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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
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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 5 Million up to 10 Million 10,000.00
More than 10 Million up to 50 Million 25,000.00
More than 50 Million up to 500 Million 50,000.00
More than 500 Million 75,000.00
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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
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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
Schedule of Requirements Page 2 of 20
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
Schedule of Requirements Page 3 of 20
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
Schedule of Requirements Page 4 of 20
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
Schedule of Requirements Page 5 of 20
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
Schedule of Requirements Page 6 of 20
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
Schedule of Requirements Page 7 of 20
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
Schedule of Requirements Page 8 of 20
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
348 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 77
sachet 300
349 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 78
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
364 Penicillin G Crystalline (benyzylpenicillin sodium) 1,000,000 units (IM/IV)
vial 420
365 Penicillin G Crystalline (benyzylpenicillin sodium) 5,000,000 units (IM/IV)
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
378 Piperacillin Sodium 4gm + Tazobactam Sodium 500mg (IV infusion)
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
381 Pneumococcal Polyvalent Vaccine, 25mcg/0.5mL, 0.5ml prefilled syringe or single dose vial (IM, SC)
vial 219
382 Pneumococcal Vaccine (PCV13), 1 dose vial 0.5ml vial 113
35
Schedule of Requirements Page 9 of 20
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
Schedule of Requirements Page 10 of 20
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
Schedule of Requirements Page 11 of 20
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
516 Fluconazole 50mg 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
537 Levofloxacin 750mg tablet tablet 300
538 Levothyroxine sodium 50mcg tablet tablet 1,000
539 Lidocaine 2% 5mL ampule ampule 5,000
540 Loperamide 2mg capsule capsule 500
38
Schedule of Requirements Page 12 of 20
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
547 Metformin 850mg tablet tablet 2,000
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
574 Rosuvastatin 20mg tablet tablet 5,000
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
583 Telmisartan 80mg tablet tablet 5,000
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
Schedule of Requirements Page 13 of 20
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
Schedule of Requirements Page 14 of 20
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
711 Atorvastatin Calcium 20mg tablet tablet 500
712 Atorvastatin Calcium 40mg tablet tablet 300
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
729 Carvedilol 6.25mg tablet tablet 1,000
730 Cefalexin 500mg capsule capsule 6,500
41
Schedule of Requirements Page 15 of 20
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
778 Fluconazole 150mg capsule capsule 100
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
Schedule of Requirements Page 16 of 20
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
813 Levofloxacin 500mg tablet tablet 300
814 Levofloxacin 750mg tablet tablet 300
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
827 Metformin 500mg tablet tablet 6,000
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
Schedule of Requirements Page 17 of 20
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
865 Rosuvastatin 20mg tablet tablet 1,000
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
875 Telmisartan 40mg tablet tablet 1,000
876 Telmisartan 80mg tablet tablet 1,000
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
918 Carvedilol 6.25mg tablet tablet 3,000
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
Schedule of Requirements Page 19 of 20
Schedule of Requirements Page 18 of 20
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
976 Metformin 500mg tablet tablet 549,999
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
Schedule of Requirements Page 20 of 20
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
1003 Rosuvastatin 10mg tablet tablet 20,000
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
Technical Specifications Page 2 of 22
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
Technical Specifications Page 3 of 22
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
Technical Specifications Page 4 of 22
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
Technical Specifications Page 5 of 22
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
Technical Specifications Page 6 of 22
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
Technical Specifications Page 7 of 22
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
Technical Specifications Page 8 of 22
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
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
348 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 77
349 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 78
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
Technical Specifications Page 9 of 22
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)
363 Penicillin G Crystalline (benyzylpenicillin sodium) 1,000,000 units (IM/IV)
364 Penicillin G Crystalline (benyzylpenicillin sodium) 1,000,000 units (IM/IV)
365 Penicillin G Crystalline (benyzylpenicillin sodium) 5,000,000 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
377 Piperacillin Sodium 2gm + Tazobactam Sodium 250mg (IV infusion)
378 Piperacillin Sodium 4gm + Tazobactam Sodium 500mg (IV infusion)
379 Pneumococcal Polysaccharide Vaccine (PPSV23) 1 dose vial, 0.5ml
380 Pneumococcal Polyvalent Vaccine, 25mcg/0.5mL, 0.5ml prefilled syringe or single dose vial (IM, SC)
381 Pneumococcal Polyvalent Vaccine, 25mcg/0.5mL, 0.5ml prefilled syringe or single dose vial (IM, SC)
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
Technical Specifications Page 10 of 22
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
Technical Specifications Page 11 of 22
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
Technical Specifications Page 12 of 22
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
Technical Specifications Page 13 of 22
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.
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Technical Specifications Page 14 of 22
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
Technical Specifications Page 15 of 22
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
Technical Specifications Page 16 of 22
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
Technical Specifications Page 17 of 22
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
Technical Specifications Page 18 of 22
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
Technical Specifications Page 19 of 22
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
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Technical Specifications Page 20 of 22
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
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Technical Specifications Page 21 of 22
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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Technical Specifications Page 22 of 22
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
71
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.
72
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