FURNISHING AND DELIVERY OF MEDICINES 3RD QUARTER FOR OFFICIAL USE OF

RHU AND BHS SINILOAN, LAGUNA

ITEM
NO. QTY. UNIT MADE AND DESCRIPTION OF MATERIALS BID PRICE TOTAL
1 432 Losartan 50mg
2 288 Amlodipine 10mg 100s
3 144 Amlodipine 5mg 100s
4 50 Captopril 25mg 100s
5 50 Enalapril 10mg 100s
6 100 Metoprolol 50mg 100s
7 5 Methyldopa 250mg 100s
8 100 Mefenamic Acid 500mg cap 100s
9 144 Amoxicillin 500mg cap 100s
10 100 Cefalexin 500mg cap 100s
11 288 Cefalexin 250mg susp
12 288 Amoxicillin 250mg susp
13 288 Amoxicillin 125mg susp
14 30 Co-Amoxiclav 125mg susp
15 50 Co-Amoxiclav 625mg tablet 10s
16 50 Cefuroxime 500mg tablet 10s
17 15 Cefaclor 500mg capsule 50s
18 20 Metronidazole 500mg tablet 100s
19 144 Metronidazole 125mg
20 20 Nitrofurantoin 100mg cap 100s
21 30 Ciprofloxacin 500mg tab 100s
22 288 Cotrimoxazole 200mg susp
23 288 Cotrimoxazole 400mg susp
24 288 Paracetamol 100mg oral drops
25 288 Paracetamol 250mg susp
26 150 Paracetamol 500mg tab 100s
27 15 Tramadol 500mg tab 100s
28 30 Celecoxib 200mg 100s
29 10 Prednisone 20mg 100s
30 150 Ascorbic Acid 500mg 100s
31 288 Ascorbic Acid Syrup
32 288 Foralivit cap 100s
33 180 Vitamin B-Complex 100s
34 15 Rifampicin 450mg 100s
35 30 Isoniazid 400 tab 100s
36 30 Isoniazid 200mg 60ml
37 15 Rifampicin 450mg 100s
38 50 Pyrazinamide 60ml
39 144 Metformin 500mg 100s
40 144 Gliclazide 80mg 100s
41 60 Glimepiride 2mg 100s
42 15 Losartan + Hydrochlorothiazide 50/12.5 100s
43 30 Clopidogrel 75mg 100s
44 10 Ursofalk 250mg 100s
45 100 Aspirin 80mg 100s
46 2 Leveteracitam 250mg 100s
47 288 Multivitamins 100mg oral drops
48 20 Cetirizine 10mg 100s
49 10 Montelukast 10mg 100s
50 50 Salbutamol 2mg tab 100s
51 100 Cotrimoxazole 800mg 100s
52 120 Dicycloverine 10mg 60ml
53 10 Furosemide 40mg 100s
54 40 Simvastatin 20mg 100s
55 10 Allopurinol 100mg 100s

Sub-total _________________

Total Amount of BID ___________________

________________________________ Amount of Bond ___________________

BIDDER'S SIGNATURE OVER PRINTED NAME