| Contract Number | Format | Brand Name | Cost /30 days | SIGCode | |
|---|---|---|---|---|---|
| 40 | CARVEDILOL 25MG TABLET | CARVEDILOL (FSB) | 5,00 | ||
| 40 | CARVEDILOL 25MG TABLET | CARVEDILOL (MCP) | |||
| 40 | CARVEDILOL 25MG TABLET | CARDOZ (IPC) | 8,00 | 1 OD | |
| 40 | CARVEDILOL 25MG TABLET | CARCA (INP) | 5,00 | 1 OD | |
| 41 | CARVEDILOL 6.25MG TAB | CARVIDEX (REM) | 5,00 | 1 OD | |
| 41 | CARVEDILOL 6.25MG TAB | CARCA (INP) | 5,00 | 1 OD | |
| 40 | CARVEDILOL 6.25MG TABLET | CARCA (INP) | 5,00 | 1 OD | |
| 40 | CARVEDILOL 6.25MG TABLET | CARVEDILOL (FSB) | 5,00 | ||
| 40 | CARVEDILOL 6.25MG TABLET | CARDOZ (IPC) | 5,00 | 1 OD | |
| 40 | CHOLESTYRAMINE 4G GRANULES | PMS-CHOLESTYRAMINE (PMS) | 56,55 | 1 OD | |
| 41 | CHOLESTYRAMINE 4G SACH | PMS-CHOLESTYRAMINE (PMS) | 68,91 | 1 OD | |
| 41 | DIGOXIN 0.125MG TAB | TOLOXIN (PMS) | 1 139,78 | ||
| 40 | DIGOXIN 0.125MG TABLET | TOLOXIN (PMS) | 780,00 | ||
| 41 | DIGOXIN 0.25MG TAB | DIXIN (SLS) | 5,00 | ||
| 40 | DIGOXIN 0.25MG TABLET | DIXIN (SLS) | 5,00 | ||
| 41 | DIGOXIN 50MCG/ML ML | DIGOXIN (KWA) | 5,00 | ||
| 40 | DIGOXIN 50MCG/ML SOLUTION | TOLOXIN (PMS) | 1 928,55 | ||
| 41 | DILTIAZEM 120MG CAP | APO-DILTIAZ (APO) | 10,07 | 1 OD | |
| 40 | DILTIAZEM 120MG CAPSULE | APO-DILTIAZ CD (APO) | 10,10 | 1 OD | |
| 41 | DILTIAZEM 180MG CAP | APO-DILTIAZ (APO) | 12,07 | 1 OD | |