CVMC Pharmacy Requisition and Issue Slip for Medications and Supplies

MM-001-1
Republic of the Philippines

Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan
MATERIAL MANAGEMENT SECTION

REQUISITION AND ISSUE SLIP
Division : MEDICAL Reponsibility Center Code:
Office : PHARMACY RIS No: Date: 6/28/2018
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks
vial Ampicillin 1g (IM,IV) (as Sodium salt) - Ampitrex 1,500
tablet Atorvastatin 20mg - Zydusatorva 20 4,000
vial Cefoxitin 1g (IM,IV) (as Sodium salt) - Haxotin 1,500
tablet Clonidine 75mcg (as HCl) - Catapin 1,000
ampule Epinephrine 1:1000 1mg/ml, 1ml (IM,SC) (as Hydrochloride) 2,000
capsule Gabapentine 100mg - Gabavex 100 500
tablet Levothyroxine 50mcg (as Anhydrous Sodium) - Thydin 1,000
polyamp Lidocaine 2%, 5ml (as HCl) (20mg/ml) - Eurocaine 1,000
tablet Losartan 50mg (as Potassium salt) - Losacar 1,050
ampule Oxytocin 10 "IU"/ml, 1ml (IM,IV) 1,000
vial Oxaliplatin 100mg - Meslatin 50
ampule Phytomenadione (Phytonadione, vit.K1)10mg/ml, 1ml (IM,IV) - Hema K 1,000
Purpose: FOR CVMC PHARMACY SECTION USE - FOR PULL-OUT

Requested by: Approved by: Issued by: Received by:
Signature
Printed Name LOUIE C. DAYAG / PAUL M. BALISI, MD, FPCS CHERRY LOU M. ANTONIO, MD, DPPS, FPNA, FCNSP ODESSA S. LAVADIA LOUIE C. DAYAG
Designation ADMIN. ASST. II / CHAIR, PTC OIC - CHIEF MEDICAL PROFESSIONAL STAFF II OIC - WAREHOUSEMAN III ADMIN. ASST. II
Date 6/28/2018
MM-001-1
FOR PRINTING ON
28/2018 MONDAY JULY 2
Fund Cluster
eived by:
C. DAYAG
N. ASST. II
UNIT ITEM DESCRIPTION/GENERAL SPECIFICATION
tablet Aciclovir 400mg - Ciclox

amp/vial Amikacin 100mg/ml, 2ml (IM, IV) (as SO4)
amp/vial Amikacin 125mg/ml (250mg/2ml) (IM, IV) (as SO4)
amp/vial Amikacin 250mg/ml (500mg/2ml) (IM, IV) (as SO4)
bottle Amoxicillin 100mg/ml granules/ powder for drops 10ml (as Trihydrate) - Moxylor
bottle Amoxicillin 250mg/5ml granules/ powder for suspension 60ml (as Trihydrate) - Moxylor
capsule Amoxicillin 250mg (as Trihydrate)
capsule Amoxicillin 500mg (as Trihydrate) - Harbimox
vial Ampicillin 1g (IM,IV) (as Sodium salt) - Ampitrex
vial Ampicillin 500mg (IM,IV) (as Sodium salt)
vial Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam) (as Sodium salt)
vial Ampicillin Sulbactam (500mg Ampicillin + 250mg Sulbactam) (IM,IV) (as Na salt)
vial Azithromycin 500mg powder (IV infusion) (as base/ as Dihydrate)
tablet Azithromycin 500mg (as base/as dihydrate)
ampule Bupivacaine 0.5%, 10ml/amp (as HCl)
ampule Bupivacaine 0.5%, 4ml (spinal) w/ 8 dextrose (as HCl) HEAVY - Senpivac 0.5%
bottle Cefalexin 100mg/ml, 10ml drops (as Monohydrate)
bottle Cefalexin 250mg/5ml, 60ml suspension/syrup (as Monohydrate)
capsule Cefalexin 500mg (as Monohydrate) - Diacef
vial Cefazolin 1g (IM,IV) (as Sodium salt)
vial Cefazolin 500mg (IM,IV) (as Sodium salt)
vial Cefepime 1g (IM,IV) (as HCl) - Sefpime
vial Cefepime 500mg (IM,IV) (as HCl) - Axera
bottle Cefixime 100mg/5ml, 60ml granules suspension
capsule Cefixime 200mg - Taxim-O
bottle Cefixime 20mg/ml granules drops, 10ml
vial Cefoxitin 1g (IM,IV) (as Sodium salt) - Haxotin
vial Ceftazidime 1g (as Pentahydrate)
vial Ceftriaxone 1g (as Disodium/ Sodium salt) - Generic
bottle Cefuroxime 125mg/5ml, 70ml granules/suspension (as Axetil)
tablet Cefuroxime 250mg (as Axetil)
bottle Cefuroxime 250mg/5ml, 70ml granules/suspension (as Axetil) Generic
tablet Cefuroxime 500mg (as Axetil) - Axefime
vial Cefuroxime 750mg (IM,IV) (as Sodium salt) - Harox
bottle Chloramphenicol 125mg/5ml, 60ml suspension (as Palmitate)
vial Chloramphenicol 1g (IM,IV) (as Sodium Succinate) - Klorfen
capsule Chloramphenicol 500mg
vial Ciprofloxacin 2mg/ml, 100ml (as Lactate) IV infusion
tablet Ciprofloxacin 500mg (as Hydrochloride) - Ciprodex
bottle Clarithromycin 125mg/5ml, 70ml granules/powder for suspension
bottle Clarithromycin 250mg/5ml, powder for suspension
tablet Clarithromycin 500mg tab OD Modified Release
tablet Clarithromycin 500mg tablet as base - Klarcyn
ampule Clindamycin 150mg/ml, 4ml (IM,IV) (as PO4) - Dalacin C
bottle Clindamycin 75mg/5ml granules for suspension, 60ml (as Palmitate HCl)
capsule Clindamycin HCl 150mg
capsule Cloxacillin 500mg
bottle Co-Amoxiclav 156.25mg/5ml,powder for suspension
bottle Co-Amoxiclav 228.5mg/5ml,powder for suspension - Natravox
bottle Co-Amoxiclav 250mg/62.5mg/5ml,60ml granules/powder for suspension - Auget
bottle Co-Amoxiclav 400mg/57mg/5ml,70ml granules/powder for suspension
tablet Co-Amoxiclav 625mg (as Trihydrate)
bottle Co-Trimoxazole 200mg/40mg/5ml suspension, 60ml
cap/tab Co-Trimoxazole 400mg/80mg
bottle Co-Trimoxazole 400mg/80mg/5ml suspension, 60ml
cap/tab Co-Trimoxazole 800mg/160mg
bottle Diloxanide Furoate 125mg/5ml syrup/suspension 30ml
tablet Diloxanide Furoate 500mg
capsule Doxycycline 100mg (as Hyclate)
bottle Erythromycin 200mg/5ml granules/powder for suspension 60ml (as Ethyl Succinate)
tablet Erythromycin 500mg (as Stearate)
tube Erythromycin Ophthalmic Ointment 0.5%, 3.5g - Erycortin
tablet Ethambutol 200mg (as HCl)
tablet Fluconazole 150mg
capsule Fluconazole 200mg
vial Fluconazole 2mg/ml, 100ml (IV infusion)
amp/vial Gentamycin 40mg/ml, 2ml (IM,IV) (as SO4)
bottle Isoflurane 100ml - Isorane
tablet Isoniazid + Rifampicin + Pyrazinamide + Ethambutol 75mg + 150mg +400mg + 275mg
tablet Isoniazid + Rifampicin + Pyrazinamide 75mg + 150mg +400mg
tablet Isoniazid + Rifampicin 75mg + 150mg
bottle Isoniazid 200mg/5ml, 120ml syrup
vial Ketamine HCl 50mg/ml, 10ml (IM,IV)
tablet Levofloxacin 500mg
vial Levofloxacin 5mg/ml solution for IV infusion, 100ml - Loxeva
tablet Levofloxacin 750mg
polyamp Lidocaine 2%, 5ml (as HCl) (20mg/ml) - Eurocaine
tube Lidocaine 5% ointment 35g (as Hydrochloride)
bottle Lidocaine spray 10%, 50ml (as HCl)
bottle Mebendazole 100mg/5ml suspension 30ml
tablet Mebendazole 500mg
vial Meropenem 1g (IV) (as Trihydrate) - Mepenem
vial Meropenem 500mg (IV) (as Trihydrate) - Mepenem
tablet Metronidazole 125mg base/ 5ml suspension 60ml
tablet Metronidazole 500mg
vial Metronidazole 5mg/ml, 100ml IV infusion - Cetaz
suppository Metronidazole rectal 1g
bottle Nalidixic Acid 250mg/5ml, 60ml suspension
bottle Nystatin 100,000 "u"/ml, 30ml suspension
bottle Ofloxacin 0.3%, 5ml ear drops solution
vial Ofloxacin 2mg/ml, 100ml (Iv infusion)
tablet Ofloxacin 400mg
bottle Ofloxacin Ophthalmic Drop 0.3%, 5ml solution
capsule Oseltamivir 75mg (as Phosphate)
vial Oxacillin 500mg - Wydox
bottle Oxantel Pyrantel (100mg Oxantel + 100mg Pyrantel)/5ml susp. 10ml (as Embonate)
vial Penicillin G Benzathine (Benzathine Benzyl Penicillin) 1.2M units
vial Penicillin G Crystalline (Benzylpenicillin) 1M "u" vl. (IM,IV) (as Sodium)
vial Penicillin G Crystalline (Benzylpenicillin) 5M "u" vl. (IM,IV) (as Sodium) - Harbipen
bottle Phennoxymethyl Penicillin (penicillin V) 250mg/5ml granules/powder susp., 60ml (as K salt)
cap/tab Phennoxymethyl Penicillin 500mg (as Sodium salt)
vial Piperacillin+Tazobactam (2g Piperacillin+250mg Tazobactam)
vial Piperacillin+Tazobactam (4g Piperacillin+500mg Tazobactam)(IV Infusion) (as Na) - Piptaz
tablet Primaquine 15mg base (as Diphosphate)
bottle Pyrazynamide 250mg/5ml, 120ml suspension
amp/vial Quinine 300mg/ml, 1ml Iv (as diHCl)
tablet Quinine Sulfate 300mg (325) (as Sulfate)
bottle Rifampicin 200mg/5ml suspension 120ml
bottle Sevoflurane 250ml
vial Streptomycin 1g IM (as Sulfate)
tablet Sulfadoxine/Pyrimethamine 500mg/25mg
vial Vancomycin 500mg (IV) (as HCl)
amp/vial Anti-Tetanus Serum (equine) 1,500IU/ml, 1ml (IM)
vial Adenosine 3mg/ml, 2ml (IV)
ampule Aminophylline 25mg/ml, 10ml (IV)
tablet Amiodarone 200mg (as HCl)
ampule Amiodarone 50mg/ml, 3ml (IV) (as HCl)
tablet Amlodipine 10mg (as Besylate)
tablet Amlodipine 5mg (as Besylate or Camsylate) - Amlodac
tablet Aspirin 100mg
tablet Aspirin 300mg
tablet Aspirin 80mg - Generic
tablet Atenolol 100mg
tablet Atenolol 50mg - Myovasc
tablet Atorvastatin 20mg - Zydusatorva 20
tablet Atorvastatin 40mg - Atorvast
tablet Atorvastatin 80mg
canister Budesonide + Formoterol 160/4.5mcg/ unit dose - Symbicort Turbuhaler
nebule Budesonide 250mcg/ml, 2ml (unit dose) - Bronex
tablet Bumetamide 1mg
tablet Butamirate Citrate 50mg MR
tablet Candesartan 8mg
tablet Captopril 25mg
tablet Carbimazole 20mg
tablet Carbimazole 5mg
tablet Carvedilol 25mg
tablet Carvedilol 6.25mg
ampule Clonidine 150mcg/ml, 1ml (IV) (as HCl)
tablet Clonidine 75mcg (as HCl) - Catapin
tablet Clopidogrel 75mg
ampule Cobra Antivenom
tablet Dexamethasone 4mg
amp/vial Dexamethasone 4mg/ml, 2ml (IM,IV) (as Sodium Phosphate) - Dexticort
tablet Digoxin 250mcg (0.25mg)
ampule Digoxin 250mcg/ml, 2ml (IM,IV)
bottle Digoxin 50mcg (0.05mg)/ml Elixir, 60ml
tablet Diltiazem 30mg (as Hydrochloride)
tablet Diltiazem 60mg (as Hydrochloride)
vial Diphtheria Anti toxin 20,000 iu 10ml (IV)
vial Dobutamine 12.5mg/ml, 20ml (IV) (as HCl)
vial Dobutamine 2mg/ml, 250ml D5W (pre-mixed) (IV) (as HCl)
vial Dopamine 1.6mg/ml, 250ml D5W (pre-mixed) (IV) (as HCl)
vial Dopamine 200mg/250ml D5W (premixed) (IV) (as HCl) (Green)
amp/vial Dopamine 40mg/ml, 5ml (IV) (as HCl) (Sterile Dopamine 200mg/5ml)
tablet Dydrogesteone 10mg
p. syringe Enoxaparin Sodium 100mg/ml, 0.4ml
p. syringe Enoxaparin Sodium 100mg/ml, 0.6ml
ampule Epinephrine 1:1000 1mg/ml, 1ml (IM,SC) (as Hydrochloride)
vial Esmolol 100mg/ml, 10ml (as HCl)
tablet Felodipine 10mg MR
tablet Felodipine 5mg
tablet Fenofibrate 160mg
tablet Fenofibrate 200mg
p.syringe Fondaparinux 2.5mg/0.5ml solution (as Sodium salt)
ampule Furosemide 10mg/ml, 2ml (IM,IV)
tablet Furosemide 20mg
tablet Furosemide 40mg
tablet Glibenclamide 5mg
tablet Gliclazide 30mg MR
tablet Gliclazide 80mg
tablet Glipizide 5mg
patch Glyceryl Trinitrate (Nitroglycerin) 5mg
amp/vial Hepa B vaccine
ampule Hydralazine 20mg/ml, 1ml (IM,IV) (as HCl)
tablet Hydralazine 25mg (as HCl)
tube Hydrocortisone 1% cream, 5g
vial Hydrocortisone 125mg/ml, 2ml (IV) (as Sodium Succinate)
vial Hydrocortisone 50mg/ml, 2ml (IV) (as Sodium Succinate) - Hydrovex
canister Ipratropium + Salbutamol MDI x 200 doses
nebule Ipratropium + Salbutamol UDV 2.5ml/ unit dose - Multivent
vial Isophane Insulin Human (intermediate, acting, Neutral) inj. 100IU/ml, 10ml (IM,SC)
cap/tab Isosorbide- 5- Mononitrate 30mg - Montra
cap/tab Isosorbide- 5- Mononitrate 60mg
tablet Isosorbide dinitrate 10mg
ampule Isosorbide dinitrate 1mg/ml, 10ml (IV) - Isoket
tablet Isosorbide dinitrate 5mg SL
tablet Levothyroxine 100mcg (as Anhydrous Sodium)
tablet Levothyroxine 50mcg (as Anhydrous Sodium) - Thydin
tablet Losartan + Hydrochlorothiazide 100mg +25mg
tablet Losartan + Hydrochlorothiazide 50mg +12.5mg - Losacar
tablet Losartan 100mg (as Potassium salt) - Losacar
tablet Losartan 50mg (as Potassium salt) - Losacar
tablet Medroxyprogesterone Acetate 5mg
tablet Metformin 500mg (as HCl)
tablet Methimazole 5mg - Tapdin
tablet Methyldopa 250mg - Aldomet
vial Methylprednisolone 125mg/ml, 2ml + diluent (IM,IV) Iv infusion (as Na succinate)
vial Methylprednisolone 1g/16ml
vial Methylprednisolone 500mg/7.7ml
vial Methylprednisolone inj. 40mg 1ml
tablet Methyprednisolone 16mg
tablet Metoprolol 100mg (as Tartrate) - Cardiostat
tablet Metoprolol 50mg (as Tartrate)
tablet Montelukast 10mg (as Sodium)
tablet Montelukast 5mg (as Sodium)
ampule Nicardipine 1mg/ml, 10ml (IV) (as HCl) - Cardepine
capsule Nifedipine 10mg
tablet Nifedipine 30mg MR
tablet Nimodipine 30mg - Nimotop
ampule Norepinephrine 1mg/ml, 4ml (IV infusion) (as Bitartrate)
bottle Prednisone 10mg/5ml suspension, 60ml
tablet Prednisone 20mg
tablet Propranolol 10mg (as HCl)
tablet Propranolol 40mg (as HCl)
tablet Propylthiouracil 50mg
ampule Rabbies Vaccine (0.5ml of 4% Sodium Chloride) VERORAB
vial Rabbies Vaccine Lyophillyzed powder 2.5 IU/ml, 1 dose + 1ml Diluent (ID,IM) - Indirab
p. syringe Regular Insulin 100IU/ml, 3ml (IM,IV,SC)
tablet Rosiglitazone 4mg (as Maleate)
tablet Salbutamol 2mg
bottle Salbutamol 2mg/5ml, 60ml syrup (as Sulfate) - Albulem
canister Salbutamol MDI 100mcg/dose x 200 doses (as SO4)
nebule Salbutamol 2mg/ml, 2.5ml (unit dose) (as Sulfate) - Provexel
tablet Sambong 250mg
tablet Simvastatin 20mg
tablet Simvastatin 40mg
tablet Spironolactone 100mg
capsule Tamsulosin 200mcg (as HCl)
ampule Terbutaline 500mcg/ml, 1ml (IM,IV,SC) (as SO4)
nebule Terbutaline 2.5mg/ml, 2ml (unit dose)(as SO4)
bottle Terbutaline syrup 1.5mg/5ml, 60ml (as SO4)
vial Tetanus Immune Globulin Human (TIG) 250”u”/ml, 2ml (IM)
ampule Tetanus Toxoid 0.5ml (IM)
tablet Theophylline anhydrous 150mg
canister Tiotropium 18mcg/dose (as Br) w/ appropriate accompanying dispenser
ampule Tranexamic Acid 100mg/ml, 5ml (IM,IV)
capsule Tranexamic Acid 250mg
capsule Tranexamic Acid 500mg
tablet Trimetazidine 35mg
tablet Verapamil 180mg (as Hydrochloride)
ampule Verapamil 2.5mg/ml, 2ml (IV) (as Hydrochloride)
tablet Verapamil 240mg (as Hydrochloride)
tablet Warfarin 2.5mg
tablet Acetazolamide 250mg - Cetamid
sachet Acetylcisteine 200mg - Fluimicil

bottle Acetylcisteine 200mg/ml, 25ml (IV infusion)
tablet Acetylcisteine 600mg - Exflem
bottle Acetylcystein 100mg/ml soln for injection - Fluimucil
bottle Acetylcystein 100mg/ml, inhalation - Fluimucil
can Activated Charcoal 1kg
bottle Al hydroxide 225mg/200mg Mg hydroxide/5ml susp., 120ml
tablet Alendronate 70mg (as Sodium salt)
tablet Allopurinol 100mg
tablet Allopurinol 300mg
tablet Alprazolam 250mcg - Altrox 250
ampule Ascorbic 250mg/ml, 2ml
bottle Ascorbic Acid 100mg/5ml, 60ml syrup
bottle Ascorbic Acid 100mg/ml, 15ml drops
tablet Ascorbic Acid 500mg
ampule Atracurium Besylate 10mg/ml, 2.5ml (IV) - Acurium

ampule Atropine 1mg/ml, 1ml (IM,IV) (as SO4)
bottle Atropine Sulfate Ophthalmic drops 1%, 10ml
tablet Baclofen 10mg - Trilaxant
tablet Betahistine 24mg - Vert
tablet Biperiden 2mg (as HCl)
suppository Bisacodyl 10mg adult - Dulxative

suppository Bisacodyl 5mg pediatric
tablet Bisacodyl 5mg
ampule Butorphanol 2mg/ml, 1ml (IM,IV) (as Tartrate)
tablet Calcium Carbonate (equiv. to 500mg & 600mg elemental ca) - Calvin Plus
ampule Calcium Gluconate 10%, 10ml (IV)
tablet Carbamazepine 200mg
bottle Castor Oil USP Grade 60ml
capsule Celecoxib 200mg - Coxto
capsule Celecoxib 400mg
tablet Cetirizine 10mg (as Dihydrochloride)
bottle Cetirizine 10mg/ml drops, 10ml (as Dihydrochloride)
bottle Cetirizine 1mg/ml syr, 30ml (as Dihydrochloride)
bottle Cetirizine 1mg/ml syr, 60ml (as Dihydrochloride)
ampule Chlorpheniramine 10mg/ml, 1ml (IM,IV) (as Maleate)
tablet Chlorpromazine 100mg (as HCl) - Zycloran
tablet Cinnarizine 25mg
tube Clobetasol cream 0.05% , 5g (as Propionate)
tablet Clonazepam 2mg - Clonotril-2
tablet Clozapine 100mg - Clopixene
tablet Diazepam 5mg
ampule Diazepam 5mg/ml, 2ml (IM,IV) - Anxiol
ampule Diclofenac Sodium 25mg/ml, 3ml (IM,IV)
tablet Diclofenac Sodium 50mg (as Sodium or Potassium salt)
bottle Dicycloverine 10mg/5ml, 60ml syrup
bottle Diphenhydramine HCl 12.5mg/5ml syrup 60ml
capsule Diphenhydramine HCl 50mg
ampule Diphenhydramine HCl 50mg/ml, 1ml (IM,IV) (as HCl)
tablet Domperidone 10mg
ampule Ephedrine Sulfate 50mg/ml, 1ml (IM,IV)
amp/vial/PFS Epoetin Alfa 4,000 IU/ 0.4ml, IV,SC (Recombinant human erythropoetin) - Epogen
prefilled syrn Epoetin Alfa 10,000 IU/ ml IV,SC (Recombinant human erythropoetin)
tablet Escitalopram 10mg (as oxalate) - Ecsapro
ampule Famotidine 10mg/ml, 2ml (IM,IV)
ampule Fentanyl 50mcg/ml, 2ml (IV) (as Citrate)
tablet Ferrous Fumarate 500mg (100mg elemental iron)+ B complex
bottle Ferrous Sulfate 15mg elemental iron/0.6ml drops, 30ml
bottle Ferrous Sulfate 30mg elemental iron/5ml syrup, 60ml
tablet Ferrous sulfate 325mg
tab/cap Fluoxetin 20mg dispersal
bottle Fluphenazine 25mg/ml, 10ML
bottle Folic Acid 2.5mg/ml drops, 10ml
tablet Folic Acid 5mg
bottle Folic Acid 5mg/ml drops
capsule Gabapentine 100mg - Gabavex 100
capsule Gabapentine 300mg
tablet Haloperidol 20mg - Zuredel
ampule Haloperidol 5mg/ml, 1ml (IM)
ampule Heparin Standard 1000IU/ml, 5ml (IV as Sodium salt)
vial Human Albumin 20%, 50ml - Albumax
tablet Hydroxyzine 25mg (as Dihydrochloride)
ampule Hydroxyzine 50mg/ml, 1ml (IM,IV) - Droxiem
tablet Hyoscine 10mg (as N- Butyl Bromide)
ampule Hyoscine 20mg/ml, 1ml (IM,IV,SC) (as N-Butyl Bromide)
bottle Hyoscine 5mg/5ml, 60ml syrup (as N-Butyl Bromide)
bottle Ibuprofen 100mg/5ml, 60ml suspension
tablet Ibuprofen 400mg - Alaxpro
vial Iopamidol 755mg/ml equiv. to 370mg iodine, 50ml - Scanlux
ampule Iron Sucrose 20mg/ml
tablet Isoxsuprine 10mg (as HCl)
ampule Isoxsuprine 5mg/ml, 2ml (IM, IV infusion )(as HCl)
tablet Ketoprofen 100mg
ampule Ketoprofen 50mg/ml, 2ml (IM)
ampule Ketorolac 30mg/ml, 1ml (IM,IV) (as Trometamol) - Ketral
bottle Lactulose 3.3g/5ml (66% syrup), 120ml - Lilac
tablet Lamotrigine 50mg
ampule Lidocaine HCl in 4mg/ml,250ml D5W (pre-mixed) (IV)(as HCl)
tablet Lithium Carbonate 450mg MR
capsule Loperamide 2mg
tablet Loratadine 10mg
bottle Loratadine 5mg/5ml syrup, 30ml
ampule Magnesium Sulfate 250mg/ml, 20ml (IM,IV) (as Heptahydrate)
ampule Mecobalamin 500mcg/ml (IM/IV)
tablet Mefenamic Acid 250mg
tablet Mefenamic Acid 500mg - Fenamax
tablet Methylergometrine Maleate 125mcg (as Hydrogen Maleate or Maleate)
ampule Methylergometrine Maleate 200mcg/ml, 1ml(IM,IV) (as Hydrogen Maleate or Maleate)
ampule Metoclopromide 5mg/ml, 2ml (IM,IV) (as Base & HCl)
ampule Midazolam 1mg/ml, 5ml (IM,IV)
ampule Midazolam 5mg/ml, 3ml (IM,IV) (15mg/3ml) - Midaolex
tablet Morphine 10mg CR (as Sulfate)
ampule Morphine 15mg/ml, 1ml (IM,IV,SC) (as Sulfate)
tablet Morphine 30mg CR (as Sulfate)
bottle Multivitamins 120ml syrup
bottle Multivitamins 15ml drops
capsule Multivitamins capsule
tube Mupirocin 2%, 5g
ampule Nalbuphine 10mg/ml, 1ml (IM,IV,SC) (as HCl)
ampule Naloxone 20mcg/ml, 2ml (IM,IV,SC) (as HCl)
tablet Naproxen 275mg
tablet Naproxen 550mg
ampule Neostigmine 500mcg/ml, 1ml (IM,IV,SC) (as Methylsulfate) - Prostigmine
tablet Olanzapine 10mg - Olandus 10
capsule Omeprazole 20mg - Azibloc
ampule Omeprazole 40mg + 10ml solvent (IV) - Zyom
capsule Omeprazole 40mg - Wilom
sachet Oral Rehydration Solution - Glucosol
ampule Oxytocin 10 "IU"/ml, 1ml (IM,IV)
bottle Paracetamol 100mg/ml, (alcohol free), 15ml
vial Paracetamol 10mg/ml, 100ml solution for infusion (IV)
vial Paracetamol 150mg/ml, 2ml (IM,IV) - Febrinil
bottle Paracetamol 250mg/5ml (alcohol free), 60ml syrup/suspension - Alagesic
tablet Paracetamol 500mg - Febrile Free
ampule Pethidine (Meperiden) 50mg/ml, 2ml (Im, IV, SC) (as HCl)
ampule Phenobarbital 130mg/ml, 1ml (IM,IV) (as Sodium)
tablet Phenobarbital 15mg (1/4 grain)
tablet Phenobarbital 60mg (1 grain)
tablet Phenobarbital gr 1/2 (30mg)
capsule Phenytoin 100mg (as Sodium salt)
ampule Phenytoin 50mg/ml, 2ml (IV)(as Sodium salt)
ampule Phytomenadione (Phytonadione, vit.K1)10mg/ml, 1ml (IM,IV) - Hema K
tablet Potassium 750mg durules (approx. equiv. to 10 mEq) - Kalium Durules
vial Potassium Chloride 2mEq/ml, 20ml (IV infusion) - Generic
bottle Prednisolone eye drops suspension 0.5%,5ml(as acetate)

amp/vial Propofol 10mg/ml, 20ml IV (oil in water emulsion) - IV-Pro
ampule Pyridoxine (Vit. B6) 100mg/ml, 10ml (IM,IV) (as Hydrochloride)
tablet Quetiapine 100mg
tablet Quetiapine 25mg - Qtipine 25
tablet Ranitidine 150mg (as HCl)
ampule Ranitidine 25mg/ml, 2ml(IM,IV, IV infusion) (as HCl) - Zantol
tablet Ranitidine 300mg (as HCl)
vial Recombinant H Granulocyte stimulating
tablet Risperidone 2mg - Rispedin-2
tablet Risperidone 4mg
amp/vial Rocuronium Bromide 10mg/ml, 5ml (IV)
ampule Ropivacaine 2mg/ml, 10ml (IV)
ampule Ropivacaine 7.5mg/ml, 10ml (IV)
tablet Sertraline 50mg (as HCl) - Deperin
jar Silver Sulfadiazine Cream 1% 500g (micronized)
tube Silver Sulfadiazine Cream 1% 50g
ampule Sodium Bicarbonate 1mEq/ml, 50ml(IV infusion)
tablet Sodium Sulfate
tablet Sodium Valproate 500mg
ampule Somatostatin 250mcg (IV, IV infusion)
ampule Somatostatin 3mg (IV, IV infusion)
tablet Sucralfate 1g
vial Suxamethonium (succinyl Choline) 20mg/ml, 10ml IV (as Chloride) - Anektil
ampule Tetracaine 20mg sterile powder (spinal) (as HCl)
amp/vial Thiamine 100mg/ml, 1ml (IV)
tablet Thiamine 300mg (as Hydrochloride)
vial Thiopenthal Sodium 1g + 50ml diluent (IV)
bottle Timolol eye drops solution 0.5%,5ml
bottle Tobramycin Ophthalmic drops 0.3%, 3.5g
tube Tobramycin Ophthalmic Ointment 0.3%,3.5g
tablet Topiramate 25mg
capsule Tramadol 50mg (as HCl)
ampule Tramadol 50mg/ml, 2ml (IM,IV, SC) (as HCl) - Dynatram
capsule Ursodeoxycholic Acid 250mg
tablet Valproate disodium/ Valproic Acid 250mg (as disodium salt or as valproic acid)
ampule Vitamin B Complex 100mg+100mg+1mg per 3ml (IV)
tablet Vitamin B Complex
bottle Zinc 10mg/ml drops - Immuzinc
bottle Zinc 20mg/5ml syrup - Immuzinc
tablet Zolpidem 10mg
vial Bleomycin Sulfate 15 units
ampule Calcium Folinate(Leucoverin Calcium) 10mg/ml, 5ml(IM,IV) - Cafonate
tablet Capecitabine 500mg - Cetagen 500
vial Carboplatin 450mg - Kemocarb
vial Cisplatin 50mg (IV)
vial Cyclophosphamide 1g (IV) - Cyphos-1
vial Cyclophosphamide 500mg (IV) - Cyphos-500
vial Cytarabine 1g/10ml - Cancyt
vial Cytarabine 500mg/10ml
vial Dacarbazine 200mg
vial Dactinomycin 500mcg
vial Docetaxel 20mg/0.5ml, 0.5ml (IV infusion) - Vexdo 20
vial Docetaxel 40mg/ml, 2ml (IV infusion) - Vexdo 80
vial Doxorubicin powder 10mg (IV) (as HCl) - Adrosal
vial Doxorubicin powder 50mg (IV) (as HCl) - Doxvex 50
amp/vial Etoposide 20mg/ml, 5ml (IV)
vial Filgrastim 300mcg
vial Fluorouracil 25mg/ml, 10ml (IV, IV Infusion)
ampule Fluorouracil 50mg/ml, 10ml (IV, IV Infusion) - Fluonco
vial Gemcitabine 1g - Omnicure-1
vial Gemcitabine 200mg - Omnicure
tablet Hydroxyurea 500mg
ampule Methotrexate 25mg/ml, 2ml (IM,IV, Intrathecal) (as base)
ampule Ondansetron 1mg/ml, 4ml (IM,IV) - Onsia
ampule Ondansetron 2mg/ml, 4ml (IM,IV)
vial Oxaliplatin 100mg - Meslatin
vial Paclitaxel 100mg - Paclizel
tablet Tamoxifen 20mg (as Citrate) - Tamoxigen 20
bottle Vinblastin 10mg/10ml
vial Vincristine 1mg/ml, 1ml (IV) (as Sulfate)
vial Vincristine 2mg/2ml, 1ml (IV) (as Sulfate)
ampule 0.9% NaCl 20ml
vial 6% Dextran 70 in 0.9% NaCl 500ml (Iv Infusion)
bottle Amino Acids Crystaline 5% (IV Infusion) 500ml
bottle Combined Amino Acids + Sorbitol Solution (IV infusion) 500ml bottle
ampule Dextran 70 in 0.9% Sodium Chloride
ampule Dextrose 10% in Water 3ml ampule (as solvent)
set Dextrose 10% in Water 500ml
set Dextrose 5% 0.3 NaCl 500ml (Light Blue)
set Dextrose 5% 0.9 NaCl 1L (D5NSS) (Yellow)
set Dextrose 5% Balance Multiple Maint. Sol'n 500ml (Violet)
set Dextrose 5% Balanced Multiple Maint. Sol'n. 1000Ml (D5NM 1L) (Orange)
set Dextrose 5% Balanced Multiple Replacement. Sol'n. 1000Ml (D5NR 1L) (Yellow Green)
set Dextrose 5% in Lactated Ringers 1000ml (D5LRS) (Pink)
set Dextrose 5% in Water 1000ml (Red)
set Dextrose 5% in Water 500ml (Glass)
set Dextrose 50% in Water 50ml
bottle Hydroxyethyl starch 6% solution 500ml bottle (IV infusion) - Nirhes 130
bottle Mannitol 20%, 500ml (IV)
set Dextrose Plain Lactated Ringers Solution 1000ml (PLRS) (Blue)
set Dextrose Plain NSS 1000ml (PNSS) (Green)
vial Water for injection (triple distilled water), 50ml vial (steriile water for injection)
set Intravenous Administration Set (Macroset) 20 drops/ml

set Intravenous Administration Set (Microset) 60 drops/ml
set IV Cannula G18 with injection port
set Blood Transfusion Set
set Soluset
set Platelet Set, 20 gtts/ml, Terumo
unit cost QTY TO REMARKS
UNIT BRAND NAME
ORDER
ACTUAL UNIT COST
13.11 1000 tablet Ciclox W PASSED
NO BIDDER amp/vial N
21.33 amp/vial Cinmik W PASSED
15.30 bottle Moxylor W PASSED

19.88 bottle Moxylor W PASSED
NO BIDDER capsule N
1.16 capsule Harbimox W PASSED
11.88 vial Ampitrex W PASSED
7.78 vial Ampitrex W PASSED
107.10 vial Unasyn W PASSED
39.00 vial Ampimax W PASSED
548.00 vial zithromax W PASSED
8.34 tablet Trozin W PASSED
67.88 ampule Bupican W PASSED
102.22 ampule Senpivac 0.5% Heavy W
PASSED
20.00 bottle Diacef W PASSED
24.75 bottle Diacef W PASSED
2.55 capsule Diacef W PASSED
21.22 vial Hazolin W PASSED
FAILED BIDDING vial Hazolin F FAILED
180.00 vial Sefpime W PASSED
192.00 vial Axera W PASSED
200.00 bottle Taxim-O Forte W PASSED
16.00 capsule Taxim- O W PASSED
140.00 bottle Triocef W PASSED
99.44 vial Haxotin W PASSED
34.12 vial Ceftibac W PASSED
20.00 vial Generic W PASSED
228.00 bottle Cimex W PASSED
NO BIDDER tablet N
243.25 bottle Suncetin-250 W PASSED
8.88 tablet Axefime W PASSED
20.00 vial Harox W PASSED
29.00 bottle Chlorolem W PASSED
27.88 vial Klorfen W PASSED
NO BIDDER capsule N
26.49 vial Floxil W PASSED
1.24 tablet Ciprodex W PASSED
185.00 bottle Clariget W PASSED
450.00 bottle Clarithrocid W PASSED
33.00 tablet Clariget OD W PASSED
9.49 tablet Klarcyn W PASSED
140.00 ampule Dalacin - C W PASSED
235.40 bottle Dalacin C W PASSED
NO BIDDER capsule N
NO BIDDER capsule N
3.24 capsule Flactamacin 500 W PASSED
154.00 bottle Natravox W PASSED
175.00 bottle Natravox W PASSED
180.00 bottle Auget W PASSED
190.00 bottle Auget W PASSED
7.80 tablet Agcomen W PASSED
18.00 bottle Diazole W PASSED
1.13 cap/tab Diazole W PASSED
23.00 bottle Diazole W PASSED
1.50 cap/tab Diazole W PASSED
NO BIDDER bottle N
NO BIDDER tablet N
NO BIDDER capsule N
NO BIDDER capsule N
NO BIDDER bottle N
NO BIDDER tablet N
148.44 tube Erycortin W PASSED
NO BIDDER tablet N
120.00 tablet Mycozole W PASSED
333.00 capsule Diflucan W PASSED
522.00 vial Diflucan W PASSED
4.38 amp/vial Maxigen W PASSED
1,975.00 bottle Isorane W PASSED
7.00 tablet Myrin -P Forte W PASSED
NO BIDDER tablet N
6.50 tablet Duomax W PASSED
78.00 bottle Curazid Forte W PASSED
548.00 vial Uniket W PASSED
5.20 tablet levoday 500 W PASSED
250.00 vial Loxeva W PASSED
20.00 tablet Loxeva W PASSED
11.00 polyamp Eurocaine W PASSED
NO BIDDER tube N
2,953.00 bottle W PASSED
NO BIDDER bottle N
NO BIDDER tablet N
167.23 vial Mepenem W PASSED
99.78 vial Mepenem W PASSED
18.00 tablet Metrozole W PASSED
1.28 tablet Metrozole W PASSED
NO BIDDER suppository N
NO BIDDER bottle N
NO BIDDER bottle N
230.00 bottle Dizoflox W PASSED
NO BIDDER vial N
NO BIDDER tablet N
160.00 bottle Dizoflox W PASSED
NO BIDDER capsule N
23.00 vial Wydox W PASSED
NO BIDDER bottle N
55.00 vial Zalpen W PASSED
6.49 vial Harbipen W PASSED
17.22 vial Harbipen W PASSED
NO BIDDER bottle N
NO BIDDER cap/tab N
90.00 vial Piptaz W PASSED
96.00 vial Piptaz W PASSED
NO BIDDER tablet N
90.00 bottle Zcure W PASSED
NO BIDDER tablet N
NO BIDDER bottle N
5,600.00 bottle Sojourn W PASSED
12.88 vial Streptocin W PASSED
NO BIDDER tablet N
153.22 vial Vancin W PASSED
290.00 vial Adesan W PASSED
FAILED BIDDING ampule Ainofil F FAILED
23.50 tablet Medodarone W PASSED
243.04 ampule Cordarone W PASSED
0.78 tablet Amlodibloc W PASSED
1.08 tablet Amlodac W PASSED
NO BIDDER tablet N
NO BIDDER tablet N
0.88 tablet Generic W PASSED
NO BIDDER tablet N
1.98 tablet Myovasc W PASSED
3.80 tablet Zydusatorva 20 W PASSED
20.00 tablet Atorvast - Natraphar W PASSED
23.00 tablet Atorvast - Natraphar W PASSED
681.35 canister Symbicort Turbuhaler W PASSED
24.00 nebule Bronex W PASSED
23.52 tablet Burinex W PASSED
NO BIDDER tablet N
10.84 tablet Atasart W PASSED
NO BIDDER tablet N
NO BIDDER tablet N
NO BIDDER tablet N
4.60 tablet Carvedol W PASSED
2.27 tablet Xicard W PASSED
115.22 ampule Catapin W PASSED
4.11 tablet Catapin W PASSED
1.59 tablet Vexagril 75 F FAILED
NO BIDDER ampule N
NO BIDDER tablet N
24.00 amp/vial Dexticort W PASSED
4.16 tablet Lanoxin W PASSED
160.16 ampule Lanoxin W PASSED
716.22 bottle Lanoxin W PASSED
NO BIDDER tablet N
19.00 tablet W PASSED
NO BIDDER vial N
112.22 vial Dobucard W PASSED
59.89 amp/vial W PASSED
NO BIDDER tablet N
288.00 p. syringe Lomoh- 40 W PASSED
460.00 p. syringe Lomoh- 60 W PASSED
37.22 ampule Generic W PASSED
FAILED BIDDING vial Esobloc F FAILED
11.00 tablet Efdipin 10 W PASSED
9.75 tablet Felodipin-Natrapharm W PASSED
33.80 tablet Fenoflex W PASSED
NO BIDDER tablet N
NO BIDDER p.syringe N
NO BIDDER tablet N
FAILED BIDDING tablet Pisamor F FAILED
0.98 tablet Euglomax W PASSED
2.50 tablet Azukom MR W PASSED
1.83 tablet Zebet W PASSED
10.20 tablet Glipdin W PASSED
NO BIDDER patch N
87.33 ampule Hydroxy F FAILED
NO BIDDER tablet N
130.00 tube Hovicor W PASSED
140.00 vial Hydrovex W PASSED
75.00 vial Hydrovex W PASSED
NO BIDDER canister N
13.75 nebule Multivent F FAILED
205.91 vial Insuget-N W PASSED
13.04 cap/tab Montra W PASSED
7.00 cap/tab Vasotrate-60-OD W PASSED
NO BIDDER tablet N
533.99 ampule Isoket W PASSED
NO BIDDER tablet N
NO BIDDER tablet N
4.05 tablet Thydin W PASSED
7.36 tablet Getzar Plus W PASSED
1.29 tablet Losacar W PASSED
NO BIDDER tablet N
0.78 tablet F FAILED
5.40 tablet Tapdin W PASSED
16.07 tablet Aldomet W PASSED
745.00 vial Solu-Medrol W PASSED
3,126.93 vial Solu-Medrol W PASSED
2,378.28 vial Solu-Medrol W PASSED
289.93 vial Solu Medrol W PASSED
8.20 tablet Prednivex 16 W PASSED
1.90 tablet Cardiostat W PASSED
1.38 tablet Metocard W PASSED
5.79 tablet Montezyd 10 W PASSED
9.40 tablet Montelair 5 W PASSED
611.04 ampule Cardepine W PASSED
FAILED BIDDING capsule F FAILED
NO BIDDER tablet N
NO BIDDER capsule W PASSED
298.00 ampule Sandine W PASSED
104.00 bottle W PASSED
NO BIDDER tablet N
10.00 tablet F FAILED
NO BIDDER tablet N
FAILED BIDDING tablet Prednisa F FAILED
10.91 tablet Inderal W PASSED
17.43 tablet Inderal W PASSED
1,250.00 ampule Verorab W PASSED
873.22 vial Indirab W PASSED
120.00 p. syringe Scilin R W PASSED
NO BIDDER tablet N
NO BIDDER tablet N
14.90 bottle Albulem W PASSED
68.48 canister F FAILED
7.25 nebule Provexel W PASSED
1.00 tablet Diastatin W PASSED
4.00 tablet Simvoget W PASSED
NO BIDDER tablet N
NO BIDDER tablet N
NO BIDDER tablet N
18.08 capsule Tamsumax W PASSED
FAILED BIDDING ampule Bricalin F FAILED
NO BIDDER nebule N
NO BIDDER vial N
NO BIDDER tablet N
NO BIDDER canister N
FAILED BIDDING ampule Hemoxane F FAILED
NO BIDDER capsule N
5.40 capsule W PASSED
11.88 tablet Angimax MR W PASSED
NO BIDDER ampule N
NO BIDDER tablet N
FAILED BIDDING tablet Warik F FAILED
20.00 tablet Cetamid W PASSED
11.38 sachet Fluimucil W PASSED
1,699.00 bottle Hidonac W PASSED
15.00 tablet Exflem W PASSED
118.00 bottle Fluimucil W PASSED
118.00 bottle Fluimucil W PASSED
NO BIDDER can N
NO BIDDER bottle N
80.00 tablet Aldren 70 W PASSED
NO BIDDER tablet N
5.25 tablet Altrox 250 W PASSED
FAILED BIDDING ampule F FAILED
16.80 bottle Vitcee W PASSED
16.80 bottle Vitcee W PASSED
0.78 tablet Vitcee W PASSED
85.22 ampule Acurium W PASSED
FAILED BIDDING ampule Atropan F FAILED
NO BIDDER bottle N
14.95 tablet Trilaxant W PASSED
59.80 tablet Vert W PASSED
4.28 tablet Aketon W PASSED
22.32 suppositor Dulxative W PASSED
NO BIDDER suppository N
NO BIDDER tablet N
567.07 ampule W PASSED
4.00 tablet Calvin Plus W PASSED
2.11 tablet Tegrepin W PASSED
NO BIDDER bottle N
2.81 capsule Coxto W PASSED
21.00 capsule Celebrex W PASSED
0.59 tablet Rhizinegone F FAILED
126.74 bottle Allerkid W PASSED
38.73 bottle Generic W PASSED
1.51 tablet Zycloran W PASSED
2.13 tablet Zycloran W PASSED
NO BIDDER tablet N
FAILED BIDDING tube Glevate F FAILED
9.97 tablet Clonotril-2 W PASSED
5.50 tablet Clopixene W PASSED
8.88 tablet Vexepam F FAILED
81.89 ampule Anxiol F FAILED
11.89 ampule Dicofen W PASSED
1.12 tablet Vodefen W PASSED
NO BIDDER bottle N
FAILED BIDDING bottle F FAILED
NO BIDDER capsule N
34.00 ampule Bexil W PASSED
3.50 tablet Toridon W PASSED
NO BIDDER ampule N
269.44 amp/vial/PFS Epogen W PASSED
1,280.00 prefilled syrn Eposino W PASSED
4.74 tablet Ecsapro W PASSED
130.89 ampule Hista-Bloc W PASSED
74.44 ampule Sublimax F FAILED
NO BIDDER tablet N
NO BIDDER bottle N
NO BIDDER bottle N
FAILED BIDDING tablet F FAILED
5.00 tab/cap Drafzin W PASSED
NO BIDDER bottle N
NO BIDDER bottle N
2.65 tablet Folimax W PASSED
NO BIDDER bottle N
5.50 capsule Gabavex 100 W PASSED
6.50 capsule Gabavex 300 W PASSED
20.75 tablet Zuredel W PASSED
NO BIDDER ampule Seredol N
51.88 ampule Heprin F FAILED
2,175.00 vial Albumax W PASSED
23.18 tablet Iterax W PASSED
495.00 ampule Droxiem W PASSED
5.45 tablet Pasbutyl W PASSED
NO BIDDER ampule N
NO BIDDER bottle N
38.33 bottle Feverfree W PASSED
1.25 tablet Alaxpro W PASSED
1,098.00 vial Scanlux W PASSED
162.33 ampule Feron F FAILED
2.89 tablet Dupavar W PASSED
119.34 ampule Isoxilan W PASSED
NO BIDDER tablet N
NO BIDDER ampule N
21.44 ampule Ketral W PASSED
80.00 bottle Lilac W PASSED
17.00 tablet Lamitor 50 W PASSED
NO BIDDER ampule N
5.63 tablet Litcab W PASSED
NO BIDDER capsule N
NO BIDDER bottle N
marami pa stock wag
muna order #1740
NO BIDDER ampule Methycobal W PASSED
NO BIDDER tablet N
0.52 tablet Fenamax W PASSED
NO BIDDER tablet N
FAILED BIDDING ampule Utergin F FAILED
FAILED BIDDING ampule Clozil F FAILED
84.00 ampule Sedoz W PASSED
136.33 ampule Midazolex W PASSED
24.24 tablet MST Continus W PASSED
FAILED BIDDING ampule Generic F FAILED
55.28 tablet MST Continus W PASSED
38.00 bottle Diavit W PASSED
28.00 bottle Multilem F FAILED
FAILED BIDDING bottle F FAILED
1.21 capsule Diavit W PASSED
49.88 tube Bactriderm F FAILED
58.25 ampule Nukaine F FAILED
FAILED BIDDING ampule Generic F FAILED
NO BIDDER tablet N
116.99 ampule Prostigmin W PASSED
9.92 tablet Olandus 10 W PASSED
0.84 capsule Azibloc W PASSED
37.00 ampule Zyom W PASSED
12.39 capsule Wilom W PASSED
4.24 sachet Glucosol W PASSED
ampule Generic W PASSED
14.25 bottle Alagesic W PASSED
248.00 vial Tamin W PASSED
6.33 vial Febrinil W PASSED
15.20 bottle Alagesic W PASSED
0.27 tablet Febrile Free W PASSED
NO BIDDER ampule N
509.28 ampule Luminal W PASSED
NO BIDDER tablet N
NO BIDDER tablet N
NO BIDDER tablet N
10.14 capsule Dilantin W PASSED
118.00 ampule Santon W PASSED
18.78 ampule Hema-K W PASSED
15.00 tablet Kalium / Durules W PASSED
200.00 bottle Venpred W PASSED

84.00 amp/vial Iv-Pro W PASSED
NO BIDDER ampule N
NO BIDDER tablet N
19.00 tablet Qtipine 25 W PASSED
60.00 tablet Qtipine 300 W PASSED
0.83 tablet Ulci-Bloc W PASSED
3.89 ampule Zantol W PASSED
FAILED BIDDING vial Recombicyte F FAILED
1.49 tablet Rispedin-2 W PASSED
tablet Residon W PASSED
amp/vial Neumeron W PASSED
NO BIDDER ampule N
NO BIDDER ampule N
4.50 tablet Deperin W PASSED
895.00 jar Silvederma W PASSED
FAILED BIDDING tube Flamizin F FAILED
NO BIDDER tablet N
FAILED BIDDING tablet Depamax F FAILED
4,796.10 ampule Generic W PASSED
34.75 tablet Iselpin W PASSED
112.33 vial Anektil W PASSED
NO BIDDER ampule N
NO BIDDER tablet N
FAILED BIDDING vial Penthal F FAILED
NO BIDDER bottle N
320.00 bottle Mytocin W PASSED
NO BIDDER tube N
13.65 tablet Topvex 25 W PASSED
NO BIDDER capsule N
10.00 ampule Dynatram W PASSED
36.07 capsule Ursofalk W PASSED
29.00 tablet Epival W PASSED
ampule Neurobex W PASSED
marami pa stock wag
1.67 tablet Bernaoin W PASSED
muna order #3100
40.00 bottle Immuzine W PASSED
41.00 bottle Immuzine W PASSED
64.00 tablet Stilnox W PASSED
NO BIDDER vial N
215.75 ampule Cafonate W PASSED
62.00 tablet Cetagen 500 W PASSED
1,199.00 vial Kemocarb W PASSED
vial W PASSED
350.00 vial Cyphos-1 W PASSED
254.00 vial Cyphos-500 W PASSED
1,275.00 vial Cancyt W PASSED
691.00 vial MPL- Cyta W PASSED
689.00 vial Arzi-200 W PASSED
NO BIDDER vial N
820.00 vial Vexdo 20 W PASSED
3,465.00 vial Vexdo 80 W PASSED
182.75 vial Adrosal W PASSED
594.75 vial Doxvex 50 W PASSED
amp/vial W PASSED
818.33 vial Recombicyte W PASSED
NO BIDDER vial N
103.00 ampule Fluonco W PASSED
2,975.00 vial Omnicure- 1 W PASSED
795.00 vial Omnicure W PASSED
tablet W PASSED
145.75 ampule Alltrex W PASSED
ampule Onsia W PASSED
ampule Emitron W PASSED
1,622.00 vial Meslatin W PASSED
1,198.22 vial Paclizel W PASSED
398.33 vial Paclizel W PASSED
6.50 tablet Tamoxigen 20 W PASSED
NO BIDDER bottle N
NO BIDDER vial N
NO BIDDER vial N
NO BIDDER ampule N
NO BIDDER vial N
bottle W PASSED
FAILED BIDDING bottle Nirmin 5-S F FAILED
NO BIDDER ampule N
NO BIDDER ampule N
45.00 set Generic W PASSED
46.00 set Eurosol-M in D5 WW PASSED
45.00 set W PASSED
45.00 set Endusol-R W PASSED
NO BIDDER set N
580.00 bottle Nirhes 130 W PASSED
84.22 bottle Renimax W PASSED
set
set
set
set
set
set
set
set
set
REMARKS
SUPPLIER
ACTUAL UNIT COST
PHIL PHARMAWEALTH 13.11
NO BIDDER NO BIDDER NO BIDDER
MPA PHARMACARE 15.30

ZUELLIG PHARMA 107.10
UNITED LABORATORIES 39.00
PHILCARE PHARMA 67.88
MPA PHARMACARE 2.55
NO Certificate of analysis FAILED BIDDING
DYNASTY 180.00
GETZ BROS. 200.00
GETZ BROS. 16.00
METRODRUG 140.00
DYNASTY 20.00
RBC-MDC 243.25
DYNASTY 20.00
GETZ BROS. 185.00
METRODRUG 450.00
GETZ BROS. 33.00
MPA PHARMACARE 3.24
NATRAPHARM 154.00
NATRAPHARM 175.00
GETZ BROS. 180.00
GETZ BROS. 190.00
QUALIFIRST 7.80
MPA PHARMACARE 1.13
MPA PHARMACARE 1.50
METRODRUG 120.00
SERAPH ENTERPRISES 1,975.00
ZUELLIG PHARMA 7.00
ZUELLIG PHARMA 6.50
NATRAPHARM 78.00
METRODRUG 5.20
METRODRUG 250.00
METRODRUG 20.00
EUROMED 11.00
MPA PHARMACARE 2,953.00
MPA PHARMACARE 1.28
QUALIFIRST 15.77
METRODRUG 23.00
METRODRUG 55.00
NATRAPHARM 90.00
ZUELLIG PHARMA 5,600.00
NO Certificate of analysis canomed FAILED BIDDING
OXFORD 23.50
METRODRUG 243.04
METRODRUG 1.08
METRODRUG 3.80
NATRAPHARM 20.00
NATRAPHARM 23.00
EUROMED 24.00
GETZ BROS. 10.84
NO BIDDER NO BIDDER canomed NO BIDDER
ZUELLIG PHARMA 4.60
GETZ BROS. 2.27
no certificate of analysis metrodrug 1.59
ZUELLIG PHARMA 4.16
CANOMED 19.00
METRODRUG 288.00
METRODRUG 460.00
METRODRUG 11.00
NATRAPHARM 9.75
NO Certificate of Analysis / NO SAMPLE FAILED BIDDING
METRODRUG 2.50
METRODRUG 1.83
METRODRUG 10.20
NO Certificate of analysis phil pharmawealth 87.33
METRODRUG 130.00
SANNOVEX 140.00
SANNOVEX 75.00
NO CERTIFICATE OF PRODUCT REG zuellig 13.75
GETZ BROS. 205.91
METRODRUG 7.00
METRODRUG 4.05
GETZ BROS. 7.36
METRODRUG 1.29
METRODRUG 3.20
METRODRUG 1.02
NO CERTICATE OF ANALYSIS, EXPIRED Cphil pharmawealth 0.78
METRODRUG 5.40
METRODRUG 8.20
ZUELLIG PHARMA 1.90
MPA PHARMACARE 1.38
METRODRUG 5.79
METRODRUG 9.40
CPR NOT COMPATIBLE W/ SAMPLE canomed FAILED BIDDING
CANOMED NO BIDDER
INNOVATOR ZUELLIG 37.89
CANOMED 104.00
biolink 10.00
METRODRUG 120.00
NO CERTIFICATE OF ANALYSIS phil pharmawealth 68.48
ZUELLIG PHARMA 7.25
MPA PHARMACARE 2.25
MPA PHARMACARE 1.00
GETZ BROS. 4.00
GOOD FELLOW 18.08
CANOMED 19.00
NO Certificate of analysis phil pharmawealth FAILED BIDDING
CANOMED 5.40
METRODRUG 11.88
INNOVATOR ZUELLIG 44.43
NO SAMPLE FAILED BIDDING
METRODRUG 20.00
METRODRUG 11.38
METRODRUG 1,699.00
METRODRUG 118.00
METRODRUG 118.00
METRODRUG 80.00
CANOMED 0.87
METRODRUG 5.25
MPA PHARMACARE 0.78
ZYRE PHARMA 567.07
METRODRUG 4.00
EUROMED 19.00
MPA PHARMACARE 2.81
NO CGMP phil pharmawealth 0.59
ZUELLIG 108.80
OXFORD 38.73
METRODRUG 1.51
METRODRUG 2.13
Cerificate of Analysis done in house FAILED BIDDING
METRODRUG 9.97
METRODRUG 5.50
EXPIRED CGMP phil pharmawealth 8.88
NO SAMPLE phil pharmawealth 81.89
CANOMED 34.00
METRODRUG 3.50
GOOD FELLOW 1,280.00
NO CA/ NO SAMPLE phil pharmawealth 74.44
METRODRUG 5.00
ZUELLIG PHARMA 2.65
METRODRUG 5.50
METRODRUG 6.50
METRODRUG 20.75
NO ANALYSIS/ASSAY phil pharmawealth 51.88
VIZCARRA 2,175.00
MARK ERICSON 495.00
MPA PHARMACARE 1.25
RBC-MDC 1,098.00
EXPIRED CPR,NO CGMP,NO ANALYSIS/ASSAYphil pharmawealth 162.33
GETZ BROS. 80.00
METRODRUG 17.00
METRODRUG 5.63
OXFORD 1.70
EUROMED 47.00
ZUELLIG PHARMA NO BIDDER
METRODRUG 84.00
DELEX PHARMA INC. 136.33
Cerificate of Analysis done in house FAILED BIDDING
CPR NOT COMPA PHARMACARE canomed 28.00
NO SAMPLE canomed FAILED BIDDING
MPA PHARMACARE 1.21
EXPIRED CGMP phil pharmawealth 49.88
NO Certificate of analysis 58.25
canomed FAILED BIDDING
METRODRUG 9.92
METRODRUG 37.00
RBC-MDC 12.39
PHIL PHARMAWEALTH FAILED BIDDING
EUROMED 12.40

METRODRUG 84.00
METRODRUG 19.00
METRODRUG 60.00
METRODRUG
PHIL PHARMAWEALTH
METRODRUG 4.50
METRODRUG 895.00
NO BIOEQUIVALENCE FAILED BIDDING
METRODRUG 13.65
DYNASTY 10.00
SANNOVEX
MPA PHARMACARE 1.67
OXFORD 40.00
OXFORD 41.00
GENACE PHARMA 62.00
ZUELLIG PHARMA
METRODRUG 350.00
METRODRUG 254.00
GLOBO ASIATICO 691.00
METRODRUG 820.00
METRODRUG 3,465.00
METRODRUG 594.75
GLOBO ASIATICO
GLOBO ASIATICO 103.00
GENACE PHARMA 2,975.00
GENACE PHARMA 795.00
GLOBO ASIATICO
SERAPH ENTERPRISES
PHIL PHARMAWEALTH
PHIL PHARMAWEALTH 1,622.00
PHIL PHARMAWEALTH 1,198.22
GENACE PHARMA 6.50
NO BIOEQUI ZUELLIG PHARMA
Certicateof Analysis done in house FAILED BIDDING
EUROMED 46.00
EUROMED 28.00
SERAPH ENTERPRISES 580.00
Requisition and Issue Slip (RIS) - May 26 - June 25, 2018
Unit Description TOTAL REMARKS
1 tablet Acetylcisteine 600mg - Exflem 1,200

2 tablet Allopurinol 300mg - Scheele 300
3 amp/vial Amikacin 125mg/ml (250mg/2ml) (IM, IV) (as SO4) - Cinmik 200
4 tablet Amlodipine 10mg (as Besylate) - Amlodibloc 4,000
5 capsule Amoxicillin 500mg (as Trihydrate) - Harbimox 3,000
6 vial Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam) (as Sodium salt) 2,000
7 tablet Ascorbic Acid 500mg (Vitcee) 3,000
8 tablet Aspirin 80mg - Aspitor 500
9 ampule Atracurium Besylate 10mg/ml, 2.5ml (IV) - Acurium 500
10 tablet Betahistine 24mg - Vert 200
11 tablet Calcium Carbonate (equiv. to 500mg & 600mg elemental ca) - Calvin Plus 1,080
12 ampule Calcium Folinate(Leucoverin Calcium) 10mg/ml, 5ml(IM,IV) 100
13 vial Cefepime 1g (IM,IV) (as HCl) - Sefpime 1,000
14 vial Cefepime 500mg (IM,IV) (as HCl) - Axera 200
15 vial Ceftriaxone 1g (as Disodium/ Sodium salt) - Generic 1,050
16 tablet Cefuroxime 500mg (as Axetil) - Axefime 1,250
17 vial Cefuroxime 750mg (IM,IV) (as Sodium salt) - Harox 2,000
18 capsule Celecoxib 200mg - Coxto 2,940
19 capsule Chloramphenicol 500mg - Chlorolem 500
20 tablet Cilostazol 100mg - Clauden 100
21 ampule Clindamycin 150mg/ml, 4ml (IM,IV) (as PO4) - Dalacin C 1,000
22 capsule Clindamycin HCl 150mg - Clindagold 500
23 capsule Clindamycin HCl 300mg - Clindagold 3,000
24 tube Clobetasol cream 0.05% , 5g (as Propionate) - Clobe-sky 50
25 tablet Clopidogrel 75mg - Artheogrel 2,500
26 set Dextrose 10% in Water 500ml 480
27 set Dextrose 5% 0.3 NaCl 500ml (Light Blue) 240
28 set Dextrose 5% in Lactated Ringers 1000ml (D5LRS) (Pink) 1,440
29 set Dextrose 5% in Water 1000ml (Red) 480
30 set Dextrose 5% in Water 500ml (Red) 480
31 set Dextrose Plain Lactated Ringers Solution 1000ml (PLRS) (Blue) 960
32 set Dextrose Plain NSS 1000ml (PNSS) (Green) 7,200
33 vial Doxorubicin powder 10mg (IV) (as HCl) - Adrosal 50
34 vial Doxorubicin powder 50mg (IV) (as HCl) - Doxvex 50 20
35 tablet Dydrogesteone 10mg 1,000
36 amp/vial/PFS Epoetin Alfa 4,000 IU/ 0.4ml, IV,SC (Recombinant human erythropoetin) - Epogen 300
37 amp/vial Etoposide 20mg/ml, 5ml (IV) - Etopa 10
38 vial Human Albumin 20%, 50ml - Albumax 60
39 vial Hydrocortisone 125mg/ml, 2ml (IV) (as Sodium Succinate) - Hydrovex 300
40 vial Hydrocortisone 50mg/ml, 2ml (IV) (as Sodium Succinate) - Hydrovex 1,000
41 tablet Losartan 100mg (as Potassium salt) - Losacar 1,000
42 ampule Methylergometrine Maleate 200mcg/ml, 1ml(IM,IV) (as Hydrogen Maleate or Maleate) - Cethergo 250
43 tablet Metronidazole 500mg - Metrozole 3,000
44 tablet Morphine 10mg CR (as Sulfate) 1,920
45 tablet Morphine 30mg CR (as Sulfate) 1,920
46 tube Mupirocin 2%, 5g - Bactriderm 100
47 ampule Nicardipine 1mg/ml, 10ml (IV) (as HCl) - Cardepine 500
48 tablet Nimodipine 30mg - Nimotop 900
Unit Description TOTAL REMARKS
49 ampule Omeprazole 40mg + 10ml solvent (IV) - Zyom 4,952

50 ampule Ondansetron 1mg/ml, 4ml (IM,IV) - Onsia 200
51 vial Oxacillin 500mg - Wydox 1,000
52 tablet Paracetamol 500mg - Febrile Free 2,000
53 tablet Phenobarbital 15mg (1/4 grain) 2,000
54 tablet Phenobarbital 60mg (1 grain) 500
55 tablet Phenobarbital gr 1/2 (30mg) 1,300
56 vial Piperacillin+Tazobactam (4g Piperacillin+500mg Tazobactam)(IV Infusion) (as Na) - Piptaz 240
57 ampule Ranitidine 25mg/ml, 2ml(IM,IV, IV infusion) (as HCl) - Zantol 100
58 tablet Ranitidine 300mg (as HCl) - Raniphil 1,000
59 tablet Risperidone 2mg - Rispedin-2 2,000
60 nebule Salbutamol 2mg/ml, 2.5ml (unit dose) (as Sulfate) - Provexel 6,000
61 tablet Sertraline 50mg (as HCl) - Deperin 500
62 bottle Vinblastin 10mg/10ml 10
63 vial Vincristine 1mg/ml, 1ml (IV) (as Sulfate) 30
64 tablet Vitamin B Complex - Vitabit 5,000
65 vial Water for injection (triple distilled water), 50ml vial (steriile water for injection) 2,000
TOTAL ###
-
1 set Intravenous Administration Set (Macroset) 20 drops/ml 1,000
2 set Intravenous Administration Set (Microset) 60 drops/ml 500
TOTAL 1,500
Total no. of RIS for Drugs & Medicines - 5

Total no. of Drugs & Medicines - 65
Total no. of Drugs/RIS - 84,612
Total no. of RIS for Supplies - 1
Total no. of Supplies - 2
Total no. of Supplies/RIS - 1,500
Prepared by: Noted by:
LOUIE C. DAYAG Marliza P. Balete, RPh, MSPh

Admin. Asst II Pharmacist V
Requisition and Issue Slip (RIS) - May 26 - June 25, 2018
Rec'd MMS Dif Rec'd MMS Dif Rec'd MMS Dif Rec'd MMS
Unit Description
29-May-18 6-Jun-18 13-Jun-18 21-Jun-18
tablet Acetylcisteine 600mg - Exflem 1,200 1,200 -
tablet Calcium Carbonate (equiv. to 500mg & 600mg elemental ca) - Calvin Plus 1,080 1,080 -
vial Cefepime 500mg (IM,IV) (as HCl) - Axera 200 200 -
vial Doxorubicin powder 50mg (IV) (as HCl) - Doxvex 50 20 20 -
ampule Nicardipine 1mg/ml, 10ml (IV) (as HCl) - Cardepine 500 500 -
ampule Omeprazole 40mg + 10ml solvent (IV) - Zyom 616 616 -
tablet Phenobarbital 15mg (1/4 grain) 2,000 2,000 -
tablet Phenobarbital 60mg (1 grain) 500 500 -
tablet Phenobarbital gr 1/2 (30mg) 1,300 1,300 -
ampule Atracurium Besylate 10mg/ml, 2.5ml (IV) - Acurium 500 500 -
ampule Calcium Folinate(Leucoverin Calcium) 10mg/ml, 5ml(IM,IV) 100 100 -
vial Cefepime 1g (IM,IV) (as HCl) - Sefpime 1,000 1,000 -
vial Cefuroxime 750mg (IM,IV) (as Sodium salt) - Harox 2,000 2,000 -
set Dextrose 5% in Water 1000ml (Red) 120 120 -
vial Doxorubicin powder 10mg (IV) (as HCl) - Adrosal 50 50 -
tablet Dydrogesteone 10mg 1,000 1,000 -
tablet Losartan 100mg (as Potassium salt) - Losacar 1,000 1,000 -
tablet Morphine 10mg CR (as Sulfate) 1,920 1,920 -
tablet Morphine 30mg CR (as Sulfate) 1,920 1,920 -
tablet Nimodipine 30mg - Nimotop 900 900 -
vial Omeprazole 40mg - Zyom 336 336 -
tablet Risperidone 2mg - Rispedin-2 2,000 2,000 -
nebule Salbutamol 2mg/ml, 2.5ml (unit dose) (as Sulfate) - Provexel 6,000 6,000 -
bottle Vinblastin 10mg/10ml 10 10 -
vial Vincristine 1mg/ml, 1ml (IV) (as Sulfate) 30 30 -
ampule Clindamycin 150mg/ml, 4ml (IM,IV) (as PO4) - Dalacin C 1,000 1,000 -
set Dextrose Plain Lactated Ringers Solution 1000ml (PLRS) (Blue) 720 720 -
set Dextrose 5% in Lactated Ringers 1000ml (D5LRS) (Pink) 1,200 1,200 -
set Dextrose Plain NSS 1000ml (PNSS) (Green) 2,640 2,640 -
Unit Description
29-May-18 6-Jun-18 13-Jun-18 21-Jun-18
set Dextrose 5% 0.3 NaCl 500ml (Light Blue) 240 240 -
set Dextrose 10% in Water 500ml 240 240 -
vial Hydrocortisone 50mg/ml, 2ml (IV) (as Sodium Succinate) - Hydrovex 1,000 1,000 -
capsule Omeprazole 40mg - Zyom 2,800 2,800 -
tablet Allopurinol 300mg - Scheele 300 300
amp/vial Amikacin 125mg/ml (250mg/2ml) (IM, IV) (as SO4) - Cinmik 200 200
tablet Amlodipine 10mg (as Besylate) - Amlodibloc 4,000 4,000
capsule Amoxicillin 500mg (as Trihydrate) - Harbimox 3,000 3,000
vial Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam) (as Sodium salt) 2,000 2,000
tablet Aspirin 80mg - Aspitor 500 500
tablet Betahistine 24mg - Vert 200 200
tablet Cefuroxime 500mg (as Axetil) - Axefime 1,250 1,250
capsule Celecoxib 200mg - Coxto 2,940 2,940
capsule Chloramphenicol 500mg - Chlorolem 500 500
tablet Cilostazol 100mg - Clauden 100 100
capsule Clindamycin HCl 150mg - Clindagold 500 500
capsule Clindamycin HCl 300mg - Clindagold 3,000 3,000
tube Clobetasol cream 0.05% , 5g (as Propionate) - Clobe-sky 50 50
tablet Clopidogrel 75mg - Artheogrel 2,500 2,500
set Dextrose Plain Lactated Ringers Solution 1000ml (PLRS) (Blue) 240 240
set Dextrose 5% in Lactated Ringers 1000ml (D5LRS) (Pink) 240 240
set Dextrose Plain NSS 1000ml (PNSS) (Green) 4,560 4,560
set Dextrose 5% in Water 1000ml (Red) 240 240
set Dextrose 10% in Water 500ml 240 240
amp/vial/PFS Epoetin Alfa 4,000 IU/ 0.4ml, IV,SC (Recombinant human erythropoetin) - Epogen 300 300
amp/vial Etoposide 20mg/ml, 5ml (IV) - Etopa 10 10
vial Hydrocortisone 125mg/ml, 2ml (IV) (as Sodium Succinate) - Hydrovex 300 300
vial Human Albumin 20%, 50ml - Albumax 60 60
ampule Methylergometrine Maleate 200mcg/ml, 1ml(IM,IV) (as Hydrogen Maleate or Maleate) - Cethergo 250 250
tablet Metronidazole 500mg - Metrozole 3,000 3,000
tube Mupirocin 2%, 5g - Bactriderm 100 100
capsule Omeprazole 40mg - Zyom 1,200 1,200
Unit Description
29-May-18 6-Jun-18 13-Jun-18 21-Jun-18
ampule Ondansetron 1mg/ml, 4ml (IM,IV) - Onsia 200 200
vial Oxacillin 500mg - Wydox 1,000 1,000
tablet Paracetamol 500mg - Febrile Free 2,000 2,000
vial Piperacillin+Tazobactam (4g Piperacillin+500mg Tazobactam)(IV Infusion) (as Na) - Piptaz 240 240
ampule Ranitidine 25mg/ml, 2ml(IM,IV, IV infusion) (as HCl) - Zantol 100 100
tablet Ranitidine 300mg (as HCl) - Raniphil 1,000 1,000
tablet Sertraline 50mg (as HCl) - Deperin 500 500
tablet Vitamin B Complex - Vitabit 5,000 5,000
vial Water for injection (triple distilled water), 50ml vial (steriile water for injection) 2,000 2,000
tablet Ascorbic Acid 500mg (Vitcee)
vial Ceftriaxone 1g (as Disodium/ Sodium salt) - Generic
set Intravenous Administration Set (Macroset) 20 drops/ml 1,000

set Intravenous Administration Set (Microset) 60 drops/ml 500

Total no. of Supplies/RIS - 1500

Unit Description
29-May-18 6-Jun-18 13-Jun-18 21-Jun-18
LOUIE C. DAYAG Marliza P. Balete, RPh, MSPh

Dif Rec'd MMS Dif Rec'd MMS Dif TOTAL
REMARKS
21-Jun-18 22-Jun-18 IAR
2500
1500
500
250
200
300
500
1500
7500
250
2400
REMARKS
21-Jun-18 22-Jun-18 IAR
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
REMARKS
21-Jun-18 22-Jun-18 IAR
-
-
-
-
-
-
-
-
-
3,000 3,000 -
1,050 1,050 -
--
-
Requisition and Issue Slip (RIS) - April 27 - May 25, 2018
Unit Description
27-Apr-18 30-Apr-18 4-May-18 15-May-18
tablet Amlodipine 10mg (as Besylate) 3,000 3,000
vial Ampicillin 500mg (IM,IV) (as Sodium salt) 500 500
tablet Aspirin 80mg - Generic 2,000 2,000
tablet Atorvastatin 20mg - Zydusatorva 20 4,000 4,000
tablet Azithromycin 500mg (as base/as dihydrate) 600 600
tablet Biperiden 2mg (as HCl) 10,000 10,000
suppository Bisacodyl 10mg adult - Dulxative 500 500
ampule Bupivacaine 0.5%, 4ml (spinal) w/ 8 dextrose (as HCl) HEAVY - Senpivac 0.5% 1,500 1,500
tablet Capecitabine 500mg - Cetagen 500 1,000 1,000
vial Cefoxitin 1g (IM,IV) (as Sodium salt) - Haxotin 1,000 1,000
vial Cefuroxime 750mg (IM,IV) (as Sodium salt) - Harox 2,000 2,000
capsule Celecoxib 400mg - Celebrex 1,020 1,020 -
bottle Cetirizine 10mg/ml drops, 10ml (as Dihydrochloride) - Allerkid
bottle Cetirizine 1mg/ml syr, 30ml (as Dihydrochloride) - Virlix
tablet Ciprofloxacin 500mg (as Hydrochloride) - Ciprodex 2,000 2,000
vial Cisplatin 50mg (IV) - Cisteen 50 50 -
ampule Clindamycin 150mg/ml, 4ml (IM,IV) (as PO4) - Dalacin C 500 500 -
Unit Description
27-Apr-18 30-Apr-18 4-May-18 15-May-18
amp/vial Dexamethasone 4mg/ml, 2ml (IM,IV) (as Sodium Phosphate) - Dexticort 500 500 -
set Dextrose 5% 0.3 NaCl 500ml (Light Blue) 240 240 - 480 480
set Dextrose 5% in Water 500ml (Red) 192 192 - 144 144 - 480 480
set Dextrose 50% in Water 50ml 1,080 1,080 - 800 800 -
set Dextrose Plain NSS 1000ml (Green) 4,800 4,800 -
tablet Digoxin 250mcg (0.25mg) 2,000 2,000 -
ampule Digoxin 250mcg/ml, 2ml (IM,IV) 300 300 -
tablet Diltiazem 60mg (as Hydrochloride) 1,000 1,000
prefilled syrnge Epoetin Alfa 10,000 IU/ ml IV,SC (Recombinant human erythropoetin)
ampule Famotidine 10mg/ml, 2ml (IM,IV) 500 500
tablet Folic Acid 5mg 1,000 1,000 -
ampule Furosemide 10mg/ml, 2ml (IM,IV) 4,000 4,000 -
tablet Haloperidol 20mg - Zuredel 2,000 2,000
vial Hydrocortisone 125mg/ml, 2ml (IV) (as Sodium Succinate) 300 300
Unit Description
27-Apr-18 30-Apr-18 4-May-18 15-May-18
tablet Ibuprofen 400mg - Alaxpro 500 500
ampule Isosorbide dinitrate 1mg/ml, 10ml (IV) - Isoket 500 500 -
ampule Ketorolac 30mg/ml, 1ml (IM,IV) (as Trometamol) - Ketral 4,000 4,000 - 6,000 6,000
vial Meropenem 1g (IV) (as Trihydrate) - Mepenem 30 30 - 500 500
vial Meropenem 500mg (IV) (as Trihydrate) - Mepenem 30 30 -
tablet Methyldopa 250mg - Aldomet 1,000 1,000 -
vial Metronidazole 5mg/ml, 100ml IV infusion - Cetaz 500 500 - 1,100 1,100 -
ampule Norepinephrine 1mg/ml, 4ml (IV infusion) (as Bitartrate) 2,000 2,000
capsule Omeprazole 40mg - Wilom 1,000 1,000 -
ampule Ondansetron 2mg/ml, 4ml (IM,IV) 500 500
vial Oxaliplatin 100mg - Meslatin 50 50
vial Paclitaxel 100mg - Paclizel 50 50
ampule Phytomenadione (Phytonadione, vit.K1)10mg/ml, 1ml (IM,IV) 2,000 2,000
tablet Potassium 750mg durules (approx. equiv. to 10 mEq) - Kalium Durules 1,200 1,200 -
tablet Propylthiouracil 50mg 500 500 -
vial Rabbies Vaccine Lyophillyzed powder 2.5 IU/ml, 1 dose + 1ml Diluent (ID,IM) - Indirab 12 12
tablet Risperidone 2mg 4,000 4,000
amp/vial Rocuronium Bromide 10mg/ml, 5ml (IV) 100 100
ampule Sodium Bicarbonate 1mEq/ml, 50ml(IV infusion) 531 531 - 1,000 1,000 -
Unit Description
27-Apr-18 30-Apr-18 4-May-18 15-May-18
capsule Tranexamic Acid 500mg 1,500 1,500
vial Vancomycin 500mg (IV) (as HCl) 600 600
ampule Vitamin B Complex 100mg+100mg+1mg per 3ml (IV) - Sannovit
set Intravenous Administration Set (Macroset) 20 drops/ml 1,000 1,000 -

set Intravenous Administration Set (Microset) 60 drops/ml 500 500 -
set IV Cannula G18 with injection port 3,000 3,000 -

LOUIE C. DAYAG Marliza P. Balete, RPh, MS

REMARKS
15-May-18 17-May-18 25-May-18 IAR
300 300 - 300
- 3,000 2500
- 500 1500
2,000 2,000 - 2,000 500
500 500 - 500
- 2,000
- 4,000 250
- 600 200
30 30 - 30 300
- 10,000
- 500
100 100 - 100 500
500 500 - 500
- 1,500
- 2,000 2,000 - 3,000 1500
10,000 10,000 - 10,000
100 100 - 100
- 1,000 250
3,600 3,600 - 3,600
- 2,000
1,260 1,260 - 2,280
300 300 - 300
15 15 - 15
15 15 - 15
2,500 2,500 - 2,500
- 2,000
50 50 - 100
500
500 500 - 500
8,000 8,000 - 8,000
200 200 - 200
REMARKS
15-May-18 17-May-18 25-May-18 IAR
500
744
- 240 240 - 240 240 - 1,200
120 120 - 120 120 - 240
1,200 1,200 - 1,200
120 120 - 120 120 - 240
3,600 3,600 - 4,800
- 360
- 240 240 - 240 240 - 1,296
1,880
240 240 - 480 480 - 720
4,800 4,800 - 9,600
2,000
300
10 10 - 10
- 1,000
200 200 - 200
500 500 - 500
100 100 - 100
30 30 - 30
- 500
- 500
100 100 - 100
20 20 - 20
300 300 - 300
1,000
10 10 - 10
4,000
100 100 - 100
50 50 - 50
- 2,000
300 300 - 300
- 200 200 - 500
REMARKS
15-May-18 17-May-18 25-May-18 IAR
1,000 1,000 - 1,000
- 500
8,995 8,995 - 8,995
500
- 10,000
- 530
30 40
1,000
500 500 - 500
10 10 - 10
10 10 - 10
1,500 1,500 - 1,500
3,000 3,000 - 4,600
1,500 1,500 - 1,500
300 300 - 300 470
- 1,000 1,000 - 3,000 169
1,000
- 500
- 50
- 50
- 1,000
- 2,000
2,000 2,000 - 2,000
1,200
1,080 1,080 - 1,080
30 30 - 30
500
600 600 - 600
- 12
- 4,000
- 100
1,531
10 10 - 10
REMARKS
15-May-18 17-May-18 25-May-18 IAR
300 300 - 300
- 1,500
3,000 3,000 - 3,000
- 600
500 500 - 500
###
-
3,000 3,000 - 4,000
1,000 1,000 - 1,500 2000
3,000
3,000
2,500
2,500
2,500
19,000
Requisition and Issue Slip (RIS) - April 27 - May 25, 2018
Unit Description
27-Apr-18 30-Apr-18 4-May-18 15-May-18
capsule Celecoxib 400mg 1,020 1,020 -
vial Cisplatin 50mg (IV) 50 50 -
set Dextrose Plain NSS 1000ml (Green) 4,800 4,800 -
tablet Digoxin 250mcg (0.25mg) 2,000 2,000 -
ampule Digoxin 250mcg/ml, 2ml (IM,IV) 300 300 -
tablet Folic Acid 5mg 1,000 1,000 -
ampule Isosorbide dinitrate 1mg/ml, 10ml (IV) - Isoket 500 500 -
tablet Methyldopa 250mg - Aldomet 1,000 1,000 -
ampule Sodium Bicarbonate 1mEq/ml, 50ml(IV infusion) 531 531 -
set Dextrose 50% in Water 50ml 1,080 1,080 -
amp/vial Dexamethasone 4mg/ml, 2ml (IM,IV) (as Sodium Phosphate) - Dexticort 500 500 -
vial Meropenem 1g (IV) (as Trihydrate) - Mepenem 30 30 -
vial Metronidazole 5mg/ml, 100ml IV infusion - Cetaz 500 500 -
capsule Omeprazole 40mg - Wilom 1,000 1,000 -
tablet Propylthiouracil 50mg 500 500 -
ampule Clindamycin 150mg/ml, 4ml (IM,IV) (as PO4) - Dalacin C 500 500 -
set Dextrose 5% 0.3 NaCl 500ml (Light Blue) 240 240 -
ampule Ketorolac 30mg/ml, 1ml (IM,IV) (as Trometamol) - Ketral 4,000 4,000 -
vial Metronidazole 5mg/ml, 100ml IV infusion - Cetaz 1,100 1,100 -
tablet Potassium 750mg durules (approx. equiv. to 10 mEq) - Kalium Durules 1,200 1,200 -
ampule Sodium Bicarbonate 1mEq/ml, 50ml(IV infusion) 1,000 1,000 -
tablet Amlodipine 10mg (as Besylate) 3,000 3,000
vial Ampicillin 500mg (IM,IV) (as Sodium salt) 500 500
tablet Aspirin 80mg - Generic 2,000 2,000
Unit Description
27-Apr-18 30-Apr-18 4-May-18 15-May-18
tablet Atorvastatin 20mg - Zydusatorva 20 4,000 4,000
tablet Azithromycin 500mg (as base/as dihydrate) 600 600
tablet Biperiden 2mg (as HCl) 10,000 10,000
suppository Bisacodyl 10mg adult - Dulxative 500 500
ampule Bupivacaine 0.5%, 4ml (spinal) w/ 8 dextrose (as HCl) HEAVY - Senpivac 0.5% 1,500 1,500
tablet Capecitabine 500mg - Cetagen 500 1,000 1,000
vial Cefoxitin 1g (IM,IV) (as Sodium salt) - Haxotin 1,000 1,000
vial Cefuroxime 750mg (IM,IV) (as Sodium salt) - Harox 2,000 2,000
tablet Ciprofloxacin 500mg (as Hydrochloride) - Ciprodex 2,000 2,000
set Dextrose 5% 0.3 NaCl 500ml (Light Blue) 480 480
tablet Diltiazem 60mg (as Hydrochloride) 1,000 1,000
ampule Famotidine 10mg/ml, 2ml (IM,IV) 500 500
tablet Haloperidol 20mg - Zuredel 2,000 2,000
vial Hydrocortisone 125mg/ml, 2ml (IV) (as Sodium Succinate) 300 300
tablet Ibuprofen 400mg - Alaxpro 500 500
ampule Ketorolac 30mg/ml, 1ml (IM,IV) (as Trometamol) - Ketral 6,000 6,000
vial Meropenem 1g (IV) (as Trihydrate) - Mepenem 500 500
ampule Norepinephrine 1mg/ml, 4ml (IV infusion) (as Bitartrate) 2,000 2,000
ampule Ondansetron 2mg/ml, 4ml (IM,IV) 500 500
vial Oxaliplatin 100mg - Meslatin 50 50
vial Paclitaxel 100mg - Paclizel 50 50
ampule Phytomenadione (Phytonadione, vit.K1)10mg/ml, 1ml (IM,IV) 2,000 2,000
vial Rabbies Vaccine Lyophillyzed powder 2.5 IU/ml, 1 dose + 1ml Diluent (ID,IM) - Indirab 12 12
tablet Risperidone 2mg 4,000 4,000
amp/vial Rocuronium Bromide 10mg/ml, 5ml (IV) 100 100
capsule Tranexamic Acid 500mg 1,500 1,500
vial Vancomycin 500mg (IV) (as HCl) 600 600
Unit Description
27-Apr-18 30-Apr-18 4-May-18 15-May-18
set Dextrose 5% in Lactated Ringers 1000ml (D5LRS) (Pink)
set Dextrose Plain NSS 1000ml (Green)
capsule Celecoxib 400mg - Celebrex
bottle Cetirizine 1mg/ml syr, 30ml (as Dihydrochloride) - Virlix
bottle Cetirizine 10mg/ml drops, 10ml (as Dihydrochloride) - Allerkid
vial Cisplatin 50mg (IV) - Cisteen
Unit Description
27-Apr-18 30-Apr-18 4-May-18 15-May-18
prefilled syrnge Epoetin Alfa 10,000 IU/ ml IV,SC (Recombinant human erythropoetin)
ampule Vitamin B Complex 100mg+100mg+1mg per 3ml (IV) - Sannovit

set Intravenous Administration Set (Microset) 60 drops/ml 500 500 -
Unit Description
27-Apr-18 30-Apr-18 4-May-18 15-May-18


REMARKS
15-May-18 17-May-18 25-May-18 IAR
1,020
50 2500
192 1500
4,800 500
1,200
2,000
300 250
1,000 200
500 300
1,000
531
1,080 500
500
30
30 1500
500 7500
1,000
500
500 250
744
800
144
240 2400
4,000
4,000
1,100
1,200
1,000
- 3,000
- 500
- 2,000
REMARKS
15-May-18 17-May-18 25-May-18 IAR
- 4,000
- 600
- 10,000
- 500
- 1,500
- 1,000
- 1,000
- 2,000
- 2,000
- 480
- 480
- 360
- 1,000
- 500
- 500
- 2,000
- 300
- 500
- 6,000
- 500
- 2,000
- 500
- 50
- 50
- 1,000
- 2,000
- 12
- 4,000
- 100
- 1,500
- 600
500 500 - 500
10,000 10,000 - 10,000
REMARKS
15-May-18 17-May-18 25-May-18 IAR
3,600 3,600 - 3,600
1,200 1,200 - 1,200
240 240 - 240
240 240 - 240
120 120 - 120
120 120 - 120
3,600 3,600 - 3,600
4,800 4,800 - 4,800
240 240 - 240
100 100 - 100
300 300 - 300
1,080 1,080 - 1,080
300 300 - 300
2,000 2,000 - 2,000
500 500 - 500
30 30 - 30
100 100 - 100
2,000 2,000 - 2,000
100 100 - 100
1,260 1,260 - 1,260
15 15 - 15
300 300 - 300
15 15 - 15
2,500 2,500 - 2,500
50 50 - 50
500 500 - 500 40
8,000 8,000 - 8,000
200 200 - 200
240 240 - 240
120 120 - 120
120 120 - 120
240 240 - 240
480 480 - 480
REMARKS
15-May-18 17-May-18 25-May-18 IAR
10 10 - 10 1000
200 200 - 200
500 500 - 500 470
100 100 - 100 169
30 30 - 30 500
20 20 - 20
300 300 - 300
10 10 - 10
100 100 - 100
50 50 - 50
200 200 - 200
1,000 1,000 - 1,000
8,995 8,995 - 8,995
500 500 - 500
10 10 - 10
10 10 - 10
1,500 1,500 - 1,500
3,000 3,000 - 3,000
1,500 1,500 - 1,500
300 300 - 300
1,000 1,000 - 1,000
2,000 2,000 - 2,000
30 30 - 30
600 600 - 600
10 10 - 10
300 300 - 300
3,000 3,000 - 3,000
500 500 - 500
###
-
3,000 3,000 - 4,000
1,000 1,000 - 1,500 2000
3,000
REMARKS
15-May-18 17-May-18 25-May-18 IAR
3,000
2,500
2,500
2,500
19,000
Requisition and Issue Slip (RIS) - April 2 - 24, 2018
Unit Description
2-Apr-18 4-Apr-18 10-Apr-18 11-Apr-18
tablet Acetazolamide 250mg - Cetamid 100 100 -
sachet Acetylcisteine 200mg - Fluimicil 510 510 -
bottle Acetylcystein 100mg/ml soln for injection - Fluimucil 15 15
bottle Acetylcystein 100mg/ml, inhalation - Fluimucil 15 15
tablet Alprazolam 250mcg - Altrox 250
bottle Amoxicillin 100mg/ml granules/ powder for drops 10ml (as Trihydrate) - Moxylor 50 50
bottle Amoxicillin 250mg/5ml granules/ powder for suspension 60ml (as Trihydrate) - Moxylor 250 250
vial Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam) (as Sodium salt) 2,000 2,000 -
tablet Atorvastatin 40mg 2,000 2,000 -
tablet Atorvastatin 80mg 1,500 1,500
ampule Atracurium Besylate 10mg/ml, 2.5ml (IV) - Acurium
tablet Calcium Carbonate (equiv. to 500mg & 600mg elemental ca) - Calvin Plus 240 240 -
ampule Calcium Folinate(Leucoverin Calcium) 10mg/ml, 5ml(IM,IV) 240 240 - 80 80 - 80 80
capsule Cefalexin 500mg (as Monohydrate) - Diacef 2,500 2,500
tablet Cetirizine 10mg (as Dihydrochloride) - Alrezin 1,000 1,000 -
ampule Clindamycin 150mg/ml, 4ml (IM,IV) (as PO4) 1,000 1,000 -
bottle Co-Amoxiclav 156.25mg/5ml,powder for suspension 75 75 -
bottle Co-Amoxiclav 228.5mg/5ml,powder for suspension - Natravox 75 75 - 100 100
bottle Co-Amoxiclav 250mg/62.5mg/5ml,60ml granules/powder for suspension - Auget 50 50
tablet Co-Amoxiclav 625mg (as Trihydrate) 2,500 2,500 -
vial Dacarbazine 200mg 75 75 -
set Dextrose 5% 0.3 NaCl 500ml (Light Blue) 1,200 1,200 -
set Dextrose 5% 0.9 NaCl 1L (D5NSS) (Yellow) 480 480 -
set Dextrose 5% Balanced Multiple Maint. Sol'n. 1000Ml (D5NM 1L) (Orange) 120 120 -
set Dextrose 5% Balanced Multiple Replacement. Sol'n. 1000Ml (D5NR 1L) (Yellow Green) 120 120 -
set Dextrose 5% in Lactated Ringers 1000ml (Pink)
set Dextrose Plain NSS 1000ml (Green)
ampule Diphenhydramine HCl 50mg/ml, 1ml (IM,IV) (as HCl) 1,500 1,500 -
Unit Description
2-Apr-18 4-Apr-18 10-Apr-18 11-Apr-18
vial Docetaxel 20mg/0.5ml, 0.5ml (IV infusion) - Vexdo 20 50 50
vial Docetaxel 40mg/ml, 2ml (IV infusion) - Vexdo 80 50 50 -
vial Dopamine 200mg/250ml D5W (premixed) (IV) (as HCl) (Green) 40 40 - 200 200 -
vial Doxorubicin powder 50mg (IV) (as HCl) - Doxvex 50 100 100 -
ampule Epinephrine 1:1000 1mg/ml, 1ml (IM,SC) (as Hydrochloride) 1,000 1,000 -
vial Filgrastim 300mcg 50 50 -
ampule Fluorouracil 50mg/ml, 10ml (IV, IV Infusion) - Fluonco 100 100 - 50 50 - 100 100
bottle Ibuprofen 100mg/5ml, 60ml suspension
bottle Isoniazid 200mg/5ml, 120ml syrup 10 10 -
ampule Isosorbide dinitrate 1mg/ml, 10ml (IV) - Isoket 390 390
ampule Ketorolac 30mg/ml, 1ml (IM,IV) (as Trometamol) - Ketral 3,000 3,000 -
bottle Lidocaine spray 10%, 50ml (as HCl) - Xylocaine 5 5
vial Meropenem 1g (IV) (as Trihydrate) - Mepenem
tablet Metformin 500mg (as HCl) - DOH Donation
tablet Methimazole 5mg - Tapdin 200 200 -
tablet Multivitamins - Vitabit 1,600 1,600
ampule Nicardipine 1mg/ml, 10ml (IV) (as HCl) - Cardepine 95 95 -
ampule Omeprazole 40mg + 10ml solvent (IV) - Zyom 3,000 3,000 -
ampule Ondansetron 2mg/ml, (4mg/2ml) (IM,IV) - Onsia 300 300 -
vial Oxaliplatin 100mg - Meslatin 100 100 -
vial Paracetamol 150mg/ml, 2ml (IM,IV) - Febrinil
bottle Paracetamol 250mg/5ml (alcohol free), 60ml syrup/suspension - Alagesic 100 100
Unit Description
2-Apr-18 4-Apr-18 10-Apr-18 11-Apr-18
vial Potassium Chloride 2mEq/ml, 20ml (IV infusion) - Generic 330 330 -
amp/vial Propofol 10mg/ml, 20ml IV (oil in water emulsion) - IV-Pro 500 500 -
bottle Pyrazynamide 250mg/5ml, 120ml suspension 10 10 -
ampule Ranitidine 25mg/ml, 2ml(IM,IV, IV infusion) (as HCl) - Zantol 1,500 1,500 -
bottle Salbutamol 2mg/5ml, 60ml syrup (as Sulfate) - Albulem 50 50
bottle Sevoflurane 250ml
ampule Sodium Bicarbonate 1mEq/ml, 50ml(IV infusion) 140 140 -
vial Suxamethonium (succinyl Choline) 20mg/ml, 10ml IV (as Chloride) - Anektil 160 160 -
vial Suxamethonium (succinyl Choline) 20mg/ml, 10ml IV (as Chloride) - Quelicin 198 198 -
ampule Tetanus Toxoid 0.5ml (IM) - Adsorbed Tetanus Vaccine B.P. 160 160 - 320 320
set Intravenous Administration Set (Macroset) 20 drops/ml 1,250 1,250 - 1,000 1,000 -
set Intravenous Administration Set (Microset) 60 drops/ml 1,250 1,250 -
set IV Cannula G24 with injection port 750 750 -
set Soluset 1,000 1,000 -


Unit Description
2-Apr-18 4-Apr-18 10-Apr-18 11-Apr-18
REMARKS
11-Apr-18 18-Apr-18 24-Apr-18 IAR
100
510 2500
- 10 10 - 25 1500
- 15 500
300 300 - 300
- 50
- 250 250
2,000 200
2,000 300
- 2,000 2,000 - 3,500
250 250 - 250
600 600 - 600 500
240
- 500 500 - 900
- 2,500 1500
400 400 - 400 7500
1,000
1,000
75 250
- 175
- 50
2,500
75 2400
1,200
240 240 - 120 120 - 840
120
120
2,400 2,400 - 2,400 2,400 - 4,800
480 480 - 1,440
4,800 4,800 - 2,400 2,400 - 7,200
1,500 40
REMARKS
11-Apr-18 18-Apr-18 24-Apr-18 IAR
- 50
50
240
100
1,000
50
- 417 417 - 300 300 - 967
6,000 1000
1,500 1,500 - 1,500
100 100 - 100 470
50 50 - 50 169
10 500
- 390
3,000
500 500 - 500
3,000 3,000 - 3,000
- 5
1,300
3,780
2,740 2,740 - 2,740
100 100 - 100
300
162,000 162,000 - 162,000
200
1,000 1,000 - 2,000
- 1,600
500 500 - 595
3,000
300
100
16,500 16,500 - 16,500
- 100
300 300 - 200 200 - 500
REMARKS
11-Apr-18 18-Apr-18 24-Apr-18 IAR
540 540 - 870
500 3000
10 1000
1,500
- 50
20 20 - 20
140
160
198
- 2,000 2,000 - 2,480
1,000 1,000 - 1,000
###
-
1,250 1,250 - 3,500
250 250 - 1,500 2000
750
2,350 2,350 - 2,850
1,000
9,600
Rec'd MMS Dif Rec'd MMS Dif Rec'd MMS Dif

Unit Description Unit Cost
2-Apr-18 4-Apr-18 10-Apr-18
tablet Acetazolamide 250mg - Cetamid 20.00 100 100 -
sachet Acetylcisteine 200mg - Fluimicil 11.38 510 510 -
tablet Atorvastatin 40mg 23.00 2,000 2,000 -
tablet Calcium Carbonate (equiv. to 500mg & 600mg elemental ca) - Calvin Plus 4.00 240 240 -
ampule Calcium Folinate(Leucoverin Calcium) 10mg/ml, 5ml(IM,IV) 215.75 240 240 -
tablet Cetirizine 10mg (as Dihydrochloride) - Alrezin 0.59 1,000 1,000 -
tablet Co-Amoxiclav 625mg (as Trihydrate) 7.80 2,500 2,500 -
bottle Co-Amoxiclav 156.25mg/5ml,powder for suspension 154.00 75 75 -
vial Dacarbazine 200mg 689.00 75 75 -
set Dextrose 5% in Water 500ml (Red) 42.33 960 960 -
set Dextrose 5% 0.9 NaCl 1L (D5NSS) (Yellow) 45.00 480 480 -
set Dextrose 5% Balanced Multiple Maint. Sol'n. 1000Ml (D5NM 1L) (Orange) 45.00 120 120 -
set Dextrose 5% Balanced Multiple Replacement. Sol'n. 1000Ml (D5NR 1L) (Yellow Green) 45.00 120 120 -
vial Docetaxel 40mg/ml, 2ml (IV infusion) - Vexdo 80 3,465.00 50 50 -
vial Dopamine 200mg/250ml D5W (premixed) (IV) (as HCl) (Green) 248.00 40 40 -
vial Doxorubicin powder 50mg (IV) (as HCl) - Doxvex 50 594.75 100 100 -
ampule Epinephrine 1:1000 1mg/ml, 1ml (IM,SC) (as Hydrochloride) 37.22 1,000 1,000 -
ampule Fluorouracil 50mg/ml, 10ml (IV, IV Infusion) - Fluonco 103.00 100 100 -
ampule Furosemide 10mg/ml, 2ml (IM,IV) 6.48 6,000 6,000 -
bottle Isoniazid 200mg/5ml, 120ml syrup 78.00 10 10 -
ampule Ketorolac 30mg/ml, 1ml (IM,IV) (as Trometamol) - Ketral 21.44 3,000 3,000 -
tablet Losartan 50mg (as Potassium salt) - Losacar 1.02 3,780 3,780 -
vial Meropenem 500mg (IV) (as Trihydrate) - Mepenem 99.78 300 300 -
tablet Methimazole 5mg - Tapdin 5.40 200 200 -
ampule Nicardipine 1mg/ml, 10ml (IV) (as HCl) - Cardepine 611.04 95 95 -
ampule Omeprazole 40mg + 10ml solvent (IV) - Zyom 37.00 3,000 3,000 -
vial Oxaliplatin 100mg - Meslatin 1,622.00 100 100 -
vial Potassium Chloride 2mEq/ml, 20ml (IV infusion) - Generic 12.40 330 330 -
2-Apr-18 4-Apr-18 10-Apr-18
amp/vial Propofol 10mg/ml, 20ml IV (oil in water emulsion) - IV-Pro 84.00 500 500 -
bottle Pyrazynamide 250mg/5ml, 120ml suspension 90.00 10 10 -
ampule Ranitidine 25mg/ml, 2ml(IM,IV, IV infusion) (as HCl) - Zantol 3.89 1,500 1,500 -
ampule Sodium Bicarbonate 1mEq/ml, 50ml(IV infusion) 84.21 140 140 -
vial Suxamethonium (succinyl Choline) 20mg/ml, 10ml IV (as Chloride) - Quelicin 112.33 198 198 -
vial Suxamethonium (succinyl Choline) 20mg/ml, 10ml IV (as Chloride) - Anektil 112.33 160 160 -
ampule Tetanus Toxoid 0.5ml (IM) - Adsorbed Tetanus Vaccine B.P. 28.33 160 160 -
vial Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam) (as Sodium salt) 107.10 2,000 2,000 -
ampule Clindamycin 150mg/ml, 4ml (IM,IV) (as PO4) 140.00 1,000 1,000 -
set Dextrose 5% 0.3 NaCl 500ml (Light Blue) 40.89 1,200 1,200 -
ampule Diphenhydramine HCl 50mg/ml, 1ml (IM,IV) (as HCl) 34.00 1,500 1,500 -
vial Dopamine 200mg/250ml D5W (premixed) (IV) (as HCl) (Green) 200 200 -
vial Filgrastim 300mcg 818.33 50 50 -
bottle Acetylcystein 100mg soln for injection - Fluimucil 118.00
bottle Acetylcystein 100mg/ml, inhalation - Fluimucil 118.00
bottle Amoxicillin 100mg/ml granules/ powder for drops 10ml (as Trihydrate) - Moxylor 15.30
bottle Amoxicillin 250mg/5ml granules/ powder for suspension 60ml (as Trihydrate) - Moxylor 19.88
ampule Calcium Folinate(Leucoverin Calcium) 10mg/ml, 5ml(IM,IV)
bottle Lidocaine spray 10%, 50ml (as HCl) - Xylocaine
tablet Multivitamins - Vitabit
ampule Tetanus Toxoid 0.5ml (IM) - Adsorbed Tetanus Vaccine B.P.
2-Apr-18 4-Apr-18 10-Apr-18
bottle Acetylcystein 100mg/ml soln for injection - Fluimucil 118.00
tablet Alprazolam 250mcg - Altrox 250 5.25
ampule Atracurium Besylate 10mg/ml, 2.5ml (IV) - Acurium 85.22
ampule Calcium Folinate(Leucoverin Calcium) 10mg/ml, 5ml(IM,IV) 215.75
vial Ceftazidime 1g (as Pentahydrate) 34.12
set Dextrose 5% 0.9 NaCl 1L (D5NSS) (Yellow) 45.00
set Dextrose 5% in Lactated Ringers 1000ml (Pink) 45.00
set Dextrose Plain NSS 1000ml (Green) 41.99
bottle Ibuprofen 100mg/5ml, 60ml suspension 38.33
vial Meropenem 1g (IV) (as Trihydrate) - Mepenem 167.23
tablet Metformin 500mg (as HCl) - DOH Donation 0.78
vial Metronidazole 5mg/ml, 100ml IV infusion - Cetaz 15.77
vial Paracetamol 150mg/ml, 2ml (IM,IV) - Febrinil 6.33
vial Penicillin G Crystalline (Benzylpenicillin) 5M "u" vl. (IM,IV) (as Sodium) - Harbipen 17.22
vial Potassium Chloride 2mEq/ml, 20ml (IV infusion) - Generic 12.40
bottle Sevoflurane 250ml 5,600.00
2-Apr-18 4-Apr-18 10-Apr-18


Total no. of Drugs & Medicines -
Total no. of Drugs/RIS -
Total no. of Supplies -
Total no. of Supplies/RIS -

Rec'd MMS Dif Rec'd MMS Dif Rec'd MMS Dif Rec'd MMS Dif Rec'd MMS Dif Rec'd MMS Dif TOTAL
REMARKS
11-Apr-18 18-Apr-18 24-Apr-18
- - - 100
- - - 510
- - - 2,000
- - - 240
240
- - - 1,000
- - - 2,500
- - - 75
75
- - - 75
- - - 960
480
- - - 120
- - - 120
50
- - - 40
- - - 100
- - - 1,000
- - - 100
6,000
- - - 10
3,000
- - - 3,780
1,300
300
- - - 200
1,000
95
- - - 3,000
100
330
REMARKS
11-Apr-18 18-Apr-18 24-Apr-18
500
- - - 10
1,500
140
- - - 198
- - - 80
- - - #REF!
300
160
160
- - - 2,000
1,000
1,200
- - - 1,500
200
- - - 50
15 15 - 15
15 15 - - - - 15
50 50 - 50
250 250 - 250
1,500 1,500 - - - - 1,500
80 80 - 80
2,500 2,500 - 2,500
100 100 - 100
50 50 - - - - 50
50 50 - - - - 50
100 100 - 100
390 390 - 390
5 5 - 5
1,600 1,600 - 1,600
100 100 - - - - 100
50 50 - 50
320 320 - 320
REMARKS
11-Apr-18 18-Apr-18 24-Apr-18
10 10 -
300 300 -
250 250 -
500 500 -
400 400 -
240 240 -
2,400 2,400 -
4,800 4,800 -
417 417 -
50 50 -
2,740 2,740 -
100 100 -
162,000 162,000 -
1,000 1,000 -
16,500 16,500 -
300 300 -
540 540 -
20 20 -
2,000 2,000 -
1,000 1,000 -
2,000 2,000 -
600 600 -
120 120 -
480 480 -
2,400 2,400 -
2,400 2,400 -
300 300 - 300
100 100 - 100
1,500 1,500 - 1,500
500 500 - 500
3,000 3,000 - 3,000
500 500 - 500
200 200 - 200
REMARKS
11-Apr-18 18-Apr-18 24-Apr-18
- - - -
- - - 1,250
- - - 1,250
- - - 1,000
- - - 750
500
- - - 1,000
2,350 2,350 - #REF!
1,250 1,250 -
250 250 -
-
IAR
2500
1500
500
250
200
300
500
1250
1500
7500
250
2400
IAR
500
40
1000
470
169
2000
500
500
IAR
3000
1000

2-Apr-18 4-Apr-18 10-Apr-18
tablet Acetazolamide 250mg - Cetamid 20.00 100 100 -
sachet Acetylcisteine 200mg - Fluimicil 11.38 510 510 -
tablet Calcium Carbonate (equiv. to 500mg & 600mg elemental ca) - Calvin Plus 4.00 240 240 -
tablet Cetirizine 10mg (as Dihydrochloride) - Alrezin 0.59 1,000 1,000 -
tablet Co-Amoxiclav 625mg (as Trihydrate) 7.80 2,500 2,500 -
vial Dacarbazine 200mg 689.00 75 75 -
set Dextrose 5% in Water 500ml (Red) 42.33 960 960 -
set Dextrose 5% 0.9 NaCl 1L (D5NSS) (Yellow) 45.00 480 480 -
set Dextrose 5% Balanced Multiple Maint. Sol'n. 1000Ml (D5NM 1L) (Orange) 45.00 120 120 -
set Dextrose 5% Balanced Multiple Replacement. Sol'n. 1000Ml (D5NR 1L) (Yellow Green) 45.00 120 120 -
vial Docetaxel 40mg/ml, 2ml (IV infusion) - Vexdo 80 3,465.00 50 50 -
vial Dopamine 200mg/250ml D5W (premixed) (IV) (as HCl) (Green) 248.00 40 40 -
vial Doxorubicin powder 50mg (IV) (as HCl) - Doxvex 50 594.75 100 100 -
ampule Epinephrine 1:1000 1mg/ml, 1ml (IM,SC) (as Hydrochloride) 37.22 1,000 1,000 -
ampule Furosemide 10mg/ml, 2ml (IM,IV) 6.48 6,000 6,000 -
bottle Isoniazid 200mg/5ml, 120ml syrup 78.00 10 10 -
ampule Ketorolac 30mg/ml, 1ml (IM,IV) (as Trometamol) - Ketral 21.44 3,000 3,000 -
tablet Methimazole 5mg - Tapdin 5.40 200 200 -
vial Oxaliplatin 100mg - Meslatin 1,622.00 100 100 -
vial Potassium Chloride 2mEq/ml, 20ml (IV infusion) - Generic 12.40 330 330 -
2-Apr-18 4-Apr-18 10-Apr-18
amp/vial Propofol 10mg/ml, 20ml IV (oil in water emulsion) - IV-Pro 84.00 500 500 -
bottle Pyrazynamide 250mg/5ml, 120ml suspension 90.00 10 10 -
ampule Ranitidine 25mg/ml, 2ml(IM,IV, IV infusion) (as HCl) - Zantol 3.89 1,500 1,500 -
ampule Sodium Bicarbonate 1mEq/ml, 50ml(IV infusion) 84.21 140 140 -
vial Suxamethonium (succinyl Choline) 20mg/ml, 10ml IV (as Chloride) - Quelicin 112.33 198 198 -
vial Suxamethonium (succinyl Choline) 20mg/ml, 10ml IV (as Chloride) - Anektil 112.33 160 160 -
ampule Tetanus Toxoid 0.5ml (IM) - Adsorbed Tetanus Vaccine B.P. 28.33 160 160 -
vial Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam) (as Sodium salt) 107.10 2,000 2,000 -
ampule Clindamycin 150mg/ml, 4ml (IM,IV) (as PO4) 140.00 1,000 1,000 -
set Dextrose 5% 0.3 NaCl 500ml (Light Blue) 40.89 1,200 1,200 -
ampule Diphenhydramine HCl 50mg/ml, 1ml (IM,IV) (as HCl) 34.00 1,500 1,500 -
vial Dopamine 200mg/250ml D5W (premixed) (IV) (as HCl) (Green) 200 200 -
vial Filgrastim 300mcg 818.33 50 50 -
bottle Acetylcystein 100mg soln for injection - Fluimucil 118.00
bottle Acetylcystein 100mg/ml, inhalation - Fluimucil 118.00
bottle Amoxicillin 100mg/ml granules/ powder for drops 10ml (as Trihydrate) - Moxylor 15.30
bottle Amoxicillin 250mg/5ml granules/ powder for suspension 60ml (as Trihydrate) - Moxylor 19.88
ampule Calcium Folinate(Leucoverin Calcium) 10mg/ml, 5ml(IM,IV)
bottle Lidocaine spray 10%, 50ml (as HCl) - Xylocaine
tablet Multivitamins - Vitabit
2-Apr-18 4-Apr-18 10-Apr-18
bottle Acetylcystein 100mg/ml soln for injection - Fluimucil 118.00
tablet Alprazolam 250mcg - Altrox 250 5.25
ampule Atracurium Besylate 10mg/ml, 2.5ml (IV) - Acurium 85.22
ampule Calcium Folinate(Leucoverin Calcium) 10mg/ml, 5ml(IM,IV) 215.75
vial Ceftazidime 1g (as Pentahydrate) 34.12
set Dextrose 5% 0.9 NaCl 1L (D5NSS) (Yellow) 45.00
bottle Ibuprofen 100mg/5ml, 60ml suspension 38.33
vial Meropenem 1g (IV) (as Trihydrate) - Mepenem 167.23
tablet Metformin 500mg (as HCl) - DOH Donation 0.78
vial Metronidazole 5mg/ml, 100ml IV infusion - Cetaz 15.77
vial Penicillin G Crystalline (Benzylpenicillin) 5M "u" vl. (IM,IV) (as Sodium) - Harbipen 17.22
vial Potassium Chloride 2mEq/ml, 20ml (IV infusion) - Generic 12.40
bottle Sevoflurane 250ml 5,600.00
2-Apr-18 4-Apr-18 10-Apr-18
capsule Celecoxib 400mg
vial Cisplatin 50mg (IV)
set Dextrose 5% in Lactated Ringers 1000ml (D5LRS) (Pink) 45.00
tablet Digoxin 250mcg (0.25mg)
ampule Digoxin 250mcg/ml, 2ml (IM,IV)
tablet Folic Acid 5mg
tablet Methyldopa 250mg - Aldomet
ampule Sodium Bicarbonate 1mEq/ml, 50ml(IV infusion)

2-Apr-18 4-Apr-18 10-Apr-18
Total no. of RIS for Drugs & Medicines- 6

Total no. of Drugs & Medicines- 81

REMARKS
11-Apr-18 18-Apr-18 24-Apr-18 27-Apr-18
- - - 100
- - - 510
- - - 2,000
- - - 240
240
- - - 1,000
- - - 2,500
- - - 75
75
- - - 75
- - - 960
480
- - - 120
- - - 120
50
- - - 40
- - - 100
- - - 1,000
- - - 100
6,000
- - - 10
3,000
- - - 3,780
1,300
300
- - - 200
1,000
95
- - - 3,000
100
330
REMARKS
11-Apr-18 18-Apr-18 24-Apr-18 27-Apr-18
500
- - - 10
1,500
140
- - - 198
- - - 80
- - - #REF!
300
160
160
- - - 2,000
1,000
1,200
- - - 1,500
200
- - - 50
15 15 - 15
15 15 - - - - 15
50 50 - 50
250 250 - 250
1,500 1,500 - - - - 1,500
80 80 - 80
2,500 2,500 - 2,500
100 100 - 100
50 50 - - - - 50
50 50 - - - - 50
100 100 - 100
390 390 - 390
5 5 - 5
1,600 1,600 - 1,600
100 100 - - - - 100
50 50 - 50
320 320 - 320
REMARKS
11-Apr-18 18-Apr-18 24-Apr-18 27-Apr-18
10 10 -
300 300 -
250 250 -
500 500 -
400 400 -
240 240 -
2,400 2,400 -
4,800 4,800 -
417 417 -
50 50 -
2,740 2,740 -
100 100 -
162,000 162,000 -
1,000 1,000 -
16,500 16,500 -
300 300 -
540 540 -
20 20 -
2,000 2,000 -
1,000 1,000 -
2,000 2,000 -
600 600 -
120 120 -
480 480 -
2,400 2,400 -
2,400 2,400 -
300 300 - 300
100 100 - 100
1,500 1,500 - 1,500
500 500 - 500
3,000 3,000 - 3,000
500 500 - 500
200 200 - 200
REMARKS
11-Apr-18 18-Apr-18 24-Apr-18 27-Apr-18
1,020 \
50 50
192 192
4,800 4,800
1,200 1,200
2,000 2,000
300 300
1,000 1,000
500 500 - - -
1,000 1,000 - - -
531 531 - - -
- - - -
- - - 1,250
- - - 1,250
- - - 1,000
- - - 750
500
- - - 1,000
2,350 2,350 - #REF!
1,250 1,250 -
250 250 -
1,000 1,000 -
500 500 -
-
-
-
-
-
REMARKS
11-Apr-18 18-Apr-18 24-Apr-18 27-Apr-18
- - - -
- - - -
- - - -
-
-
-
IAR
2500
1500
500
250
200
300
500
1250
1500
7500
250
2400
IAR
500
40
1000
470
169
2000
500
500
IAR
3000
1000
Requisition and Issue Slip (RIS) - March 5 - 23, 2018
TOTAL
Unit Description REMARKS
IAR
tablet Acetylcisteine 600mg - Exflem 700
capsule Amoxicillin 500mg (as Trihydrate) - Harbimox 2,500 2500
vial Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam) (as Sodium salt) 1,500
tablet Aspirin 80mg - Generic 1,500 1500
tablet Atenolol 50mg - Myovasc 1,500 500
tablet Atorvastatin 20mg 4,000
tablet Atorvastatin 40mg 1,000
ampule Atracurium Besylate 10mg/ml, 2.5ml (IV) - Acurium 250 250
nebule Budesonide 250mcg/ml, 2ml (unit dose) - Bronex 400 200
ampule Bupivacaine 0.5%, 4ml (spinal) w/ 8 dextrose (as HCl) HEAVY - Senpivac 0.5% 300 300
tablet Candesartan 8mg - Atasart 476
tablet Capecitabine 500mg - Cetagen 500 100
vial Carboplatin 450mg - Kemocarb 100
vial Cefazolin 1g (IM,IV) (as Sodium salt) 500 500
vial Cefepime 1g (IM,IV) (as HCl) - Sefpime 600
vial Cefepime 500mg (IM,IV) (as HCl) - Axera 100
capsule Cefixime 200mg - Taxim-O 700
vial Ceftriaxone 1g (as Disodium/ Sodium salt) - Generic 4,000
tablet Cefuroxime 500mg (as Axetil) - Axefime 1,250 1250
vial Cefuroxime 750mg (IM,IV) (as Sodium salt) 1,500 1500
capsule Celecoxib 200mg - Coxto 7,500 7500
bot Cetirizine HCl 5mg/5ml (60ml) syrup 50
bottle Clarithromycin 125mg/5ml, 70ml granules/powder for suspension - Clariget 50
tablet Clarithromycin 500mg tablet as base - Klarcyn 250 250
tablet Clonazepam 2mg - Clonotril-2 7,500
bottle Co-Amoxiclav 400mg/57mg/5ml,70ml granules/powder for suspension - Auget 50
ampule Cobra Antivenom 100
vial Cytarabine 1g/10ml - Cancyt 75
set Dextrose 5% 0.3 NaCl 500ml (Light Blue) 96 2400
set Dextrose 5% 0.9 NaCl 1L (D5NSS) (Yellow) 120
set Dextrose 5% Balance Multiple Maint. Sol'n 500ml (Violet) 1,680
TOTAL
IAR
set Dextrose 5% Balanced Multiple Maint. Sol'n. 1000Ml (D5NM 1L) (Orange) 612
set Dextrose 5% in Lactated Ringers 1000ml (Pink) 4,800
set Dextrose 5% in Water 1000ml (Red) 504
set Dextrose Plain NSS 1000ml (Green) 12,000
vial Dobutamine 2mg/ml, 250ml D5W (pre-mixed) (IV) (as HCl) 276
vial Dopamine 200mg/250ml D5W (premixed) (IV) (as HCl) (Green) 100
amp/vial Dopamine 40mg/ml, 5ml (IV) (as HCl) (Sterile Dopamine 200mg/5ml) 200
vial Doxorubicin powder 10mg (IV) (as HCl) - Adrosal 200
ampule Epinephrine 1:1000 1mg/ml, 1ml (IM,SC) (as Hydrochloride) 1,000
tube Erythromycin Ophthalmic Ointment 0.5%, 3.5g - Erycortin 40 40
amp/vial Etoposide 20mg/ml, 5ml (IV) - Etopa 50
tablet Fenofibrate 160mg - Fenoflex 480
vial Fluconazole 2mg/ml, 100ml (IV infusion) - Diflucan 20
ampule Furosemide 10mg/ml, 2ml (IM,IV) 4,000
vial Gemcitabine 1g - Omnicure-1 50
vial Human Albumin 20%, 50ml - Albumax 450
tablet Hydroxyurea 500mg - MPL Hi-Oxy 200
vial Isophane Insulin Human (Actrapid) (DOH Donation) 50
vial Isophane Insulin Human (Insulatard) (DOH Donation) 800
vial Isophane Insulin Human (Mixtard) (DOH Donation) 350
cap/tab Isosorbide- 5- Mononitrate 30mg - Montra 2,000
bottle Lactulose 3.3g/5ml (66% syrup), 120ml - Lilac 200
polyamp Lidocaine 2%, 5ml (as HCl) (20mg/ml) - Eurocaine 3,000 1000
tablet Losartan + Hydrochlorothiazide 100mg +25mg - Getzar Plus 500
vial Meropenem 1g (IV) (as Trihydrate) - Mepenem 470 470
vial Meropenem 500mg (IV) (as Trihydrate) - Mepenem 169 169
tablet Metformin 500mg (as HCl) - Donation 43,200
ampule Methotrexate 25mg/ml, 2ml (IM,IV, Intrathecal) (as base) 450
tablet Metoprolol 50mg (as Tartrate) - Donation 12,000
vial Metronidazole 5mg/ml, 100ml IV infusion - Cetaz 1,700 2000
ampule Midazolam 1mg/ml, 5ml (IM,IV) 500 500
ampule Midazolam 5mg/ml, 3ml (IM,IV) (15mg/3ml) - Midazolex 500 500
TOTAL
IAR
bottle Multivitamins 15ml drops 30
ampule Neostigmine 500mcg/ml, 1ml (IM,IV,SC) (as Methylsulfate) - Prostigmin 20
ampule Nicardipine 1mg/ml, 10ml (IV) (as HCl) - Cardepine 700
capsule Omeprazole 20mg - Azibloc 6,000 3000
sachet Oral Rehydration Solution - Glucosol 1,000 1000
vial Paracetamol 150mg/ml, 2ml (IM,IV) - Febrinil 3,000
vial Piperacillin+Tazobactam (4g Piperacillin+500mg Tazobactam)(IV Infusion) (as Na) - Pipta 1,000
vial Potassium Chloride 2mEq/ml, 20ml (IV infusion) - Generic 380
tablet Quetiapine 25mg - Qtipine 25 200
bottle Sevoflurane 250ml 20
tablet Simvastatin 40mg - Simvoget 1,000
ampule Sodium Bicarbonate 1mEq/ml, 50ml(IV infusion) 140
vial Suxamethonium (succinyl Choline) 20mg/ml, 10ml IV (as Chloride) - Anektil 100
tablet Tamoxifen 20mg (as Citrate) - Tamoxigen 20 700
ampule Tramadol 50mg/ml, 2ml (IM,IV, SC) (as HCl) - Dynatram 9,000
capsule Ursodeoxycholic Acid 250mg - Ursofalk 300
tablet Valproate disodium/ Valproic Acid 250mg (Divalproex) - Epival 8,000
163,408
set Blood Transfusion Set 3,750

set Intravenous Administration Set (Macroset) 20 drops/ml 1,500
set Intravenous Administration Set (Microset) 60 drops/ml 1,500
set IV Cannula G18 with injection port 5,000
set IV Cannula G26 with injection port 150
set Platelet Set, 20 gtts/ml, Terumo 500
set Soluset 1,000
20,100
Total no. of RIS for Drugs & Medicines- 6

TOTAL
IAR
Total no. of Drugs & Medicines- 81

Requisition and Issue Slip (RIS) - January 29 - February 26, 2018
5-Mar-18 6-Mar-18 13-Mar-18 16-Mar-18
vial Isophane Insulin Human (Insulatard) (DOH Donation) 800 800 -
vial Isophane Insulin Human (Mixtard) (DOH Donation) 350 350 -
vial Isophane Insulin Human (Actrapid) (DOH Donation) 50 50 -
tablet Candesartan 8mg - Atasart 10.84 476 476 -
vial Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam) (as Sodiu 107.10 1,500 1,500 -
capsule Ursodeoxycholic Acid 250mg - Ursofalk 36.07 300 300 -
vial Fluconazole 2mg/ml, 100ml (IV infusion) - Diflucan 522.00 20 20 -
tablet Valproate disodium/ Valproic Acid 250mg (Divalproex) - Epival 29.00 8,000 8,000 -
ampule Neostigmine 500mcg/ml, 1ml (IM,IV,SC) (as Methylsulfate) - Prostigmin 116.99 20 20 -
amp/vial Dopamine 40mg/ml, 5ml (IV) (as HCl) (Sterile Dopamine 200mg/5ml) 59.89 200 200 -
vial Cefepime 1g (IM,IV) (as HCl) - Sefpime 180.00 300 300 -
vial Ceftriaxone 1g (as Disodium/ Sodium salt) - Generic 20.00 2,000 2,000 -
tablet Quetiapine 25mg - Qtipine 25 19.00 200 200 -
vial Metronidazole 5mg/ml, 100ml IV infusion - Cetaz 15.77 500 500 -
bottle Lactulose 3.3g/5ml (66% syrup), 120ml - Lilac 80.00 200 200 -
bottle Sevoflurane 250ml 5,600.00 20 20 -
bottle Clarithromycin 125mg/5ml, 70ml granules/powder for suspension - Clarige 185.00 50 50 -
bottle Co-Amoxiclav 400mg/57mg/5ml,70ml granules/powder for suspension - A 190.00 50 50 -
tablet Losartan + Hydrochlorothiazide 100mg +25mg - Getzar Plus 7.36 500 500 -
tablet Simvastatin 40mg - Simvoget 4.00 1,000 1,000 -
set Dextrose 5% Balance Multiple Maint. Sol'n 500ml (Violet) 46.00 1,680 1,680 -
vial Cefepime 500mg (IM,IV) (as HCl) - Axera 192.00 100 100 -
bot Cetirizine HCl 5mg/5ml (60ml) syrup 50 50 -
tablet Clonazepam 2mg - Clonotril-2 9.97 7,500 7,500 -
capsule Amoxicillin 500mg (as Trihydrate) - Harbimox 1.16 2,500 2,500 -
tablet Aspirin 80mg - Generic 0.88 1,500 1,500 -
tablet Atenolol 50mg 1,000 1,000 -
ampule Atracurium Besylate 10mg/ml, 2.5ml (IV) - Acurium 85.22 250 250 -
ampule Bupivacaine 0.5%, 4ml (spinal) w/ 8 dextrose (as HCl) HEAVY - Senpivac 0 102.22 300 300 -
5-Mar-18 6-Mar-18 13-Mar-18 16-Mar-18
vial Carboplatin 450mg - Kemocarb 1,199.00 100 100 -
vial Cefazolin 1g (IM,IV) (as Sodium salt) 21.22 500 500 -
vial Cefepime 1g (IM,IV) (as HCl) - Sefpime 180.00 200 200 -
vial Ceftriaxone 1g (as Disodium/ Sodium salt) - Generic 20.00 2,000 2,000 -
tablet Cefuroxime 500mg (as Axetil) - Axefime 8.88 1,250 1,250 -
capsule Celecoxib 200mg - Coxto 2.81 7,500 7,500 -
tablet Clarithromycin 500mg tablet as base - Klarcyn 9.49 250 250 -
set Dextrose 5% 0.3 NaCl 500ml (Light Blue) 40.89 96 96 -
vial Dobutamine 2mg/ml, 250ml D5W (pre-mixed) (IV) (as HCl) 276 276 -
amp/vial/PFS Epoetin Alfa 4,000 IU/ 0.4ml, IV,SC (Recombinant human erythropoetin) - 269.44 500 500 -
tube Erythromycin Ophthalmic Ointment 0.5%, 3.5g - Erycortin 148.44 40 40 -
vial Human Albumin 20%, 50ml - Albumax 450 450 -
vial Meropenem 1g (IV) (as Trihydrate) - Mepenem 167.23 470 470 -
ampule Midazolam 1mg/ml, 5ml (IM,IV) 84.00 500 500 -
capsule Omeprazole 20mg 3,000 3,000 -
vial Piperacillin+Tazobactam (4g Piperacillin+500mg Tazobactam)(IV Infusion) ( 96.00 800 800 -
ampule Tramadol 50mg/ml, 2ml (IM,IV, SC) (as HCl) - Dynatram 10.00 9,000 9,000 -
nebule Budesonide 250mcg/ml, 2ml (unit dose) - Bromex 24.00 200 200
tablet Capecitabine 500mg - Cetagen 500 100 100
capsule Cefixime 200mg - Taxim-O 16.00 700 700
vial Cytarabine 1g/10ml - Cancyt 1,275.00 68 68
set Dextrose 5% Balanced Multiple Maint. Sol'n. 1000Ml (D5NM 1L) (Orange) 45.00 612 612
set Dextrose 5% in Water 1000ml (Red) 45.00 120 120
set Dextrose 5% 0.9 NaCl 1L (D5NSS) (Yellow) 45.00 120 120
vial Dopamine 200mg/250ml D5W (premixed) (IV) (as HCl) (Green) 248.00 100 100
vial Doxorubicin powder 10mg (IV) (as HCl) - Adrosal 182.75 200 200
amp/vial Etoposide 20mg/ml, 5ml (IV) - Etopa 50 50
vial Gemcitabine 1g - Omnicure-1 2,975.00 50 50
tablet Hydroxyurea 500mg - MPL Hi-Oxy 200 200
polyamp Lidocaine 2%, 5ml (as HCl) - Eurocaine 11.00 2,000 2,000
vial Potassium Chloride 2mEq/ml, 20ml (IV infusion) - Generic 12.40 380 380
5-Mar-18 6-Mar-18 13-Mar-18 16-Mar-18
tablet Tamoxifen 20mg (as Citrate) - Tamoxigen 20 6.50 700 700
set Dextrose 5% in Lactated Ringers 1000ml (Pink)
tablet Acetylcisteine 600mg - Exflem 15.00
tablet Atenolol 50mg - Myovasc 1.98
vial Cefepime 1g (IM,IV) (as HCl) - Sefpime 180.00
vial Cefuroxime 750mg (IM,IV) (as Sodium salt) 20.00
ampule Cobra Antivenom
vial Cytarabine 1g/10ml - Cancyt 1,275.00
set Dextrose 5% in Water 1000ml (Red) 45.00
ampule Epinephrine 1:1000 1mg/ml, 1ml (IM,SC) (as Hydrochloride) 37.22
tablet Fenofibrate 160mg - Fenoflex 33.80
ampule Furosemide 10mg/ml, 2ml (IM,IV) 6.48
cap/tab Isosorbide- 5- Mononitrate 30mg - Montra 13.04
ampule Methotrexate 25mg/ml, 2ml (IM,IV, Intrathecal) (as base) 145.75
tablet Metformin 500mg (as HCl) - Donation 0.78
tablet Metoprolol 50mg (as Tartrate) - Donation 1.38
ampule Midazolam 5mg/ml, 3ml (IM,IV) (15mg/3ml) - Midazolex
ampule Nicardipine 1mg/ml, 10ml (IV) (as HCl) - Cardepine 611.04
capsule Omeprazole 20mg - Azibloc 0.84
sachet Oral Rehydration Solution - Glucosol 4.24
vial Piperacillin+Tazobactam (4g Piperacillin+500mg Tazobactam)(IV Infusion) ( 96.00
ampule Sodium Bicarbonate 1mEq/ml, 50ml(IV infusion) 84.21
vial Suxamethonium (succinyl Choline) 20mg/ml, 10ml IV (as Chloride) - Anekti 112.33
set Blood Transfusion Set 3,750 3,750 -

5-Mar-18 6-Mar-18 13-Mar-18 16-Mar-18
set Platelet Set, 20 gtts/ml, Terumo 500 500 -
set Soluset
Total no. of RIS - 10 Total no. of Drugs/RIS - 323,024

REMARKS
16-Mar-18 19-Mar-18 23-Mar-18
800
350
50
1,000
476
4,000
1,500
300
20
8,000
20
200
300
2,000
200
500
200
20
50
50
500
1,000
1,680
100
50
7,500
2,500
1,500
1,000
250
300
REMARKS
16-Mar-18 19-Mar-18 23-Mar-18
100
500
200
2,000
1,250
7,500
250
96
276
500
40
450
470
169
1,200
500
3,000
800
9,000
- 200
- 100
- 700
- 68
- 612
- 120
- 120
- 100
- 200
- 50
- 50
- 200
- 2,000
- 380
REMARKS
16-Mar-18 19-Mar-18 23-Mar-18
- 700
12,000 12,000 - 12,000
4,800 4,800 - 4,800
700 700 - 700
500 500 - 500
200 200 - 200
100 100 - 100
1,500 1,500 - 1,500
100 100 - 100
7 7 - 7
384 384 - 384
1,000 1,000 - 1,000
480 480 - 480
4,000 4,000 - 4,000
2,000 2,000 - 2,000
1,000 1,000 - 1,000
450 450 - 450
43,200 43,200 - 43,200
12,000 12,000 - 12,000
500 500 - 500
30 30 - 30
700 700 - 700
3,000 3,000 - 3,000
1,000 1,000 - 1,000
3,000 3,000 - 3,000
200 200 - 200
140 140 - 140
100 100 - 100
3,750
1,500
1,500
REMARKS
16-Mar-18 19-Mar-18 23-Mar-18
5,000
3,000
1,450
2,250
150
500
1,000 1,000 - 1,000
-
182,508
29-Jan-18 31-Jan-18 2-Feb-18 5-Feb-18
tablet Aciclovir 400mg - Ciclox 13.11 500 500

capsule Amoxicillin 500mg (as Trihydrate) - Harbimox 1.16 2,500 2,500

vial Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam) (as Sodium salt) - U 107.10 3,000 3000 -
tablet Aspirin 80mg - Generic 0.88 1,000 1,000
tablet Azithromycin 500mg (as base/as dihydrate) - Trozin (Donation) 0.00 3,000 3,000
tablet Baclofen 10mg - Trilaxant 14.95
suppository Bisacodyl 10mg adult - Dulxative 22.32 500 500
nebule Budesonide 250mcg/ml, 2ml (unit dose) - Bromex 24.00 330 330 -
canister Budesonide + Formoterol 160/4.5mcg/ unit dose - Symbicort Turbuhaler 681.35
ampule Butorphanol 2mg/ml, 1ml (IM,IV) (as Tartrate) - Generic 567.07 1,000 1,000 -
vial Cefazolin 1g (IM,IV) (as Sodium salt) - Hazolin
capsule Cefixime 400mg - Tergecef OD (Donation) 0.00 2,850 2,850

vial Cefoxitin 1g (IM,IV) (as Sodium salt) - Haxotin 99.44

vial Chloramphenicol 1g (IM,IV) (as Sodium Succinate) - Klorfen 27.88 200 200
tablet Chlorpromazine 100mg (as HCl) - Zycloran 1.51 5,000 5,000 -
tablet Chlorpromazine 200mg (as HCl) - Zycloran 2.13 15,000 15,000 -
tablet Ciprofloxacin 500mg (as Hydrochloride) - Ciprodex 1.24 2,500 2,500
ampule Clindamycin 150mg/ml, 4ml (IM,IV) (as PO4) - Dalacin C 140.00 2,000 2000 -
tablet Co-Amoxiclav 625mg (as Trihydrate) - Qualiclav 2,000 2000 -

set Dextrose 5% 0.3 NaCl 500ml (Light Blue) - Generic
set Dextrose 5% 0.9 NaCl 1L (D5NSS) (Yellow) - Generic 45.00 240 240
set Dextrose 5% in Lactated Ringers 1000ml (Pink) - Generic 45.00 6,000 6,000
set Dextrose 5% in Water 500ml (Red) - Generic 42.33 480 480
29-Jan-18 31-Jan-18 2-Feb-18 5-Feb-18
ampule Diazepam 5mg/ml, 2ml (IM,IV)
amp/vial Dopamine 40mg/ml, 5ml (IV) (as HCl) (Sterile Dopamine 200mg/5ml) - Generic 59.89 500 500 -
ampule Epinephrine 1:1000 1mg/ml, 1ml (IM,SC) (as Hydrochloride) - Generic 37.22 1,000 1,000
prefilled syrnge Epoetin Alfa 10,000 IU/ ml IV,SC (Recombinant human erythropoetin) - Eposino 1,280.00
amp/vial/PFS Epoetin Alfa 4,000 IU/ 0.4ml, IV,SC (Recombinant human erythropoetin) - Epogen 269.44 500 500
ampule Furosemide 10mg/ml, 2ml (IM,IV) - Generic 6.48 1,000 1,000

bottle Hydroxyethyl starch 6% solution 500ml bottle (IV infusion) - Nirhes 130 580.00
ampule Hydroxyzine 50mg/ml, 1ml (IM,IV) - Droxiem 495.00
bottle Isoflurane 100ml - Isorane 1,975.00
ampule Ketorolac 30mg/ml, 1ml (IM,IV) (as Trometamol) - Ketral 21.44 2,000 3,000
ampule Magnesium Sulfate 250mg/ml, 20ml (IM,IV) (as Heptahydrate) - Generic 47.00 260 260 -
tablet Mefenamic Acid 500mg - Fenamax 0.52 15,000 15,000
tablet Metformin 500mg (as HCl) - (Donation) 0
tablet Methyldopa 250mg - Aldomet 16.07

tablet Metoprolol 100mg (as Tartrate) - Cardiostat 1.90
tablet Metoprolol 50mg (as Tartrate) - (Donation) 0
capsule Omeprazole 40mg - Wilom 12.39 2,000 2000 -

29-Jan-18 31-Jan-18 2-Feb-18 5-Feb-18
vial Paclitaxel 100mg - Paclizel 1,198.22 100 100

vial Paracetamol 150mg/ml, 2ml (IM,IV) 6.33 500 500

tablet Paracetamol 500mg - Febrile Free 0.27 4,000 4,000
vial Penicillin G Benzathine (Benzathine Benzyl Penicillin) 1.2M units - Generic (Donation) 0.00 640 640
set Plain Lactated Ringers Solution 1000ml (Blue) - Generic
set Plain NSS 1000ml (Green) - Generic
tablet Potassium 750mg durules (approx. equiv. to 10 mEq) - Kalium Durules 15.00
ampule Rabbies Vaccine (0.5ml of 4% Sodium Chloride) - Verorab 1,250.00 50 50 -
ampule Ranitidine 25mg/ml, 2ml(IM,IV, IV infusion) (as HCl) - Zantol 3.89 500 500
vial Suxamethonium (succinyl Choline) 20mg/ml, 10ml IV (as Chloride) - Anektil 112.33 40 40
vial Water for injection (triple distilled water), 50ml vial (steriile water for injection) - Gen 17.88 3,000 3,000
bottle Zinc 20mg/5ml syrup - Immuzine 41.00
Total no. of RIS - 10 Total no. of Drugs/RIS - 323,024

Dif Rec'd MMS Dif Rec'd MMS Dif Rec'd MMS Dif Rec'd MMS Dif Rec'd MMS Dif Rec'd MMS Dif TOTAL
5-Feb-18 13-Feb-18 15-Feb-18 19-Feb-18 20-Feb-18 22-Feb-18 26-Feb-18
300 300 - 300
- 500
2,500 2,500 - 2,500
- 2,500
3,000
- 1,000
- 3,000
500 500 - 500
- 500 500 - 1,000
330
10 10 - 10
1,000
100 100 - 100
1,000 1,000 - 1,000
- 2,850
200 200 - 200
1,800 1,800 - 1,800
- 200
10,000 10,000 - 15,000
23,700 23,700 - 38,700
- 2,500
2,000
15,000 15,000 - 15,000
2,000
150 150 - 150
100 100 - 100
240 240 - 240 240 - 72 72 - 552
- 240
240 240 - 240
- 6,000
- 552 552 - 1,032
3,000 3,000 - 3,000
20 20 - 20
200 200 - 200
- - 500
100 100 - 100
- - 1,000
20 20 - 20
- - 500
5,000 5,000 - 5,000
300 300 - 300
- 1,000
50 50 - 50
50 50 - 50
216 216 - 216
200 200 - 200
1250 1250 - 1,250
250 250 - 250
25 25 - 25
(1,000) 2,000
25 25 - 25
1,000 1,000 - 1,000
260
- 15,000
42930 42930 - 42,930
2,000 2,000 - 2,000
3,000 3,000 - 3,000
98044 98044 - 98,044
1,000 1,000 - 1,000
300 300 - 1,200
300 300 - 300
5,000 5,000 - 5,000
2,000
4,000
750 750 - 750
- 100 100 - 200
100 100 - 100
50 50 - 50
- 500
- 4,000
- 640
4,800 4,800 - 4,800
10,800 10,800 - 10,800
800 800 - 800
50
- 500
- 40
- 3,000
50 50 - 50
-
323,024
REMARKS
REMARKS
1,000 Ketorolac advance 12/2017

REMARKS
Nov. 2017 RIS

Nov. 2017 RIS
Requisition and Issue Slip (RIS) - January 3-26, 2018
Rec'd MMS Diff Rec'd MMS Diff Rec'd MMS Diff Rec'd MMS Diff Rec'd MMS Diff Rec'd
Description
3-Jan-18 10-Jan-18 12-Jan-18 17-Jan-18 24-Jan-18 26-Jan-18
Acetylcisteine 200mg 1200 1200 -
Amlodipine 5mg (as Besylate or Camsylate) 3000 3000 -
Atorvastatin 40mg 2,000 2,000 -
Atorvastatin 80mg 2,000 2,000 -
Azithromycin 500mg (as base/as dihydrate) (Donation) 500 500 -
Biperiden 2mg (as HCl) 3,000 3,000 - 7,000 7,000 -
Budesonide 250mcg/ml, 2ml (unit dose) 170 170 -
Budesonide + Formoterol 160/4.5mcg/ unit dose 5 5 - 5 5 -
Bumetamide 1mg 100 100 -
Carboplatin 450mg 123 123 -
Cefepime 1g (IM,IV) (as HCl) 100 100 - 400 400 -
Cefixime 200mg 500 500 -
Cefixime 200mg (Donation) 150 150 -
Ceftriaxone 1g (as Disodium/ Sodium salt) 600 600 - 1800 1,800 - 3,000 3,000 -
Cefuroxime 750mg (IM,IV) (as Sodium salt) 800 800 - 1,200 1,200 -
Clarithromycin 125mg/5ml, 70ml granules/powder for suspension 30 30 -
Clozapine 100mg 5,000 5,000 -
Co-Amoxiclav 156.25mg/5ml,powder for suspension 6 6 -
Co-Amoxiclav 250mg/62.5mg/5ml,60ml granules/powder for suspension 100 100 -
Co-Amoxiclav 400mg/57mg/5ml,70ml granules/powder for suspension 100 100 -
Co-Amoxiclav 625mg (as Trihydrate) 500 500 -
Dextrose 5% 0.9 NaCl 1L (D5NSS) 120 120 -
Dextrose 50% in Water 50ml 460 460 -
Digoxin 250mcg (0.25mg) 1,000 1,000 - 1,000 1,000 -
Docetaxel 20mg/0.5ml, 0.5ml (IV infusion) 50 50 -
Docetaxel 40mg/ml, 2ml (IV infusion) 100 100 -
Dopamine 200mg/250ml D5W (premixed) (IV) (as HCl) 120 120 -
Doxorubicin powder 50mg (IV) (as HCl) 100 100 -
Filgrastim 300mcg 50 50 -
Fluconazole 150mg 300 300 -
Description
Fluorouracil 50mg/ml, 10ml (IV, IV Infusion) 523
Folic Acid 5mg 1,000 1,000 - 1,000 1,000 -
Human Normal Immuno Globulin IVIG (Donation) 25 25 -
Hydrocortisone 125mg/ml, 2ml (IV) (as Sodium Succinate) 300 300 - 100 100 - 1800 1800 -
Hydrocortisone 50mg/ml, 2ml (IV) (as Sodium Succinate) 100 100 - 100 100 - 1800 1800 - 1,800 1,800 -
Hydroxyethyl starch 6% solution 500ml bottle (IV infusion) 120 120 -
Isoflurane 100ml 24 24 -
Isosorbide dinitrate 1mg/ml, 10ml (IV) 100 100 -
Lactulose 3.3g/5ml (66% syrup), 120ml 200 200 -
Levofloxacin 750mg 500 500 -
Lidocaine 2%, 5ml (as HCl) 500 500 - 1,500
Losartan + Hydrochlorothiazide 50mg +12.5mg 980 980 -
Losartan 100mg (as Potassium salt) 1000 1000 -
Losartan 50mg (as Potassium salt) 1000 1000 -
Mefenamic Acid 500mg 2,500 2,500 - 7,500 7,500 -
Methyldopa 250mg 500 500 - 500 500 -
Metronidazole 5mg/ml, 100ml IV infusion 1,000 1,000 -
Midazolam 5mg/ml, 3ml (IM,IV) 1,000 1,000 - 1,000
Nicardipine 1mg/ml, 10ml (IV) (as HCl) 100 100 -
Omeprazole 40mg + 10ml solvent (IV) 600 600 - 600 600 - 2100 2100 -
Paracetamol 500mg 1,000 1,000 - 1,000 1,000 -
Plain NSS 1000ml (Green) 528 528 -
Risperidone 2mg 2,000 2,000 - 27,000 27,000 -
Simvastatin 40mg 2,000 2,000 -
Sodium Bicarbonate 1mEq/ml, 50ml(IV infusion) 140 140 -
Soluset 1000 1000 -
Tetanus Toxoid 0.5ml (IM) 240 240 -
Vitamin B Complex 2,000 2,000 -
Total no. of RIS - 6 Total no. of Drugs/RIS - 58

Description

MMS Diff TOTAL
26-Jan-18
1,200
3,000
2,000
2,000
500
10,000
170
10
100
123
500
500
150
5,400
2,000
30
5,000
6
100
100
500
120
460
2,000
50
100
120
100
50
300
MMS Diff TOTAL
26-Jan-18
523 - 523
2,000
25
2,200
3,800
120
24
100
200
500
1,500 - 2,000
980
1,000
1,000
10,000
1,000
1,000
1,000 - 2,000
100
3,300
2,000
528
29,000
2,000
140
1,000
240
2,000
Requisition and Issue Slip (RIS) - January 29 - February , 2018
Rec'd MMS
29-Jan-18
ampule Butorphanol 2mg/ml, 1ml (IM,IV) (as Tartrate) - Generic 567.07 1,000 1,000
ampule Omeprazole 40mg + 10ml solvent (IV) - Zyom 37.00 4,000 4,000
vial Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam) (as Sodium salt) - Unasyn 107.10
ampule Clindamycin 150mg/ml, 4ml (IM,IV) (as PO4) - Dalacin C 140.00
amp/vial Dopamine 40mg/ml, 5ml (IV) (as HCl) (Sterile Dopamine 200mg/5ml) - Generic 59.89
tablet Chlorpromazine 100mg (as HCl) - Zycloran 1.51
tablet Chlorpromazine 200mg (as HCl) - Zycloran 2.13
ampule Rabbies Vaccine (0.5ml of 4% Sodium Chloride) - Verorab 1,250.00
nebule Budesonide 250mcg/ml, 2ml (unit dose) - Bromex 24.00
tablet Co-Amoxiclav 625mg (as Trihydrate) - Qualiclav
ampule Magnesium Sulfate 250mg/ml, 20ml (IM,IV) (as Heptahydrate) - Generic 47.00
ampule Nicardipine 1mg/ml, 10ml (IV) (as HCl) - Cardepine 611.04
capsule Omeprazole 40mg - Wilom 12.39
capsule Cefixime 400mg - Tergecef OD (Donation) 0.00
tablet Azithromycin 500mg (as base/as dihydrate) - Trozin (Donation) 0.00
vial Penicillin G Benzathine (Benzathine Benzyl Penicillin) 1.2M units - Generic (Donation) 0.00
vial Water for injection (triple distilled water), 50ml vial (steriile water for injection) - Generic 17.88
set Dextrose 5% in Lactated Ringers 1000ml (Pink) - Generic 45.00
capsule Amoxicillin 500mg (as Trihydrate) - Harbimox 1.16
vial Chloramphenicol 1g (IM,IV) (as Sodium Succinate) - Klorfen 27.88
ampule Epinephrine 1:1000 1mg/ml, 1ml (IM,SC) (as Hydrochloride) - Generic 37.22
amp/vial/PFS Epoetin Alfa 4,000 IU/ 0.4ml, IV,SC (Recombinant human erythropoetin) - Epogen 269.44
tablet Ciprofloxacin 500mg (as Hydrochloride) - Ciprodex 1.24
ampule Ketorolac 30mg/ml, 1ml (IM,IV) (as Trometamol) - Ketral 21.44
ampule Furosemide 10mg/ml, 2ml (IM,IV) - Generic 6.48
vial Paracetamol 150mg/ml, 2ml (IM,IV) 6.33
vial Suxamethonium (succinyl Choline) 20mg/ml, 10ml IV (as Chloride) - Anektil 112.33
suppository Bisacodyl 10mg adult - Dulxative 22.32
tablet Mefenamic Acid 500mg - Fenamax 0.52
tablet Paracetamol 500mg - Febrile Free 0.27
vial Paclitaxel 100mg - Paclizel 1,198.22
Rec'd MMS
29-Jan-18
tablet Aciclovir 400mg - Ciclox 13.11
tablet Aspirin 80mg - Generic 0.88
ampule Ranitidine 25mg/ml, 2ml(IM,IV, IV infusion) (as HCl) - Zantol 3.89
set Dextrose 5% in Water 500ml (Red) - Generic 42.33
set Dextrose 5% 0.9 NaCl 1L (D5NSS) (Yellow) - Generic 45.00
suppository Bisacodyl 10mg adult - Dulxative
ampule Diazepam 5mg/ml, 2ml (IM,IV)
set Plain NSS 1000ml (Green) - Generic
set Plain Lactated Ringers Solution 1000ml (Blue) - Generic
set Dextrose 5% 0.3 NaCl 500ml (Light Blue) - Generic
vial Cefazolin 1g (IM,IV) (as Sodium salt) - Hazolin

Rec'd MMS
29-Jan-18

Rec'd MMS
29-Jan-18
Total no. of RIS - Total no. of Drugs/RIS -

Dif Rec'd MMS Dif Rec'd MMS Dif Rec'd MMS Dif Rec'd MMS Dif Rec'd MMS Dif Rec'd MMS Dif Rec'd MMS Dif Rec'd
29-Jan-18 31-Jan-18 2-Feb-18 5-Feb-18 13-Feb-18 15-Feb-18 19-Feb-18 20-Feb-18 22-Feb-18
- - - - - - - -
- - - - - - - -
- 3,000 3,000 - - - - - -
- 2,000 2,000 - - - - - -
- 500 500 - - - - - -
- - 5,000 5,000 - - - - - -
- - 15,000 15,000 - - - - - -
- - 50 50 - - - - - -
- - 330 330 - - - - - -
- - 2,000 2000 - - - - - -
- - 260 260 - - - - - -
- - 900 900 - - - - - -
- - 2,000 2000 - - - - - -
- - - 2,850 2,850 - - - - -
- - - 3,000 3,000 - - - - -
- - - 640 640 - - - - -
- - 3,000 3,000 - - - - -
- - 6,000 6,000 - - - - -
- - 2,500 2,500 - - - - -
- - 200 200 - - - - -
- - 1,000 1,000 - - - - -
- - 500 500 - - - - -
- - 2,500 2,500 - - - - -
- - 2,000 3,000 (1,000) - - - -
- - 1,000 1,000 - - - - -
- - 500 500 - - - - -
- - 40 40 - - - - -
- - 500 500 - - - - -
- - 15,000 15,000 - - - - -
- - 4,000 4,000 - - - - -
- - 100 100 - - - - -
- - 500 500 - - - - -
- - 1,000 1,000 - - - - -
- - 500 500 - - - - -
- - 480 480 - - - - -
- - 240 240 - - - - -
- - - 50 50 - - - -
- - - 100 100 - - - -
- - - 20 20 - - - -
- - - 500 500 - - - -
- - - 5,000 5,000 - - - -
- - - 100 100 - - - -
- - - 100 100 - - - -
- - - 200 200 - - - -
- - - 3,000 3,000 - - - -
- - - 10,800 10,800 - - - -
- - - 4,800 4,800 - - - -
- - - 240 240 - - - -
- - - 1,000 1,000 - - - -
240
240
25
750
2,500
1,000
10,000
23,700
15,000
5,000
150
300
300
50
552
72
200
300
300
1,000
100
100
50
3,000
500
10
2,000
800
200
25
216
98044
42930
- - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
of Drugs/RIS -
Noted by:
Marliza P. Balete, RPh, MS

Pharmacist V
MMS Dif Rec'd MMS Dif Rec'd MMS Dif Rec'd MMS Dif Rec'd MMS Dif TOTAL REMARKS
22-Feb-18 26-Feb-18
- - - - - 1,000
- - - - - 4,000
- - - - - 3,000
- - - - - 2,000
- - - - - 500
- - - - - 5,000
- - - - - 15,000
- - - - - 50
- - - - - 330
- - - - - 2,000
- - - - - 260
- - - - - 900
- - - - - 2,000
- - - - - 2,850
- - - - - 3,000
- - - - - 640
- - - - - 3,000
- - - - - 6,000
- - - - - 2,500
- - - - - 200
- - - - - 1,000
- - - - - 500
- - - - - 2,500
- - - - - 2,000 1,000 Ketorolac advance 12/2017
- - - - - 1,000
- - - - - 500
- - - - - 40
- - - - - 500
- - - - - 15,000
- - - - - 4,000
- - - - - 100
22-Feb-18 26-Feb-18
- - - - - 500
- - - - - 1,000
- - - - - 500
- - - - - 480
- - - - - 240
- - - - - 50
- - - - - 100
- - - - - 20
- - - - - 500
- - - - - 5,000
- - - - - 100
- - - - - 100
- - - - - 200
- - - - - 3,000
- - - - - 10,800 Nov. 2017 RIS
- - - - - 4,800 Nov. 2017 RIS
- - - - - 240
- - - - - 1,000
22-Feb-18 26-Feb-18
20 20 -
50 50 -
1,800 1,800 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
22-Feb-18 26-Feb-18
- - - - - -
- - - - - -
Rec'd MMS Dif Rec'd MMS Dif Rec'd MMS

29-Jan-18 31-Jan-18 2-Feb-18
ampule Butorphanol 2mg/ml, 1ml (IM,IV) (as Tartrate) - Generic 567.07 1,000 1,000 - -
ampule Omeprazole 40mg + 10ml solvent (IV) - Zyom 37.00 4,000 4,000 - -
vial Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam) (as Sodium salt) - Unasyn 107.10 - 3,000 3,000
ampule Clindamycin 150mg/ml, 4ml (IM,IV) (as PO4) - Dalacin C 140.00 - 2,000 2,000
amp/vial Dopamine 40mg/ml, 5ml (IV) (as HCl) (Sterile Dopamine 200mg/5ml) - Generic 59.89 - 500 500
tablet Chlorpromazine 100mg (as HCl) - Zycloran 1.51 - - 5,000 5,000
tablet Chlorpromazine 200mg (as HCl) - Zycloran 2.13 - - 15,000 15,000
ampule Rabbies Vaccine (0.5ml of 4% Sodium Chloride) - Verorab 1,250.00 - - 50 50
nebule Budesonide 250mcg/ml, 2ml (unit dose) - Bromex 24.00 - - 330 330
tablet Co-Amoxiclav 625mg (as Trihydrate) - Qualiclav - - 2,000 2000
ampule Magnesium Sulfate 250mg/ml, 20ml (IM,IV) (as Heptahydrate) - Generic 47.00 - - 260 260
ampule Nicardipine 1mg/ml, 10ml (IV) (as HCl) - Cardepine 611.04 - - 900 900
capsule Omeprazole 40mg - Wilom 12.39 - - 2,000 2000
capsule Cefixime 400mg - Tergecef OD (Donation) 0.00 - -
tablet Azithromycin 500mg (as base/as dihydrate) - Trozin (Donation) 0.00 - -
vial Penicillin G Benzathine (Benzathine Benzyl Penicillin) 1.2M units - Generic (Donation) 0.00 - -
vial Water for injection (triple distilled water), 50ml vial (steriile water for injection) - Generic 17.88 -
set Dextrose 5% in Lactated Ringers 1000ml (Pink) - Generic 45.00 -
capsule Amoxicillin 500mg (as Trihydrate) - Harbimox 1.16 -
vial Chloramphenicol 1g (IM,IV) (as Sodium Succinate) - Klorfen 27.88 -
ampule Epinephrine 1:1000 1mg/ml, 1ml (IM,SC) (as Hydrochloride) - Generic 37.22 -
amp/vial/PFS Epoetin Alfa 4,000 IU/ 0.4ml, IV,SC (Recombinant human erythropoetin) - Epogen 269.44 -
tablet Ciprofloxacin 500mg (as Hydrochloride) - Ciprodex 1.24 -
ampule Ketorolac 30mg/ml, 1ml (IM,IV) (as Trometamol) - Ketral 21.44 -
ampule Furosemide 10mg/ml, 2ml (IM,IV) - Generic 6.48 -
vial Paracetamol 150mg/ml, 2ml (IM,IV) 6.33 -
vial Suxamethonium (succinyl Choline) 20mg/ml, 10ml IV (as Chloride) - Anektil 112.33 -
suppository Bisacodyl 10mg adult - Dulxative 22.32 -
tablet Mefenamic Acid 500mg - Fenamax 0.52 -
tablet Paracetamol 500mg - Febrile Free 0.27 -
vial Paclitaxel 100mg - Paclizel 1,198.22 -
29-Jan-18 31-Jan-18 2-Feb-18
tablet Aciclovir 400mg - Ciclox 13.11 -
tablet Aspirin 80mg - Generic 0.88 -
ampule Ranitidine 25mg/ml, 2ml(IM,IV, IV infusion) (as HCl) - Zantol 3.89 -
set Dextrose 5% in Water 500ml (Red) - Generic 42.33 -
set Dextrose 5% 0.9 NaCl 1L (D5NSS) (Yellow) - Generic 45.00 -
vial Human Albumin 20%, 50ml - Albumax -
vial Doxorubicin powder 50mg (IV) (as HCl) - Doxvex 50 -
vial Docetaxel 20mg/0.5ml, 0.5ml (IV infusion) - Vexdo 20 -
suppository Bisacodyl 10mg adult - Dulxative -
tablet Escitalopram 10mg (as oxalate) - Ecsapro -
vial Paclitaxel 100mg - Paclizel -
vial Paclitaxel 30mg - Paclizel -
vial Cefoxitin 1g (IM,IV) (as Sodium salt) - Haxotin -
ampule Diazepam 5mg/ml, 2ml (IM,IV) -
set Plain NSS 1000ml (Green) - Generic -
set Plain Lactated Ringers Solution 1000ml (Blue) - Generic -
set Dextrose 5% 0.3 NaCl 500ml (Light Blue) - Generic -
vial Cefazolin 1g (IM,IV) (as Sodium salt) - Hazolin -

29-Jan-18 31-Jan-18 2-Feb-18

-
- -
- -
- -
- -
29-Jan-18 31-Jan-18 2-Feb-18
- -
- -
- -
- -
Total no. of RIS - Total no. of Drugs/RIS -

Dif Rec'd MMS Dif Rec'd MMS Dif Rec'd MMS Dif Rec'd MMS Dif Rec'd MMS Dif Rec'd MMS Dif Rec'd MMS Dif Rec'd TOTAL
2-Feb-18 5-Feb-18 13-Feb-18 15-Feb-18 19-Feb-18 20-Feb-18 22-Feb-18 26-Feb-18
- - - - - - - - 1,000
- - - - - - - - 4,000
- - - - - - - - 3,000
- - - - - - - - 2,000
- - - - - - - - 500
- - - - - - - - 5,000
- - - - - - - - 15,000
- - - - - - - - 50
- - - - - - - - 330
- - - - - - - - 2,000
- - - - - - - - 260
- - - - - - - - 900
- - - - - - - - 2,000
- 2,850 2,850 - - - - - - - 2,850
- 3,000 3,000 - - - - - - - 3,000
- 640 640 - - - - - - - 640
- 3,000 3,000 - - - - - - - 3,000
- 6,000 6,000 - - - - - - - 6,000
- 2,500 2,500 - - - - - - - 2,500
- 200 200 - - - - - - - 200
- 1,000 1,000 - - - - - - - 1,000
- 500 500 - - - - - - - 500
- 2,500 2,500 - - - - - - - 2,500
- 2,000 3,000 (1,000) - - - - - - 2,000
- 1,000 1,000 - - - - - - - 1,000
- 500 500 - - - - - - - 500
- 40 40 - - - - - - - 40
- 500 500 - - - - - - - 500
- 15,000 15,000 - - - - - - - 15,000
- 4,000 4,000 - - - - - - - 4,000
- 100 100 - - - - - - - 100
- 500 500 - - - - - - - 500
- 1,000 1,000 - - - - - - - 1,000
- 500 500 - - - - - - - 500
- 480 480 - - - - - - - 480
- 240 240 - - - - - - - 240
- - 50 50 - - - - - - 50
- - 100 100 - - - - - - 100
- - 20 20 - - - - - - 20
- - 500 500 - - - - - - 500
- - 5,000 5,000 - - - - - - 5,000
- - 100 100 - - - - - - 100
- - 100 100 - - - - - - 100
- - 200 200 - - - - - - 200
- - 3,000 3,000 - - - - - - 3,000
- - 10,800 10,800 - - - - - - 10,800
- - 4,800 4,800 - - - - - - 4,800
- - 240 240 - - - - - - 240
- - 1,000 1,000 - - - - - - 1,000
240 240 - -
240 240 - -
25 25 - -
750 750 - -
2,500 2,500 - -
1,000 1,000 - -
10,000 ### - -
23,700 ### - -
15,000 ### - -
5,000 5,000 - -
150 150 - -
300 300 - -
300 300 - -
50 50 - -
552 552 - -
72 72 - -
200 200 - -
300 300 - -
300 300 - -
1,000 1,000 - -
100 100 - -
100 100 - -
50 50 - -
1250 1250 - -
250 250 - -
3,000 3,000 - -
500 500 - -
10 10 - -
2,000 2,000 - -
800 800 - -
200 200 - -
25 25 - -
216 216 - -
98044 98044 - -
42930 42930 - -
20 20 - -
50 50 - -
1,800 1,800 - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
REMARKS
1,000 Ketorolac advance 12/2017

REMARKS
Nov. 2017 RIS

Nov. 2017 RIS
ADVANCES SA PHIL PHARMA
ITEM DESCRIPTION DATE OF DELIVERY OF ADVANCES
Dextrose 10% in Water 500ml
QUANTITY
30BXS x 24 720
Acetylcisteine 600m
Amlodipine 10mg
Ampicillin 500mg (IM,
Ampicillin Sulbactam 150
Anti-Tetanus Serum (equine) 1,500
Aspirin 80mg
Atorvastatin 20mg
Azithromycin 500mg
Azithromycin 500mg powder (
Biperiden 2mg
Bisacodyl 10mg adul
Bisacodyl 5mg
Budesonide 250mcg/ml, 2ml
Bupivacaine 0.5%, 4ml (spinal) w/ 8 dex
Capecitabine 500mg
Carbamazepine 200m
Cefepime 500mg (IM,
Cefoxitin 1g (IM,IV)
Ceftazidime 1g
Cefuroxime 750mg (IM
Celecoxib 400mg
Cetirizine 10mg
Cetirizine 10mg/ml drops,
Cetirizine 1mg/ml syr, 3
Ciprofloxacin 2mg/ml, 10
Ciprofloxacin 500mg
Cisplatin 50mg (IV)
Clindamycin 150mg/ml, 4m
Clindamycin HCl 300m
Co-Amoxiclav 625mg
Dexamethasone 4mg
Dexamethasone 4mg/ml, 2m
Dextrose 10% in Water 5
Dextrose 5% 0.3 NaCl 500ml (
Dextrose 5% 0.9 NaCl 1L (D5NS
Dextrose 5% Balance Multiple Maint. S
Dextrose 5% Balanced Multiple Replacement. Sol'n.
Dextrose 5% in Lactated Ringers 1000
Dextrose 5% in Water 1000m
Dextrose 5% in Water 500m
Dextrose 50% in Water
Dextrose Plain Lactated Ringers Solution
Dextrose Plain NSS 1000ml
Digoxin 250mcg (0.25m
Digoxin 250mcg/ml, 2ml
Digoxin 50mcg (0.05mg)/ml E
Diltiazem 60mg (as Hydroc
Dopamine 200mg/250ml D5W (premixed
Dopamine 40mg/ml, 5ml (IV) (as HCl) (Steril
Doxycycline 100mg
Epoetin Alfa 10,000 IU/ ml
Epoetin Alfa 4,000 IU/ 0.4m
Famotidine 10mg/ml, 2ml
Filgrastim 300mcg
Fluconazole 2mg/ml, 10
Fluorouracil 50mg/ml, 1
Folic Acid 5mg
Fondaparinux 2.5mg/0.
Furosemide 10mg/ml, 2
Gemcitabine 1g
Gemcitabine 200mg
Haloperidol 20mg
Human Albumin 20%, 5
Hydrocortisone 125mg/m
Hyoscine 20mg/ml, 1m
Ibuprofen 400mg
Ipratropium + Salbutamol UD
Isosorbide dinitrate 1mg/ml,
Ketorolac 30mg/ml, 1m
Meropenem 1g (IV)
Meropenem 500mg (I
Methyldopa 250mg
Methylergometrine Maleate 200mc
Methylprednisolone 1g/1
Methylprednisolone 500mg
Metoclopromide 5mg/ml, 2m
Metronidazole 5mg/ml, 10
Nalbuphine 10mg/ml, 1ml (
Nifedipine 10mg
Norepinephrine 1mg/ml, 4
Omeprazole 40mg
Ondansetron 2mg/ml, 4ml
Oxaliplatin 100mg
Paclitaxel 100mg
Paracetamol 500mg
Phytomenadione (Phytonadione, vit.K1)1
Piperacillin+Tazobactam (P
Potassium 750mg duru
Potassium Chloride 2mEq/m
Prednisone 10mg/5ml suspen
Propylthiouracil 50mg
Quetiapine 100mg
Rabbies Vaccine Lyophillyzed powder 2.5 IU/ml, 1
Risperidone 2mg
Rocuronium Bromide 10mg
Sodium Bicarbonate 1mEq/m
Somatostatin 3mg (IV, IV in
Tranexamic Acid 100mg/ml, 5
Tranexamic Acid 500m
Valproate disodium/ Valproic A
Vancomycin 500mg (I
Vitamin B Complex 100mg+100mg+1
Intravenous Administration Set (Macr
Intravenous Administration Set (Micro
IV Cannula G18 with injecti

CVMC Pharmacy Requisition and Issue Slip for Medications and Supplies

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CVMC Pharmacy Requisition and Issue Slip for Medications and Supplies

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MM-001-1

Republic of the Philippines

MATERIAL MANAGEMENT SECTION

Purpose: FOR CVMC PHARMACY SECTION USE - FOR PULL-OUT

tablet Aciclovir 400mg - Ciclox

sachet Acetylcisteine 200mg - Fluimicil

tablet Ascorbic Acid 500mg

ampule Atracurium Besylate 10mg/ml, 2.5ml (IV) - Acurium

tablet Biperiden 2mg (as HCl)

suppository Bisacodyl 10mg adult - Dulxative

bottle Prednisolone eye drops suspension 0.5%,5ml(as acetate)

set Intravenous Administration Set (Macroset) 20 drops/ml

15.30 bottle Moxylor W PASSED

200.00 bottle Venpred W PASSED

MPA PHARMACARE 15.30

ZUELLIG PHARMA 200.00

Unit Description TOTAL REMARKS

1 tablet Acetylcisteine 600mg - Exflem 1,200

49 ampule Omeprazole 40mg + 10ml solvent (IV) - Zyom 4,952

Total no. of RIS for Drugs & Medicines - 5

Prepared by: Noted by:

LOUIE C. DAYAG Marliza P. Balete, RPh, MSPh

set Intravenous Administration Set (Macroset) 20 drops/ml 1,000

Total no. of RIS for Drugs & Medicines - 5

Prepared by: Noted by:

LOUIE C. DAYAG Marliza P. Balete, RPh, MSPh

set Intravenous Administration Set (Macroset) 20 drops/ml 1,000 1,000 -

Total no. of RIS for Drugs & Medicines - 6

Prepared by: Noted by:

LOUIE C. DAYAG Marliza P. Balete, RPh, MS

set Intravenous Administration Set (Macroset) 20 drops/ml 1,000 1,000 -

Total no. of RIS for Drugs & Medicines - 6

Prepared by: Noted by:

LOUIE C. DAYAG Marliza P. Balete, RPh, MS

Total no. of RIS for Drugs & Medicines - 6

Prepared by: Noted by:

Rec'd MMS Dif Rec'd MMS Dif Rec'd MMS Dif

set Intravenous Administration Set (Macroset) 20 drops/ml 1,250 1,250 -

Total no. of RIS for Drugs & Medicines - 6

Prepared by: Noted by:

LOUIE C. DAYAG Marliza P. Balete, RPh, MS

Rec'd MMS Dif Rec'd MMS Dif Rec'd MMS Dif

set Intravenous Administration Set (Macroset) 20 drops/ml 1,250 1,250 -

Total no. of RIS for Drugs & Medicines- 6

Prepared by: Noted by:

LOUIE C. DAYAG Marliza P. Balete, RPh, MS

set Blood Transfusion Set 3,750

Total no. of RIS for Drugs & Medicines- 6

Prepared by: Noted by:

LOUIE C. DAYAG Marliza P. Balete, RPh, MS

set Blood Transfusion Set 3,750 3,750 -

Total no. of RIS - 10 Total no. of Drugs/RIS - 323,024

Prepared by: Noted by:

LOUIE C. DAYAG Marliza P. Balete, RPh, MS

tablet Aciclovir 400mg - Ciclox 13.11 500 500

capsule Amoxicillin 500mg (as Trihydrate) - Harbimox 1.16 2,500 2,500

vial Cefazolin 1g (IM,IV) (as Sodium salt) - Hazolin

capsule Cefixime 400mg - Tergecef OD (Donation) 0.00 2,850 2,850

vial Cefoxitin 1g (IM,IV) (as Sodium salt) - Haxotin 99.44

tablet Co-Amoxiclav 625mg (as Trihydrate) - Qualiclav 2,000 2000 -

vial Cyclophosphamide 500mg (IV) - Cyphos-500

set Dextrose 5% 0.3 NaCl 500ml (Light Blue) - Generic

vial Docetaxel 20mg/0.5ml, 0.5ml (IV infusion) - Vexdo 20