

382 Pneumococcal Vaccine (PCV13), 1 dose vial 0.5ml vial 113

35


383 Polymyxin B (as sulfate) 10,000 units + Neomycin (as sulfate) 3.5 mg + Fluocinolone Acetonide 0.025%, Otic Soln., 5ml

bottle 1,500

Upon Request by

the End-User not

later than December

31, 2021

384 Potassium (as citrate) 10 mEq. tablet 440 385 Potassium Chloride 2mEq/ml, 20ml (IV Infusion) vial 2,350 386 Potassium Chloride 500mg tablet 1,000 387 Potassium Chloride 750 mg durules equiv. to

approximately 10 mEq potassium tablet 1,500

388 Povidone Iodine 1% oral antiseptic 60ml bottle 2,160 389 Prednisolone (as acetate) sterile ophthalmic drops

(microfine suspension) bottle 300

390 Prednisone 10 mg/5 ml suspension, 60ml bottle 210 391 Prednisone 10mg tablet 1,251 392 Prednisone 20mg tablet 1,201 393 Prednisone 5mg tablet 380 394 Proparacaine Hydrochloride 5mg/5mL (0.5%) Eye

drop solution, 15ml bottle 112

395 Propofol 10mg/ml, 20ml (IV) ampule 1,270 396 Propranolol Hydrochloride 10mg tablet tablet 500 397 Quetiapine (as Fumarate) 100mg tablet 220 398 Quetiapine (as Fumarate) 25mg tablet 475 399 Rabies Immunoglobulin (Equine) 200 IU/mL, 5 mL

vial (IM) pcs 1,150

400 Rabies Vaccines Purified Vero Rabies Vaccine (Verorab) lyophilizedpowder, 0.5 IU/ 1 mL, vial + diluent (ID, IM)

pcs 1,200

401 Ranitidine Hydrochloride 25mg/ml, 2ml (IM, IV, IV infusion)

amp/vl 2,780

402 Regular, Insulin (recombinant DNA human) 100 IU/mL, 10 mL (SC, IV/IM)

vial 505

403 Rifampicin + Isoniazid + Pyrazinamide + Ethambutol

tablet 1,000

404 Rifaximin 200mg tablet 235 405 Risperidone 2mg orodispersible tablet tablet 550 406 Rocuronium Bromide 10mg/ml, 5ml (IV) vial 704 407 Ropivacaine Hydrochloride 0.2% lOmg/ml (IV) ampule 50 408 Rosuvastatin (as calcium salt) 10mg tablet 930 409 Rosuvastatin (as calcium salt) 20mg tablet 930 410 Rosuvastatin 10mg tablet 1,000 411 Rosuvastatin 20mg tablet 1,000 412 Sacubitril/Valsartan 100 mg Tablet tablet 200 413 Sacubitril/Valsartan 50 mg tablet 200 414 Salbutamol (as sulfate) Solution for nebulization

1mg/ml, 2.5ml (unit dose) nebule 8,590

415 Salbutamol (as sulfate) Solution for nebulization 2mg/ml, 2.5ml (unit dose)

nebule 2,890

416 Salbutamol 100 mcg/dose x 200 doses Metered Dose Inhaler

bottle 315

417 Sambong [Blumea balsamifera(Fam. Compositae)] 500mg

tablet 350

418 Sertraline hydrochloride 50mg tablet 350 419 Sevelamer Carbonate 500mg tablet tablet 150 420 Sevoflurane inhalation solution 250ml bottle 330 421 Silver Sulfadiazine Cream 1%, 25g tube 170 422 Simvastatin 40mg tablet 690 423 Sodium Bicarbonate 1mEq/ml, 50ml (adult) (IV

infusion) ampule 2,550

424 Sodium Bicarbonate 650mg tab capsule 1,000 425 Sodium Chloride 2.5mEq/ml, 20ml vial 1,130 426 Sodium Hyaluronate 0.1% (1mg/mL), 5ml

Ophthalmic Solution bottle 100

427 Sodium Valproate + Valproic Acid Oral, 500mg (333 mg sodium valproate + 145 mg valproic acid) controlled release

tablet 300

428 Stereofundin ISO Solution 1L bottle 5 429 sterile water for injection 5ml/vial, 50 vials/box box 26 430 Sterile Water for injection 50ml (no preservative) bottle 12,720 431 Sterile Water for Injection 5ml ampule 1,450

36


432 Sucralfate 1g tablet 50

Upon Request by

the End-User not

later than December

31, 2021

433 Sugammadex 100 mg/ml solution for injection (IV), 2ml

box 10

434 Suxamethonium Chloride (SuccinylCholine) 20mg/ml, 10ml

vial 500

435 Tamsulosin Hydrochloride 200mcg, orally disintegrating tab.

tablet 370

436 Telmisartan 40mg tablet 250 437 Telmisartan 80mg tablet 250 438 Terbutalline (as sulfate) 500mcg/ml, 1ml (IM, IV,

SC) ampule 200

439 Tetanus Immunoglobulin (human) 250 IU/mL, 1 mL pre‐filled syringe (IM)

p-syr. 2,110

440 Tetanus toxoid, 0.5 ml (IM) ampule 3,090 441 Tetanus Toxoid, 0.5 mL ampul (IM), ampule pcs 1,500 442 Tobramycin 0.3%+Dexamethasone 0.01%, 5ml Eye

drops bottle 110

443 Tobramycin Eye drops solution 0.3%, 5ml bottle 160 444 Tramadol Hydrochloride 50mg capsule 1,245 445 Tramadol Hydrochloride 50mg/ml, 1ml (IM, IV,

SC) ampule 2,190

446 Tramadol Hydrochloride 50mg/ml, 2ml (IM, IV, SC)

ampule 1,250

447 Tranexamic Acid 100mg/ml, 5ml (IM, IV) ampule 2,400 448 Tranexamic acid 500mg capsule 2,225 449 Trimetazidine 35mg tablet 1,000 450 Tropicamide + Phenylephrine Hydrochloride 5 mg

+ 5 mg/mL (eye drops) fixed dose combination, 10 mL

bottle 100

451 Tropicamide Eye Drops Solution 0.5%, 5 ml red bottle cap

bottle 100

452 Valproic Acid 250 mg/5 mL, 120 mL Syrup bottle 200 453 Valproic Acid 500mg/ml IV Infusion, 5 ml vial 110 454 Valsartan 80mg film coated tablet 376 455 Vancomycin Hydrochloride 1g (IV) vial 980 456 Vancomycin Hydrochloride 500mg (IV) vial 590 457 Verapamil Hydrochloride 2.5mg/ml, 2ml (IV) ampule 200 458 Vitamin B1 100mg + B6 100mg + B12 1mg per 3ml

(IV) ampule 1,184

459 Vitamin B1 100mg, B6 5mg, B12 50mcg (B-complex) tab/cap 12,189 460 Zinc Gluconate 70mg tablet tablet 1,000 461 Zinc sulfate drops (as sulfate monohydrate)

solution, (equiv. to 10 mg elemental zinc/mL) drops, 15ml

bottle 250

462 Zinc sulfate syrup (as sulfate monohydrate) solution, (equiv. to 20 mg elemental zinc/5 mL), 60mL

bottle 250

ROSARIO MACLANG BAUTISTA GENERAL HOSPITAL

463 Acetylcysteine 100mg/5ml granules for suspension, 150ml bottle

bottle 50

464 Acetylcysteine 200mg granules sachet 500

465 Acetylcysteine 600mg sachet tablet 15,000

466 Aminophylline 25mg/ml, 10ML ampule ampule 300

467 Amlodipine besylate 10mg tablet tablet 10,000

468 Amlodipine besylate 5mg tablet tablet 35,000

469 Ascorbic acid 100mg/5ml syrup 60ml bottle 500

470 Ascorbic acid 100mg/ml oral drops 15ml drop 500

471 Ascorbic Acid 500mg tablet tablet 100,000

472 Aspirin 100mg tablet tablet 5,000

473 Aspirin 80mg tablet tablet 10,000

474 Atorvastatin 10 mg tablet tablet 2,000

475 Atorvastatin 20 mg tablet tablet 2,000

476 Atorvastatin 40mg tablet tablet 10,000

477 Atorvastatin 80mg tablet tablet 20,000

478 Azithromycin 500mg tablet tablet 15,000

479 BCG vaccine 100mcg/ml, 1ml freeze-dried powder + 1ml diluent

ampule 2,000

37


480 Budesonide 160mcg + Formeterol 4.5mcg x 60 doses with dispenser (DPI)

bottle 100

Upon Request by

the End-User not

later than December

31, 2021

481 Butamirate Citrate 50mg MR tablet 5,000

482 Calcium Gluconate, 10% 10ml vial vial 1,000

483 Captopril 50 mg tablet tablet 500

484 Carvedilol 25mg tablet tablet 5,000

485 Carvedilol 6.25mg tablet tablet 10,000

486 Cefalexin 500mg capsule capsule 15,000

487 Cefixime 100mg capsule capsule 500

488 Cefixime 200mg capsule capsule 1,000

489 Ceftazidime Na 1g vial vial 2,000

490 Cefuroxime 500mg tablet tablet 20,000

491 Celecoxib 200mg capsule capsule 10,000

492 Cetirizine diHCL 10mg tablet tablet 5,000

493 Chlorhexidine gluconate 0.12%, 120ml bottle bottle 1,000

494 Cinnarizine 25mg tablet tablet 3,000

495 Ciprofloxacin 500mg tablet tablet 10,000

496 Clarithromycin 500mg tablet tablet 5,000

497 Clindamycin HCl 300mg capsule capsule 10,000

498 Clindamycin phosphate 150mg/ml, 2ml ampule ampule 5,000

499 Clopidogrel 75mg tablet tablet 30,000

500 Clotrimazole 1% (10mg/g) 3g cream tube 498

501 Cloxacillin (as sodium salt) 250mg/5ml, 60ml suspension

bottle 50

502 Cloxacillin 500mg capsule capsule 3,000

503 Co-Amoxiclav 625mg tablet tablet 10,000

504 D50% 50ML Dextrose vial 1,000

505 Dexamethasone 8mg/2ml ampule ampule 10,000

506 Diphenhydramine 50mg capsule capsule 3,000

507 Diphenhydramine HCl 50mg/ml, 1mL Ampule ampule 5,000

508 Domperidone 10mg tablet tablet 5,000

509 Doxycycline 100mg capsule capsule 3,000

510 Enoxaparin 100mg/ml, 0.4ml prefilled syringe pre syringe 500

511 Enoxaparin 100mg/ml, 0.6ml prefilled syringe pre syringe 500

512 Erythromycin Eye ointment 0.5%, 3.5G tube tube 1,000

513 Ferrous sulfate 60mg elemental iron + 400mcg Folic acid

tablet 10,000

514 Ferrous Sulfate equiv to 60mg elemental iron tablet tablet 10,000

515 Fluconazole 200mg capsule capsule 200


517 Fluticasone 0.05% x 120 doses nasal aqueous inhalation spray

spray 100

518 Gentamycin 40mg/2ml ampule ampule 10,000

519 Gliclazide 30mg tablet MR tablet 5,002

520 Gliclazide 60mg tablet MR tablet 5,000

521 Hydrocortisone cream 1%, 5g tube cream 480

522 Hyoscine (as N-butyl bromide) 10 mg tablet tablet 5,000

523 Hyoscine (as N-butyl bromide) 20mg/ml 1ML ampule

ampule 5,000

524 Hypromellose Ophthalmic Solution 0.3%, 10ML bottle

bottle 1,000

525 I.V. Fluids, 5% Dextrose in Water 250 mL Bottle bottle 1,500

526 Immunoglobulin, Hepatitis B (human) 0.5mL vial 500

527 Irbesartan 150mg tablet tablet 8,000

528 Irbesartan 300mg tablet tablet 3,000

529 Iron Sucrose 20mg/ml, 5ML ampule ampule 500

530 Isosorbide 5 Mononitrate 30mg MR tablet tablet 5,000

531 Isosorbide 5 Mononitrate 60mg MR tablet tablet 5,000

532 Isosorbide Dinitrate 5mg sublingual tab tablet 5,000

533 Ketoconazole cream 2% (20mg/g) cream 480

534 Ketorolac 30mg/1ml amp ampule 10,000

535 Levofloxacin 500mg tablet tablet 500

536 Levofloxacin 5mg/ml opthalmic solution bottle 300


538 Levothyroxine sodium 50mcg tablet tablet 1,000

539 Lidocaine 2% 5mL ampule ampule 5,000

540 Loperamide 2mg capsule capsule 500

38


541 Loratadine 10mg tablet tablet 3,000

Upon Request by

the End-User not

later than December

31, 2021

542 Losartan 100mg tablet tablet 10,000

543 Losartan 50mg tablet tablet 35,000

544 Magnesium sulfate 250mg/ml, 20ml vial vial 2,000

545 Mefenamic acid 500mg capsule capsule 10,000

546 Metformin 500mg tablet tablet 50,000


548 Methyldopa 250mg tablet tablet 5,000

549 Metoclopramide 5mg/ml, 2ML ampule ampule 5,000

550 Metronidazole 500mg tablet tablet 10,000

551 Montelukast 4mg tablet tablet 1,000

552 Montelukast Na 10mg tablet tablet 20,000

553 Multivitamins for adult, capsule tablet 100,000

554 Mupirocin oint 2% tube ointment 450

555 Neostigmine Methylsulfate 0.5 mg/mL amp ampule 1,000

556 Nifedipine 10mg capsule capsule 500

557 Nifedipine 30mg capsule capsule 500

558 Norepinephrine 1mg/ml, 4ml ampule ampule 1,500

559 Ofloxacin eye drops 0.3%, 5ml bottle 300

560 Omeprazole 40mg powder vial + 10ml solvent ampule

vial 6,000

561 Oral Rehydration Salts (ORS 75 Replacement) 5.125g sachet

sachet 10,000

562 Oxytocin (Synthetic) 10 I.U, amp ampule 10,000

563 Paracetamol 10mg/ml, 100ml vial vial 3,500

564 Paracetamol 500 mg tablet tablet 10,000

565 Phytomenadione 10mg/ml, 1ML ampule ampule 5,000

566 Piperacillin + Tazobactam 2g + 250mg vial vial 5,000

567 Piperacillin + Tazobactam 4g + 500mg vial vial 10,000

568 Potassium Chloride 2mEq/ml, 20ML vial vial 8,000

569 Potassium Chloride 600mg tablet tablet 20,000

570 Potassium Chloride 750mg durule tablet 5,000

571 Povidone Iodine 1% oral antiseptic, 60ML bottle bottle 1,000

572 Prednisone 20mg tablet tablet 500

573 Rosuvastatin 10mg tablet tablet 35,000


575 Salbutamol 100mcg/dose x 200 doses MDI bottle 500

576 Silver Sulfadiazine 1% cream, 25g tube tube 200

577 Simvastatin 20mg tablet tablet 1,000

578 Simvastatin 40mg tablet tablet 1,000

579 Sodium Bicarbonate 650mg tablet tablet 10,000

580 Sodium Bicarbonate 8.4% 1mEq/ml , 50ML vial vial 10,000

581 Sodium Chloride 2.5mEq/ml, 20ML vial vial 3,000

582 Telmisartan 40mg tablet tablet 3,000


584 Tobramycin 3mg/ml, 5ML eye drops bottle 1,000

585 Tramadol HCL 50mg/ml, 2ML ampule ampule 10,000

586 Tranexamic acid 100mg/5ml ampule ampule 1,500

587 Tranexamic acid 500mg capsule capsule 2,000

588 Trimetazidine 35mg tablet tablet 35,000

589 Verapamil 2.5mg/ml, 2ml ampule ampule 1,000

590 Vit. B1 100mg + B6 5mg + B12 50mcg tablet tablet 30,000

591 Zinc Sulfate 55mg/5ml, 60ML Syrup bottle 1,000

OFFICE OF THE CITY MAYOR

592 Acyclovir quad tabs 85,000

593 Ambroxol Tablet Mucosolvan tablet 20,000

594 Amlodipine besylate tablet (branded) tablet 350,000

595 Amoxicilin capsule capsule 50,000

596 Amoxicillin Susp bottle 20,500

597 Ampicilin vial 2,000

598 Anti Rabies Vaccine for Human vial 111,675

599 Anti TB Kit Fixed Dose Combination A quad tabs 950,000

600 Anti TB Kit Fixed Dose Combination B duo tabs 950,000

601 Anti TB Kit II. kit 35,000

602 Anti TB Pedia Kit I. kit 30,003

603 Ascorbic Syrup bottle 150,000

604 Ascorbic Acid Test tablet 500,000

39


605 Azithromycin Tab kit 100,000

Upon Request by

the End-User not

later than December

31, 2021

606 Benzathine Penicillin duo tabs 100,000

607 Betahistine Tab tablet 12,000

608 Cefalexin Caps capsule 75,000

609 Cefalexin Susp bottle 50,000

610 Cefixime tab. tablet 150,000

611 Cefuroxine Axetil tablet 25,000

612 Cetirizine tablet 100,009

613 Ciprofloxacin Tab tablet 1,000

614 Citirizine Oral Solution bottle 500

615 Clindamycin capsule tablet 20,000

616 Clobetasol Propionate tube 1,500

617 Clonidine HCI tablet 900

618 Cloxaxillin caps capsule 90,000

619 Cloxaxillin Susp bottle 2,500

620 Co-amoxiclav Susp bottle 10,000

621 Co-amoxiclav Tab tablet 90,000

622 Cotrimoxazole vial 150,001

623 Distilled water for injection vial 1,500

624 Doxycycline 100mg capsule 119,648

625 Doxycycline Caps capsule 20,000

626 Epinephrine ampule 3,000

627 Erythromycin Ophtalmic tube 750

628 Ethambutol 400mg tablet 150,000

629 Febuxostat Tablet tablet 8,000

630 Hepatitis B Immunoglobulin Injection vial 900

631 Hyoscine-nbutyl Bromide tablet 10,000

632 Ibuprofen + Paracetamol capsule 30,000

633 Ibuprofen 200mg/5ml bottle 2,000

634 Isoniazid tab tablet 200,000

635 Isoniazid-Pyridoxine kit 45,000

636 Lagundi Syrup bottle 30,000

637 Lagundi Tablet tablet 900,000

638 Levonorgestrel pack 200,000

639 LIDOCAINE capsule 100,000

640 Loratadine Tablet tablet 203,500

641 Losartan K Tablet (Branded) tablet 250,000

642 Lynestrenol pack 50,000

643 Medroxyprogesterone acetate vial 75,000

644 Mefenamic Acid Cap capsule 100,000

645 Meloxicam Tablet tablet 10,000

646 Metaclopramide bottle 5,000

647 Metformin Tablet (Branded) tablet 500,000

648 Methyldopa tablet 9,000

649 Methylergometrine tablet 50

650 Metronidazole vial 119,987

651 Multivitamins bottle 700,000

652 Multivitamins kit 100,000

653 Mupirocin Ointment tube 3,000

654 Ofloxacin Tab tablet 8,000

655 Omeprazole Cap capsule 10,000

656 Oral Antiseptic solution bottle 20,000

657 Oxytocin ampule 4,500

658 Paracetamol Drops bottle 75,000

659 Paracetamol Susp bottle 12,000

660 Paracetamol tab tablet 150,000

661 Povidone Iodine Solution gallon 500

662 Prednisone tablet 39,887

663 Purified Protein Derivative Vial (PPD) vial 50,000

664 REMDISIVIR 100MG Lyophilized powder for infusion

vial 132

665 Rifampicin Oral Susp bottle 900

666 Rosuvastatine tablet 30,000

667 Salbutamol Syrup bottle 8,000

668 Salbutamol Tab tablet 300,000

669 Salmeterol 25 mcg + Fluticasone 250mg diskus 5,000

670 Silver Sulfadiazine tube 800

40


671 Tetanus Diphtheria vaccine kit 100,000

Upon Request by

the End-User not

later than December

31, 2021

672 Tranexamic Acid Cap 500mg capsule 85,000

673 Vitamin B Complex Tablet (Branded) tablet 250,000

674 Zinc Drops bottle 10,000

675 Zinc Syrup bottle 10,000

NOVALICHES DISTRICT HOSPITAL

676 0.9% Sodium Chloride 1L bottle 2,664

677 0.9% Sodium Chloride 500ml bottle 550

678 0.9% Sodium Chloride Irrigating Solution 1L bottle 90

679 0.9% Sodium Chloride plastic vial 50ml bottle 1,000

680 10% Dextrose in Water 500mL bottle 300

681 5% Dextrose in Lactated Ringer's 1L bottle 4,120

682 5% Dextrose in 0.3% Sodium Chloride 500mL bottle 100

683 5% Dextrose in Water 1L bottle 1,200

684 5% Dextrose in Water 250ml glass bottle bottle 961

685 Acetylcysteine 100mg sachet sachet 300

686 Acetylcysteine 100mg/mL, 3mL ampule ampule 50

687 Acetylcysteine 200mg sachet sachet 500

688 Acetylcysteine 200mg/mL, 25mL bottle bottle 50

689 Acetylcysteine 600mg tablet tablet 3,000

690 Activated Charcoal 10g sachet 10

691 Acyclovir tablet 500

692 Adenosine 3mg/ml, 2ml vial vial 50

693 Albumin, Human 20%, 20%, 50ml bottle bottle 27

694 Aldactone 25mg tablet tablet 500

695 Amino Acid Solution for Infants ( 6%) 100 ml bottle 50

696 Aminophylline 25mg/ml, 10ml ampule ampule 300

697 Amiodarone 50mg/ml, 3ml ampule ampule 100

698 Amlodipine Besylate 10mg tablet tablet 11,000

699 Amlodipine Besylate 5mg tablet tablet 11,000

700 Amoxicillin 250mg/5ml 60ml gfs susp bottle 48

701 Amoxicillin 500mg capsule capsule 8,000

702 Amphotericin B (Lipid Complex) 50 mg Vial vial 5

703 Ampicillin + Sulbactam 1000mg + 500 mg vial vial 200

704 Ampicillin + Sulbactam 500mg + 250 mg vial vial 200

705 Ampicillin 1g vial vial 500

706 Ampicillin 250mg vial vial 1,000

707 Ascorbic Acid 500mg tablet tablet 21,076

708 Aspirin 80mg tablet tablet 500

709 Atenolol 50mg tablet tablet 500

710 Atorvastatin Calcium 10mg tablet tablet 500



713 Atracurium besylate 10mg/ml, 2.5ml amp ampule 50

714 Atropine Sulfate 1mg/ml amp, 1ml ampule 100

715 Azithromycin 500mg tablet tablet 7,610

716 Balanced Multiple Maintenance Solution for adult 1L

bottle 500

717 Balanced Multiple Maintenance Solution with 5%Dextrose for Pedia 500mL

bottle 500

718 BCG Vaccine 100mcg/ml, 1ml freeze-dried powder + 1 ml diluent

ampule 500

719 Betahistine 16mg tablet tablet 200

720 Betahistine 24mg tablet tablet 1,000

721 Budesonide 250mcg/ml, 2ml respiratory solution nebule

nebule 600

722 Bupivacaine HCI heavy 0.5% 4ml amp with 8% dextrose

ampule 500

723 Butorphanol (as tartrate) 2mg/ml, 1ml ampule ampule 990

724 Calcium Gluconate, 10% 10ml vial vial 1,000

725 Captopril 50mg tablet tablet 100

726 Carboprost Trometamol 250mcg/ml ampule ampule 500

727 Carboprost trometamol carboprost trometamol 125mcg/0.5ml, 0.5ml ampule

ampule 500

728 Carvedilol 25mg tablet tablet 100


730 Cefalexin 500mg capsule capsule 6,500

41


731 Cefazolin 1g vial vial 1,000

Upon Request by

the End-User not

later than December

31, 2021

732 Cefotaxime Na 500mg vial vial 500

733 Cefoxitin 1g vial 412

734 Ceftazadime 1g vial vial 2,500

735 Ceftriaxone Na 1g vial + 10ml diluent vial 7,000

736 Cefuroxime 1.5g vial vial 300

737 Cefuroxime 500mg tablet tablet 5,000

738 Cefuroxime Na 750mg vial vial 1,000

739 Celecoxib 200mg capsule capsule 2,000

740 Celecoxib 400mg capsule capsule 500

741 Cetirizine diHCl 10mg tablet tablet 3,500

742 Cilostazol 50mg tablet tablet 500

743 Ciprofloxacin tablet 500

744 Ciprofloxacin 2mg/ml, 100ml vial vial 200

745 Ciprofloxacin 500mg tablet tablet 500

746 Clindamycin HCL 300mg capsule capsule 11,000

747 Clindamycin phosphate 150mg/ml, 4ml ampule ampule 3,005

748 Clonidine 75mcg tablet tablet 1,600

749 Clonidine HCl 75mcg tablet ampule 100

750 Clopidogrel 75mg tablet tablet 1,000

751 Cloxacillin (as sodium salt) 500mg capsule capsule 10,000

752 Co-amoxiclav 200 mg + 28.5 mg/5 mL, 70 mL Suspension

bottle 36

753 Co-amoxiclav 500 mg + 125 mg Tablet tablet 6,288

754 Co-amoxiclav 400 mg + 57 mg/5 mL, 70 mL Suspension

bottle 36

755 Co-amoxiclav 500mg+125mg tablet tablet 2,500

756 Dexamethasone 4mg/ml, 2ml ampule ampule 1,000

757 Dextrose 50% 50ml/vial bottle 1,100

758 Diazepam 10mg /2ml ampule ampule 350

759 Diclofenac Na 25mg/ml, 3ml ampule ampule 200

760 Digoxin 250mcg tablet tablet 200

761 Digoxin 250mcg/ml, 2ml ampule ampule 500

762 Diphenhydramine (as Hydrochloride) 50 mg Capsule

capsule 3,026

763 Diphenhydramine HCl 50mg/ml, 1ml ampule ampule 800

764 Dobutamine 50mg/ml, 5ml ampule ampule 800

765 Domperidone 10mg tablet tablet 500

766 Dopamine HCl 40mg/ml, 5ml ampule ampule 1,200

767 Doxycyline capsule 1,000

768 Enalapril 5mg tablet tablet 200

769 Enoxaparin sodium 100mg/ml, 0.4ml pre-filled syringe

p-syringe 100

770 Enoxaparin sodium 100mg/ml, 0.6ml pre-filled syringe

p-syringe 100

771 Eperisone HCl 50mg tablet tablet 500

772 Ephedrine Sulfate, 50mg/ml, 1ml (IM/IV) ampule 300

773 Epinephrine 1mg/ml, 1ml ampule ampule 1,200

774 Erythromycin Eye Ointment 0.5% 3.5g ointment 50

775 Erythromycin Eye Ointment 0.5% 3.5g tube 100

776 Fentanyl Citrate 50mcg/ml x 2ml amp ampule 200

777 Ferrous Sulfate equivalent to 60mg elemental iron tablet

tablet 1,000


779 Fluconazole 2mg/ml, 100ml vial 20

780 Furosemide 10mg/ml, 2ml ampule ampule 700

781 Furosemide 20mg tablet tablet 1,000

782 Furosemide 40mg tablet tablet 1,000

783 Gabapentin 100mg tablet tablet 500

784 Gabapentin 300mg tablet tablet 500

785 Gentamicin 40mg/mL, 2ml ampule ampule 2,000

786 Haloperidol 50mg/ml, 1ml ampule ampule 50

787 Hydralazine 20mg/ml, 1ml ampule ampule 800

788 Hydrocortisone 100mg powder bottle 500

789 Hydrocortisone 250mg powder bottle 500

790 Hydrocortisone 250mg powder vial 882

791 Hydrocortisone cream 1% 5g tube tube 50

42


792 Hydroxyethyl Starch 6% 500ml bottle bottle 360

Upon Request by

the End-User not

later than December

31, 2021

793 Hyoscine N-Butyl Bromide 20mg/ml, 1ml ampule ampule 700

794 Hypromellose Ophthalmic Solution 0.3% 10ml bottle

bottle 50

795 Influenza vaccine pre-filled syringe, quadrivalent vial 300

796 Insulin, Biphasic Isophane Human 70/30 70% isophane suspension + 30% soluble insulin in 100IU/ml, 10ml vial

vial 20

797 Insulin, Regular (Recombinant DNA, human) 100 IU/ml, 10ml vial

vial 10

798 Ipratropium 500mcg+Salbutamol 2.5mg,2.5ml unit dose Respiratory Solution

nebule 843

799 Irbersartan 150mg tablet tablet 300

800 Iron Sucrose 20mg/ml, 5ml ampule ampule 849

801 Isoflurane 100ml bottle bottle 5

802 Isosorbide 5 Mononitrate 60mg MR tablet tablet 300

803 Isosorbide Dinitrate 1mg/ml, 10ml ampule ampule 150

804 Isosorbide Dinitrate 5mg (sublingual) tablet tablet 500

805 Ketamine HCl 50mg/ml, 10ml vial vial 20

806 Ketorolac 30mg/ml, 1ml ampule ampule 2,000

807 Lactated Ringer's Solution 1l bottle 1,500

808 Lactulose 3.35g/5ml syrup, 120ml bottle 60

809 Levetiracetam 500mg tablet tablet 500

810 Levetiracetam 500mg/5mL (100mg/mL) concentration solution for IV infusion , 5mL vial

vial 10

811 Levodopa+Carbidopa 100mg+25mg tablet tablet 500

812 Levodopa+Carbidopa 250mg+25mg tablet tablet 500



815 Lidocaine 2% 50ml vial 250

816 Lidocaine HCl Spray 10%, 50ml jar 3

817 Lidocaine HCl+Epinephrine 2%+1.8ml carpule carpule 550

818 Loratidine 10mg tablet tablet 1,200

819 Losartan K 50mg tablet tablet 11,000

820 Losartan K 100mg tablet tablet 1,000

821 Losartan K+Hydrochlorthiazide 50mg+12.5mg tablet

tablet 500

822 Magnesium SO4 250mg/ml, 10ml ampule polyamp 3,000

823 Mannitol 500 mL, 20% bottle 500

824 Mefenamic acid 500mg capsule capsule 14,000

825 Meropenem 1g vial vial 500

826 Meropenem 500mg vial vial 500


828 Methylergometrine 200mcg/ml, 1ml ampule ampule 600

829 Metoclopramide 5mg/ml, 2ml ampule ampule 500

830 Metoprolol Tartrate 50mg tablet tablet 500

831 Metronidazole 500mg tablet tablet 3,000

832 Metronidazole 5mg/ml, 100ml plastic/bottle bottle 1,300

833 Metyldopa 250mg tablet tablet 500

834 Midazolam 5mg/ml, 1ml amp ampule 650

835 Morphine Sulfate 16mg/ml ampule 100

836 Moxifloxacin 5mg/ml (0.5 w/v) sterile ophthalmic solution 5ml

bottle 6

837 Multivitamins for adults tablet 12,259

838 Mupirocin 2% 5g ointment ointment 50

839 Nalbuphine HCl 10mg/ml amp ampule 200

840 Neomycin 3.5mg + Polymyxin B 10,000units + fluocinolone acetonide 0.025%,5mL

bottle 60

841 Nicardipine 1mg/ml, 10ml ampule ampule 600

842 Nifedipine 10mg softgel capsule capsule 542

843 Nifedipine 30mg MR tablet capsule 916

844 Norepinephrine 1mg/ml, 4ml ampule ampule 250

845 Omeprazole 40mg capsule capsule 1,574

846 Omeprazole 40mg powder vial+10ml solvent ampule

ampule 1,788

847 Oral Rehydradion Salts (ORS 75-replacement)5.125g sachet

sachet 500

848 Oxacillin Na 500mg vial vial 700

43


849 Oxytocin (Synthetic) 10IU/ml, 1ml amp ampule 500

Upon Request by

the End-User not

later than December

31, 2021

850 Paracetamol 10mg/ml, 100ml vial vial 200

851 Paracetamol 125mg suppository suppository

300

852 Paracetamol 150mg/ml, 2ml ampule ampule 4,700

853 Paracetamol 500mg tablet tablet 11,000

854 Phenytoin 50mg/mL,2mL ampule ampule 100

855 Phytomenadione 10mg/ml, 1ml Ampule ampule 1,000

856 Piperacillin +Tazobactam 2g+250mg vial vial 2,108

857 Piperacillin +Tazobactam 4g+500mg vial vial 1,288

858 Pneumococcal Polyvalent Vaccine vial 50

859 Potassium Chloride 2 mEq/ml, 20ml vial vial 1,000

860 Prednisolone 20mg tablet tablet 500

861 Proparacaine HCl 0.5% eye drop solution 15ml bottle 5

862 Propofol 10mg/ml, 120ml vial vial 300

863 Ranitidine HCl 25mg/ml, 2ml amp. ampule 599

864 Rosuvastatin 10mg tablet tablet 500


866 Salbutamol 1mg/mL, 2.5ml (unit dose)nebule nebule 1,995

867 Salbutamol 100mcg/dose x 200doses metered dose inhaler

inhaler 150

868 Serum, Anti Tetanus (ATS) equine 1500IU/0.7ml, 0.7ml ampule

ampule 1,000

869 Sevoflurane 250ml bottle 5

870 Silver Sulfadiazine 1% cream 500g jar jar 6

871 Sodium Bicarbonate 1 meq/mL, 50ml vial vial 100

872 Sodium Chloride 2.5 mEq/mL, 20ml vial 100

873 Sterile Water For injection 50ml bottle bottle 2,601

874 Suxamethonium (Succinylcholine) 20mg/ml, 10ml vial

vial 100



877 Terbutaline SO4 100mg/ml, 5ml ampule ampule 100

878 Tobramycin 0.3% + Dexamethasone 0.1% eye drops suspension 5ml

bottle 50

879 Tobramycin 0.3% 3.5g ophthalmic ointment ointment 43

880 Tobramycin 0.3% eye drops solution 5ml bottle bottle 50

881 Tramadol 50mg capsule capsule 1,000

882 Tramadol HCl 50mg/ml, 2ml ampule ampule 3,000

883 Tranexamic acid 500mg capsule capsule 1,500

884 Tranexamic acid 100mg/ml, 5ml ampule ampule 1,670

885 Trimetazidine HCl 35mg tablet tablet 1,000

886 Tropicamide 0.5% 5ml eye drops solution bottle bottle 5

887 Vaccines,Hepatitis B (recombinant DNA) 20 mcg/1 ml (adult)

vial 50

888 Vaccines,Hepatitis B (recombinant DNA) 10 mcg/0.5 ml (pediatric), vial

vial 1,000

889 Vaccines,Tetanus Toxoid 0.5ml amp ampule 1,000

890 Valproic acid 500mg/5ml IV infusion capsule 20

891 Vancomycin 500mg vial vial 150

892 Verapamil 2.5mg/ml, 2ml ampule ampule 50

893 Vit B1+B6+B12 100mg+5mg+50mcg tablet tablet 15,002

894 Vitamin B1 B6 B12 100mg+100mg+1mg, 3ml ampule

ampule 50

QUEZON CITY HEALTH DEPARTMENT

895 Amlodipine 10mg/tablet tablet 1,050,000

896 Amlodipine 5mg tablet 280,000

897 Amoxicillin trihydrate 500mg in blister pack capsule 20,000

898 Amoxicillin trihydrate suspension 250 mg/5ml granules/ powder for suspension; 60ml

bottle 700

899 Amoxicillin Cap 500 mg/capsule capsule 185,000

900 Amoxicillin Capsule Trihydrate - 500mg., capsule capsule 30,000

901 Amoxicillin Drops 100 mg/ml, 10ml drops bottle 3,750

902 Amoxicillin Susp 250 mg/5 ml. Bot x 60 ml suspension

bottle 7,750

903 Ampicillin 250 mg/vial vial 1,500

904 Anti Rabies Vaccine for Human PVRV (WHO-prequalified) Inactivated and purified, freeze-dried

vial 980

44

rabies vaccine (Wistar strain rabies PM/WI 38-1503-3M) produced on vero cell line 1 immunizing dose*. It also contains maltose up to 1 immunizing dose, human plasma albumin up to 1 immunizing dose and 4% sodium chloride solution (diluent) 0.5 mL. Potency of vaccine for ID use must be 0.5 IU/ID dose as evidenced in their lot release certificate. (FDA approved, non WHO pre-qualified must have gone through clinical trials on safety, immunogenicity and efficacy in comparison with a vaccine of demonstrated efficacy which are published in peer reviewed trials) Lyophilized inactivated purified rabies vaccine prepared on verocells. *Such that the protective power is ≥2.5 iu before and after heating for 1 month at 37°C.Inj [vial + syringe (diluent)] 0.5 mL x 1's, OR [vial + amp (diluent)] 0.5 mL x 5's

Upon Request by

the End-User not

later than December

31, 2021

905 Anti Rabies Vaccine for Human w/ lyophilized powder and solvent solution for injection, 2.5 iU/ml, 1ml vial, Purified Chick Embryo Cells (PCEC) can benefit 4-5 patients per vial (WHO Pre-qualified) (for 20k bite exposure)

vial 3,000

906 ANTI TB KIT FIXED DOSE COMBINATION A ISONIAZID 75mg + RIFAMPICIN 150mg + PYRAZINAMIDE 400mg + ETHAMBUTOL 275mg

quad tabs 84,000

907 ANTI TB KIT FIXED DOSE COMBINATION B ISONIAZID 75mg + RIFAMPICIN 150mg

duo tabs 168,000

908 Anti TB KIT I Isoniazid-Pyridoxine 200mg-12mg/5ml + Rifampicin 200mg/5ml + Pyrazinamide 500mg/5ml (branded)

kit 300

909 Anti TB KIT II Isoniazid-Pyridoxine 200m+12mg/5ml+ Rifampicin 200mg/5ml (120ml Bottle, Branded)

kit 3,600

910 Anti TB Pedia Kit I Isoniazid-Pyridoxine 200mg-12mg/5ml + Rifampicin 200mg/5ml + Pyrazinamide 500mg/5ml (120ml Bottle,Branded)

kit 1,500

911 Ascorbic Acid Tablet 500 mg/tablet tablet 637,507

912 Aspirin 80mg tablet 1,000

913 Atorvastatin 20mg/tablet tablet 4,000

914 Azithromycin 500mg Tab tablet 3,000

915 Betahistine Tab 8mg/tablet tablet 8,000

916 Biperiden 2 mg tab 2mg., tablet tablet 2,500

917 Carboprost as Trumetamol 250 mcg/ml solution for injection ampule

ampule 100


919 Cefalexin 500 mg capsule capsule 38,092

920 Cefalexin monohydrate 500mg capsule capsule 25,000

921 Cefalexin Susp 250 mg/5 ml. Bot x 60 ml bottle 3,100

922 Cefuroxime 500mg capsule capsule 2,500

923 Cefuroxime axetil 500 mg capsule tablet 9,900

924 Cefuroxime axetil 500 mg/tablet tablet 5,000

925 Celecoxib Caps 200mg/caps capsule 15,000

926 Cetirizine Oral Solution 1 mg/ml. bot x 30 ml bottle 500

927 Cetirizine Tablet 10 mg/tablet tablet 1,000

928 Chlorpromazine 100mg., tablet tablet 5,000

929 Ciprofloxacin 500mg capsule capsule 2,500

930 Ciprofloxacin Tab 500 mg/tablet tablet 3,000

931 Clobetasol Ointment 0.05%, 5g tube tube 760

932 Clonidine Clonidine 75mg tablet 3,000

933 Clonidine HCl 75mcg tablet tablet 800

934 Clopidopgrel Clopidopgrel 75mg tablet 30,000

935 Cloxacillin 500mg capsule capsule 2,500

936 Cloxacillin caps 500 mg/capsule (as Sodium) capsule 27,000

937 Cloxacillin susp 250 mg/5 ml. Bot x 60 ml bottle 1,100

938 Clozapine 100mg., tablet tablet 2,500

939 Co-Amoxiclav 625mg tab tablet 3,000

940 Co-amoxiclav Susp 400 mg + 57 mg/ml, 70ml suspension

bottle 3,000

941 Co-amoxiclav Tab 500 mg + 125 mg/tablet tablet 10,000

45



942 Cotrimoxazole 800/160mg 800/160mg Tab tablet 23,080

Upon Request by

the End-User not

later than December

31, 2021

943 Dexamethasone 4mg per 2ml per ampule ampule 700

944 Diphenhydramine HCL 50mgs. Capsule capsule 12,500

945 Distilled water for injection 50 ml/ vial vial 150

946 Doxycycline Caps 100 mg/capsule (as Hyclate) capsule 30,000

947 Epinephrine 1mg/amp. ampule 100

948 Equine Rabies ImmuneGlobulin WHO prequalified Anti Rabies Serum (Equine) 200IU/mL vaccine vial, 5 ml

vial 118

949 Erythromycin Eye Ointment 0.5% x 3.5 g tube tube 250

950 Erythromycin Eye Ointment Ophthalmic ointment 0.5%, 5 g tube

tube 399

951 ethambutol 400mg anti tb meds, tablet tablet 6,000

952 Ferrous Sulfate 60 MG (60mg) tablet tablet 10,000

953 Flu vaccine 0.5ml Suspension pre-filled syringe vial 150

954 Fluticasone + Salmeterol 250 mcg + 25 mcg x 120 doses

dose 200

955 Gentamycin 40mg/ml, 2 ml amp ampule 750

956 Hepa B vaccine 20 mcg/ml, vial vial 150

957 Hyoscine (as N-butyl bromide) 10 mg/tablet tablet 5,000

958 Ibuprofen tablet 400mg tablet capsule 10,000

959 Influenza vaccine 0.5ml. Pr-filled syringe, Quadrivalent Influenza Vaccine

syringe 2,000

960 Iron Succrose 20mg/ml, 5 ml ampule ampule 100

961 Isoniazid-300mg tab 300mg tablet 25,000

962 Isoniazid-Pyridoxine 200mg-12mg/5ml anti tb meds, isoniazid 200mg/5ml, Pyrdoxine 12mg/5ml, (branded)

bottle 500

963 Lagundi Syrup 300 mg / 5 ml bot. x 120 ml bottle 5,000

964 Lagundi Tablet 600 mg / tablet tablet 101,061

965 Levonorgestrel 21 tablets containing 150 mcgs of Levonorgestrel and 30 mcg of ethinyl estradiol and 7 tablets 75 mgs ferrous fumarate

pack 79,976

966 Lidocaine hydrochloride 2%, 50ml vial vial 172

967 Lidocaine Lidocaine Hydrochloride + Epinephrine; 20mg/ml(2%) for local infiltration in polypropylene cartridges, 1: 8ml; expiry date should be at least 24 months from delivery date

carpule 25,000

968 lithium carbonate 450 mg MR Tablet tablet 12,500

969 Loratadine Tablet 10 mg/tablet tablet 1,000

970 Losartan 50 mgs. Tablet tablet 750,000

971 Losartan K Tablet 50 mg/tablet tablet 1,000,000

972 Lynestrenol 28 tablets containing 500 mcg lynesterone

pack 10,000

973 Medroxyprogesterone acetate 150 mg / ml 1 ml vial water based with 3 ml syringe gauge 23 1 1/4 inch needle

vial 40,000

974 Mefenamic Acid 500 mg/capsule 91,604

975 Mefenamic Acid-250mg capsule 250mg., capsule capsule 5,000


977 Metformin HCl Metformin HCl 500mg tablet 382,850

978 Methydopa 250 mg tablet tablet 3,000

979 Methylergometrine 200mcg/ml, 1 ml ampule ampule 100

980 Multivitamins caps. for adults capsule 300,000

981 Multivitamins per 5ml, 60ml syrup bottle 12,500

982 Multivitamins VIT A, B1, B2, B6, B12, C,D, E, NIACIN, FOLIC ACID

capsule 40,000

983 Mupirocin Ointment 2 % / 5 gm. Tube tube 1,000

984 Nifedipine cap Nifedipine 10mg per softgel cap capsule 620

985 Normal Saline Solution plain, I.V fluids, 0.9% sodium chloride, 1 liter bottle

bottle 200

986 Olanzapine 10mg tablet tablet 7,500

987 Omeprazole Cap 20 mg/capsule capsule 8,000

988 Oral Rehydration Salt (ORS 75-replacement) 20.5g sachet

sachet 2,000

989 Oral rehydration solution (ORS) 75-replacement sachet 5,000

990 Oxytocin 10iu/ml, 1ml/ amp. ampule 5,000

991 Paracetamol 250mg suspension 250 mg/5 ml bottle 600

46


syrup;orange flavor;60 ml

Upon Request by

the End-User not

later than December

31, 2021

992 Paracetamol drop 100mg/ml 15ml drops bottle 17,000

993 Paracetamol drops 100mg/10ml bottle bottle 750

994 Paracetamol syrup 250 mg/5ml bot. x 60 ml bottle 8,750

995 Paracetamol tablet 500 mg/tab tablet 164,000

996 Phytomenadione / Vitamin K 10mg per ampule ampule 500

997 Pneumococcal polysaccharide vaccine 0.5ml. Pre-filled syringe, Pneumococcal vaccine

syringe 2,000

998 Pneumonia vaccine Pneumococcal Vaccine (Pre-filled Syringe)

vial 150

999 Povidone Iodine Solution 10% bottle x 1 gallon gallon 70

1000 Purified Protein Derivative Vial (PPD) for Tuberculin skin Testing (TST)

vial 375

1001 Rifampicin Oral Susp 200 mg/5ml x 120 ml suspension

bottle 150

1002 Risperidone tab 2mg., tablet tablet 17,500


1004 Salbutamol Nebules 2.5mg/2.5ml nebule 750

1005 Salbutamol Syrup 2mg/5 ml x 60 ml bottle 6,790

1006 Salbutamol Tab 2 mg/tablet tablet 22,000

1007 Sertraline 50 mg tab 50mg., tablet tablet 2,500

1008 Silver Sulfadiazine cream 1.0 %/15 gm tube tube 200

1009 Simvastatin 20 mgs. Tablet tablet 50,000

1010 Tetanus diphtheria vaccine 0.5 ml vaccine vial vial 1,000

1011 Tranexamic acid 500mg 500 mg/ tablet tablet 611

1012 Vitamin B Complex Tablet (Branded) B1-250 mg, B6-250 mg; B12-1000 mcg

tablet 200,000

1013 Vitamin B complex tablet vit. B1-100mg,B6-5mg,B12-50mcg tablet

tablet 20,000

1014 Zinc drops( 10 mg zinc/ml) 10 mg/ml x15 ml bottle 600

1015 Zinc syrup( 20mg zinc/ 5ml) 20mg/5ml x 60ml bottle 903

**With attached Terms of Reference (TOR) which will form as an integral part of this bidding document

I hereby certify to comply and deliver all the above requirements.

Name: __________________________________________________________________

Legal Capacity: __________________________________________________________

Signature: _______________________________________________________________

Duly authorized to sign the Bid for and behalf of: _____________________________

CONSO-21-DRUSG AND MEDS-03

47

Section VII. Technical Specifications

Notes for Preparing the Technical Specifications

A set of precise and clear specifications is a prerequisite for Bidders to respond realistically

and competitively to the requirements of the Procuring Entity without qualifying their Bids.

In the context of Competitive Bidding, the specifications (e.g. production/delivery schedule,

manpower requirements, and after-sales service/parts, descriptions of the lots or items) must

be prepared to permit the widest possible competition and, at the same time, present a clear

statement of the required standards of workmanship, materials, and performance of the goods

and services to be procured. Only if this is done will the objectives of transparency, equity,

efficiency, fairness, and economy in procurement be realized, responsiveness of bids be

ensured, and the subsequent task of bid evaluation and post-qualification facilitated. The

specifications should require that all items, materials and accessories to be included or

incorporated in the goods be new, unused, and of the most recent or current models, and that

they include or incorporate all recent improvements in design and materials unless otherwise

provided in the Contract.

Samples of specifications from previous similar procurements are useful in this respect. The

use of metric units is encouraged. Depending on the complexity of the goods and the

repetitiveness of the type of procurement, it may be advantageous to standardize the General

Technical Specifications and incorporate them in a separate subsection. The General

Technical Specifications should cover all classes of workmanship, materials, and equipment

commonly involved in manufacturing similar goods. Deletions or addenda should then adapt

the General Technical Specifications to the particular procurement.

Care must be taken in drafting specifications to ensure that they are not restrictive. In the

specification of standards for equipment, materials, and workmanship, recognized Philippine

and international standards should be used as much as possible. Where other particular

standards are used, whether national standards or other standards, the specifications should

state that equipment, materials, and workmanship that meet other authoritative standards, and

which ensure at least a substantially equal quality than the standards mentioned, will also be

acceptable. The following clause may be inserted in the Special Conditions of Contract or

the Technical Specifications.

Sample Clause: Equivalency of Standards and Codes

Wherever reference is made in the Technical Specifications to specific standards and codes to

be met by the goods and materials to be furnished or tested, the provisions of the latest

edition or revision of the relevant standards and codes shall apply, unless otherwise expressly

stated in the Contract. Where such standards and codes are national or relate to a particular country or region, other authoritative standards that ensure substantial equivalence to the

standards and codes specified will be acceptable.

Reference to brand name and catalogue number should be avoided as far as possible; where

unavoidable they should always be followed by the words “or at least equivalent.”

References to brand names cannot be used when the funding source is the GOP.

Where appropriate, drawings, including site plans as required, may be furnished by the

Procuring Entity with the Bidding Documents. Similarly, the Supplier may be requested to

provide drawings or samples either with its Bid or for prior review by the Procuring Entity

during contract execution.

Bidders are also required, as part of the technical specifications, to complete their statement

of compliance demonstrating how the items comply with the specification.

48

Technical Specifications Page 1 of 22

Technical Specifications

Project Name: Supply, Delivery, Management and Operation of Outsourced

Warehouse Pharmacies for the Hospitals and Health Centers

Project No. CONSO-21-DRUGS AND MEDS-03

Item Specification Statement of Compliance

[Bidders must state here either “Comply” or

“Not Comply” against each of the individual

parameters of each Specification stating the

corresponding performance parameter of the

equipment offered. Statements of “Comply” or

“Not Comply” must be supported by evidence in

a Bidders Bid and cross-referenced to that

evidence. Evidence shall be in the form of

manufacturer’s un-amended sales literature,

unconditional statements of specification and

compliance issued by the manufacturer, samples,

independent test data etc., as appropriate. A

statement that is not supported by evidence or is

subsequently found to be contradicted by the

evidence presented will render the Bid under

evaluation liable for rejection. A statement either

in the Bidder's statement of compliance or the

supporting evidence that is found to be false

either during Bid evaluation, post-qualification or

the execution of the Contract may be regarded as

fraudulent and render the Bidder or supplier

liable for prosecution subject to the applicable

laws and issuances.] QUEZON CITY GENERAL HOSPITAL

A.1 0.9% NaCI for Irrigation solution 1L 2 0.9% NaCI for IV Infusion solution 1L 3 0.9% NaCI for IV Infusion solution 1L 4 0.9% NaCI for IV Infusion solution 500ml 5 0.9% NaCI for IV Infusion solution 500ml 6 0.9% NaCl for IV Infusion solution 100 mL 7 0.9% NaCl for IV Infusion solution 500ml 8 0.9% Sodium Chloride 50ml bottle/bag (IV infusion) 9 10% Dextrose in Water 500ml 10 5% Dextrose in 0.3% Sodium Chloride 1L 11 5% Dextrose in 0.3% Sodium Chloride 500ml 12 5% Dextrose in 0.3% Sodium Chloride 500ml 10mg/mL,

5mL bottle, white bottle-cap

13 5% Dextrose in 0.9% Sodium Chloride 1L 14 5% Dextrose in 0.9% Sodium Chloride 500ml 15 5% Dextrose in Balance Multiple Maintenance Solution

(IMB) 500ml

16 5% Dextrose in Balance Multiple Maintenance Solution (NM) 1L

17 5% Dextrose in Lactated Ringer's Solution 1L 18 5% Dextrose in Lactated Ringer's Solution 500ml 19 5% Dextrose in Water 1L 20 5% Dextrose in Water 250ml 21 5% Dextrose in Water 500ml 22 5% Lidocaine HCI 2% (20MG/ML) 5ml plastic polyamp 23 Acetazolamide 250mg 24 Acetylcysteine 100 mg sachet 25 Acetylcysteine 100mg/5 mL granules for suspension, 150

mL

49


26 Acetylcysteine 200mg sachet 27 Acetylcysteine 600mg 28 Acetylcysteine 600mg effervescent tablet 29 Aciclovir 200 mg 30 Aciclovir 400 mg 31 Aciclovir 800 mg 32 Adenosine 3 mg/ml, 2ml (IV) 33 All-in-One Admixtures 1875 ml 34 All-in-One Admixtures 2500 ml 35 Allopurinol 100mg tablet 36 Allopurinol 300mg tablet 37 Alprazolam 250mg 38 Aluminum Hydroxide 225mg + Magnesium Hydroxide

200mg per 5ml suspension, 120 ml

39 Aluminum Magnesium tablet 40 Amikacin Sulfate 250mg/ml, 2ml (IM/IV) 41 Amikacin Sulfate 50 mg/mL, 2mL (IM/IV) 42 Amino Acid Solutions for Infants 5-10%, 100 ml 43 Amino Acids, Crystalline Standard 3.5%, 500ml bottle 44 Aminophylline (theophylline ethylenediamine) 25mg/ml,

10ml (IV)

45 Amiodarone Hydrochloride 50mg/ml, 3ml (IV) 46 Amlodipine besilate 10mg 47 Amlodipine besilate 5mg 48 Amoxicillin 100mg/ml granules/powder for drops

(suspension),15 ml

49 Amoxicillin Trihydrate 250 mg/5 mL granules/powder for suspension, 60mL

50 Amoxicillin Trihydrate 500mg 51 Amphotericin B (Non-Lipid Complex) 50mg lyophilized

powder (IV infusion)

52 Ampicillin Sodium 1000mg + Sulbactam Sodium 500mg (IM/IV)

53 Ampicillin Sodium 1g (IM/IV) 54 Ampicillin Sodium 250mg (IM/IV) 55 Ampicillin Sodium 500mg (IM/IV) 56 Ampicillin Sodium 500mg + Sulbactam Sodium 250mg

(IM/IV)

57 Anti-tetanus serum (equine) 1500 IU/mL, 0.7 mL vial/ampul (IM)

58 Anti-tetanus Serum (equine) 1500iu/ml, 1ml (IM) 59 Ascorbic Acid (Vitamin C) 100 mg/5 mL, 120 mL Syrup 60 Ascorbic Acid (Vitamin C) 100 mg/5 mL, 60 mL Syrup 61 Ascorbic Acid (Vitamin C) 100 mg/mL drops 30 mL 62 Ascorbic Acid 500mg, film-coated 63 Aspirin 80mg 64 Atorvastatin calcium 10 mg tablet 65 Atracurium Besylate 10mg/ml, 2.5ml 66 Atropine Sulfate 1mg/ml, 1ml (IM/IV/SC) 67 Atropine sulfate sterile ophthalmic suspension 10mg/mL

(1%) 5 mL bottle w/ red bottle cap

68 Azithromycin 200 mg/5 mL (as monohydrate), powder for suspension, 15 ml

69 Azithromycin 500mg (as monohydrate) 70 Azithromycin 500mg powder (as base/as dihydrate) (IV

infusion)

71 Azithromycin 500mg 72 Baclofen 10mg 73 BCG vaccine, freeze-dried powder 500mcg/ml vial + 1ml

diluent ampule (ID) 20 doses

50


74 Beractant 25 mg/mL suspension, 4 mL Intratracheal administration for neonatal intensive care

75 Betahistine hydrochloride 24mg 76 Betahistine hydrochloride 8mg 77 Betamethasone Cream 0.1%, 5g tube (as valerate) 78 Biperiden hydrochloride 2mg 79 Biphasic Isophane Human 70/30 (recombinant DNA) 100

IU/mL, 5mL (SC)

80 Biphasic Isophane Human Insulin 70/30 (recombinant DNA) 100 IU/mL, 10mL (SC)

81 Bisacodyl 10 mg (adult) suppository 82 Bisacodyl 5mg (children) suppository 83 Budesonide 160mcg + Formoterol 4.5mcg (as fumarate

dihydrate) x 60 doses with dispenser (DPI)

84 Budesonide 250mcg/ml, 2ml (unit dose) for nebulization 85 Budesonide 250mcg/ml, 2ml (unit dose) for nebulization 86 Budesonide 80mcg + Formoterol 4.5mcg (as fumarate

dihydrate) x 60 doses with dispenser (DPI)

87 Bupivacaine Hydrochloride 0.5%, 10ml 88 Bupivacaine Hydrochloride 0.5%, 10ml 89 Bupivacaine Hydrochloride 4ml amp (spinal) w/ 8%

dextrose

90 Butamirate Citrate 50mg MR 91 Butorphanol Tartrate 2mg/ml, 1ml 92 Calcium Carbonate 500mg tablet 93 Calcium Carbonate 500mg tablet/chewable (elemental

calcium)

94 Calcium Gluconate 10%, 10 mL (IV) 95 Captopril 25mg 96 Carbachol Intraocular Solution 0.01% 1.5 mL BFAD

approved

97 Carbamazepine 200mg 98 Carbetocin 100mcg/mL, 1ml solution for Injection (IV) 99 Carboplatin 10mg/ml, 15ml (IV)

100 Carboplatin 10mg/ml, 45ml (IV) 101 Carboprost 250 mcg/ml solution for injection, 1ml 102 Carvedilol 6.25mg 103 Cefalexin 125mg/5mL, granules/powder for

syrup/suspension, 30 mL

104 Cefalexin monohydrate 100mg/ml granules/powder for drops, 10 mL

105 Cefalexin monohydrate 250 mg/5 mL granules/powder for syrup/suspension, 60 mL

106 Cefalexin monohydrate 500mg 107 Cefazolin Sodium 1gm (IM/IV) 108 Cefazolin Sodium 500mg (IM/IV) 109 Cefepime Hydrochloride 1g (IM, IV) 110 Cefixime 100 mg/5 mL, 60 mL suspension 111 Cefixime 200mg 112 Cefotaxime 250mg vial + 2 mL diluent (IM, IV) 113 Cefotaxime sodium 500 mg vial + 2 mL diluent (IM; IV) 114 Cefoxitin Sodium 1gm (IM/IV) 115 Ceftazidime pentahydrate 1g (IM, IV) 116 Ceftazidime 1g Vial 117 Ceftriaxone Sodium 1gm + 10ml diluent (IV) 118 Cefuroxime 200 mg 119 Cefuroxime axetil 125 mg/5 mL granules for suspension,

70 ml

120 Cefuroxime axetil 250 mg/5 mL granules for suspension, 60 mL

51


121 Cefuroxime axetil 500mg 122 Cefuroxime Sodium 250mg (IM, IV) 123 Cefuroxime Sodium 750mg (IM, IV) 124 Celecoxib 200mg 125 Celecoxib 200mg tab 126 Cetirizine dihydrochloride 1 mg/ml solution, 60 ml 127 Cetirizine dihydrochloride 10 mg/ml oral drops, 10 ml 128 Cetirizine dihydrochloride 10mg 129 Chloramphenicol 125mg/5ml suspension, 60ml (as

palmitate)

130 Chloramphenicol Sodium Succinate 1g (IV) 131 Chlorhexidine Gluconate 0.12% and 4%, 120 mL 132 Chlorpromazine Hydrochloride 100mg 133 Ciclosporin 100 mg capsule 134 Ciclosporin 25 mg capsule 135 Ciprofloxacin 400mg/200mL (IV infusion) or 2mg/ml,

200ml

136 Ciprofloxacin hydrochloride 500mg 137 Ciprofloxacin Lactate 2mg/ml, 100ml (IV Infusion) 138 Cisplatin 1mg/ml, 10ml (IV) 139 Cisplatin 1mg/ml, 50ml (IV) 140 Clarithromycin 125mg/5mL granules/powder for

suspension, 50mL

141 Clarithromycin 250mg/5ml granules powder for suspension 70ml

142 Clarithromycin 500mg 143 Clindamycin 600mg/vial 144 Clindamycin 75mg/5ml granules for suspension, 60 ml (as

palmitate hydrochloride)

145 Clindamycin Hydrochloride 150mg 146 Clindamycin Hydrochloride 300mg 147 Clindamycin Phosphate 150mg/ml, 2ml (IM, IV) 148 Clindamycin Phosphate 150mg/ml, 4ml (IM, IV) 149 Clonidine Hydrochloride 150mcg/ml, 1ml (IV) 150 Clonidine Hydrochloride 75mcg 151 Clopidogrel 75mg 152 Cloxacillin 250 mg/5ml powder for oral solution, 60 ml 153 Cloxacillin Sodium 500mg 154 Clozapine 100mg 155 Co-Amoxiclav (Amoxicillin + Potassium Clavulanate)

200mg amoxicillin (as trihydrate) + 28.5mg potassium clavulanate per 5ml granules/powder for suspension, 70ml

156 Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) 400 mg amoxicillin (as trihydrate) + 57 mg potassium clavulanate per 5mL granules/powder for suspension, 70ml

157 Co-Amoxiclav (Amoxicillin + Potassium Clavulanate) 500mg amoxicillin (as trihydrate) + 125 mg potassium clavulanate per tablet

158 Cotrimoxazole (400 mg Sulfamethoxazole + 80 mg trimethoprim/ 5 ml suspension, 60 ml

159 Cotrimoxazole (Sulfamethoxazole + Trimethoprim) 400 mg + 80 mg Tablet

160 Cotrimoxazole (sulfamethoxazole + trimethoprim) 800 mgsulfamethoxazole + 160mg trimethoprim tablet

161 Cyclophosphamide powder, 500mg vial 162 Dexamethasone 4 mg/mL, 2 mL ampul/vial (IM, IV) (as

sodium phosphate)

163 Dextrose 50% solution for injection 50ml 164 Diazepam 5 mg/mL, 2 mL (IM, IV) 165 Diazepam 5mg

52


166 Diclofenac Sodium 25mg/ml, 3ml (IM, IV) 167 Digoxin 250 mcg 168 Digoxin 250mcg/ml, 2ml (IM, IV) 169 Digoxin 50mcg/mL elixir, 60mL 170 Diphenhydramine 12.5 mg/5ml, 60 ml syrup 171 Diphenhydramine HCl 50mg/ml/amp, 10 ampule/box 172 Diphenhydramine Hydrochloride 25 mg 173 Diphenhydramine Hydrochloride 50mg 174 Diphenhydramine Hydrochloride 50mg/ml, 1ml (IM, IV) 175 Dobutamine Hydrochloride 50mg/ml, 5ml (concentrate)

(IV infusion)

176 Domperidone 10mg 177 Domperidone 1mg/ml suspension, 60 mL 178 Donepezil 10 mg/orodispersible tab (ODT) 179 Donepezil 5 mg/orodispersible tab (ODT) 180 Dopamine Hydrochloride 40mg/ml, 5ml (IV) 181 Dopamine Hydrochloride 800 mcg/ml, 250ml D5W (pre-

mixed) (IV)

182 Doxycycline 100mg (as hyclate) 183 Enalapril 20 mg as maleate 184 Enalapril 5 mg as maleate 185 Enoxaparin Sodium 100mg/ml, 0.4ml pre-filled syringe

(SC)

186 Enoxaparin Sodium 100mg/ml, 0.5ml pre-filled syringe (SC)

187 Eperisone 50mgtab 188 Ephedrine Sulfate 50mg/ml( 1ml (IM/IV) 189 Epinephine (adrenaline) Hydrochloride 1mg/ml, 1ml (IM,

SC)

190 Epoetin Alfa 4000IU/ml 191 Ertapenem Sodium 1g powder, vial (IM/IV) 192 Erythromycin 200mg/5ml, 60ml susp. as ethyl succinate 193 Erythromycin eye ointment 0.5% 3.5g 194 Erythromycin eye ointment 0.5% 5g 195 Erythropoietin 2000 IU/ 0.5ml, pre-filled syringe with

needle (IV,SC)

196 Erythropoietin 4000 IU/ 0.4 ml, pre-filled syringe with needle (IV, SC)

197 Escitalopram oxalate 10mg 198 Esmolol Hydrochloride 100mg/ml, 10ml 199 Esmolol Hydrochloride 100mg/ml, 10ml 200 Fentanyl Citrate 50mcg/ml, 2ml (IV) 201 Ferrous Sulfate 202 Ferrous sulfate 15mg/0.6ml drops 30ml 203 Ferrous sulfate 60mg + Folic Acid 400mcg 204 Ferrous sulfate 60mg > 325mg elemental iron 205 Ferrous sulfate drops 30mg/5ml syrup 60ml 206 Fluconazole 200mg 207 Fluconazole 50mg 208 Fluorescein as sodium salt 10% (100mg/ml), 5ml (IV) 209 Fluticasone (as propionate) + Salmeterol (as xinafoate) 250

micrograms fluticasone + 25 micrograms salmeterol x 120 actuations

210 Fluticasone (as propionate) + Salmeterol (as xinafoate) 250 micrograms fluticasone + 50 micrograms salmeterol x 60 doses with dispenser DPI

211 Fluticasone (as propionate) + Salmeterol (as xinafoate) 50 micrograms fluticasone + 25 micrograms salmeterol x 120 actuations (with dose counter*)

212 Fluticasone (as propionate) 0.05%/dose x 120 doses Nasal

53


Aqueous Solution 213 Furosemide 10mg/ml, 2ml (IM, IV) 214 Furosemide 20mg 215 Furosemide 40mg 216 Furosemide lOmg/ml, 2ml (IM, IV) 217 Fusidic Acid Eye Drops Suspension 1%, 5g tube (as sulfate) 218 Gabapentin 100mg 219 Gadobutrol 1.0 mmol/mL Solution for injection 15 mL 220 Gadobutrol 1.0 mmol/mL solution for injection, 5ml pre-

filled syringe

221 Gentamicin Sulfate 40mg/ml, 2ml (IM, IV) 222 Gentamicin Sulfate 40mg/ml, 2ml (IM, IV) 223 Gentamicin Sulfate 80mg/ml, 2ml (IM, IV) 224 Gliclazide 80mg 225 Haloperidol 5mg/ml, 1ml (IM) 226 Hepain (unfractionated) sodium 5000iu/ml; 5ml (IV

infusion, SC) (bovine origin)

227 Heparin (unfractionated) sodium 1000iu/ml, 5ml (IV infusion, SC) (bovine origin)

228 Hepatitis B Immunoglobulin (human) 0.5ml (IM) 229 Hepatitis B Vaccine (recombinant DNA) 10mcg/0.5ml

monodose (IM) (pediatric)

230 Human Albumin 20% IV infusion Solution 50ml 231 Human Albumin 25% IV infusion Solution 50ml 232 Human Pappiloma Virus Vaccine 4strains single dose

0.5ml vial

233 Hydrocortisone Sodium Succinate 100mg (IV) 234 Hydrocortisone Sodium Succinate 250mg (IV) 235 Hydroxyethyl Starch 6% 500ml 236 Hydroxyethyl Starch 6% 500ml 237 Hyoscine N Butyl Bromide 10mg 238 Hyoscine N Butyl Bromide 20mg/ml, 1ml (IM, IV, SC) 239 Ibuprofen 100 mg/5 mL, 60 mL syrup/suspension 240 Immunoglobulin Normal, Human 50mg/ml, 50ml (IGIV)

(IV)

241 Intraocular Irrigating Solution (Balanced Salt Solution) 500ml

242 Iopamidol 612 mg/mL equiv. to 300 mg iodine, 100 ml 243 Iopamidol 612 mg/mL equiv. to 300 mg iodine, 50 ml 244 Iopamidol 755 mg/mL equiv. to 370 mg iodine , 100ml 245 Ipratropium (as bromide) (for nebulization) 250

micrograms/mL, 2 mL (unit dose)

246 Ipratropium + Salbutamol (for nebulization) 500 micrograms ipratropium (as bromide anhydrous) + 2.5 mg salbutamol (as base) x 2.5 mL (unit dose)

247 Irbesartan 150mg 248 Irbesartan 300mg 249 Iron Sucrose 20 mg/ml, 5ml 250 Isoflurane Inhalation solution 100ml 251 Isophane Insulin Human (recombinant DNA) 100 IU/mL,

10 mL (SC)

252 Isosorbide Dinitrate 1mg/ml, 10ml (IV) 253 Isosorbide Dinitrate 5mg (sublingual) 254 Isosorbide Dinitrate Img/ml, 10ml (IV) 255 Isosorbide Mononitrate 30mg MR 256 Isotonic Electrolyte Sodium Chloride 1L 257 Ketamine Hydrochloride 50 mg/mL, 10 mL (IM, IV) 258 Ketorolac tromethamol 30mg/ml, 1ml (IM, IV) 259 Lactated Ringer's Solution 1L

54


260 Lactated Ringer's Solution 500ml 261 Lactulose 3.3 g/5 mL (66%) syrup, 120 mL 262 Lagundi [Vitex negundo L. (Fam. Verbenaceae)] syrup

300mg/5ml syrup, 60ml

263 Lagundi 300mg 264 Lansoprazole 30 mg 265 Levetiracetam 500mg tablet 266 Levofloxacin 5 mg/mL (0.5% w/v) ophthalmic solution,

for intracameral use preservative free

267 Levofloxacin 5 mg/mL solution for IV infusion, 100 ml 268 Levofloxacin 500mg 269 Levothyroxine Na 100mcg 270 Levothyroxine Na 50mcg 271 Lidocaine (as Hydrochloride) 2%, 1.7 mL carpule with

epinephrine (local infiltration)

272 Lidocaine (as Hydrochloride) 2%, 1.8 mL carpule with epinephrine (local infiltration)

273 Lidocaine Hydrochloride 10% pump spray 50ml 274 Lidocaine Hydrochloride 2% (20mg/ml) 5ml (IM/IV) 275 Lidocaine Hydrochloride 2% (20mg/ml) 5ml preservative-

free

276 Lidocaine Hydrochloride 2% 20mg/ml, 20ml (IM/IV) 277 Lidocaine Hydrochloride 2% Local anesthesia 50ml 278 Lipids 10%, 500 mL 279 Lithium Carbonate MR 450mg 280 Loperamide 2mg tablet 281 Loratadine 10mg / film coated 282 Losartan 100mg (as potassium salt) 283 Losartan 50mg (as potassium salt) 284 Losartan K 50mg + Hydochlorthiazide 12.5mg 285 Magnesium Sulfate (as heptahydrate) 250mg/ml, 20ml (IV) 286 Mannitol 20% 500ml 287 Mebendazole 100mg/5ml, 30ml suspension 288 Mebendazole 500mg tablet/chewable 289 Mecabalamin 600mcg tab 290 Mefenamic acid 250mg 291 Mefenamic acid 500mg 292 Meropenem trihydrate 1g powder (IV) 293 Meropenem trihydrate 500mg powder (IV) 294 Meropenem trihydrate lg powder (IV) 295 Metformin (as hydrochloride) 500mg/film coated 296 Methimazole (thiamazole) 5 mg 297 Methotrexate 2.5 mg (as base) 298 Methotrexate 25mg/ml, 2ml (IM, IV) 299 Methylergometrine maleate 200mcg/ml, 1ml (IM, IV) 300 Methylergometrine tablet 301 Methylprednisolone 4mg 302 Methylprednisolone sodium succinate powder 1g /16ml +

diluent vial (IM, IV, IV infusion)

303 Methylprednisolone sodium succinate powder, 125 mg/mL, 2mL vial + diluent vial (IM, IV, IV infusion)

304 Metoclopramide Hydrochloride 5mg/ml, 2ml (IM, IV) 305 Metoprolol (as tartrate) 100mg 306 Metoprolol (as tartrate) 50mg 307 Metronidazole 125 mg/5 mL, 60 mL suspension 308 Metronidazole 500mg 309 Metronidazole 5mg/ml, 100ml (IV infusion) 310 Midazolam 5mg/ml, 1ml (IM, IV)

55


311 Midazolam 5mg/ml, 3ml (IM, IV) 312 Milk nutrition supplement above 3 years old 313 Milk nutrition supplement for 1-3 years old 314 Modified Fluid Gelatin 4% 500ml solution 315 Montelukast (as sodium salt) 10mg 316 Montelukast (as sodium salt) 5mg Chewable 317 Morphine Sulfate 10mg 318 Morphine Sulfate 16mg/ml, 1ml (IM, IV) 319 Multivitamins Adult Vit A: 600-700mcg or 2,000-2,500 IU,

Vit B1: 1.3-1.7mg, Vit B2: 0.7-3mg, Vit B6: 1.6-2mg, Vit B12: 2-6mcg, Vit C: 65-80mg, Vit D: 400 IU (10 mcg)

320 Multivitamins Adult cap 321 Multivitamins per 1 ml, 15ml, drops 322 Multivitamins per 5 ml, 60ml, syrup 323 Multivitamins per 5 ml, 120ml, syrup 324 Mupirocin Ointment 2%, 5g 325 Nalbuphine Hydrochloride 10mg/ml, 1ml (IM, IV, SC) 326 Naloxone Hydrochloride 400 mcg/ml, 1 ml (IM/IV/SC) 327 Naproxen Sodium 550mg 328 Neostigmine 500mcg/ml, 5 > 10ml 329 Nicardipine Hydrochloride 1mg/ml, 10ml (IV) 330 Nifedipine 10mg 331 Nifedipine 30mg MR 332 Nimodipine 50mg 333 Nitroglycerin (Glyceryl trinitrate) 1 mg/ml, 10 ml 334 Norepinephrine bitartrate 1mg/ml, 10 ml (concentrate

solution for infusion)

335 Norepinephrine bitartrate 1mg/ml, 4 ml (IV infusion) 336 Ofloxacin 200mg 337 Ofloxacin 400mg/tablet 338 Olanzapine 10mg 339 Olanzapine 10mg orodispersible tablet (ODT) 340 Omeprazole 20mg 341 Omeprazole 20mg 342 Omeprazole 40mg 343 Omeprazole 40mg 344 Omeprazole powder 40mg + 10ml solvent (IV) 345 Ondansetron 2 mg/ml, 2ml (IM, IV) 346 Oral Rehydration Salts (ORS 75 replacement) Sodium

chloride 2.6 g, Trisodium citrate dihydrate 2.9 g, Potassium chloride 1.5 g, Glucose anhydrous 13.5 g, Total Weight — 20.5 g, Sodium 75




350 Oxacillin Sodium 500mg/vial 351 Oxymetazoline (as hydrochloride) 0.05%, 15ml Nasal Spray 352 Oxytocin (Syntetic) 10 IU/ml, 1ml (IM, IV) 353 Paclitaxel 6 mg/ml, 16.7ml (IV, IV Infusion) 354 Paracetamol 100mg/ml drops, 15ml (alcohol-free)

56


355 Paracetamol 10mg/ml, 100ml solution for infusion (IV) 356 Paracetamol 125mg suppository 357 Paracetamol 150 mg/mL, 2mL amp soln for injection

(IM/IV)

358 Paracetamol 250 mg/5ml syrup/suspension, 60ml (alcohol‐free)

359 Paracetamol 250mg suppository 360 Paracetamol 500mg 361 Penicillin G Benzathine (benzathine benzylpenicillin)

1,200,000 units vial (MR) (IM)

362 Penicillin G Crystalline (benyzylpenicillin sodium) 1,000 units (IM/IV)




366 Peritoneal Dialysis Solution w/ 1.5% dextrose 2L 367 Permethrin lotion 5% 60ml 368 Pethidine Hydrochloride 50 mg/mL, 2 mL (IM, IV, SC) 369 Phenobarbital 130mg/ml, 1 mL (IM, IV) 370 Phenobarbital 30mg 371 Phenobarbital 60mg 372 Phenobarbital 90mg 373 Phenylephrine (as hydrochloride) 2.5%, 5ml eye drop

solution with red bottle cap

374 Phenytoin (as sodium salt) 100 mg 375 Phytomenadione 10 mg/mL, 1 mL (IM, IV, SC) (as mixed

micelle)

376 Pilocarpine 20 mg/mL (2%) Sterile Ophthalmic Solution, 15 mL green bottle cap



379 Pneumococcal Polysaccharide Vaccine (PPSV23) 1 dose vial, 0.5ml



382 Pneumococcal Vaccine (PCV13), 1 dose vial 0.5ml 383 Polymyxin B (as sulfate) 10,000 units + Neomycin (as

sulfate) 3.5 mg + Fluocinolone Acetonide 0.025%, Otic Soln., 5ml

384 Potassium (as citrate) 10 mEq. 385 Potassium Chloride 2mEq/ml, 20ml (IV Infusion) 386 Potassium Chloride 500mg 387 Potassium Chloride 750 mg durules equiv. to

approximately 10 mEq potassium

388 Povidone Iodine 1% oral antiseptic 60ml 389 Prednisolone (as acetate) sterile ophthalmic drops

(microfine suspension)

390 Prednisone 10 mg/5 ml suspension, 60ml 391 Prednisone 10mg 392 Prednisone 20mg 393 Prednisone 5mg 394 Proparacaine Hydrochloride 5mg/5mL (0.5%) Eye drop

solution, 15ml

395 Propofol 10mg/ml, 20ml (IV) 396 Propranolol Hydrochloride 10mg tablet 397 Quetiapine (as Fumarate) 100mg

57


398 Quetiapine (as Fumarate) 25mg 399 Rabies Immunoglobulin (Equine) 200 IU/mL, 5 mL vial

(IM)

400 Rabies Vaccines Purified Vero Rabies Vaccine (Verorab) lyophilizedpowder, 0.5 IU/ 1 mL, vial + diluent (ID, IM)

401 Ranitidine Hydrochloride 25mg/ml, 2ml (IM, IV, IV infusion)

402 Regular, Insulin (recombinant DNA human) 100 IU/mL, 10 mL (SC, IV/IM)

403 Rifampicin + Isoniazid + Pyrazinamide + Ethambutol 404 Rifaximin 200mg 405 Risperidone 2mg orodispersible tablet 406 Rocuronium Bromide 10mg/ml, 5ml (IV) 407 Ropivacaine Hydrochloride 0.2% lOmg/ml (IV) 408 Rosuvastatin (as calcium salt) 10mg 409 Rosuvastatin (as calcium salt) 20mg 410 Rosuvastatin 10mg 411 Rosuvastatin 20mg 412 Sacubitril/Valsartan 100 mg Tablet 413 Sacubitril/Valsartan 50 mg 414 Salbutamol (as sulfate) Solution for nebulization 1mg/ml,

2.5ml (unit dose)

415 Salbutamol (as sulfate) Solution for nebulization 2mg/ml, 2.5ml (unit dose)

416 Salbutamol 100 mcg/dose x 200 doses Metered Dose Inhaler

417 Sambong [Blumea balsamifera(Fam. Compositae)] 500mg 418 Sertraline hydrochloride 50mg 419 Sevelamer Carbonate 500mg tablet 420 Sevoflurane inhalation solution 250ml 421 Silver Sulfadiazine Cream 1%, 25g 422 Simvastatin 40mg 423 Sodium Bicarbonate 1mEq/ml, 50ml (adult) (IV infusion) 424 Sodium Bicarbonate 650mg tab 425 Sodium Chloride 2.5mEq/ml, 20ml 426 Sodium Hyaluronate 0.1% (1mg/mL), 5ml Ophthalmic

Solution

427 Sodium Valproate + Valproic Acid Oral, 500mg (333 mg sodium valproate + 145 mg valproic acid) controlled release

428 Stereofundin ISO Solution 1L 429 sterile water for injection 5ml/vial, 50 vials/box 430 Sterile Water for injection 50ml (no preservative) 431 Sterile Water for Injection 5ml 432 Sucralfate 1g 433 Sugammadex 100 mg/ml solution for injection (IV), 2ml 434 Suxamethonium Chloride (SuccinylCholine) 20mg/ml,

10ml

435 Tamsulosin Hydrochloride 200mcg, orally disintegrating tab.

436 Telmisartan 40mg 437 Telmisartan 80mg 438 Terbutalline (as sulfate) 500mcg/ml, 1ml (IM, IV, SC) 439 Tetanus Immunoglobulin (human) 250 IU/mL, 1 mL pre‐

filled syringe (IM)

440 Tetanus toxoid, 0.5 ml (IM) 441 Tetanus Toxoid, 0.5 mL ampul (IM), ampule 442 Tobramycin 0.3%+Dexamethasone 0.01%, 5ml Eye drops 443 Tobramycin Eye drops solution 0.3%, 5ml 444 Tramadol Hydrochloride 50mg

58


445 Tramadol Hydrochloride 50mg/ml, 1ml (IM, IV, SC) 446 Tramadol Hydrochloride 50mg/ml, 2ml (IM, IV, SC) 447 Tranexamic Acid 100mg/ml, 5ml (IM, IV) 448 Tranexamic acid 500mg 449 Trimetazidine 35mg 450 Tropicamide + Phenylephrine Hydrochloride 5 mg + 5

mg/mL (eye drops) fixed dose combination, 10 mL

451 Tropicamide Eye Drops Solution 0.5%, 5 ml red bottle cap 452 Valproic Acid 250 mg/5 mL, 120 mL Syrup 453 Valproic Acid 500mg/ml IV Infusion, 5 ml 454 Valsartan 80mg film coated 455 Vancomycin Hydrochloride 1g (IV) 456 Vancomycin Hydrochloride 500mg (IV) 457 Verapamil Hydrochloride 2.5mg/ml, 2ml (IV) 458 Vitamin B1 100mg + B6 100mg + B12 1mg per 3ml (IV) 459 Vitamin B1 100mg, B6 5mg, B12 50mcg (B-complex) 460 Zinc Gluconate 70mg tablet 461 Zinc sulfate drops (as sulfate monohydrate) solution,

(equiv. to 10 mg elemental zinc/mL) drops, 15ml

462 Zinc sulfate syrup (as sulfate monohydrate) solution, (equiv. to 20 mg elemental zinc/5 mL), 60mL

ROSARIO MACLANG BAUTISTA GENERAL HOSPITAL

463 Acetylcysteine 100mg/5ml granules for suspension, 150ml bottle

464 Acetylcysteine 200mg granules 465 Acetylcysteine 600mg sachet 466 Aminophylline 25mg/ml, 10ML ampule 467 Amlodipine besylate 10mg tablet 468 Amlodipine besylate 5mg tablet 469 Ascorbic acid 100mg/5ml syrup 60ml 470 Ascorbic acid 100mg/ml oral drops 15ml 471 Ascorbic Acid 500mg tablet 472 Aspirin 100mg tablet 473 Aspirin 80mg tablet 474 Atorvastatin 10 mg tablet 475 Atorvastatin 20 mg tablet 476 Atorvastatin 40mg tablet 477 Atorvastatin 80mg tablet 478 Azithromycin 500mg tablet 479 BCG vaccine 100mcg/ml, 1ml freeze-dried powder + 1ml

diluent

480 Budesonide 160mcg + Formeterol 4.5mcg x 60 doses with dispenser (DPI)

481 Butamirate Citrate 50mg MR 482 Calcium Gluconate, 10% 10ml vial 483 Captopril 50 mg tablet 484 Carvedilol 25mg tablet 485 Carvedilol 6.25mg tablet 486 Cefalexin 500mg capsule 487 Cefixime 100mg capsule 488 Cefixime 200mg capsule 489 Ceftazidime Na 1g vial 490 Cefuroxime 500mg tablet 491 Celecoxib 200mg capsule 492 Cetirizine diHCL 10mg tablet 493 Chlorhexidine gluconate 0.12%, 120ml bottle

59


494 Cinnarizine 25mg tablet 495 Ciprofloxacin 500mg tablet 496 Clarithromycin 500mg tablet 497 Clindamycin HCl 300mg capsule 498 Clindamycin phosphate 150mg/ml, 2ml ampule 499 Clopidogrel 75mg tablet 500 Clotrimazole 1% (10mg/g) 3g cream 501 Cloxacillin (as sodium salt) 250mg/5ml, 60ml suspension 502 Cloxacillin 500mg capsule 503 Co-Amoxiclav 625mg tablet 504 D50% 50ML Dextrose 505 Dexamethasone 8mg/2ml ampule 506 Diphenhydramine 50mg capsule 507 Diphenhydramine HCl 50mg/ml, 1mL Ampule 508 Domperidone 10mg tablet 509 Doxycycline 100mg capsule 510 Enoxaparin 100mg/ml, 0.4ml prefilled syringe 511 Enoxaparin 100mg/ml, 0.6ml prefilled syringe 512 Erythromycin Eye ointment 0.5%, 3.5G tube 513 Ferrous sulfate 60mg elemental iron + 400mcg Folic acid 514 Ferrous Sulfate equiv to 60mg elemental iron tablet 515 Fluconazole 200mg capsule 516 Fluconazole 50mg capsule 517 Fluticasone 0.05% x 120 doses nasal aqueous inhalation

spray

518 Gentamycin 40mg/2ml ampule 519 Gliclazide 30mg tablet MR 520 Gliclazide 60mg tablet MR 521 Hydrocortisone cream 1%, 5g tube 522 Hyoscine (as N-butyl bromide) 10 mg tablet 523 Hyoscine (as N-butyl bromide) 20mg/ml 1ML ampule 524 Hypromellose Ophthalmic Solution 0.3%, 10ML bottle 525 I.V. Fluids, 5% Dextrose in Water 250 mL Bottle 526 Immunoglobulin, Hepatitis B (human) 0.5mL 527 Irbesartan 150mg tablet 528 Irbesartan 300mg tablet 529 Iron Sucrose 20mg/ml, 5ML ampule 530 Isosorbide 5 Mononitrate 30mg MR tablet 531 Isosorbide 5 Mononitrate 60mg MR tablet 532 Isosorbide Dinitrate 5mg sublingual tab 533 Ketoconazole cream 2% (20mg/g) 534 Ketorolac 30mg/1ml amp 535 Levofloxacin 500mg tablet 536 Levofloxacin 5mg/ml opthalmic solution 537 Levofloxacin 750mg tablet 538 Levothyroxine sodium 50mcg tablet 539 Lidocaine 2% 5mL ampule 540 Loperamide 2mg capsule 541 Loratadine 10mg tablet 542 Losartan 100mg tablet 543 Losartan 50mg tablet 544 Magnesium sulfate 250mg/ml, 20ml vial 545 Mefenamic acid 500mg capsule 546 Metformin 500mg tablet 547 Metformin 850mg tablet

60


548 Methyldopa 250mg tablet 549 Metoclopramide 5mg/ml, 2ML ampule 550 Metronidazole 500mg tablet 551 Montelukast 4mg tablet 552 Montelukast Na 10mg tablet 553 Multivitamins for adult, capsule 554 Mupirocin oint 2% tube 555 Neostigmine Methylsulfate 0.5 mg/mL amp 556 Nifedipine 10mg capsule 557 Nifedipine 30mg capsule 558 Norepinephrine 1mg/ml, 4ml ampule 559 Ofloxacin eye drops 0.3%, 5ml 560 Omeprazole 40mg powder vial + 10ml solvent ampule 561 Oral Rehydration Salts (ORS 75 Replacement) 5.125g sachet 562 Oxytocin (Synthetic) 10 I.U, amp 563 Paracetamol 10mg/ml, 100ml vial 564 Paracetamol 500 mg tablet 565 Phytomenadione 10mg/ml, 1ML ampule 566 Piperacillin + Tazobactam 2g + 250mg vial 567 Piperacillin + Tazobactam 4g + 500mg vial 568 Potassium Chloride 2mEq/ml, 20ML vial 569 Potassium Chloride 600mg tablet 570 Potassium Chloride 750mg durule 571 Povidone Iodine 1% oral antiseptic, 60ML bottle 572 Prednisone 20mg tablet 573 Rosuvastatin 10mg tablet 574 Rosuvastatin 20mg tablet 575 Salbutamol 100mcg/dose x 200 doses MDI 576 Silver Sulfadiazine 1% cream, 25g tube 577 Simvastatin 20mg tablet 578 Simvastatin 40mg tablet 579 Sodium Bicarbonate 650mg tablet 580 Sodium Bicarbonate 8.4% 1mEq/ml , 50ML vial 581 Sodium Chloride 2.5mEq/ml, 20ML vial 582 Telmisartan 40mg tablet 583 Telmisartan 80mg tablet 584 Tobramycin 3mg/ml, 5ML eye drops 585 Tramadol HCL 50mg/ml, 2ML ampule 586 Tranexamic acid 100mg/5ml ampule 587 Tranexamic acid 500mg capsule 588 Trimetazidine 35mg tablet 589 Verapamil 2.5mg/ml, 2ml ampule 590 Vit. B1 100mg + B6 5mg + B12 50mcg tablet 591 Zinc Sulfate 55mg/5ml, 60ML Syrup

OFFICE OF THE CITY MAYOR

592 Acyclovir

593 Ambroxol Tablet Mucosolvan

594 Amlodipine besylate tablet (branded)

595 Amoxicilin capsule

596 Amoxicillin Susp

597 Ampicilin

598 Anti Rabies Vaccine for Human

599 Anti TB Kit Fixed Dose Combination A

600 Anti TB Kit Fixed Dose Combination B

601 Anti TB Kit II.

61


602 Anti TB Pedia Kit I.

603 Ascorbic Syrup

604 Ascorbic Acid Test

605 Azithromycin Tab

606 Benzathine Penicillin

607 Betahistine Tab

608 Cefalexin Caps

609 Cefalexin Susp

610 Cefixime tab.

611 Cefuroxine Axetil

612 Cetirizine

613 Ciprofloxacin Tab

614 Citirizine Oral Solution

615 Clindamycin capsule

616 Clobetasol Propionate

617 Clonidine HCI

618 Cloxaxillin caps

619 Cloxaxillin Susp

620 Co-amoxiclav Susp

621 Co-amoxiclav Tab

622 Cotrimoxazole

623 Distilled water for injection

624 Doxycycline 100mg

625 Doxycycline Caps

626 Epinephrine

627 Erythromycin Ophtalmic

628 Ethambutol 400mg

629 Febuxostat Tablet

630 Hepatitis B Immunoglobulin Injection

631 Hyoscine-nbutyl Bromide

632 Ibuprofen + Paracetamol

633 Ibuprofen 200mg/5ml

634 Isoniazid tab

635 Isoniazid-Pyridoxine

636 Lagundi Syrup

637 Lagundi Tablet 638 Levonorgestrel 639 LIDOCAINE 640 Loratadine Tablet 641 Losartan K Tablet (Branded) 642 Lynestrenol 643 Medroxyprogesterone acetate 644 Mefenamic Acid Cap 645 Meloxicam Tablet 646 Metaclopramide 647 Metformin Tablet (Branded) 648 Methyldopa 649 Methylergometrine 650 Metronidazole 651 Multivitamins 652 Multivitamins 653 Mupirocin Ointment 654 Ofloxacin Tab 655 Omeprazole Cap 656 Oral Antiseptic solution

62


657 Oxytocin 658 Paracetamol Drops 659 Paracetamol Susp 660 Paracetamol tab 661 Povidone Iodine Solution 662 Prednisone 663 Purified Protein Derivative Vial (PPD) 664 REMDISIVIR 100MG Lyophilized powder for infusion 665 Rifampicin Oral Susp 666 Rosuvastatine 667 Salbutamol Syrup 668 Salbutamol Tab 669 Salmeterol 25 mcg + Fluticasone 250mg 670 Silver Sulfadiazine 671 Tetanus Diphtheria vaccine 672 Tranexamic Acid Cap 500mg 673 Vitamin B Complex Tablet (Branded) 674 Zinc Drops 675 Zinc Syrup

NOVALICHES DISTRICT HOSPITAL 676 0.9% Sodium Chloride 1L 677 0.9% Sodium Chloride 500ml 678 0.9% Sodium Chloride Irrigating Solution 1L 679 0.9% Sodium Chloride plastic vial 50ml 680 10% Dextrose in Water 500mL 681 5% Dextrose in Lactated Ringer's 1L 682 5% Dextrose in 0.3% Sodium Chloride 500mL 683 5% Dextrose in Water 1L 684 5% Dextrose in Water 250ml glass bottle 685 Acetylcysteine 100mg sachet 686 Acetylcysteine 100mg/mL, 3mL ampule 687 Acetylcysteine 200mg sachet 688 Acetylcysteine 200mg/mL, 25mL bottle 689 Acetylcysteine 600mg tablet 690 Activated Charcoal 10g 691 Acyclovir 692 Adenosine 3mg/ml, 2ml vial 693 Albumin, Human 20%, 20%, 50ml bottle 694 Aldactone 25mg tablet 695 Amino Acid Solution for Infants ( 6%) 100 ml 696 Aminophylline 25mg/ml, 10ml ampule 697 Amiodarone 50mg/ml, 3ml ampule 698 Amlodipine Besylate 10mg tablet 699 Amlodipine Besylate 5mg tablet 700 Amoxicillin 250mg/5ml 60ml gfs susp 701 Amoxicillin 500mg capsule 702 Amphotericin B (Lipid Complex) 50 mg Vial 703 Ampicillin + Sulbactam 1000mg + 500 mg vial 704 Ampicillin + Sulbactam 500mg + 250 mg vial 705 Ampicillin 1g vial 706 Ampicillin 250mg vial 707 Ascorbic Acid 500mg tablet 708 Aspirin 80mg tablet 709 Atenolol 50mg tablet 710 Atorvastatin Calcium 10mg tablet

63


711 Atorvastatin Calcium 20mg tablet 712 Atorvastatin Calcium 40mg tablet 713 Atracurium besylate 10mg/ml, 2.5ml amp 714 Atropine Sulfate 1mg/ml amp, 1ml 715 Azithromycin 500mg tablet 716 Balanced Multiple Maintenance Solution for adult 1L 717 Balanced Multiple Maintenance Solution with 5%Dextrose

for Pedia 500mL

718 BCG Vaccine 100mcg/ml, 1ml freeze-dried powder + 1 ml diluent

719 Betahistine 16mg tablet 720 Betahistine 24mg tablet 721 Budesonide 250mcg/ml, 2ml respiratory solution nebule 722 Bupivacaine HCI heavy 0.5% 4ml amp with 8% dextrose 723 Butorphanol (as tartrate) 2mg/ml, 1ml ampule 724 Calcium Gluconate, 10% 10ml vial 725 Captopril 50mg tablet 726 Carboprost Trometamol 250mcg/ml ampule 727 Carboprost trometamol carboprost trometamol

125mcg/0.5ml, 0.5ml ampule

728 Carvedilol 25mg tablet 729 Carvedilol 6.25mg tablet 730 Cefalexin 500mg capsule 731 Cefazolin 1g vial 732 Cefotaxime Na 500mg vial 733 Cefoxitin 1g 734 Ceftazadime 1g vial 735 Ceftriaxone Na 1g vial + 10ml diluent 736 Cefuroxime 1.5g vial 737 Cefuroxime 500mg tablet 738 Cefuroxime Na 750mg vial 739 Celecoxib 200mg capsule 740 Celecoxib 400mg capsule 741 Cetirizine diHCl 10mg tablet 742 Cilostazol 50mg tablet 743 Ciprofloxacin 744 Ciprofloxacin 2mg/ml, 100ml vial 745 Ciprofloxacin 500mg tablet 746 Clindamycin HCL 300mg capsule 747 Clindamycin phosphate 150mg/ml, 4ml ampule 748 Clonidine 75mcg tablet 749 Clonidine HCl 75mcg tablet 750 Clopidogrel 75mg tablet 751 Cloxacillin (as sodium salt) 500mg capsule 752 Co-amoxiclav 200 mg + 28.5 mg/5 mL, 70 mL Suspension 753 Co-amoxiclav 500 mg + 125 mg Tablet 754 Co-amoxiclav 400 mg + 57 mg/5 mL, 70 mL Suspension 755 Co-amoxiclav 500mg+125mg tablet 756 Dexamethasone 4mg/ml, 2ml ampule 757 Dextrose 50% 50ml/vial 758 Diazepam 10mg /2ml ampule 759 Diclofenac Na 25mg/ml, 3ml ampule 760 Digoxin 250mcg tablet 761 Digoxin 250mcg/ml, 2ml ampule 762 Diphenhydramine (as Hydrochloride) 50 mg Capsule 763 Diphenhydramine HCl 50mg/ml, 1ml ampule

64


764 Dobutamine 50mg/ml, 5ml ampule 765 Domperidone 10mg tablet 766 Dopamine HCl 40mg/ml, 5ml ampule 767 Doxycyline 768 Enalapril 5mg tablet 769 Enoxaparin sodium 100mg/ml, 0.4ml pre-filled syringe 770 Enoxaparin sodium 100mg/ml, 0.6ml pre-filled syringe 771 Eperisone HCl 50mg tablet 772 Ephedrine Sulfate, 50mg/ml, 1ml (IM/IV) 773 Epinephrine 1mg/ml, 1ml ampule 774 Erythromycin Eye Ointment 0.5% 3.5g 775 Erythromycin Eye Ointment 0.5% 3.5g 776 Fentanyl Citrate 50mcg/ml x 2ml amp 777 Ferrous Sulfate equivalent to 60mg elemental iron tablet 778 Fluconazole 150mg capsule 779 Fluconazole 2mg/ml, 100ml 780 Furosemide 10mg/ml, 2ml ampule 781 Furosemide 20mg tablet 782 Furosemide 40mg tablet 783 Gabapentin 100mg tablet 784 Gabapentin 300mg tablet 785 Gentamicin 40mg/mL, 2ml ampule 786 Haloperidol 50mg/ml, 1ml ampule 787 Hydralazine 20mg/ml, 1ml ampule 788 Hydrocortisone 100mg powder 789 Hydrocortisone 250mg powder 790 Hydrocortisone 250mg powder 791 Hydrocortisone cream 1% 5g tube 792 Hydroxyethyl Starch 6% 500ml bottle 793 Hyoscine N-Butyl Bromide 20mg/ml, 1ml ampule 794 Hypromellose Ophthalmic Solution 0.3% 10ml bottle 795 Influenza vaccine pre-filled syringe, quadrivalent 796 Insulin, Biphasic Isophane Human 70/30 70% isophane

suspension + 30% soluble insulin in 100IU/ml, 10ml vial

797 Insulin, Regular (Recombinant DNA, human) 100 IU/ml, 10ml vial

798 Ipratropium 500mcg+Salbutamol 2.5mg,2.5ml unit dose Respiratory Solution

799 Irbersartan 150mg tablet 800 Iron Sucrose 20mg/ml, 5ml ampule 801 Isoflurane 100ml bottle 802 Isosorbide 5 Mononitrate 60mg MR tablet 803 Isosorbide Dinitrate 1mg/ml, 10ml ampule 804 Isosorbide Dinitrate 5mg (sublingual) tablet 805 Ketamine HCl 50mg/ml, 10ml vial 806 Ketorolac 30mg/ml, 1ml ampule 807 Lactated Ringer's Solution 1l 808 Lactulose 3.35g/5ml syrup, 120ml 809 Levetiracetam 500mg tablet 810 Levetiracetam 500mg/5mL (100mg/mL) concentration

solution for IV infusion , 5mL vial

811 Levodopa+Carbidopa 100mg+25mg tablet 812 Levodopa+Carbidopa 250mg+25mg tablet 813 Levofloxacin 500mg tablet 814 Levofloxacin 750mg tablet 815 Lidocaine 2% 50ml

65


816 Lidocaine HCl Spray 10%, 50ml 817 Lidocaine HCl+Epinephrine 2%+1.8ml carpule 818 Loratidine 10mg tablet 819 Losartan K 50mg tablet 820 Losartan K 100mg tablet 821 Losartan K+Hydrochlorthiazide 50mg+12.5mg tablet 822 Magnesium SO4 250mg/ml, 10ml ampule 823 Mannitol 500 mL, 20% 824 Mefenamic acid 500mg capsule 825 Meropenem 1g vial 826 Meropenem 500mg vial 827 Metformin 500mg tablet 828 Methylergometrine 200mcg/ml, 1ml ampule 829 Metoclopramide 5mg/ml, 2ml ampule 830 Metoprolol Tartrate 50mg tablet 831 Metronidazole 500mg tablet 832 Metronidazole 5mg/ml, 100ml plastic/bottle 833 Metyldopa 250mg tablet 834 Midazolam 5mg/ml, 1ml amp 835 Morphine Sulfate 16mg/ml 836 Moxifloxacin 5mg/ml (0.5 w/v) sterile ophthalmic solution

5ml

837 Multivitamins for adults 838 Mupirocin 2% 5g ointment 839 Nalbuphine HCl 10mg/ml amp 840 Neomycin 3.5mg + Polymyxin B 10,000units + fluocinolone

acetonide 0.025%,5mL

841 Nicardipine 1mg/ml, 10ml ampule 842 Nifedipine 10mg softgel capsule 843 Nifedipine 30mg MR tablet 844 Norepinephrine 1mg/ml, 4ml ampule 845 Omeprazole 40mg capsule 846 Omeprazole 40mg powder vial+10ml solvent ampule 847 Oral Rehydradion Salts (ORS 75-replacement)5.125g sachet 848 Oxacillin Na 500mg vial 849 Oxytocin (Synthetic) 10IU/ml, 1ml amp 850 Paracetamol 10mg/ml, 100ml vial 851 Paracetamol 125mg suppository 852 Paracetamol 150mg/ml, 2ml ampule 853 Paracetamol 500mg tablet 854 Phenytoin 50mg/mL,2mL ampule 855 Phytomenadione 10mg/ml, 1ml Ampule 856 Piperacillin +Tazobactam 2g+250mg vial 857 Piperacillin +Tazobactam 4g+500mg vial 858 Pneumococcal Polyvalent Vaccine 859 Potassium Chloride 2 mEq/ml, 20ml vial 860 Prednisolone 20mg tablet 861 Proparacaine HCl 0.5% eye drop solution 15ml 862 Propofol 10mg/ml, 120ml vial 863 Ranitidine HCl 25mg/ml, 2ml amp. 864 Rosuvastatin 10mg tablet 865 Rosuvastatin 20mg tablet 866 Salbutamol 1mg/mL, 2.5ml (unit dose)nebule 867 Salbutamol 100mcg/dose x 200doses metered dose inhaler 868 Serum, Anti Tetanus (ATS) equine 1500IU/0.7ml, 0.7ml

ampule

66


869 Sevoflurane 250ml 870 Silver Sulfadiazine 1% cream 500g jar 871 Sodium Bicarbonate 1 meq/mL, 50ml vial 872 Sodium Chloride 2.5 mEq/mL, 20ml 873 Sterile Water For injection 50ml bottle 874 Suxamethonium (Succinylcholine) 20mg/ml, 10ml vial 875 Telmisartan 40mg tablet 876 Telmisartan 80mg tablet 877 Terbutaline SO4 100mg/ml, 5ml ampule 878 Tobramycin 0.3% + Dexamethasone 0.1% eye drops

suspension 5ml

879 Tobramycin 0.3% 3.5g ophthalmic ointment 880 Tobramycin 0.3% eye drops solution 5ml bottle 881 Tramadol 50mg capsule 882 Tramadol HCl 50mg/ml, 2ml ampule 883 Tranexamic acid 500mg capsule 884 Tranexamic acid 100mg/ml, 5ml ampule 885 Trimetazidine HCl 35mg tablet 886 Tropicamide 0.5% 5ml eye drops solution bottle 887 Vaccines,Hepatitis B (recombinant DNA) 20 mcg/1 ml

(adult)

888 Vaccines,Hepatitis B (recombinant DNA) 10 mcg/0.5 ml (pediatric), vial

889 Vaccines,Tetanus Toxoid 0.5ml amp 890 Valproic acid 500mg/5ml IV infusion 891 Vancomycin 500mg vial 892 Verapamil 2.5mg/ml, 2ml ampule 893 Vit B1+B6+B12 100mg+5mg+50mcg tablet 894 Vitamin B1 B6 B12 100mg+100mg+1mg, 3ml ampule

QUEZON CITY HEALTH DEPARTMENT 895 Amlodipine 10mg/tablet 896 Amlodipine 5mg 897 Amoxicillin trihydrate 500mg in blister pack 898 Amoxicillin trihydrate suspension 250 mg/5ml granules/

powder for suspension; 60ml

899 Amoxicillin Cap 500 mg/capsule 900 Amoxicillin Capsule Trihydrate - 500mg., capsule 901 Amoxicillin Drops 100 mg/ml, 10ml drops 902 Amoxicillin Susp 250 mg/5 ml. Bot x 60 ml suspension 903 Ampicillin 250 mg/vial 904 Anti Rabies Vaccine for Human PVRV (WHO-

prequalified) Inactivated and purified, freeze-dried rabies vaccine (Wistar strain rabies PM/WI 38-1503-3M) produced on vero cell line 1 immunizing dose*. It also contains maltose up to 1 immunizing dose, human plasma albumin up to 1 immunizing dose and 4% sodium chloride solution (diluent) 0.5 mL. Potency of vaccine for ID use must be 0.5 IU/ID dose as evidenced in their lot release certificate. (FDA approved, non WHO pre-qualified must have gone through clinical trials on safety, immunogenicity and efficacy in comparison with a vaccine of demonstrated efficacy which are published in peer reviewed trials) Lyophilized inactivated purified rabies vaccine prepared on verocells. *Such that the protective power is ≥2.5 iu before and after heating for 1 month at 37°C.Inj [vial + syringe (diluent)] 0.5 mL x 1's, OR [vial + amp (diluent)] 0.5 mL x 5's

905 Anti Rabies Vaccine for Human w/ lyophilized powder and solvent solution for injection, 2.5 iU/ml, 1ml vial, Purified Chick Embryo Cells (PCEC) can benefit 4-5 patients per vial (WHO Pre-qualified) (for 20k bite

67


exposure)

906 ANTI TB KIT FIXED DOSE COMBINATION A ISONIAZID 75mg + RIFAMPICIN 150mg + PYRAZINAMIDE 400mg + ETHAMBUTOL 275mg

907 ANTI TB KIT FIXED DOSE COMBINATION B ISONIAZID 75mg + RIFAMPICIN 150mg

908 Anti TB KIT I Isoniazid-Pyridoxine 200mg-12mg/5ml + Rifampicin 200mg/5ml + Pyrazinamide 500mg/5ml (branded)

909 Anti TB KIT II Isoniazid-Pyridoxine 200m+12mg/5ml+ Rifampicin 200mg/5ml (120ml Bottle, Branded)

910 Anti TB Pedia Kit I Isoniazid-Pyridoxine 200mg-12mg/5ml + Rifampicin 200mg/5ml + Pyrazinamide 500mg/5ml (120ml Bottle,Branded)

911 Ascorbic Acid Tablet 500 mg/tablet 912 Aspirin 80mg 913 Atorvastatin 20mg/tablet 914 Azithromycin 500mg Tab 915 Betahistine Tab 8mg/tablet 916 Biperiden 2 mg tab 2mg., tablet 917 Carboprost as Trumetamol 250 mcg/ml solution for

injection ampule

918 Carvedilol 6.25mg tablet 919 Cefalexin 500 mg capsule 920 Cefalexin monohydrate 500mg capsule 921 Cefalexin Susp 250 mg/5 ml. Bot x 60 ml 922 Cefuroxime 500mg capsule 923 Cefuroxime axetil 500 mg capsule 924 Cefuroxime axetil 500 mg/tablet 925 Celecoxib Caps 200mg/caps 926 Cetirizine Oral Solution 1 mg/ml. bot x 30 ml 927 Cetirizine Tablet 10 mg/tablet 928 Chlorpromazine 100mg., tablet 929 Ciprofloxacin 500mg capsule 930 Ciprofloxacin Tab 500 mg/tablet 931 Clobetasol Ointment 0.05%, 5g tube 932 Clonidine Clonidine 75mg 933 Clonidine HCl 75mcg tablet 934 Clopidopgrel Clopidopgrel 75mg 935 Cloxacillin 500mg capsule 936 Cloxacillin caps 500 mg/capsule (as Sodium) 937 Cloxacillin susp 250 mg/5 ml. Bot x 60 ml 938 Clozapine 100mg., tablet 939 Co-Amoxiclav 625mg tab 940 Co-amoxiclav Susp 400 mg + 57 mg/ml, 70ml suspension 941 Co-amoxiclav Tab 500 mg + 125 mg/tablet 942 Cotrimoxazole 800/160mg 800/160mg Tab 943 Dexamethasone 4mg per 2ml per ampule 944 Diphenhydramine HCL 50mgs. Capsule 945 Distilled water for injection 50 ml/ vial 946 Doxycycline Caps 100 mg/capsule (as Hyclate) 947 Epinephrine 1mg/amp. 948 Equine Rabies ImmuneGlobulin WHO prequalified Anti

Rabies Serum (Equine) 200IU/mL vaccine vial, 5 ml

949 Erythromycin Eye Ointment 0.5% x 3.5 g tube 950 Erythromycin Eye Ointment Ophthalmic ointment 0.5%, 5

g tube

951 ethambutol 400mg anti tb meds, tablet 952 Ferrous Sulfate 60 MG (60mg) tablet

68


953 Flu vaccine 0.5ml Suspension pre-filled syringe 954 Fluticasone + Salmeterol 250 mcg + 25 mcg x 120 doses 955 Gentamycin 40mg/ml, 2 ml amp 956 Hepa B vaccine 20 mcg/ml, vial 957 Hyoscine (as N-butyl bromide) 10 mg/tablet 958 Ibuprofen tablet 400mg tablet 959 Influenza vaccine 0.5ml. Pr-filled syringe, Quadrivalent

Influenza Vaccine

960 Iron Succrose 20mg/ml, 5 ml ampule 961 Isoniazid-300mg tab 300mg 962 Isoniazid-Pyridoxine 200mg-12mg/5ml anti tb meds,

isoniazid 200mg/5ml, Pyrdoxine 12mg/5ml, (branded)

963 Lagundi Syrup 300 mg / 5 ml bot. x 120 ml 964 Lagundi Tablet 600 mg / tablet 965 Levonorgestrel 21 tablets containing 150 mcgs of

Levonorgestrel and 30 mcg of ethinyl estradiol and 7 tablets 75 mgs ferrous fumarate

966 Lidocaine hydrochloride 2%, 50ml vial 967 Lidocaine Lidocaine Hydrochloride + Epinephrine;

20mg/ml(2%) for local infiltration in polypropylene cartridges, 1: 8ml; expiry date should be at least 24 months from delivery date

968 lithium carbonate 450 mg MR Tablet 969 Loratadine Tablet 10 mg/tablet 970 Losartan 50 mgs. Tablet 971 Losartan K Tablet 50 mg/tablet 972 Lynestrenol 28 tablets containing 500 mcg lynesterone 973 Medroxyprogesterone acetate 150 mg / ml 1 ml vial water

based with 3 ml syringe gauge 23 1 1/4 inch needle

974 Mefenamic Acid 500 mg/capsule 975 Mefenamic Acid-250mg capsule 250mg., capsule 976 Metformin 500mg tablet 977 Metformin HCl Metformin HCl 500mg 978 Methydopa 250 mg tablet 979 Methylergometrine 200mcg/ml, 1 ml ampule 980 Multivitamins caps. for adults 981 Multivitamins per 5ml, 60ml syrup 982 Multivitamins VIT A, B1, B2, B6, B12, C,D, E, NIACIN,

FOLIC ACID

983 Mupirocin Ointment 2 % / 5 gm. Tube 984 Nifedipine cap Nifedipine 10mg per softgel cap 985 Normal Saline Solution plain, I.V fluids, 0.9% sodium

chloride, 1 liter bottle

986 Olanzapine 10mg tablet 987 Omeprazole Cap 20 mg/capsule 988 Oral Rehydration Salt (ORS 75-replacement) 20.5g sachet 989 Oral rehydration solution (ORS) 75-replacement 990 Oxytocin 10iu/ml, 1ml/ amp. 991 Paracetamol 250mg suspension 250 mg/5 ml syrup;orange

flavor;60 ml

992 Paracetamol drop 100mg/ml 15ml drops 993 Paracetamol drops 100mg/10ml bottle 994 Paracetamol syrup 250 mg/5ml bot. x 60 ml 995 Paracetamol tablet 500 mg/tab 996 Phytomenadione / Vitamin K 10mg per ampule 997 Pneumococcal polysaccharide vaccine 0.5ml. Pre-filled

syringe, Pneumococcal vaccine

998 Pneumonia vaccine Pneumococcal Vaccine (Pre-filled Syringe)

999 Povidone Iodine Solution 10% bottle x 1 gallon

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1000 Purified Protein Derivative Vial (PPD) for Tuberculin skin Testing (TST)

1001 Rifampicin Oral Susp 200 mg/5ml x 120 ml suspension 1002 Risperidone tab 2mg., tablet 1003 Rosuvastatin 10mg tablet 1004 Salbutamol Nebules 2.5mg/2.5ml 1005 Salbutamol Syrup 2mg/5 ml x 60 ml 1006 Salbutamol Tab 2 mg/tablet 1007 Sertraline 50 mg tab 50mg., tablet 1008 Silver Sulfadiazine cream 1.0 %/15 gm tube 1009 Simvastatin 20 mgs. Tablet 1010 Tetanus diphtheria vaccine 0.5 ml vaccine vial 1011 Tranexamic acid 500mg 500 mg/ tablet 1012 Vitamin B Complex Tablet (Branded) B1-250 mg, B6-250

mg; B12-1000 mcg

1013 Vitamin B complex tablet vit. B1-100mg,B6-5mg,B12-50mcg tablet

1014 Zinc drops( 10 mg zinc/ml) 10 mg/ml x15 ml 1015 Zinc syrup( 20mg zinc/ 5ml) 20mg/5ml x 60ml

**With attached Terms of Reference (TOR) which will form as an integral part of this bidding document

B. Compliance to the Schedule of Requirements

(Section VI)

I hereby certify to comply and deliver all the above requirements.

Name: __________________________________________________________________

Legal Capacity: __________________________________________________________

Signature: _______________________________________________________________

Duly authorized to sign the Bid for and behalf of: _____________________________

CONSO-21-DRUGS AND MEDS-03

70

Section VIII. Checklist of Technical and

Financial Documents

Notes on the Checklist of Technical and Financial Documents

The prescribed documents in the checklist are mandatory to be submitted in the Bid, but shall

be subject to the following:

a. GPPB Resolution No. 09-2020 on the efficient procurement measures during a State

of Calamity or other similar issuances that shall allow the use of alternate documents

in lieu of the mandated requirements; or

b. Any subsequent GPPB issuances adjusting the documentary requirements after the

effectivity of the adoption of the PBDs.

The BAC shall be checking the submitted documents of each Bidder against this checklist to

ascertain if they are all present, using a non-discretionary “pass/fail” criterion pursuant to

Section 30 of the 2016 revised IRR of RA No. 9184.

Checklist of Technical and Financial Documents

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I. TECHNICAL COMPONENT ENVELOPE

Class “A” Documents

Legal Documents

⬜ (a) Valid PhilGEPS Registration Certificate (Platinum Membership) (all pages);

or

⬜ (b) Registration certificate from Securities and Exchange Commission (SEC),

Department of Trade and Industry (DTI) for sole proprietorship, or

Cooperative Development Authority (CDA) for cooperatives or its

equivalent document,

and

⬜ (c) Mayor’s or Business permit issued by the city or municipality where the

principal place of business of the prospective bidder is located, or the

equivalent document for Exclusive Economic Zones or Areas;

and

⬜ (d) Tax clearance per E.O. No. 398, s. 2005, as finally reviewed and approved

by the Bureau of Internal Revenue (BIR).

Technical Documents

⬜ (f) Statement of the prospective bidder of all its ongoing government and

private contracts, including contracts awarded but not yet started, if any,

whether similar or not similar in nature and complexity to the contract to be

bid (in a FORM prescribed by the QC-BAC-GOODS AND SERVICES);

and

⬜ (g) Statement of the bidder’s Single Largest Completed Contract (SLCC)

similar to the contract to be bid, except under conditions provided for in

Sections 23.4.1.3 and 23.4.2.4 of the 2016 revised IRR of RA No. 9184,

within the relevant period as provided in the Bidding Documents (in a

FORM prescribed by the QC-BAC-GOODS AND SERVICES); and

⬜ (h) Original copy of Bid Security. If in the form of a Surety Bond, submit also a

certification issued by the Insurance Commission;

or

Original copy of Notarized Bid Securing Declaration; and

⬜ (i) Conformity with the Section VI (Schedule of Requirements) Section VII

(Technical Specifications), which may include production/delivery

schedule, manpower requirements, and/or after-sales/parts, if applicable;

and

⬜ (j) Original duly signed Omnibus Sworn Statement (OSS);

and if applicable, Original Notarized Secretary’s Certificate in case of a

corporation, partnership, or cooperative; or Original Special Power of

Attorney of all members of the joint venture giving full power and authority

to its officer to sign the OSS and do acts to represent the Bidder.

Financial Documents

⬜ (k) The Supplier’s audited financial statements, showing, among others, the

Supplier’s total and current assets and liabilities, stamped “received” by the

BIR or its duly accredited and authorized institutions, for the preceding

calendar year which should not be earlier than two (2) years from the date of

bid submission; and

⬜ (l) The prospective bidder’s computation of Net Financial Contracting

Capacity (NFCC) (in a FORM prescribed by the QC-BAC-GOODS AND

SERVICES); or

A committed Line of Credit from a Universal or Commercial Bank in lieu

of its NFCC computation.

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Class “B” Documents

⬜ (m) If applicable, a duly signed joint venture agreement (JVA) in case the joint

venture is already in existence;

or

duly notarized statements from all the potential joint venture partners stating

that they will enter into and abide by the provisions of the JVA in the

instance that the bid is successful.

Other documentary requirements under RA No. 9184 (as applicable)

⬜ (n) [For foreign bidders claiming by reason of their country’s extension of

reciprocal rights to Filipinos] Certification from the relevant government

office of their country stating that Filipinos are allowed to participate in

government procurement activities for the same item or product.

⬜ (o) Certification from the DTI if the Bidder claims preference as a Domestic

Bidder or Domestic Entity.

II. FINANCIAL COMPONENT ENVELOPE

⬜ (a) Original of duly signed and accomplished Financial Bid Form; and

⬜ (b) Original of duly signed and accomplished Price Schedule(s).

III. REQUIRED DOCUMENTS in BDS SECTION 20.2 and 21.2

(a) Copy of valid, current License to Operate from FDA and/or DOH Accreditation as Supplier, Distributor or Manufacturer for Drugs and Medicines.

(b) Copy of current and valid Certificate of Product Registration (CPR) for the items.

(c) PDEA S4 License to ensure that the company can distribute regulated drugs as needed by the City Hospitals and Barangay Health Centers including Lying-ins.

(d) Statement of the bidder specifying that the expiration dates of the drugs and medicines from the date of delivery shall be two (2) to three (3) years for oral respiratory drugs, intravenous and peritoneal solutions, topical, ophthalmologic and ENT preparations; one (1) to two (2) years for injectables; one (1) year for anesthetics.

(e) Company Profile, stating the owners, brief history and business of the company and such other information as the Pharmacy Management Company;

Note:

1. Please refer to [

https://drive.google.com/file/d/1uiYurh5WrpBL5B_pqpzAb62yucAblR1p/view?usp=sharing ] for the

following requirements:

a. Computation of NFCC;

b. List of All Ongoing Contracts/List of Contracts already awarded but not yet started;

c. Statement of Single Largest Completed Contract

2. Please refer to GPPB Resolution No. 16-2020 for the following requirements:

a. Bid Form;

b. Price Schedule (for Goods Offered from Abroad/ Within the Philippines)

c. Bid Securing Declaration; and

d. Omnibus Sworn Statement

https://drive.google.com/file/d/1uiYurh5WrpBL5B_pqpzAb62yucAblR1p/view?usp=sharing&fbclid=IwAR2gJKnGvk-yBTKpzxSCIfMjCr3zJsDG8yEujLYHe9uduTJee4tAciEyLWo

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