POLMED REFERENCE PRICE LIST

ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ABACAVIR 300MG 715347 ADCO-ABACAVIR 300MG TAB 60 R1,159.25
ABACAVIR 300MG 715063 ASPEN ABACAVIR 300MG TAB 60 R1,159.25
ABACAVIR 300MG 720837 BAVIR 300MG TAB 60 R1,159.25
ABACAVIR 300MG 714098 CIPLA-ABACAVIR 300MG TAB 60 R1,159.25
ABACAVIR 300MG 3001799 HETACAV 300MG TAB 60 R1,159.25
ABACAVIR 300MG 715493 INVERTRON 300MG TAB 60 R1,159.25
ABACAVIR 300MG 3001229 KAVIMUN 60 R1,159.25
ABACAVIR 300MG 715012 SONKE-ABACAVIR 300MG TAB 60 R1,159.25
ABACAVIR 300MG 898531 ZIAGEN 300MG TAB 60 R1,159.25
ABACAVIR SOLUTION 720866 ADCO ABACAVIR 240 R435.14
ABACAVIR SOLUTION 713758 ASPEN ABACAVIR 100MG/5ML SLN 240 R435.14
ABACAVIR SOLUTION 720838 BAVIR 20MG/1ML SOL 240 R435.14
ABACAVIR SOLUTION 714099 CIPLA-ABACAVIR 100MG/5ML SYR 240 R435.14
ABACAVIR SOLUTION 3001798 HETACAV ORAL 240 R435.14
ABACAVIR SOLUTION 715494 INVERTRON 100MG/5ML SYR 240 R435.14
ABACAVIR SOLUTION 898538 ZIAGEN 100MG/5ML SYR 240 R435.14
ABIRATERONE 250MG 3002660 ABIRATERONE CIPLA 120 R16,956.46
ABIRATERONE 250MG 3003663 ABITIG 120 R16,956.46
ABIRATERONE 250MG 3002487 PROTYGA 120 R16,956.46
ABIRATERONE 250MG 3002439 TERONRED 120 R16,956.46
ABIRATERONE 250MG 720690 ZYTIGA 120 R16,956.46
ACETAZOLAMIDE 789771 AZOMID 250MG TAB 100 R183.56
ACETAZOLAMIDE 719471 DIAMOX 250MG TAB 100 R183.56
ACETYLCYSTEINE 824291 ACC 200MG 25 R84.95
ACETYLCYSTEINE 716267 AMUCO 200MG 25 R84.95
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ACETYLCYSTEINE 3000064 AMUCO OTC 200MG 25 R84.95
ACETYLCYSTEINE 718049 MUCATAK 200MG 25 R84.95
ACETYLCYSTEINE 3004751 MUCO-ACYST 25 R84.95
ACETYLCYSTEINE 3004743 MUCOFIZZ 25 R84.95
ACETYLCYSTEINE 3004112 MUCOTRIN 25 R84.95
ACETYLCYSTEINE 719848 PHOLTEX MUCUS 200MG 25 R84.95
ACETYLCYSTEINE 3004235 TRINFLEM 25 R84.95
ACETYLCYSTEINE 3003379 TUSSMUCO 25 R84.95
ACETYLCYSTEINE 600MG 3004153 ACC 10 R122.04
ACETYLCYSTEINE 600MG 3006526 ACTEFF 10 R122.04
ACETYLCYSTEINE 600MG 3004885 AMUCO 10 R122.04
ACETYLCYSTEINE 600MG 718050 MUCATAK 10 R122.04
ACETYLCYSTEINE 600MG 3005256 NAC ACTOR 10 R122.04
ACETYLCYSTEINE 600MG 3007032 TRINFLEM 10 R122.04
ACYCLOVIR 200MG 717370 ACICLOVIR SANDOZ 200MG TAB 25 R81.50
ACYCLOVIR 200MG 719670 ACYCLOVIR BIOTECH 200MG TAB 25 R81.50
ACYCLOVIR 200MG 827282 ADCO-ACYCLOVIR 200MG TAB 25 R81.50
ACYCLOVIR 200MG 717157 APEX-ACYCLOVIR 200MG TAB 25 R81.50
ACYCLOVIR 200MG 824313 CYCLIVEX 200 MG TAB 25 R81.50
ACYCLOVIR 200MG DSP 704778 ACITAB-200 DT 25 R86.30
ACYCLOVIR 200MG DSP 838225 LOVIRE 200MG DSP 25 R86.30
ACYCLOVIR 200MG DSP 833703 ZOVIRAX 200 DISP 200MG DSP 25 R86.30
ACYCLOVIR 400MG 717371 ACICLOVIR SANDOZ 400MG TAB 70 R311.29
ACYCLOVIR 400MG 717158 APEX-ACYCLOVIR 400MG TAB 70 R311.29
ACYCLOVIR 400MG 860581 CYCLIVEX 400MG TAB 70 R311.29
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ACYCLOVIR 400MG DSP 704779 ACITAB-400 DT 60 R283.22
ACYCLOVIR 400MG DSP 838233 LOVIRE 400MG DSP 60 R283.22
ACYCLOVIR CRM 873551 ACITOP CRE 2 R31.73
ACYCLOVIR CRM 823473 ACTIVIR 2G PUMP PA 5% CRE 2 R31.73
ACYCLOVIR CRM 824674 ADCO-ACYCLOVIR CRE 2 R31.73
ACYCLOVIR CRM 713942 BETA-VIRA CRE 2 R31.73
ACYCLOVIR CRM 3003363 ZOTRIN 2 R31.73
ACYCLOVIR CRM 826340 ZOVIRAX CRE 2 R31.73
ADAPALENE 721707 DAPTA 1MG/1G CRE 30 R323.46
ADAPALENE 721708 DAPTA 1MG/1G JEL 30 R323.46
ADAPALENE 720276 DERIVA GEL 1MG/1G 30 R323.46
ADAPALENE 863939 DIFFERIN CRE 1MG/1G 30 R323.46
ADAPALENE 827215 DIFFERIN GEL 1MG/1G 30 R323.46
ALENDRONIC ACID 70MG 709760 ALENDRONATE 70 OETHMAAN TAB 4 R258.46
ALENDRONIC ACID 70MG 719397 ALENDRONATE UNICORN 70MG TAB 4 R258.46
ALENDRONIC ACID 70MG 720516 DENSATE 70MG TAB 4 R258.46
ALENDRONIC ACID 70MG 718742 FEMAX 70MG TAB 4 R258.46
ALENDRONIC ACID 70MG 706339 FOSAGEN 70MG TAB 4 R258.46
ALENDRONIC ACID 70MG 897302 FOSAMAX ONCE WEEKLY 70MG TAB 4 R258.46
ALENDRONIC ACID 70MG 715713 OSTENA 70MG TAB 4 R258.46
ALENDRONIC ACID 70MG 705067 OSTEOBON 70MG TAB 4 R258.46
ALENDRONIC ACID 70MG 715987 OSTEONATE 70MG TAB 4 R258.46
ALENDRONIC ACID 70MG 3001330 SOLIBON 4 R258.46
ALFACALCIDOL 0.25MCG 750654 ONE ALPHA .25MCG 30 R261.83
ALFACALCIDOL 0.25MCG 3003368 ZODORAY .25MCG 30 R261.83
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ALFACALCIDOL 1MCG 750662 ONE ALPHA 1MCG 30 R778.15
ALFACALCIDOL 1MCG 3003367 ZODORAY 1MCG 30 R778.15
ALFUZOSIN 716113 ALFUWIN XL 10MG 30 R446.55
ALFUZOSIN 715829 RANTRAL MR 10MG 30 R446.55
ALFUZOSIN 701590 XATRAL XL 10MG 30 R446.55
ALLOPURINOL 100MG 738778 ALLOPURINOL 100 KIARA (WAS SANDOZ) TAB 100 R101.71
ALLOPURINOL 100MG 721623 AUSTELL ALLOPURINOL 100MG TAB 100 R101.71
ALLOPURINOL 100MG 3002718 LESSURIC 100 R101.71
ALLOPURINOL 100MG 758310 PURICOS 100MG TAB 100 R101.71
ALLOPURINOL 100MG 3003454 ZORIKOS 100 R101.71
ALLOPURINOL 100MG 779466 ZYLOPRIM 100MG TAB 100 R101.71
ALLOPURINOL 300MG 719128 ADCO ALLOPURINOL 300MG TAB 250 R645.47
ALLOPURINOL 300MG 738786 ALLOPURINOL 300 KIARA (WAS SANDOZ) TAB 250 R645.47
ALLOPURINOL 300MG 721624 AUSTELL ALLOPURINOL 300MG TAB 250 R645.47
ALLOPURINOL 300MG 3002719 LESSURIC 250 R645.47
ALLOPURINOL 300MG 811432 LONOL 300MG TAB 250 R645.47
ALLOPURINOL 300MG 758329 PURICOS 300MG TAB 250 R645.47
ALLOPURINOL 300MG 3003456 ZORIKOS 250 R645.47
ALLOPURINOL 300MG 779474 ZYLOPRIM CALENDAR PK 300MG TAB 250 R645.47
ALPRAZOLAM .5MG SRT 3003919 NOVAPRAZ XR 60 R78.30 Temporarily closed group
ALPRAZOLAM .5MG SRT 827185 XANOR SR 60 R78.30 Temporarily closed group
ALPRAZOLAM 0.25MG 821071 ADCO-ALZAM 0.25MG TAB 100 R97.01
ALPRAZOLAM 0.25MG 823244 AZOR 0.25 MG TAB 100 R97.01
ALPRAZOLAM 0.25MG 897929 COPRAX 0.25MG TAB 100 R97.01
ALPRAZOLAM 0.25MG 897965 MYLAN ALPRAZOLAM TAB 100 R97.01
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ALPRAZOLAM 0.25MG 778702 XANOR 0.25MG TAB 100 R97.01
ALPRAZOLAM 0.25MG 826685 ZOPAX 0.25MG TAB 100 R97.01
ALPRAZOLAM 0.5MG 821098 ADCO-ALZAM 0.5MG TAB 100 R136.26
ALPRAZOLAM 0.5MG 823252 AZOR 0.5 MG TAB 100 R136.26
ALPRAZOLAM 0.5MG 897930 COPRAX 0.5MG TAB 100 R136.26
ALPRAZOLAM 0.5MG 895173 MYLAN ALPRAZOLAM TAB 100 R136.26
ALPRAZOLAM 0.5MG 778710 XANOR 0.5MG TAB 100 R136.26
ALPRAZOLAM 0.5MG 826693 ZOPAX 0.5 MG TAB 100 R136.26
ALPRAZOLAM 1MG 821101 ADCO-ALZAM 1.0MG TAB 30 R75.37
ALPRAZOLAM 1MG 823260 AZOR 1 MG TAB 30 R75.37
ALPRAZOLAM 1MG 897968 MYLAN ALPRAZOLAM TAB 30 R75.37
ALPRAZOLAM 1MG 778729 XANOR 1MG TAB 30 R75.37
ALPRAZOLAM 1MG 826707 ZOPAX 1 MG TAB 30 R75.37
ALPRAZOLAM 1MG SRT 3003918 NOVAPRAZ XR 60 R143.54
ALPRAZOLAM 1MG SRT 827193 XANOR SR 60 R143.54
ALPRAZOLAM 2MG SRT 3003920 NOVAPRAZ XR 60 R274.04
ALPRAZOLAM 2MG SRT 827207 XANOR SR 60 R274.04
AMANTADINE 700500 SYMADIN (WAS FLUSTOP) 20 R74.90
AMANTADINE 768243 SYMMETREL 100MG CAP 20 R74.90
AMBRISENTAN 10MG 723038 VOLIBRIS 30 R3,601.09 Temporarily closed group
AMBRISENTAN 10MG 3004119 VOLMARO 30 R3,601.09 Temporarily closed group
AMBRISENTAN 5MG 723036 VOLIBRIS 30 R3,601.09 Temporarily closed group
AMBRISENTAN 5MG 3004117 VOLMARO 30 R3,601.09 Temporarily closed group
AMETHOCAINE 799211 AMETHOCAINE CRE 25 R31.30
AMETHOCAINE 703591 ANETHAINE CRE 25 R31.30
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
AMILORIDE PLUS HYDROCHL 780618 ADCO-RETIC TAB 100 R44.52
AMILORIDE PLUS HYDROCHL 702803 AMILORETIC TAB 100 R44.52
AMILORIDE PLUS HYDROCHL 719984 DEZRETIC 5MG/50MG 100 R44.52
AMILORIDE PLUS HYDROCHL 744379 MODURETIC 5/50MG TAB 100 R44.52
AMILORIDE PLUS HYDROCHL 706531 SPEC-CO-AMILORIDE 5/50MG TAB 100 R44.52
AMIODARONE 100MG 703515 ARYCOR 100MG 30 R297.21
AMIODARONE 100MG 800554 CORDARONE X 100MG 30 R297.21
AMIODARONE 100MG 863157 HEXARONE 100MG 30 R297.21
AMIODARONE 200MG 703513 ARYCOR 200MG 30 R335.54
AMIODARONE 200MG 707851 BIO-AMIODARONE 200MG 30 R335.54
AMIODARONE 200MG 716111 CORDARONE X 200MG 30 R335.54
AMIODARONE 200MG 863165 HEXARONE 200MG 30 R335.54
AMITRIPTYLINE 10MG 3005127 AMDERIP 10MG 100 R128.18
AMITRIPTYLINE 10MG 3002709 AMITRIPTYLINE 10 MG AUSTELL 100 R128.18
AMITRIPTYLINE 10MG 772003 TREPILINE 10MG 100 R128.18
AMITRIPTYLINE 10MG 3005143 VEIKIRIN 10MG 100 R128.18
AMITRIPTYLINE 25MG 3005128 AMDERIP 500 R677.36
AMITRIPTYLINE 25MG 784230 AMITRIPTYLINE HCL KIARA 25MG TAB 500 R677.36
AMITRIPTYLINE 25MG 718746 GULF AMITRIPTYLINE 25MG TAB 500 R677.36
AMITRIPTYLINE 25MG 771996 TREPILINE 25MG TAB 500 R677.36
AMITRIPTYLINE 25MG 3005150 VEIKIRIN 500 R677.36
AMLODIPINE 10MG 708142 ALMADIN 10MG TAB 30 R94.56
AMLODIPINE 10MG 707278 AMLATE 10MG TAB 30 R94.56
AMLODIPINE 10MG 703917 AMLOC 10MG TAB 30 R94.56
AMLODIPINE 10MG 708051 AMLODAC 10MG TAB 30 R94.56
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
AMLODIPINE 10MG 3004710 AMLODIPINE 10 BIOTECH 30 R94.56
AMLODIPINE 10MG 3005114 AMLODIPINE 10 KIARA 30 R94.56
AMLODIPINE 10MG 723784 AMLODIPINE UNICORN 30 R94.56
AMLODIPINE 10MG 704621 AMLOSYN 10MG TAB 30 R94.56
AMLODIPINE 10MG 713972 AMTAS 10MG TAB 30 R94.56
AMLODIPINE 10MG 714311 APRATE 10MG TAB 30 R94.56
AMLODIPINE 10MG 708095 AUSTELL-AMLODIPINE 10MG TAB 30 R94.56
AMLODIPINE 10MG 710238 BESYLOC (WAS PHARMA DYNAMICS AMLODIPINE) 10MG
30 TAB R94.56
AMLODIPINE 10MG 708040 CALBLOC 10MG TAB 30 R94.56
AMLODIPINE 10MG 708152 CIPLAVASC 10MG TAB 30 R94.56
AMLODIPINE 10MG 712954 GULF AMLODIPINE 10MG TAB 30 R94.56
AMLODIPINE 10MG 712216 KEYSAL 10MG TAB 30 R94.56
AMLODIPINE 10MG 708353 LOMANOR 10MG TAB 30 R94.56
AMLODIPINE 10MG 708191 NORCARD 10MG TAB 30 R94.56
AMLODIPINE 10MG 799122 NORVASC 10MG TAB 30 R94.56
AMLODIPINE 10MG 707980 PENDINE 10MG TAB 30 R94.56
AMLODIPINE 10MG 3006409 VASLOC 10MG TAB 30 R94.56
AMLODIPINE 5MG 708141 ALMADIN 5MG TAB 30 R63.04
AMLODIPINE 5MG 707277 AMLATE 5MG TAB 30 R63.04
AMLODIPINE 5MG 703916 AMLOC 5MG TAB 30 R63.04
AMLODIPINE 5MG 708050 AMLODAC 5MG TAB 30 R63.04
AMLODIPINE 5MG 3004709 AMLODIPINE 5 BIOTECH 30 R63.04
AMLODIPINE 5MG 3005113 AMLODIPINE 5 KIARA 30 R63.04
AMLODIPINE 5MG 707375 AMLODIPINE 5 OETHMAAN 30 R63.04
AMLODIPINE 5MG 708648 AMLODIPINE ASCENDIS 5MG TAB 30 R63.04
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
AMLODIPINE 5MG 723783 AMLODIPINE UNICORN 30 R63.04
AMLODIPINE 5MG 704620 AMLOSYN 5MG TAB 30 R63.04
AMLODIPINE 5MG 713971 AMTAS 5MG TAB 30 R63.04
AMLODIPINE 5MG 714310 APRATE 5MG TAB 30 R63.04
AMLODIPINE 5MG 708094 AUSTELL-AMLODIPINE 5MG TAB 30 R63.04
AMLODIPINE 5MG 710236 BESYLOC (WAS PHARMA DYNAMICS AMLODIPINE) 5MG
30 TAB R63.04
AMLODIPINE 5MG 708039 CALBLOC 5MG TAB 30 R63.04
AMLODIPINE 5MG 708150 CIPLAVASC 5MG TAB 30 R63.04
AMLODIPINE 5MG 712953 GULF AMLODIPINE 5MG TAB 30 R63.04
AMLODIPINE 5MG 712215 KEYSAL 5MG TAB 30 R63.04
AMLODIPINE 5MG 708162 KLODIP 5MG TAB 30 R63.04
AMLODIPINE 5MG 708352 LOMANOR 5MG TAB 30 R63.04
AMLODIPINE 5MG 708190 NORCARD 5MG TAB 30 R63.04
AMLODIPINE 5MG 791245 NORVASC 5MG TAB 30 R63.04
AMLODIPINE 5MG 707979 PENDINE 5MG TAB 30 R63.04
AMLODIPINE 5MG 3006408 VASLOC 5MG TAB 30 R63.04
AMMONIUM CHLORIDE/DIPHENHYDRAMINE
707627 BENYLIN COUGH 100 R30.95
AMMONIUM CHLORIDE/DIPHENHYDRAMINE
705889 BENYLIN ORIGINAL SUGAR&ALCOHOL FREE SYR 100 R30.95
AMMONIUM CHLORIDE/DIPHENHYDRAMINE
805343 EXPECTALIN SYR 100 R30.95
AMOROLFINE 3006693 FUNGORYL KIT 2.5ML 1 R362.68
AMOROLFINE 703124 LOCERYL NAIL LACQUER KIT 2.5ML 1 R362.68
AMOROLFINE 3005761 NACLER NAIL LACQUER KIT 2.5ML 1 R362.68
AMOXICILLIN 250MG 785229 ADCO-AMOXYCILLIN 250MG CAP 15 R7.58
AMOXICILLIN 250MG 704443 ALLMOX 250MG CAP 15 R7.58
AMOXICILLIN 250MG 784656 AMOCILLIN 250MG CAP 15 R7.58
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
AMOXICILLIN 250MG 704401 AMOXICAP 250MG CAP 15 R7.58
AMOXICILLIN 250MG 3001645 AMOXYCILLIN 250 OETHMAAN 15 R7.58
AMOXICILLIN 250MG 714185 AMYN 250MG CAP 15 R7.58
AMOXICILLIN 250MG 713363 AURO-AMOXYCILLIN 250MG CAP 15 R7.58
AMOXICILLIN 250MG 707499 AUSTELL-AMOXICILLIN 250MG CAP 15 R7.58
AMOXICILLIN 250MG 788155 BETAMOX 250 250MG CAP 15 R7.58
AMOXICILLIN 250MG 3000309 INDO AMOXYCILLIN 250MG CAP 15 R7.58
AMOXICILLIN 250MG 815268 IPCAMOX 250MG CAP 15 R7.58
AMOXICILLIN 250MG 806579 MOXYMAX 250MG CAP 15 R7.58
AMOXICILLIN 250MG 744689 MOXYPEN 250MG CAP 15 R7.58
AMOXICILLIN 250MG 705679 MYMOX 250MG CAP 15 R7.58
AMOXICILLIN 250MG 808741 PROMOXIL 250MG CAP 15 R7.58
AMOXICILLIN 250MG 716122 YOMAX 250MG CAP 15 R7.58
AMOXICILLIN 250MG 708398 ZALOXY 250 MG CAP 15 R7.58
AMOXICILLIN 250MG 808539 ZOXIL 250MG CAP 15 R7.58
AMOXICILLIN 250MG/5ML 829102 ADCO-AMOXYCILLIN 250/5ML SUS 100 R21.36
AMOXICILLIN 250MG/5ML 714180 ALLMOX SF 250MG/5ML SUS 100 R21.36
AMOXICILLIN 250MG/5ML 701383 AMOXICILLIN UNIMED 100 R21.36
AMOXICILLIN 250MG/5ML 829153 AMOXIL SF 250/5ML SUS 100 R21.36
AMOXICILLIN 250MG/5ML 714183 AMYN SF SF 250MG/5ML SUS 100 R21.36
AMOXICILLIN 250MG/5ML 830283 MOXYMAX SF 250/5ML SUS 100 R21.36
AMOXICILLIN 250MG/5ML 830305 MOXYPEN 250/5ML SUS 100 R21.36
AMOXICILLIN 250MG/5ML 830496 PROMOXIL SF 250MG/5ML SUS 100 R21.36
AMOXICILLIN 250MG/5ML 708395 ZALOXY 250MG/5ML SUS 100 R21.36
AMOXICILLIN 250MG/5ML 830747 ZOXIL SF 250MG/5ML SUS 100 R21.36
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
AMOXICILLIN 500MG 811440 ADCO-AMOXYCILLIN 500MG CAP 15 R15.09
AMOXICILLIN 500MG 704444 ALLMOX 500MG CAP 15 R15.09
AMOXICILLIN 500MG 714184 AMYN 500MG CAP 15 R15.09
AMOXICILLIN 500MG 713364 AURO-AMOXYCILLIN 500MG CAP 15 R15.09
AMOXICILLIN 500MG 705637 AUSTELL-AMOXICILLIN 500MG CAP 15 R15.09
AMOXICILLIN 500MG 788546 BETAMOX 500 500MG CAP 15 R15.09
AMOXICILLIN 500MG 3000310 INDO AMOXYCILLIN 500MG CAP 15 R15.09
AMOXICILLIN 500MG 806587 MOXYMAX 500 500MG CAP 15 R15.09
AMOXICILLIN 500MG 744697 MOXYPEN 500MG CAP 15 R15.09
AMOXICILLIN 500MG 705709 MYMOX 500MG CAP 15 R15.09
AMOXICILLIN 500MG 808768 PROMOXIL 500MG CAP 15 R15.09
AMOXICILLIN 500MG 824879 RANMOXY 500MG CAP 15 R15.09
AMOXICILLIN 500MG 3001647 ULTRAMOX 15 R15.09
AMOXICILLIN 500MG 716123 YOMAX 500MG CAP 15 R15.09
AMOXICILLIN 500MG 708397 ZALOXY 500MG CAP 15 R15.09
AMOXICILLIN 500MG 808547 ZOXIL 500 500MG CAP 15 R15.09
AMOXICILLIN AND ENZYME INHIBITOR
710041 AUGMENTIN ES-600 600MG/42.9MG SUS 100 R239.35
AMOXICILLIN AND ENZYME INHIBITOR
722105 AUSTELL CO-AMOXICLAV ES 600 SUS 100 R239.35
AMOXICILLIN AND ENZYME INHIBITOR
722106 CAMOX CO-AMOXYCLAV ES 600 SUS 100 R239.35
AMOXICILLIN AND ENZYME INHIBITOR
3006160 CO-AMOXYCLAV ES SANDOZ 100 R239.35
AMOXICILLIN AND ENZYME INHIBITOR
3006176 CURAM ES 100 R239.35
AMOXICILLIN CLAVULANIC ACID 704068 AUGMENTIN BD SF 457MG/5ML 35 R60.20
AMOXICILLIN CLAVULANIC ACID 722938 AUSTELL CO-AMOXICLAV BD SF 457MG/5ML 35 R60.20
AMOXICILLIN CLAVULANIC ACID 705832 CURAM BD 457MG/5ML 35 R60.20
AMOXICILLIN CLAVULANIC ACID 705471 SANDOZ CO-AMOXYCLAV BD 457MG/5ML 35 R60.20
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
AMOXICILLIN CO 1000MG 3006522 CO MAUG 10 R158.35
AMOXICILLIN CO 1000MG 703903 FORCID SOLUTAB 1000MG 10 R158.35
AMOXICILLIN CO 1000MG 723109 KLAVIMAXCIL 1000MG 10 R158.35
AMOXICILLIN CO 1000MG 719284 SANDOZ CO-AMOXYCLAV 10 R158.35
AMOXICILLIN CO 156.25MG/5ML 707186 AMOCLAN S 100 R50.51
AMOXICILLIN CO 156.25MG/5ML 861952 AUGMAXCIL S SUS 100 R50.51
AMOXICILLIN CO 156.25MG/5ML 829269 AUGMENTIN S 156/5ML SUS 100 R50.51
AMOXICILLIN CO 156.25MG/5ML 713358 AURO-AMOXICLAV SUS 100 R50.51
AMOXICILLIN CO 156.25MG/5ML 865540 BIO-AMOKSIKLAV S SUS 100 R50.51
AMOXICILLIN CO 156.25MG/5ML 842524 CLAMENTIN S 0 SUS 100 R50.51
AMOXICILLIN CO 156.25MG/5ML 894123 RANCLAV SUS 100 R50.51
AMOXICILLIN CO 156.25MG/5ML 878774 SANDOZ-AMOCLAV S SUS 100 R50.51
AMOXICILLIN CO 312.5MG/5ML 707187 AMOCLAN SF 100 R83.68
AMOXICILLIN CO 312.5MG/5ML 707666 APEX-CLAVUTIN SF SUS 100 R83.68
AMOXICILLIN CO 312.5MG/5ML 861960 AUGMAXCIL SF SUS 100 R83.68
AMOXICILLIN CO 312.5MG/5ML 829277 AUGMENTIN SF 312MG/5ML SUS 100 R83.68
AMOXICILLIN CO 312.5MG/5ML 713360 AURO-AMOXICLAV SUS 100 R83.68
AMOXICILLIN CO 312.5MG/5ML 865559 BIO-AMOKSIKLAV SF SUS 100 R83.68
AMOXICILLIN CO 312.5MG/5ML 842532 CLAMENTIN SF 0 SUS 100 R83.68
AMOXICILLIN CO 312.5MG/5ML 894125 RANCLAV FORTE SUS 100 R83.68
AMOXICILLIN CO 312.5MG/5ML 878782 SANDOZ-AMOCLAV SF SUS 100 R83.68
AMOXICILLIN CO 375MG 3000747 ADCO AMOXYCLAV 15 R52.58
AMOXICILLIN CO 375MG 707184 AMOCLAN 375MG TAB 15 R52.58
AMOXICILLIN CO 375MG 707663 APEX-CLAVUTIN 375MG TAB 15 R52.58
AMOXICILLIN CO 375MG 861936 AUGMAXCIL 375MG TAB 15 R52.58
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
AMOXICILLIN CO 375MG 713381 AURO-AMOXICLAV 375MG TAB 15 R52.58
AMOXICILLIN CO 375MG 707407 AUSTELL-CO-AMOXICLAV 375MG TAB 15 R52.58
AMOXICILLIN CO 375MG 721444 BETACLAV 375MG TAB 15 R52.58
AMOXICILLIN CO 375MG 716124 BINDOCLAV 375MG TAB 15 R52.58
AMOXICILLIN CO 375MG 865532 BIO-AMOKSIKLAV 375MG TAB 15 R52.58
AMOXICILLIN CO 375MG 842516 CLAMENTIN 375MG TAB 15 R52.58
AMOXICILLIN CO 375MG 3000394 MYCLAV 375MG 15 R52.58
AMOXICILLIN CO 375MG 867373 RANCLAV 375 TAB 15 R52.58
AMOXICILLIN CO 375MG 878766 SANDOZ-AMOCLAV 375MG TAB 15 R52.58
AMOXICILLIN CO 625MG 3000748 ADCO AMOXYCLAV 15 R76.35
AMOXICILLIN CO 625MG 707185 AMOCLAN FORTE 625MG TAB 15 R76.35
AMOXICILLIN CO 625MG 707665 APEX-CLAVUTIN 62625MG5 TAB 15 R76.35
AMOXICILLIN CO 625MG 861944 AUGMAXCIL 625 TAB 15 R76.35
AMOXICILLIN CO 625MG 713382 AURO-AMOXICLAV 625MG TAB 15 R76.35
AMOXICILLIN CO 625MG 707408 AUSTELL-CO-AMOXICLAV 625MG TAB 15 R76.35
AMOXICILLIN CO 625MG 721445 BETACLAV 625MG TAB 15 R76.35
AMOXICILLIN CO 625MG 716125 BINDOCLAV 625MG TAB 15 R76.35
AMOXICILLIN CO 625MG 865524 BIO-AMOKSIKLAV 625MG5 TAB 15 R76.35
AMOXICILLIN CO 625MG 704047 CURAM 625MG TAB 15 R76.35
AMOXICILLIN CO 625MG 3000395 MYCLAV 625MG 15 R76.35
AMOXICILLIN CO 625MG 3004081 RANCLAV 15 R76.35
AMOXICILLIN CO 625MG 867381 RANCLAV 625MG TAB 15 R76.35
AMOXICILLIN CO 625MG 701736 SANDOZ CO-AMOXICLAV 625 TAB 15 R76.35
AMOXICILLIN TRIHYDRA 125MG/5ML 714179 ALLMOX S 125MG/5ML SUS 100 R15.99
AMOXICILLIN TRIHYDRA 125MG/5ML 701380 AMOXICILLIN UNIMED 100 R15.99
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
AMOXICILLIN TRIHYDRA 125MG/5ML 829145 AMOXIL S 125/5ML SUS 100 R15.99
AMOXICILLIN TRIHYDRA 125MG/5ML 714182 AMYN S 125MG/5ML SUS 100 R15.99
AMOXICILLIN TRIHYDRA 125MG/5ML 829358 BETAMOX S 125/5ML SUS 100 R15.99
AMOXICILLIN TRIHYDRA 125MG/5ML 830275 MOXYMAX S 125/5ML SUS 100 R15.99
AMOXICILLIN TRIHYDRA 125MG/5ML 830291 MOXYPEN 125/5ML SUS 100 R15.99
AMOXICILLIN TRIHYDRA 125MG/5ML 830488 PROMOXIL S 125MG/5ML SUS 100 R15.99
AMOXICILLIN TRIHYDRA 125MG/5ML 830534 SALTERMOX S 125/5ML SUS 100 R15.99
AMOXICILLIN TRIHYDRA 125MG/5ML 708396 ZALOXY 125MG/5ML SUS 100 R15.99
AMOXICILLIN TRIHYDRA 125MG/5ML 830739 ZOXIL S 125MG/5ML SUS 100 R15.99
AMOXY/TRIHYD/CLAVULAN POTASSIUM
704069
SUS AUGMENTIN BD S 70 R103.74
AMOXY/TRIHYD/CLAVULAN POTASSIUM
722937
SUS AUSTELL COAMOXICLAV BD S 70 R103.74
AMOXY/TRIHYD/CLAVULAN POTASSIUM
3003386
TAB ACTIMENTIN 10 R156.72
AMOXY/TRIHYD/CLAVULAN POTASSIUM
720898
TAB ADCO AMOXYCLAV BD 1000MG TAB 10 R156.72
AMOXY/TRIHYD/CLAVULAN POTASSIUM
704484
TAB AMOCLAN BID 1000MG TAB 10 R156.72
AMOXY/TRIHYD/CLAVULAN POTASSIUM
853542
TAB AUGMENTIN 1000 BD TAB 10 R156.72
AMOXY/TRIHYD/CLAVULAN POTASSIUM
3003375
TAB AUGSPEC 10 R156.72
AMOXY/TRIHYD/CLAVULAN POTASSIUM
713383
TAB AURO-AMOXICLAV 1000MG TAB 10 R156.72
AMOXY/TRIHYD/CLAVULAN POTASSIUM
714704
TAB BETACLAV 1000MG TAB 10 R156.72
AMOXY/TRIHYD/CLAVULAN POTASSIUM
716126
TAB BINDOCLAV 1000MG TAB 10 R156.72
AMOXY/TRIHYD/CLAVULAN POTASSIUM
708387
TAB BIO-AMOKSIKLAV 1000MG TAB 10 R156.72
AMOXY/TRIHYD/CLAVULAN POTASSIUM
709232
TAB CLAMENTIN 1000MG TAB 10 R156.72
AMOXY/TRIHYD/CLAVULAN POTASSIUM
3003024
TAB CO-AMOXYCLAV BD AUSTELL 10 R156.72
AMOXY/TRIHYD/CLAVULAN POTASSIUM
704049
TAB CURAM 1000MG TAB 10 R156.72
AMOXY/TRIHYD/CLAVULAN POTASSIUM
708893
TAB RANCLAV 1000MG TAB 10 R156.72
AMOXY/TRIHYD/CLAVULAN POTASSIUM
703356
TAB SANDOZ CO AMOXYCLAV 1000MG TAB 10 R156.72
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
AMPICILLIN COMBINATIONS 797553 APEN 20 R42.76
AMPICILLIN COMBINATIONS 809616 CLOXAM 20 R42.76
ANAGRELIDE 875112 AGRYLIN 100 R5,886.32
ANAGRELIDE 710080 THROMBOREDUCTIN 100 R5,886.32
ANASTROZOLE 1MG 715703 ACCORD ANASTROZOLE 30 R202.39
ANASTROZOLE 1MG 719925 ANABREZ 30 R202.39
ANASTROZOLE 1MG 824224 ARIMIDEX 30 R202.39
ANASTROZOLE 1MG 723881 CASTRA 30 R202.39
ANASTROZOLE 1MG 717608 EVERDEX 30 R202.39
ANASTROZOLE 1MG 720035 MEDIVISION ANASTROZOLE 30 R202.39
ANASTROZOLE 1MG 716573 MYLAN ANASTROZOLE 30 R202.39
ANASTROZOLE 1MG 715720 STRADEXA 30 R202.39
ANASTROZOLE 1MG 718266 TEVA ANASTROZOLE 30 R202.39
ANASTROZOLE 1MG 3004932 ZOSTRACOL 30 R202.39
ANTAZOLINE/TETRYZOLINE 728608 GEMINI 15ML OPD 1 R52.03
ANTAZOLINE/TETRYZOLINE 827150 OCULERGE 15ML OPD 1 R52.03
ANTAZOLINE/TETRYZOLINE 765856 SPERSALLERG 10ML 1 R52.03
APIXABAN 2.5MG 724018 ELIQUIS 60 R813.08
APIXABAN 2.5MG 3005375 ZYQUIS 60 R813.08
APIXABAN 5MG 724019 ELIQUIS 60 R813.08
APIXABAN 5MG 3005376 ZYQUIS 60 R813.08
APREPITANT 125MG 3002610 APREPITANT EUROLAB 5 R1,150.00
APREPITANT 125MG 3005665 ARENTA 5 R1,150.00
APREPITANT 125MG 705302 EMEND 5 R1,150.00
APREPITANT 125MG 3005123 GOMESIS 5 R1,150.00
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
APREPITANT 150MG 3006607 FOSAPREPITANT CIPLA POWDER FOR SOLUTION 1 R716.28
APREPITANT 150MG 723180 IVEMEND POWDER FOR SOLUTION VIAL 1 R716.28
APREPITANT 80MG 3002605 APREPITANT EUROLAB 5 R1,150.00
APREPITANT 80MG 3005664 ARENTA 5 R1,150.00
APREPITANT 80MG 705301 EMEND 5 R1,150.00
APREPITANT 80MG 3005119 GOMESIS 5 R1,150.00
APREPITANT COMBIPACK 3005658 APREPITANT COMBIPACK CIPLA (1 X 125MG CA 1 R690.00
APREPITANT COMBIPACK 3002611 APREPITANT COMBIPACK EUROLAB (1X125MG CA 1 R690.00
APREPITANT COMBIPACK 3005666 ARENTA COMBI PACK (1 X 125MG CAP & 2 X 8 1 R690.00
APREPITANT COMBIPACK 716467 EMEND COMBI PACK (1X125MG CAP & 2X80MG C 1 R690.00
APREPITANT COMBIPACK 3005124 GOMESIS COMBI PACK (1X125MG CAP & 2X80MG 1 R690.00
ARIPIPRAZOLE 10MG 705634 ABILIFY 10MG 30 R396.75
ARIPIPRAZOLE 10MG 3001455 ABIPIP 30 R396.75
ARIPIPRAZOLE 10MG 3005147 ALEBON 30 R396.75
ARIPIPRAZOLE 10MG 3002239 APRIPENT 30 R396.75
ARIPIPRAZOLE 10MG 3002935 APRIZON 30 R396.75
ARIPIPRAZOLE 10MG 3003431 ARIDUS 30 R396.75
ARIPIPRAZOLE 10MG 3004317 ARIPIPRAZOLE 10 UNICHEM 30 R396.75
ARIPIPRAZOLE 10MG 3004214 ARIPIPRAZOLE MYLAN 30 R396.75
ARIPIPRAZOLE 10MG 3004269 ARIPIPRAZOLE TEVA 30 R396.75
ARIPIPRAZOLE 10MG 723962 ARIZOFY 10MG 30 R396.75
ARIPIPRAZOLE 10MG 3003847 PRIPTRIN 30 R396.75
ARIPIPRAZOLE 10MG 3001371 PRIZAL 30 R396.75
ARIPIPRAZOLE 10MG 3005267 RADZIL 30 R396.75
ARIPIPRAZOLE 10MG 3004439 THRYVE 30 R396.75
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ARIPIPRAZOLE 15MG 705635 ABILIFY 15MG 30 R673.45
ARIPIPRAZOLE 15MG 3001456 ABIPIP 30 R673.45
ARIPIPRAZOLE 15MG 3005148 ALEBON 30 R673.45
ARIPIPRAZOLE 15MG 3002240 APRIPENT 30 R673.45
ARIPIPRAZOLE 15MG 3002936 APRIZON 30 R673.45
ARIPIPRAZOLE 15MG 3003440 ARIDUS 30 R673.45
ARIPIPRAZOLE 15MG 3004315 ARIPIPRAZOLE 15 UNICHEM 30 R673.45
ARIPIPRAZOLE 15MG 3004215 ARIPIPRAZOLE MYLAN 30 R673.45
ARIPIPRAZOLE 15MG 3004270 ARIPIPRAZOLE TEVA 30 R673.45
ARIPIPRAZOLE 15MG 723963 ARIZOFY 15MG 30 R673.45
ARIPIPRAZOLE 15MG 3003848 PRIPTRIN 30 R673.45
ARIPIPRAZOLE 15MG 3001372 PRIZAL 30 R673.45
ARIPIPRAZOLE 15MG 3005268 RADZIL 30 R673.45
ARIPIPRAZOLE 5MG 712192 ABILIFY 5MG 30 R237.14
ARIPIPRAZOLE 5MG 3001454 ABIPIP 30 R237.14
ARIPIPRAZOLE 5MG 3005146 ALEBON 30 R237.14
ARIPIPRAZOLE 5MG 3002238 APRIPENT 30 R237.14
ARIPIPRAZOLE 5MG 3002934 APRIZON 30 R237.14
ARIPIPRAZOLE 5MG 3004316 ARIPIPRAZOLE 5 UNICHEM 30 R237.14
ARIPIPRAZOLE 5MG 3004213 ARIPIPRAZOLE MYLAN 30 R237.14
ARIPIPRAZOLE 5MG 3004268 ARIPIPRAZOLE TEVA 30 R237.14
ARIPIPRAZOLE 5MG 723961 ARIZOFY 5MG 30 R237.14
ARIPIPRAZOLE 5MG 3003846 PRIPTRIN 30 R237.14
ARIPIPRAZOLE 5MG 3001370 PRIZAL 30 R237.14
ARIPIPRAZOLE 5MG 3005266 RADZIL 30 R237.14
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ARIPIPRAZOLE 5MG 3004438 THRYVE 30 R237.14
ASPIRIN 100MG 862304 BAYER ASPIRIN CARDIO TAB 30 R32.07
ASPIRIN 100MG 3006399 COPRIN 30 R32.07
ASPIRIN 100MG 847283 DISPRIN CV EEF 30 R32.07
ASPIRIN 100MG 721258 MYOPRIN 100MG TAB 30 R32.07
ASPIRIN 100MG 722806 SOLUSPRIN CV 100MG 30 R32.07
ASPIRIN 300MG 706930 BAYER ASPIRIN 300MG TAB 10 R11.19
ASPIRIN 300MG 807206 DISPRIN CV 300MG EFT 10 R11.19
ASPIRIN 300MG 720577 DISPRIN REGULAR 300MG EFT 10 R11.19
ASPIRIN 300MG 719673 DR DU TOITS PAIN EXPELLER 300MG TAB 10 R11.19
ASPIRIN 300MG 700909 GULF ASPIRIN 300MG TAB 10 R11.19
ASPIRIN 300MG 704642 SOLUSPIRIN (WAS ASPIRIN SOLUBLE) 300MG 10 R11.19
ATAZANAVIR 150MG 715828 ASPEN ATAZANAVIR 150MG CAP 60 R356.97
ATAZANAVIR 150MG 708257 REYATAZ 150MG CAP 60 R356.97
ATAZANAVIR 200MG 715827 ASPEN ATAZANAVIR 200MG CAP 60 R360.14
ATAZANAVIR 200MG 716209 ATAZOR 200MG CAP 60 R360.14
ATAZANAVIR 200MG 708258 REYATAZ 200MG CAP 60 R360.14
ATAZANAVIR 200MG 3005087 ZOROVIR 60 R360.14
ATAZANAVIR AND RITONAVIR 300MG/100MG
3002386 RIATEM 100MG/300MG 30 R379.40
ATAZANAVIR AND RITONAVIR 300MG/100MG
3001247 RITOATAZ 300MG/100MG 30 R379.40
ATAZANAVIR AND RITONAVIR 300MG/100MG
3002048 TARITO 300MG/100MG 30 R379.40
ATAZANAVIR AND RITONAVIR 300MG/100MG
3002269 ZATONAV 300MG/100MG 30 R379.40
ATENOLOL 100MG 786586 ADCO-ATENOLOL 100MG TAB 30 R33.88
ATENOLOL 100MG 704651 B-BLOCK 100MG TAB 30 R33.88
ATENOLOL 100MG 826901 BIO-ATENOLOL 100MG TAB 30 R33.88
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ATENOLOL 100MG 715626 GULF ATENOLOL 100MG TAB 30 R33.88
ATENOLOL 100MG 806897 HEXA-BLOK 100MG TAB 30 R33.88
ATENOLOL 100MG 787914 SANDOZ ATENOLOL 100MG TAB 30 R33.88
ATENOLOL 100MG 786195 TEN-BLOKA 100MG TAB 30 R33.88
ATENOLOL 100MG 705873 TENOPRESS 100MG TAB 30 R33.88
ATENOLOL 100MG 769576 TENORMIN 100MG TAB 30 R33.88
ATENOLOL 100MG 719657 ZETENOL 100MG TAB 30 R33.88
ATENOLOL 25MG 705872 TENOPRESS 30 R15.50
ATENOLOL 25MG 797693 TENORMIN 30 R15.50
ATENOLOL 50MG 786578 ADCO-ATENOLOL 50MG TAB 30 R21.06
ATENOLOL 50MG 3005041 ATENOLOL 50 ARYA 30 R21.06
ATENOLOL 50MG 704653 B-BLOCK 50MG TAB 30 R21.06
ATENOLOL 50MG 826898 BIO-ATENOLOL 50MG TAB 30 R21.06
ATENOLOL 50MG 715625 GULF ATENOLOL 50MG TAB 30 R21.06
ATENOLOL 50MG 806889 HEXA-BLOK 50MG TAB 30 R21.06
ATENOLOL 50MG 786187 TEN-BLOKA 50MG TAB 30 R21.06
ATENOLOL 50MG 705874 TENOPRESS 50MG TAB 30 R21.06
ATENOLOL 50MG 769584 TENORMIN 50MG TAB 30 R21.06
ATENOLOL 50MG 719656 ZETENOL 50MG TAB 30 R21.06
ATENOLOL AND OTHER DIURETICS 100MG/25MG
786217 TENCHLOR 100MG/25MG 30 R160.13 Temporarily closed group
ATENOLOL AND OTHER DIURETICS 100MG/25MG
769568 TENORETIC 100MG/25MG 30 R160.13 Temporarily closed group
ATENOLOL AND OTHER DIURETICS 50MG/12.5MG
807591 TENCHLOR HS 50MG/12.5MG 30 R92.43 Temporarily closed group
ATENOLOL AND OTHER DIURETICS 50MG/12.5MG
769592 TENORET 50 50MG/12.5MG 30 R92.43 Temporarily closed group
ATOMOXETINE 10MG 3003812 ATASTRAT 30 R307.50
ATOMOXETINE 10MG 3003013 ATTENCIT 30 R307.50
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ATOMOXETINE 10MG 3002712 ATTENTRA 30 R307.50
ATOMOXETINE 10MG 3003827 CONCITRON 30 R307.50
ATOMOXETINE 10MG 723775 INIR 10MG 30 R307.50
ATOMOXETINE 10MG 704690 STRATTERA 10MG 30 R307.50
ATOMOXETINE 18MG 3003813 ATASTRAT 30 R307.50
ATOMOXETINE 18MG 3003014 ATTENCIT 30 R307.50
ATOMOXETINE 18MG 3002722 ATTENTRA 30 R307.50
ATOMOXETINE 18MG 3003829 CONCITRON 30 R307.50
ATOMOXETINE 18MG 723776 INIR 18MG 30 R307.50
ATOMOXETINE 18MG 704691 STRATTERA 18MG 30 R307.50
ATOMOXETINE 25MG 3003814 ATASTRAT 30 R297.10
ATOMOXETINE 25MG 3003015 ATTENCIT 30 R297.10
ATOMOXETINE 25MG 3002723 ATTENTRA 30 R297.10
ATOMOXETINE 25MG 3004036 ATTEZE 30 R297.10
ATOMOXETINE 25MG 3003830 CONCITRON 30 R297.10
ATOMOXETINE 25MG 723778 INIR 25MG 30 R297.10
ATOMOXETINE 25MG 3004041 STRATEX 30 R297.10
ATOMOXETINE 25MG 704692 STRATTERA 25MG 30 R297.10
ATOMOXETINE 40MG 3003815 ATASTRAT 30 R297.10
ATOMOXETINE 40MG 3003016 ATTENCIT 30 R297.10
ATOMOXETINE 40MG 3002724 ATTENTRA 30 R297.10
ATOMOXETINE 40MG 3004037 ATTEZE 30 R297.10
ATOMOXETINE 40MG 3003831 CONCITRON 30 R297.10
ATOMOXETINE 40MG 723779 INIR 40MG 30 R297.10
ATOMOXETINE 40MG 3004042 STRATEX 30 R297.10
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ATOMOXETINE 40MG 704693 STRATTERA 40MG 30 R297.10
ATOMOXETINE 60MG 3003816 ATASTRAT 30 R307.50
ATOMOXETINE 60MG 3003017 ATTENCIT 30 R307.50
ATOMOXETINE 60MG 3002725 ATTENTRA 30 R307.50
ATOMOXETINE 60MG 3004038 ATTEZE 30 R307.50
ATOMOXETINE 60MG 3003832 CONCITRON 30 R307.50
ATOMOXETINE 60MG 723780 INIR 60MG 30 R307.50
ATOMOXETINE 60MG 3004043 STRATEX 30 R307.50
ATOMOXETINE 60MG 704694 STRATTERA 60MG 30 R307.50
ATOMOXETINE 80MG 3003817 ATASTRAT 28 R287.00
ATOMOXETINE 80MG 3003018 ATTENCIT 28 R287.00
ATOMOXETINE 80MG 3002726 ATTENTRA 28 R287.00
ATOMOXETINE 80MG 3004039 ATTEZE 28 R287.00
ATOMOXETINE 80MG 3003833 CONCITRON 28 R287.00
ATOMOXETINE 80MG 3004044 STRATEX 28 R287.00
ATOMOXETINE 80MG 716473 STRATTERA 28 R287.00
ATORVASTATIN 10MG 718073 ADCO ATORVASTATIN 10MG TAB 30 R31.52
ATORVASTATIN 10MG 3003467 ALIPTO 30 R31.52
ATORVASTATIN 10MG 708121 ASPAVOR 10MG TAB 30 R31.52
ATORVASTATIN 10MG 719185 ASTOR 10MG TAB 30 R31.52
ATORVASTATIN 10MG 714370 ATOLIP 10MG TAB 30 R31.52
ATORVASTATIN 10MG 723710 ATORVASTATIN LHC 30 R31.52
ATORVASTATIN 10MG 711621 ATORVASTATIN UNICORN 10MG TAB 30 R31.52
ATORVASTATIN 10MG 716615 ATORVASTATIN WINTHROP 10MG TAB 30 R31.52
ATORVASTATIN 10MG 3003434 CHOLMIN 30 R31.52
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ATORVASTATIN 10MG 3001254 DEZZOLIP 30 R31.52
ATORVASTATIN 10MG 718218 DYNATOR 10MG TAB 30 R31.52
ATORVASTATIN 10MG 719366 LESTAVOR 10MG TAB 30 R31.52
ATORVASTATIN 10MG 831484 LIPITOR 10MG TAB 30 R31.52
ATORVASTATIN 10MG 714071 LIPOGEN 10MG TAB 30 R31.52
ATORVASTATIN 10MG 3005418 VASMAK 30 R31.52
ATORVASTATIN 10MG 718933 VASTOR 10MG TAB 30 R31.52
ATORVASTATIN 20MG 718074 ADCO ATORVASTATIN 20MG TAB 30 R33.10
ATORVASTATIN 20MG 3003468 ALIPTO 30 R33.10
ATORVASTATIN 20MG 708122 ASPAVOR 20MG TAB 30 R33.10
ATORVASTATIN 20MG 719186 ASTOR 20MG TAB 30 R33.10
ATORVASTATIN 20MG 714371 ATOLIP 20MG TAB 30 R33.10
ATORVASTATIN 20MG 723712 ATORVASTATIN LHC 30 R33.10
ATORVASTATIN 20MG 712170 ATORVASTATIN UNICORN 20MG TAB 30 R33.10
ATORVASTATIN 20MG 716616 ATORVASTATIN WINTHROP 20MG TAB 30 R33.10
ATORVASTATIN 20MG 3003435 CHOLMIN 30 R33.10
ATORVASTATIN 20MG 3001255 DEZZOLIP 30 R33.10
ATORVASTATIN 20MG 718219 DYNATOR 20MG TAB 30 R33.10
ATORVASTATIN 20MG 719367 LESTAVOR 20MG TAB 30 R33.10
ATORVASTATIN 20MG 831492 LIPITOR 20MG TAB 30 R33.10
ATORVASTATIN 20MG 714072 LIPOGEN 20MG TAB 30 R33.10
ATORVASTATIN 20MG 3005419 VASMAK 30 R33.10
ATORVASTATIN 20MG 718934 VASTOR 20MG TAB 30 R33.10
ATORVASTATIN 40MG 718075 ADCO ATORVASTATIN 40MG TAB 30 R54.21
ATORVASTATIN 40MG 3003469 ALIPTO 30 R54.21
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ATORVASTATIN 40MG 710912 ASPAVOR 40MG TAB 30 R54.21
ATORVASTATIN 40MG 719187 ASTOR 40MG TAB 30 R54.21
ATORVASTATIN 40MG 714372 ATOLIP 40MG TAB 30 R54.21
ATORVASTATIN 40MG 723713 ATORVASTATIN LHC 30 R54.21
ATORVASTATIN 40MG 713522 ATORVASTATIN UNICORN 40MG TAB 30 R54.21
ATORVASTATIN 40MG 716617 ATORVASTATIN WINTHROP 40MG TAB 30 R54.21
ATORVASTATIN 40MG 3003436 CHOLMIN 30 R54.21
ATORVASTATIN 40MG 3001256 DEZZOLIP 30 R54.21
ATORVASTATIN 40MG 718220 DYNATOR 40MG TAB 30 R54.21
ATORVASTATIN 40MG 719368 LESTAVOR 40MG TAB 30 R54.21
ATORVASTATIN 40MG 886015 LIPITOR 40MG TAB 30 R54.21
ATORVASTATIN 40MG 714073 LIPOGEN 40MG TAB 30 R54.21
ATORVASTATIN 40MG 3005420 VASMAK 30 R54.21
ATORVASTATIN 40MG 718935 VASTOR 40MG TAB 30 R54.21
ATORVASTATIN 80MG 720211 ASPAVOR 80MG TAB 30 R110.47
ATORVASTATIN 80MG 719189 ASTOR 80MG TAB 30 R110.47
ATORVASTATIN 80MG 714373 ATOLIP 80MG TAB 30 R110.47
ATORVASTATIN 80MG 3003437 CHOLMIN 30 R110.47
ATORVASTATIN 80MG 3001257 DEZZOLIP 30 R110.47
ATORVASTATIN 80MG 718221 DYNATOR 80MG TAB 30 R110.47
ATORVASTATIN 80MG 719369 LESTAVOR 80MG TAB 30 R110.47
ATORVASTATIN 80MG 704186 LIPITOR 80MG TAB 30 R110.47
ATORVASTATIN 80MG 714074 LIPOGEN 80MG TAB 30 R110.47
ATORVASTATIN 80MG 3005421 VASMAK 30 R110.47
ATORVASTATIN 80MG 718936 VASTOR 80MG TAB 30 R110.47
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ATORVASTATIN AND EZETIMIBE 10MG/10MG
3006351 DYNATOR PLUS 10/10MG 30 R227.70
ATORVASTATIN AND EZETIMIBE 10MG/10MG
3004078 LIPTRUZET 10/10 30 R227.70
ATORVASTATIN AND EZETIMIBE 10MG/20MG
3006352 DYNATOR PLUS 10/20MG 30 R227.70
ATORVASTATIN AND EZETIMIBE 10MG/20MG
3004079 LIPTRUZET 10/20 30 R227.70
ATROPINE 705632 ATROPINE 5ML 1% OPD 1 R43.31
ATROPINE 734276 ISOPTO ATROPINE 5ML 1.0% OPD 1 R43.31
AZACITIDINE 3002433 AZACITIDINE DRL POWDER FOR INJECTION VIA 1 R2,396.00
AZACITIDINE 3002606 INTAZA POWDER FOR SUSPENSION VIAL 1 R2,396.00
AZACITIDINE 712413 VIDAZA POWDER FOR RECONSTITUTION VIAL 4M 1 R2,396.00
AZATHIOPRINE 50MG 701252 AZAMUN 50MG 100 R687.69
AZATHIOPRINE 50MG 706108 AZAPRESS 50MG 100 R687.69
AZATHIOPRINE 50MG 712609 AZATHIOPRINE PCH 50MG 100 R687.69
AZATHIOPRINE 50MG 732516 IMURAN 50MG 100 R687.69
AZATHIOPRINE 50MG 700777 ZAPRINE 50MG 50MG 100 R687.69
AZITHROMYCIN 500MG 705100 ASPEN AZITHROMYCIN 500MG TAB 3 R127.94
AZITHROMYCIN 500MG 717052 AUSTELL AZITHROMYCIN 500MG TAB 3 R127.94
AZITHROMYCIN 500MG 718711 AZERO 500MG TAB 3 R127.94
AZITHROMYCIN 500MG 3000849 AZIMAX FORTE 3 R127.94
AZITHROMYCIN 500MG 3002137 AZITHROMYCIN 500 BIOTECH 3 R127.94
AZITHROMYCIN 500MG 3002135 AZITHROMYCIN NEW FORMULATION ASPEN 3 R127.94
AZITHROMYCIN 500MG 723065 AZITHROMYCIN UNICORN 500MG TAB 3 R127.94
AZITHROMYCIN 500MG 707552 BINOZYT 500MG TAB 3 R127.94
AZITHROMYCIN 500MG 719156 CIPLA AZITHROMYCIN 500MG TAB 3 R127.94
AZITHROMYCIN 500MG 707852 SANDOZ AZITHROMYCIN 500MG TAB 3 R127.94
AZITHROMYCIN 500MG 717496 VARIMAX 500MG TAB 3 R127.94
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
AZITHROMYCIN 500MG 715934 ZIMOL 500MG TAB 3 R127.94
AZITHROMYCIN 500MG 3003355 ZITHRACT 3 R127.94
AZITHROMYCIN 500MG 705975 ZITHROGEN 500MG TAB 3 R127.94
AZITHROMYCIN 500MG 721677 ZITHROLIDE 500MG TAB 3 R127.94
AZITHROMYCIN 500MG 832278 ZITHROMAX 500MG TAB 3 R127.94
AZITHROMYCIN SUS 3001054 AUSTELL AZITHROMYCIN 15 R124.31
AZITHROMYCIN SUS 3002136 AZITHROMYCIN S ASPEN 15 R124.31
AZITHROMYCIN SUS 3004232 AZITHROMYCIN S BIOTECH 15 R124.31
AZITHROMYCIN SUS 3003002 AZRASITE 15 R124.31
AZITHROMYCIN SUS 3003809 NOVAZITH 15 R124.31
AZITHROMYCIN SUS 3002555 ZATYP ORAL 15 R124.31
AZITHROMYCIN SUS 830720 ZITHROMAX 15 R124.31
BACLOFEN 722015 ASPEN BACLOFEN 10MG TAB 30 R186.83
BACLOFEN 865567 BIO-BACLOFEN 10MG TAB (WAS NORTAN-BACLOFEN)
30 R186.83
BACLOFEN 738344 LIORESAL 10MG TAB 30 R186.83
BACLOFEN 712607 TEVA BACLOFEN 10MG TAB 30 R186.83
BACLOFEN 25MG 3002092 BACLOFEN 25 BIOTECH 30 R677.09
BACLOFEN 25MG 738352 LIORESAL 30 R677.09
BECLOMETASONE 100MCG 827088 BECEZE 100 CFC FREE 200DOSE 1 R137.39
BECLOMETASONE 100MCG 819638 BECLATE 200DOSE 1 R137.39
BECLOMETASONE 100MCG 3004196 BECLOMETHASONE GLENMARK 200 DOSE 1 R137.39
BECLOMETASONE 200MCG 820083 BECLATE 200DOSE 200MCG 1 R137.39
BECLOMETASONE 200MCG 3004197 BECLOMETHASONE GLENMARK 200 DOSE 200MCG 1 R137.39
BECLOMETASONE 50MCG 827061 BECEZE 50 200DOSE 1 R92.48
BECLOMETASONE 50MCG 819611 BECLATE 200DOSE 1 R92.48
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
BENDAMUSTINE 100MG 3006391 BAXIMO POWDER FOR CONCENTRATE FOR SOL FO 1 R3,163.83
BENDAMUSTINE 100MG 3007040 BENDAHET POWDER FOR CONCENTRATE FOR SOLU 1 R3,163.83
BENDAMUSTINE 100MG 710853 RIBOMUSTIN POWDER FOR INJECTION VIAL 1 R3,163.83
BENDAMUSTINE 25MG 3006390 BAXIMO POWDER FOR CONCENTRATE FOR SOL FO 1 R874.74
BENDAMUSTINE 25MG 3007039 BENDAHET POWDER FOR CONCENTRATE FOR SOLU 1 R874.74
BENDAMUSTINE 25MG 717665 RIBOMUSTIN POWDER FOR INJECTION VIAL 1 R874.74
BENZYDAMINE 810576 ANDOLEX ORAL RINSE 200 R98.57
BENZYDAMINE 712171 THROFLAM 200 R98.57
BENZYDAMINE 22.5MG/18MG 30ML SPRAY
710149 ANDOLEX-C 22.5MG/18MG 30ML 1 R81.65
BENZYDAMINE 22.5MG/18MG 30ML SPRAY
3006566 GESORAL 22.5MG/18MG 30ML 1 R81.65
BENZYDAMINE SPRAY 816167 ANDOLEX SPRAY 30ML 1 R79.63
BENZYDAMINE SPRAY 722122 THROFLAM 30ML 1 R79.63
BENZYL BENZOATE 700205 ALPHA BENZYL BENZOATE APPLICATION 500 R169.69
BENZYL BENZOATE 707716 APP BENZYL BENZ BPC LOT 500 R169.69
BENZYL BENZOATE 704857 ASCABIOL 100ML LOT 500 R169.69
BENZYL BENZOATE 706448 BENZYL BENZOATE APPLICATION BP LOT 500 R169.69
BENZYL BENZOATE 3000245 BENZYL BENZOATE BP 500 R169.69
BETAHISTINE 24MG 720978 DAHIDE 24MG TAB 20 R239.37
BETAHISTINE 24MG 720325 HIDRIST 24MG TAB 20 R239.37
BETAHISTINE 24MG 723921 MENIVERT 24MG TAB 20 R239.37
BETAHISTINE 24MG 707452 SERC 24MG TAB 20 R239.37
BETAHISTINE 24MG 720825 TREVIGO 24MG TAB 20 R239.37
BETAHISTINE 24MG 3000557 VERTIN 24MG TAB 20 R239.37
BETAHISTINE 24MG 3006087 ZYGOVERT 20 R239.37
BETAMETHASONE 0.1% 827290 ADCO-BETAMETHASONE CRE 15 R9.80
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
BETAMETHASONE 0.1% 800163 LENOVATE 0.1% CRE 15 R9.80
BETAMETHASONE 0.1% 754064 PERSIVATE 0.1% CRE 15 R9.80
BETAMETHASONE 0.1% 882934 REPIVATE CRE 15 R9.80
BETAMETHASONE 0.1% 833037 TOPIVATE CRE 15 R9.80
BETAMETHASONE 0.1% 701138 VARI BETAMETHASONE CRE 15 R9.80
BETAMETHASONE OINT 800171 LENOVATE 0.1% OIN 15 R27.26
BETAMETHASONE OINT 754072 PERSIVATE 0.1% OIN 15 R27.26
BETAXOLOL 708445 BETOPTIC 5ML 1 R205.23
BETAXOLOL 722010 LOXOPTIC 5ML 1 R205.23
BEZAFIBRATE 400MG 710337 BEZACHOLE SR 400MG TAB 30 R255.64
BEZAFIBRATE 400MG 779644 BEZALIP RETARD 400MG TAB 30 R255.64
BEZAFIBRATE 400MG 710122 DYNA-BEZAFIBRATE SR 400MG TAB 30 R255.64
BEZAFIBRATE 400MG 828300 SANDOZ BEZAFIBRATE 400MG TAB 30 R255.64
BICALUTAMIDE 150MG 3005004 BICALUTAMIDE 150 ACCORD 30 R2,862.77
BICALUTAMIDE 150MG 869872 CASODEX 30 R2,862.77
BICALUTAMIDE 150MG 723106 SPEC BICALUTAMIDE 30 R2,862.77
BICALUTAMIDE 150MG 722149 TASDIAM 30 R2,862.77
BICALUTAMIDE 150MG 716661 TEVA BICALUTAMIDE 30 R2,862.77
BICALUTAMIDE 50MG 715705 ACCORD BICALUTAMIDE 30 R561.77
BICALUTAMIDE 50MG 712506 BICALOX 30 R561.77
BICALUTAMIDE 50MG 3004942 BICALUTAMIDE 50 MG HETERO 30 R561.77
BICALUTAMIDE 50MG 715721 CALOXA 30 R561.77
BICALUTAMIDE 50MG 822566 CASODEX 30 R561.77
BICALUTAMIDE 50MG 710996 SANDOZ BICALUTAMIDE 30 R561.77
BICALUTAMIDE 50MG 718988 SPEC BICALUTAMIDE 30 R561.77
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
BICALUTAMIDE 50MG 716660 TEVA BICALUTAMIDE 30 R561.77
BISACODYL 10MG SUP 721522 DULCOLAX ADULT 10MG 10 R83.06
BISACODYL 10MG SUP 3005733 LEBALAX 10MG 10 R83.06
BISACODYL 5MG 722655 BROOKLAX BISACODYL LAXATIVE PILLS 10 R13.73
BISACODYL 5MG 721549 DULCOLAX 10 R13.73
BISACODYL 5MG 715545 FRESHEN BISACODYL LAXATIVE 10 R13.73
BISACODYL 5MG 708008 LAXADOR BISACODYL 10 R13.73
BISACODYL 5MG 723016 PURITONE BISACODYL LAXATIVE 10 R13.73
BISACODYL 5MG SUP 721530 DULCOLAX PAEDIATRIC 5MG 10 R67.85
BISACODYL 5MG SUP 3005732 LEBALAX 5MG 10 R67.85
BISOPROLOL 10MG 703914 ADCO BISOCOR 10MG TAB 30 R98.34
BISOPROLOL 10MG 706179 BETACOR 10MG TAB 30 R98.34
BISOPROLOL 10MG 3006404 BILOBLOK 30 R98.34
BISOPROLOL 10MG 704373 BILOCOR 10MG TAB 30 R98.34
BISOPROLOL 10MG 720660 BISBETA 10MG 30 R98.34
BISOPROLOL 10MG 719155 BISLO 10MG TAB 30 R98.34
BISOPROLOL 10MG 704133 BISOHEXAL 10MG TAB 30 R98.34
BISOPROLOL 10MG 722056 BISOPROLOL UNICHEM 10MG TAB 30 R98.34
BISOPROLOL 10MG 716166 BISOPROLOL UNICORN 10MG TAB 30 R98.34
BISOPROLOL 10MG 720044 BISOPROLOL ZYDUS 10mg 30 R98.34
BISOPROLOL 10MG 704441 CARDICOR 10MG TAB 30 R98.34
BISOPROLOL 10MG 818437 CONCOR 10MG TAB 30 R98.34
BISOPROLOL 10MG 3003793 EMCOR 30 R98.34
BISOPROLOL 10MG 721438 MYLAN BISOPROLOL 10MG TAB 30 R98.34
BISOPROLOL 10MG 3003544 PRESICARD 30 R98.34
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
BISOPROLOL 10MG 715276 ZIAPRO 10MG TAB 30 R98.34
BISOPROLOL 2.5MG 3005905 BISBETA 30 R112.52
BISOPROLOL 2.5MG 704439 CARDICOR 2.5MG 30 R112.52
BISOPROLOL 2.5MG 3003790 EMCOR 2.5MG 30 R112.52
BISOPROLOL 2.5MG 3003484 PRESICARD 2.5MG 30 R112.52
BISOPROLOL 5MG 703913 ADCO BISOCOR 5MG TAB 30 R56.89
BISOPROLOL 5MG 706178 BETACOR 5MG TAB 30 R56.89
BISOPROLOL 5MG 3006403 BILOBLOK 30 R56.89
BISOPROLOL 5MG 704372 BILOCOR 5MG TAB 30 R56.89
BISOPROLOL 5MG 720659 BISBETA 5MG 30 R56.89
BISOPROLOL 5MG 719154 BISLO 5MG TAB 30 R56.89
BISOPROLOL 5MG 704132 BISOHEXAL 5MG TAB 30 R56.89
BISOPROLOL 5MG 722055 BISOPROLOL UNICHEM 5MG TAB 30 R56.89
BISOPROLOL 5MG 716167 BISOPROLOL UNICORN 5MG TAB 30 R56.89
BISOPROLOL 5MG 720043 BISOPROLOL ZYDUS 5MG 30 R56.89
BISOPROLOL 5MG 704440 CARDICOR 5MG TAB 30 R56.89
BISOPROLOL 5MG 818429 CONCOR 5MG TAB 30 R56.89
BISOPROLOL 5MG 3003792 EMCOR 30 R56.89
BISOPROLOL 5MG 721437 MYLAN BISOPROLOL 5MG TAB 30 R56.89
BISOPROLOL 5MG 3003543 PRESICARD 30 R56.89
BISOPROLOL 5MG 715274 ZIAPRO 5MG TAB 30 R56.89
BISOPROLOL/HYDROCHLOROTHIAZIDE
719202
10MG/6.25MG
BILOCOR CO 10MG/6.25MG TAB 30 R118.95
BISOPROLOL/HYDROCHLOROTHIAZIDE
721589
10MG/6.25MG
BISOPROLOL CO UNICORN 10MG/6.25MG TAB 30 R118.95
BISOPROLOL/HYDROCHLOROTHIAZIDE
718087
10MG/6.25MG
BISOZYD CO 10MG/6.25MG TAB 30 R118.95
BISOPROLOL/HYDROCHLOROTHIAZIDE
3003506
10MG/6.25MG
TEVACARD CO 10MG/6.25MG 30 R118.95
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
BISOPROLOL/HYDROCHLOROTHIAZIDE
720033
10MG/6.25MG
ZIABETA 10/6.25MG 30 R118.95
BISOPROLOL/HYDROCHLOROTHIAZIDE
852929
10MG/6.25MG
ZIAK 10MG/6.25MG TAB 30 R118.95
BISOPROLOL/HYDROCHLOROTHIAZIDE
719200
2.5/6.25MG
BILOCOR CO 2.5MG/6.25MG TAB 30 R118.22
BISOPROLOL/HYDROCHLOROTHIAZIDE
718082
2.5/6.25MG
BISOZYD CO 2.5MG/6.25MG TAB 30 R118.22
BISOPROLOL/HYDROCHLOROTHIAZIDE
3003503
2.5/6.25MG
TEVACARD CO 2.5MG/6.25MG 30 R118.22
BISOPROLOL/HYDROCHLOROTHIAZIDE
720031
2.5/6.25MG
ZIABETA 2.5/6.25MG 30 R118.22
BISOPROLOL/HYDROCHLOROTHIAZIDE
840300
2.5/6.25MG
ZIAK 2.5MG/6.25MG TAB 30 R118.22
BISOPROLOL/HYDROCHLOROTHIAZIDE
719201
5MG/6.25MG
BILOCOR CO 5MG/6.25MG TAB 30 R118.22
BISOPROLOL/HYDROCHLOROTHIAZIDE
721588
5MG/6.25MG
BISOPROLOL CO UNICORN 5MG/6.25MG TAB 30 R118.22
BISOPROLOL/HYDROCHLOROTHIAZIDE
718086
5MG/6.25MG
BISOZYD CO 5MG/6.25MG TAB 30 R118.22
BISOPROLOL/HYDROCHLOROTHIAZIDE
3003504
5MG/6.25MG
TEVACARD CO 5MG/6.25MG 30 R118.22
BISOPROLOL/HYDROCHLOROTHIAZIDE
720032
5MG/6.25MG
ZIABETA 5/6.25MG 30 R118.22
BISOPROLOL/HYDROCHLOROTHIAZIDE
840319
5MG/6.25MG
ZIAK 5MG/6.25MG TAB 30 R118.22
BORTEZOMIB 1MG 3006362 VALOMA POWDER FOR SOLUTION FOR INJECTION 1 R1,728.77
BORTEZOMIB 1MG 3003579 VALTIB POWDER FOR SOLUTION FOR INJECTION 1 R1,728.77
BORTEZOMIB 1MG 723386 VELCADE VIAL POWDER FOR RECONSTITUTION 1 R1,728.77
BORTEZOMIB 3.5MG 3000842 BERTRED LYOPHILISED POWDER FOR INJECTION 1 R4,205.77
BORTEZOMIB 3.5MG 3004803 BORTIV POWDER FOR SOLUTION FOR INJECTION 1 R4,205.77
BORTEZOMIB 3.5MG 3002873 BOTIGEN POWDER FOR SOLUTION FOR INJECTIO 1 R4,205.77
BORTEZOMIB 3.5MG 3000409 MIBLEX VIAL POWDER FOR RECONSTITUTION 1 R4,205.77
BORTEZOMIB 3.5MG 3002686 ONBORT POWDER FOR SOLUTION FOR INJECTION 1 R4,205.77
BORTEZOMIB 3.5MG 722781 VALTIB POWDER FOR INJECTION VIAL 1 R4,205.77
BORTEZOMIB 3.5MG 3004833 VELBOR IV POWDER FOR SOLUTION FOR INJECT 1 R4,205.77
BORTEZOMIB 3.5MG 706787 VELCADE VIAL POWDER FOR RECONSTITUTION 1 R4,205.77
BORTEZOMIB 3.5MG 3004010 VELZOMY POWDER FOR SOLUTION FOR INJECTIO 1 R4,205.77
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
BROMAZEPAM 3MG 796999 BRAZEPAM 3MG TAB 30 R29.00
BROMAZEPAM 3MG 710784 BROMAZEPAM 3 KIARA 3MG TAB 30 R29.00
BROMAZEPAM 3MG 737933 LEXOTAN 3MG TAB 30 R29.00
BROMAZEPAM 6MG 800066 BRAZEPAM 6MG TAB 30 R40.18
BROMAZEPAM 6MG 821616 BROMAZE 6 MG TAB 30 R40.18
BROMAZEPAM 6MG 710792 BROMAZEPAM 6 KIARA 6MG TAB 30 R40.18
BROMAZEPAM 6MG 737941 LEXOTAN 6MG TAB 30 R40.18
BROMHEXINE AND ORCIPRENALINE 827304 ADCO-LINCTOPENT 100 R25.58
BROMHEXINE AND ORCIPRENALINE 862037 BENYLIN CHESTY 100 R25.58
BROMHEXINE AND ORCIPRENALINE 710032 BISOLVON LINCTUS DA 100 R25.58
BROMHEXINE AND ORCIPRENALINE 710687 BRONKESE COMPOUND 100 R25.58
BROMHEXINE AND ORCIPRENALINE 819743 FLEMEZE 100 R25.58
BUDESONIDE 0.5MG UDV 718678 ARROW BUDESONIDE .5MG/1ML UDV 20 R341.70
BUDESONIDE 0.5MG UDV 721278 BUDONEB NEB SUSPENSION 2ML 20 R341.70
BUDESONIDE 0.5MG UDV 807885 PULMICORT NEB SUSP 0.5MG/1ML UDV 20 R341.70
BUDESONIDE 100MCG AQS 3000681 AEROMIDE NASAL 200 DOSE 1 R136.39
BUDESONIDE 100MCG AQS 712614 SPEC-BUDESONIDE 10ML 200 DOSE 1 R136.39
BUDESONIDE UDV 718677 ARROW BUDESONIDE .25MG/1ML UDV 20 R236.77
BUDESONIDE UDV 721277 BUDONEB NEB SUSPENSION 2ML .25MG/1ML UDV 20 R236.77
BUDESONIDE UDV 825441 PULMICORT NEB SUSP 0.25MG/1ML UDV 20 R236.77
BUPROPION 150MG 3003107 BUDEP XR 30 R358.67
BUPROPION 150MG 3003761 BUPROPION XR ADCO 30 R358.67
BUPROPION 150MG 3006368 BUPYRA XL 30 R358.67
BUPROPION 150MG 3006765 PRODYNA 150 MG XR 30 R358.67
BUPROPION 150MG 3001584 VOXRA XL 150MG SRT 30 R358.67
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
BUPROPION 150MG 3004156 WELDEP XR 30 R358.67
BUPROPION 150MG 711008 WELLBUTRIN XL 150MG SRT 30 R358.67
BUPROPION 300MG 3003108 BUDEP XR 30 R358.60
BUPROPION 300MG 3006369 BUPYRA XL 30 R358.60
BUPROPION 300MG 3006766 PRODYNA 300 MG XR 30 R358.60
BUPROPION 300MG 3001582 VOXRA XL 300MG SRT 30 R358.60
BUPROPION 300MG 3004157 WELDEP XR 30 R358.60
BUPROPION 300MG 711009 WELLBUTRIN XL 300MG SRT 30 R358.60
BUSULFAN 60MG/10ML 3004308 ACCORAN CONCENTRATE FOR SOL FOR INF VIAL 1 R920.00
BUSULFAN 60MG/10ML 705472 BUSILVEX VIAL 10ML 1 R920.00
BUSULFAN 60MG/10ML 3004231 BUSULFAN FRESENIUS CONC FOR SOL FOR INF 1 R920.00
BUSULFAN 60MG/10ML 3005211 VEXFAN CONCENTRATE FOR SOLUTION FOR INFU 1 R920.00
BUTYLSCOPOLAMINE 10MG 711276 BUSCOPAN 100 R421.96
BUTYLSCOPOLAMINE 10MG 731951 HYOSPASMOL 100 R421.96
BUTYLSCOPOLAMINE 10MG 762725 SCOPEX 100 R421.96
BUTYLSCOPOLAMINE SYR 797413 BUSCOPAN 5MG/5ML SYR 100 R51.10
BUTYLSCOPOLAMINE SYR 707213 HYOSPASMOL 5MG/5ML SYR 100 R51.10
BUTYLSCOPOLAMINE SYR 703383 SCOPEX 5MG/5ML SYR 100 R51.10
CABAZITAXEL 3003213 CABAZITAXEL ADCO CONCENTRATE FOR SOLUTIO 1 R22,798.56
CABAZITAXEL 3000147 CABITAS VIAL 3ML RTU 1 R22,798.56
CABAZITAXEL 715985 JEVTANA VIAL 1.5ML 1 R22,798.56
CALCIUM 3002908 CALCIUM SANDOZ 10 R35.87
CALCIUM 3002143 CALCIUM SOLUBLE EVO 10 R35.87
CALCIUM 825131 CALCIUM-HEXAL 500 10 R35.87
CALCIUM 704941 FIZZICAL 10 R35.87
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
CALCIUM 712858 HOLISTIX CALCIUM SPLASH 10 R35.87
CALCIUM 715192 PC CALCIUM 10 R35.87
CANDESARTAN 16MG 721630 ABECARD 16MG 30 R168.11
CANDESARTAN 16MG 856118 ATACAND 16MG TAB 30 R168.11
CANDESARTAN 16MG 723124 ATERWIN 16MG TAB 30 R168.11
CANDESARTAN 16MG 719210 MYLACAND 16MG TAB 30 R168.11
CANDESARTAN 16MG 3005847 RANEPRES 30 R168.11
CANDESARTAN 32MG 721631 ABECARD 32MG 30 R168.16
CANDESARTAN 32MG 711287 ATACAND 32MG 30 R168.16
CANDESARTAN 32MG 723125 ATERWIN 32MG 30 R168.16
CANDESARTAN 32MG 3005848 RANEPRES 30 R168.16
CANDESARTAN 8MG 721629 ABECARD 8MG TAB 30 R168.11
CANDESARTAN 8MG 856096 ATACAND 8MG TAB 30 R168.11
CANDESARTAN 8MG 723123 ATERWIN 8MG TAB 30 R168.11
CANDESARTAN 8MG 719209 MYLACAND 8MG TAB 30 R168.11
CANDESARTAN 8MG 3005846 RANEPRES 30 R168.11
CANDESARTAN AND DIURETICS 3006250 ABECARD CO 16MG/12.5MG 30 R183.28
CANDESARTAN AND DIURETICS 898635 ATACAND PLUS 16MG/12.5MG 30 R183.28
CANDESARTAN AND DIURETICS 719453 CANDEPRES PLUS 16MG/12.5MG 30 R183.28
CANDESARTAN AND DIURETICS 719506 MYLACAND PLUS 16MG/12.5MG 30 R183.28
CANDESARTAN AND DIURETICS 3005947 RANEPRES PLUS 16/12.5MG 30 R183.28
CAPECITABINE 150MG 723214 CAPECITABINE SPECPHARM 60 R456.31
CAPECITABINE 150MG 3001285 CAPELODA 60 R456.31
CAPECITABINE 150MG 722783 CAPEXA 60 R456.31
CAPECITABINE 150MG 3006804 CAPTERO 60 R456.31
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
CAPECITABINE 150MG 3003052 CAXETA 60 R456.31
CAPECITABINE 150MG 722962 PECASET 60 R456.31
CAPECITABINE 150MG 870072 XELODA 150 60 R456.31
CAPECITABINE 500MG 723225 CAPECITABINE SPECPHARM 120 R3,124.22
CAPECITABINE 500MG 3001286 CAPELODA 120 R3,124.22
CAPECITABINE 500MG 722784 CAPEXA 120 R3,124.22
CAPECITABINE 500MG 3006805 CAPTERO 120 R3,124.22
CAPECITABINE 500MG 3003053 CAXETA 120 R3,124.22
CAPECITABINE 500MG 722963 PECASET 120 R3,124.22
CAPECITABINE 500MG 870080 XELODA 500 120 R3,124.22
CAPTOPRIL 25MG 852333 ACETEN TAB 60 R26.32
CAPTOPRIL 25MG 837636 CAPTOHEXAL 25MG TAB 60 R26.32
CAPTOPRIL 25MG 836451 CAPTOMAX 25MG TAB 60 R26.32
CAPTOPRIL 25MG 852619 MYLAN CAPTOPRIL TAB 60 R26.32
CAPTOPRIL 25MG 839779 ZAPTO 25MG TAB 60 R26.32
CAPTOPRIL 50MG 836478 ADCO-CAPTOMAX 50MG TAB 60 R30.75
CAPTOPRIL 50MG 899429 MYLAN CAPTOPRIL 50MG TAB 60 R30.75
CAPTOPRIL 50MG 839787 ZAPTO 50MG TAB 60 R30.75
CARBIDOPA/LEVODOPA 25MG/100MG824321 CARBILEV 25/100 100 R348.93
CARBIDOPA/LEVODOPA 25MG/100MG
3000000 LECARDOP 25/100 100 R348.93
CARBIDOPA/LEVODOPA 25MG/100MG764078 SINEMET 25MG/100MG 100 R348.93
CARBIDOPA/LEVODOPA 25MG/100MG710286 TEVA CARBI-LEVO 25/100 100 R348.93
CARBIDOPA/LEVODOPA 25MG/250MG824348 CARBILEV25/250 100 R476.41
CARBIDOPA/LEVODOPA 25MG/250MG
3000001 LECARDOP 25/250 100 R476.41
CARBIDOPA/LEVODOPA 25MG/250MG764086 SINEMET 100 R476.41
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
CARBIDOPA/LEVODOPA 25MG/250MG710468 TEVA CARBI-LEVO 25/250 100 R476.41
CARBOCYSTEINE 250MG/5ML 708151 BETAPHLEM 250/5ML SYR 200 R31.92
CARBOCYSTEINE 250MG/5ML 710520 BRONCHETTE 250MG/5M SYR 200 R31.92
CARBOCYSTEINE 250MG/5ML 779814 CO-FLEM 250/5ML SYR 200 R31.92
CARBOCYSTEINE 250MG/5ML 703394 DIS CHEM MUCOLYTIC 250MG SYR 200 R31.92
CARBOCYSTEINE 250MG/5ML 726451 FLEMEX 250/5ML SYR 200 R31.92
CARBOCYSTEINE 250MG/5ML 789739 FLEMGO 250/5ML SYR 200 R31.92
CARBOCYSTEINE 250MG/5ML 785164 FLEMLITE 250MG/5ML SYR 200 R31.92
CARBOCYSTEINE 250MG/5ML 717241 FLUSIN MUCOUS COUGH 250/5ML 200 R31.92
CARBOCYSTEINE 250MG/5ML 717745 FLUTEX MUCOUS COUGH 250/5ML 200 R31.92
CARBOCYSTEINE 250MG/5ML 794341 MUCOPAN 200 R31.92
CARBOCYSTEINE 250MG/5ML 744816 MUCOSPECT 250/5ML SYR 200 R31.92
CARBOCYSTEINE 375MG 783633 LESSMUSEC (BRU) CAP 30 R40.49
CARBOCYSTEINE 375MG 709356 MUCOKLEER 375MG CAP 30 R40.49
CARBOCYSTEINE 375MG 723074 MUCOSOLV 375MG 30 R40.49
CARBOCYSTEINE 375MG 744824 MUCOSPECT 375MG CAP 30 R40.49
CARBOPLATIN 150MG 711367 ACCORD-CARBOPLATIN VIAL 15ML 1 R333.16
CARBOPLATIN 150MG 720402 ASPEN CARBOPLATIN SOLUTION FOR INFUSION 1 R333.16
CARBOPLATIN 150MG 3004239 CARBOPLATIN FRESENIUS CONC FOR SOL FOR I 1 R333.16
CARBOPLATIN 150MG 825069 CARBOSIN 150-5 1 R333.16
CARBOPLATIN 450MG 711368 ACCORD-CARBOPLATIN VIAL 45ML 1 R999.46
CARBOPLATIN 450MG 720403 ASPEN CARBOPLATIN SOLUTION FOR INFUSION 1 R999.46
CARBOPLATIN 450MG 3004240 CARBOPLATIN FRESENIUS CONC FOR SOL FOR I 1 R999.46
CARBOPLATIN 450MG 704097 CARBOSIN VIAL 45ML 1 R999.46
CARBOPLATIN 600MG 3004242 CARBOPLATIN FRESENIUS CONC FOR SOL FOR I 1 R1,126.54
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
CARBOPLATIN 600MG 707364 CARBOSIN VIAL 60ML 1 R1,126.54
CARVEDILOL 12.5MG 710339 ASPEN CARVEDILOL 12.5MG TAB 30 R78.18
CARVEDILOL 12.5MG 700168 CARLOC 12.5MG TAB 30 R78.18
CARVEDILOL 12.5MG 3000330 CARVEDILOL 12.5 OETHMAAN 30 R78.18
CARVEDILOL 12.5MG 716743 CARVEDILOL UNICORN 12.5MG TAB 30 R78.18
CARVEDILOL 12.5MG 704671 CARVETREND 12.5MG TAB 30 R78.18
CARVEDILOL 12.5MG 836354 DILATREND 12.5MG TAB 30 R78.18
CARVEDILOL 12.5MG 3000278 RUBITREND 30 R78.18
CARVEDILOL 12.5MG 710959 VEDIBLOK 12.5MG TAB 30 R78.18
CARVEDILOL 25MG 710340 ASPEN CARVEDILOL 25MG TAB 30 R98.58
CARVEDILOL 25MG 897117 CARLOC 25MG TAB 30 R98.58
CARVEDILOL 25MG 716744 CARVEDILOL UNICORN 25MG TAB 30 R98.58
CARVEDILOL 25MG 704672 CARVETREND 25MG TAB 30 R98.58
CARVEDILOL 25MG 788856 DILATREND 25MG TAB 30 R98.58
CARVEDILOL 25MG 3000281 RUBITREND 30 R98.58
CARVEDILOL 25MG 710960 VEDIBLOK 25MG TAB 30 R98.58
CARVEDILOL 6.25MG 710338 ASPEN CARVEDILOL 6.25MG TAB 30 R72.33
CARVEDILOL 6.25MG 705459 CARLOC 6.25MG TAB 30 R72.33
CARVEDILOL 6.25MG 716742 CARVEDILOL UNICORN 6.25MG TAB 30 R72.33
CARVEDILOL 6.25MG 704670 CARVETREND 6.25MG TAB 30 R72.33
CARVEDILOL 6.25MG 833428 DILATREND 6.25MG TAB 30 R72.33
CARVEDILOL 6.25MG 3000276 RUBITREND 30 R72.33
CARVEDILOL 6.25MG 710958 VEDIBLOK 6.25MG TAB 30 R72.33
CEFALEXIN 250MG 706326 BELEX 250MG 20 R15.93
CEFALEXIN 250MG 3003337 CEFALEXIN ALKEM 250MG 20 R15.93
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
CEFALEXIN 250MG 897880 CEPHALEXIN PHARMA-Q 250MG 20 R15.93
CEFALEXIN 250MG 830909 RANCEPH 250MG 20 R15.93
CEFIXIME 400MG 3002966 EXSEF 1 R28.56
CEFIXIME 400MG 715656 FIXIME 1 R28.56
CEFPODOXIME 100MG 718333 ASPEN CEFPODOXIME 100MG TAB 10 R111.78
CEFPODOXIME 100MG 716657 DYNACEF (WAS DYNA CEFPODOXIME) 100MG TAB 10 R111.78
CEFPODOXIME 100MG 789224 ORELOX 100MG TAB 10 R111.78
CEFPODOXIME 100MG 710125 SANDOZ CEFPODOXIME 100MG TAB 10 R111.78
CEFPODOXIME 200MG 718334 ASPEN CEFPODOXIME 200MG TAB 10 R159.98
CEFPODOXIME 200MG 703057 CEPODEM 200MG TAB 10 R159.98
CEFPODOXIME 200MG 3004581 DYNACEF 10 R159.98
CEFPODOXIME 200MG 714125 ORELOX 200MG TAB 10 R159.98
CEFPODOXIME 40MG/5ML 719702 ASPEN CEFPODOXIME 40MG/5ML SUS 50 R99.36
CEFPODOXIME 40MG/5ML 703058 CEPODEM 40MG/5ML SUS 50 R99.36
CEFPODOXIME 40MG/5ML 716658 DYNA CEFPODOXIME 40MG/5ML SUS 50 R99.36
CEFPODOXIME 40MG/5ML 723343 ORCHID CEFPODOXIME 50 R99.36
CEFPODOXIME 40MG/5ML 805165 ORELOX JUN 40MG/5ML SUS 50 R99.36
CEFPODOXIME 40MG/5ML 3002139 OROPOD 50 R99.36
CEFPODOXIME 40MG/5ML 710126 SANDOZ CEFPODOXIME 40MG/5ML SUS 50 R99.36
CEFPROZIL 250MG 715059 AUROPROZIL 250MG TAB 10 R161.82
CEFPROZIL 250MG 720375 LIZORP 250MG TAB 10 R161.82
CEFPROZIL 500MG 715075 AUROPROZIL 500MG TAB 10 R267.68
CEFPROZIL 500MG 720376 LIZORP 500MG TAB 10 R267.68
CEFUROXIME 125MG/5ML 723411 CEROXIM 50 R83.29
CEFUROXIME 125MG/5ML 710077 SANDOZ CEFUROXIME 50 R83.29
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
CEFUROXIME 125MG/5ML 814091 ZINNAT 50 R83.29
CEFUROXIME 250MG 717799 ALKOXIME 250MG TAB 10 R134.52
CEFUROXIME 250MG 713531 AUROXIME 250MG TAB 10 R134.52
CEFUROXIME 250MG 704988 CEFU-HEXAL 250MG TAB 10 R134.52
CEFUROXIME 250MG 700689 CEROXIM 250MG TAB 10 R134.52
CEFUROXIME 250MG 707371 CUROAX 250MG TAB 10 R134.52
CEFUROXIME 250MG 3002615 FUROCSEM 10 R134.52
CEFUROXIME 250MG 718658 POXIM 250MG TAB 10 R134.52
CEFUROXIME 250MG 703867 SANDOZ CEFUROXIME 250MG TAB 10 R134.52
CEFUROXIME 250MG 703697 ZEFROXE 250MG TAB 10 R134.52
CEFUROXIME 250MG 713006 ZEFURIME 250MG TAB 10 R134.52
CEFUROXIME 250MG 781339 ZINNAT 250MG TAB 10 R134.52
CEFUROXIME 250MG 715142 ZINOXIME 250MG TAB 10 R134.52
CEFUROXIME 500MG 717801 ALKOXIME 500MG TAB 10 R226.63
CEFUROXIME 500MG 713532 AUROXIME 500MG TAB 10 R226.63
CEFUROXIME 500MG 710531 BETAROXIME T 500MG TAB 10 R226.63
CEFUROXIME 500MG 704990 CEFU-HEXAL 500MG TAB 10 R226.63
CEFUROXIME 500MG 700687 CEROXIM 500MG TAB 10 R226.63
CEFUROXIME 500MG 707372 CUROAX 500MG TAB 10 R226.63
CEFUROXIME 500MG 3002616 FUROCSEM 10 R226.63
CEFUROXIME 500MG 717992 ORCHID CEFUROXIME 500MG TAB 10 R226.63
CEFUROXIME 500MG 718659 POXIM 500MG TAB 10 R226.63
CEFUROXIME 500MG 703868 SANDOZ CEFUROXIME 500MG TAB 10 R226.63
CEFUROXIME 500MG 703695 ZEFROXE 500MG TAB 10 R226.63
CEFUROXIME 500MG 713007 ZEFURIME 500MG TAB 10 R226.63
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
CEFUROXIME 500MG 781347 ZINNAT 500MG TAB 10 R226.63
CEFUROXIME 500MG 715261 ZINOXIME 500MG TAB 10 R226.63
CELECOXIB 100MG 3004533 ANABREX 60 R91.79
CELECOXIB 100MG 862444 CELEBREX 60 R91.79
CELECOXIB 100MG 3006200 CELECOXIB 100 BIOTECH 60 R91.79
CELECOXIB 100MG 724014 CELECOXIB UNICORN 60 R91.79
CELECOXIB 100MG 3006395 CELEXII 60 R91.79
CELECOXIB 100MG 3004413 COLCIBRA 60 R91.79
CELECOXIB 100MG 3004807 COXEP 60 R91.79
CELECOXIB 100MG 723329 COXLEON 60 R91.79
CELECOXIB 100MG 3004487 CYRETIB 60 R91.79
CELECOXIB 100MG 3004923 INNOFLAM 60 R91.79
CELECOXIB 100MG 3005368 NOVABREX 60 R91.79
CELECOXIB 100MG 3005275 VEXICOP 60 R91.79
CELECOXIB 100MG 3006127 ZYLICIB 60 R91.79
CELECOXIB 200MG 3004534 ANABREX 30 R91.79
CELECOXIB 200MG 862452 CELEBREX 30 R91.79
CELECOXIB 200MG 3006201 CELECOXIB 200 BIOTECH 30 R91.79
CELECOXIB 200MG 724015 CELECOXIB UNICORN 30 R91.79
CELECOXIB 200MG 3006396 CELEXII 30 R91.79
CELECOXIB 200MG 3004432 COLCIBRA 30 R91.79
CELECOXIB 200MG 3004809 COXEP 30 R91.79
CELECOXIB 200MG 723330 COXLEON 30 R91.79
CELECOXIB 200MG 3004541 CYRETIB 30 R91.79
CELECOXIB 200MG 3004943 INNOFLAM 30 R91.79
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
CELECOXIB 200MG 3005371 NOVABREX 30 R91.79
CELECOXIB 200MG 3005276 VEXICOP 30 R91.79
CELECOXIB 200MG 3006128 ZYLICIB 30 R91.79
CEPHALEXIN 500MG 714312 AURO-CEFALEXIN 500MG TAB 100 R171.84
CEPHALEXIN 500MG 706327 BELEX 500MG CAP 100 R171.84
CEPHALEXIN 500MG 3003341 CEFALEXIN ALKEM 100 R171.84
CEPHALEXIN 500MG 897887 CPL ALLIANCE CEPHALEXIN 500MG CAP 100 R171.84
CEPHALEXIN 500MG 837253 RANCEPH 500MG CAP 100 R171.84
CETIRIZINE 10MG 712890 ACUZYRT 10MG TAB 10 R23.73
CETIRIZINE 10MG 703315 ALLECET 10MG TAB 10 R23.73
CETIRIZINE 10MG 703821 ALLERMINE 10MG TAB 10 R23.73
CETIRIZINE 10MG 3004678 ALLESOOTHE 10 R23.73
CETIRIZINE 10MG 704188 ASPEN CETIRIZINE 10MGTAB 10 R23.73
CETIRIZINE 10MG 704359 AUSTELL CETRIZINE 10MGTAB 10 R23.73
CETIRIZINE 10MG 720873 CETICIT 10MG TAB 10 R23.73
CETIRIZINE 10MG 3001354 CETIRIZINE 10 BIOTECH 10 R23.73
CETIRIZINE 10MG 703864 CETIRIZINE HEXAL 10MG TAB 10 R23.73
CETIRIZINE 10MG 722488 DEZZO CETIRIZINE 10MG TABS 10 R23.73
CETIRIZINE 10MG 720846 GULF CETIRIZINE 10MG TAB 10 R23.73
CETIRIZINE 10MG 723164 SENSAHIST 10 R23.73
CETIRIZINE 10MG 703314 TEXA 10MG TAB 10 R23.73
CETIRIZINE 10MG 718452 TRANTRIN 10MG TAB 10 R23.73
CETIRIZINE 10MG 722334 ZELARY 10MG TAB 10 R23.73
CETIRIZINE 10MG 712764 ZETOP 10MG TAB 10 R23.73
CETIRIZINE 10MG 720664 ZINALLERG 10MG 10 R23.73
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
CETIRIZINE 10MG 704659 ZYNCET 10MGTAB 10 R23.73
CETIRIZINE 10MG 785377 ZYRTEC 10MG TAB 10 R23.73
CETIRIZINE 1MG/1ML 712889 ACUZYRT SYRUP 150 R151.58
CETIRIZINE 1MG/1ML 707224 ADCO CETIRIZINE 150 R151.58
CETIRIZINE 1MG/1ML 703313 ALLECET SYRUP 150 R151.58
CETIRIZINE 1MG/1ML 713231 ASPEN CETIRIZINE SYRUP 150 R151.58
CETIRIZINE 1MG/1ML 708117 CETIRIZINE-HEXAL SYR 150 R151.58
CETIRIZINE 1MG/1ML 710672 TEXA SYRUP 150 R151.58
CETIRIZINE 1MG/1ML 717812 ZELARY SYRUP 150 R151.58
CETIRIZINE 1MG/1ML 700899 ZETOP SYR 150 R151.58
CETIRIZINE 1MG/1ML 820946 ZYRTEC ORAL SOL 150 R151.58
CHLORAMPHENICOL 713724 CHLORAMEX 3.5G 0.01 EYO 1 R10.16
CHLORAMPHENICOL 713759 CHLORCOL 3.5G 0.01 EYO 1 R10.16
CHLORAMPHENICOL 713872 CHLORNICOL 1% 3.5G 10MG/1G EYO 1 R10.16
CHLORAMPHENICOL 817201 CHLORPHEN 3.5G EYO 1 R10.16
CHLORPROPRAMIDE 250MG 719412 DIABINESE 250MG TAB 100 R129.04
CHLORPROPRAMIDE 250MG 714062 HYPOMIDE 250MG TAB 100 R129.04
CICLESONIDE 160MCG 120DOSE 705269 ALVESCO 120 DOSE INH 1 R507.30
CICLESONIDE 160MCG 120DOSE 720735 CICLOVENT 120 DOSE INH 1 R507.30
CICLESONIDE 160MCG 60DOSE 705267 ALVESCO 60 DOSE INH 1 R253.65
CICLESONIDE 160MCG 60DOSE 721620 CICLOVENT 60 DOSE INH 1 R253.65
CICLESONIDE 80MCG 60DOSE 705265 ALVESCO 60 DOSE INH 1 R153.61
CICLESONIDE 80MCG 60DOSE 721621 CICLOVENT 60 DOSE INH 1 R153.61
CIMETIDINE 200MG 796735 ACIDOWN 200MG TAB 60 R31.66
CIMETIDINE 200MG 811459 ADCO-CIMETIDINE 200MG TAB 60 R31.66
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
CIMETIDINE 200MG 886978 BIO-CIMETIDINE 200MG TAB 60 R31.66
CIMETIDINE 200MG 854247 CIMLOK TAB 60 R31.66
CIMETIDINE 200MG 736252 LENAMET 200MG TAB 60 R31.66
CIMETIDINE 200MG 832901 LENAMET OTC 200MG TAB 60 R31.66
CIMETIDINE 200MG 797464 SECADINE 200MG TAB 60 R31.66
CIMETIDINE 400MG 800252 ADCO-CIMETIDINE 400MG TAB 14 R11.51
CIMETIDINE 400MG 887003 BIO-CIMETIDINE 400MG TAB 14 R11.51
CIMETIDINE 400MG 854255 CIMLOK TAB 14 R11.51
CIMETIDINE 400MG 806919 HEXAMET 400 400MG TAB 14 R11.51
CIMETIDINE 400MG 736260 LENAMET 400MG TAB 14 R11.51
CINNARIZINE 250MG 704024 SANDOZ CINNARIZINE 10 R21.59
CINNARIZINE 250MG 767123 STUGERON 10 R21.59
CIPROFLOXACIN 250MG 704353 AUSTELL CIPROFLOXACIN 250MG TAB 10 R18.60
CIPROFLOXACIN 250MG 713792 BIOTECH CIPROFLOXACIN 250MG TAB 10 R18.60
CIPROFLOXACIN 250MG 893951 CIFLOC 250MG TAB 10 R18.60
CIPROFLOXACIN 250MG 892140 CIFRAN 250MG TAB 10 R18.60
CIPROFLOXACIN 250MG 702377 CIPLOXX 250MG TAB 10 R18.60
CIPROFLOXACIN 250MG 784354 CIPROBAY 250MG TAB 10 R18.60
CIPROFLOXACIN 250MG 716518 CIPROFLOXACIN ACTOR 250MG TAB 10 R18.60
CIPROFLOXACIN 250MG 703043 CIPROGEN 250MG TAB 10 R18.60
CIPROFLOXACIN 250MG 704777 CIPROL 250MG TAB 10 R18.60
CIPROFLOXACIN 250MG 700284 CPL ALLIANCE CIPROFLOXACIN 250MG TAB 10 R18.60
CIPROFLOXACIN 250MG 713361 LOXIP 250MG TAB 10 R18.60
CIPROFLOXACIN 250MG 719659 PROFLOXIN 250MG 10 R18.60
CIPROFLOXACIN 250MG 708015 SIMAYLA CIPROFLOXACIN 250MG TAB 10 R18.60
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
CIPROFLOXACIN 500MG 704351 AUSTELL CIPROFLOXACIN 500MG TAB 10 R26.78
CIPROFLOXACIN 500MG 3000796 BIOFLOXX 10 R26.78
CIPROFLOXACIN 500MG 713793 BIOTECH CIPROFLOXACIN 500MG TAB 10 R26.78
CIPROFLOXACIN 500MG 893955 CIFLOC 500MG TAB 10 R26.78
CIPROFLOXACIN 500MG 892147 CIFRAN 500MG TAB 10 R26.78
CIPROFLOXACIN 500MG 702379 CIPLOXX 500MG TAB 10 R26.78
CIPROFLOXACIN 500MG 786403 CIPROBAY 500MG TAB 10 R26.78
CIPROFLOXACIN 500MG 716519 CIPROFLOXACIN ACTOR 500MG TAB 10 R26.78
CIPROFLOXACIN 500MG 723383 CIPROFLOXACIN UNICORN 500MG TAB 10 R26.78
CIPROFLOXACIN 500MG 703045 CIPROGEN 500MG TAB 10 R26.78
CIPROFLOXACIN 500MG 704775 CIPROL 500MG TAB 10 R26.78
CIPROFLOXACIN 500MG 700287 CPL ALLIANCE CIPROFLOXACIN TAB 10 R26.78
CIPROFLOXACIN 500MG 700518 DYNAFLOC 500MG TAB 10 R26.78
CIPROFLOXACIN 500MG 720331 FLOPRO 500MG TAB 10 R26.78
CIPROFLOXACIN 500MG 713362 LOXIP 500MG TAB 10 R26.78
CIPROFLOXACIN 500MG 701210 ORPIC 500MG TAB 10 R26.78
CIPROFLOXACIN 500MG 719660 PROFLOXIN 500MG 10 R26.78
CIPROFLOXACIN 500MG 708014 SIMAYLA CIPROFLOXACIN 500MG TAB 10 R26.78
CIPROFLOXACIN 750MG 704352 AUSTELL CIPROFLOXACIN 10 R130.91
CIPROFLOXACIN 750MG 713794 BIOTECH CIPROFLOXACIN 10 R130.91
CIPROFLOXACIN 750MG 784362 CIPROBAY 10 R130.91
CIPROFLOXACIN OPD 719415 CEPROLEN 5ML 1 R155.84
CIPROFLOXACIN OPD 794104 CILOXAN 5ML 1 R155.84
CIPROFLOXACIN OPD 720733 FOXIN 5ML 1 R155.84
CIPROFLOXACIN OPD 3001392 XINOCT 5ML 1 R155.84
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
CIPROFLOXACIN OPD 3005079 ZOXAN 5ML 1 R155.84
CITALOPRAM 10MG 707396 AUSTELL-CITALOPRAM 10MG 30 R65.25
CITALOPRAM 10MG 3003785 BIO CITALOPRAM 10MG 30 R65.25
CITALOPRAM 20MG 717372 ACTI-LIFT 20MG TAB 30 R88.19
CITALOPRAM 20MG 702769 ADCO-TALOMIL 20MG TAB 30 R88.19
CITALOPRAM 20MG 713583 ARROW CITALOPRAM 20MG TAB 30 R88.19
CITALOPRAM 20MG 707398 AUSTELL-CITALOPRAM 20MG TAB 30 R88.19
CITALOPRAM 20MG 717094 BIO CITALOPRAM 20MG TAB 30 R88.19
CITALOPRAM 20MG 707888 CILATE 20MG TAB 30 R88.19
CITALOPRAM 20MG 700157 CILIFT 20MG TAB 30 R88.19
CITALOPRAM 20MG 711988 CILORAM 20MG TAB 30 R88.19
CITALOPRAM 20MG 810622 CIPRAMIL 20MG TAB 30 R88.19
CITALOPRAM 20MG 3000328 CITALOPRAM 20 OETHMAAN 20MG TAB 30 R88.19
CITALOPRAM 20MG 716521 CITALOPRAM ACTOR 20MG TAB 30 R88.19
CITALOPRAM 20MG 709407 CITALOPRAM-WINTHROP 20MG TAB 30 R88.19
CITALOPRAM 20MG 704328 DEPRAMIL 20MG TAB 30 R88.19
CITALOPRAM 20MG 3001172 GULF CITALOPRAM 30 R88.19
CITALOPRAM 20MG 713356 RECITA 20MG TAB 30 R88.19
CITALOPRAM 20MG 705417 TAMOMILT 30 R88.19
CITALOPRAM 40MG 713584 ARROW CITALOPRAM 30 R155.87
CITALOPRAM 40MG 707397 AUSTELL-CITALOPRAM 30 R155.87
CITALOPRAM 40MG 705252 DEPRAMIL 30 R155.87
CLARITHROMYCIN 125MG/5ML 716627 CLAREN GRANULES 125MG/5ML SUS 60 R113.52
CLARITHROMYCIN 125MG/5ML 706758 CLARIHEXAL 125 P 125MG/5ML SUS 60 R113.52
CLARITHROMYCIN 125MG/5ML 830046 KLACID P 125MG/5ML SUS 60 R113.52
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
CLARITHROMYCIN 125MG/5ML 707357 KLARIBIN 125MG/5ML SUS 60 R113.52
CLARITHROMYCIN 125MG/5ML 704649 KLARITHRAN 125MG/5ML SUS 60 R113.52
CLARITHROMYCIN 250MG 704032 CLACEE 250MG 250MG TAB 10 R101.34
CLARITHROMYCIN 250MG 720976 KLARIBIN 250MG TAB 10 R101.34
CLARITHROMYCIN 250MG 707255 KLARIZON 250MG TAB 10 R101.34
CLARITHROMYCIN 250MG 716675 KLARYVID 250MG TAB 10 R101.34
CLARITHROMYCIN 250MG/5ML 716628 CLAREN GRANULES 250MG/5ML SUS 60 R198.61
CLARITHROMYCIN 250MG/5ML 706759 CLARIHEXAL 250 P 250MG/5ML SUS 60 R198.61
CLARITHROMYCIN 250MG/5ML 830054 KLACID P 250MG/5ML SUS 60 R198.61
CLARITHROMYCIN 250MG/5ML 707358 KLARIBIN 250MG/5ML SUS 60 R198.61
CLARITHROMYCIN 250MG/5ML 704650 KLARITHRAN 250MG/5ML SUS 60 R198.61
CLARITHROMYCIN 500MG 707662 AUSTELL CLARITHROMYCIN 500MG TAB 10 R92.69
CLARITHROMYCIN 500MG 704033 CLACEE 500MG TAB 10 R92.69
CLARITHROMYCIN 500MG 3006225 CLARIBAX 10 R92.69
CLARITHROMYCIN 500MG 705031 CLARIHEXAL 500MG TAB 10 R92.69
CLARITHROMYCIN 500MG 720977 KLARIBIN 500MG TAB 10 R92.69
CLARITHROMYCIN 500MG 704464 KLARITHRAN 500MG TAB 10 R92.69
CLARITHROMYCIN 500MG 707256 KLARIZON 500MG TAB 10 R92.69
CLARITHROMYCIN 500MG 719921 KLARYVID 500MG TAB 10 R92.69
CLARITHROMYCIN 500MG 705416 MYLAN CLARITHROMYCIN 500MG TAB 10 R92.69
CLARITHROMYCIN 500MG SRT 717722 CLARIHEXAL XL 500MG TAB 5 R115.28
CLARITHROMYCIN 500MG SRT 721268 CLARITHROMYCIN UNICORN 500 XL 5 R115.28
CLARITHROMYCIN 500MG SRT 841552 KLACID XL 500MG TAB 5 R115.28
CLARITHROMYCIN 500MG SRT 707761 KLARITHRAN MR 500MG TAB 5 R115.28
CLINDAMYCIN 150MG 849960 CLINDAHEXAL 20 R110.95
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
CLINDAMYCIN 150MG 3003283 CLINDAMYCIN ACTOR 20 R110.95
CLINDAMYCIN 150MG 717347 DALACIN C 20 R110.95
CLOBAZAM 10MG 3006760 CLOBAZAM 10 ADCO 100 R413.76
CLOBAZAM 10MG 773999 URBANOL 100 R413.76
CLOBETASOL CREAM 807249 DOVATE 0.05% CRE 25 R67.74
CLOBETASOL CREAM 868302 XENOVATE CRE 25 R67.74
CLOBETASOL OIN 807230 DOVATE 0.05% OIN 25 R67.74
CLOBETASOL OIN 868299 XENOVATE OIN 25 R67.74
CLOMIFENE 50MG 714771 CLOMID 50MG TAB 10 R141.08
CLOMIFENE 50MG 884980 CLOMIHEXAL 50MG TAB 10 R141.08
CLOMIFENE 50MG 722759 FERTAB 50MG TAB 10 R141.08
CLOMIFENE 50MG 840270 FERTOMID 50MG TAB 10 R141.08
CLOMIFENE 50MG 3000464 RUBITAB 50MG TAB 10 R141.08
CLOMIFENE 50MG 763586 SEROPHENE 50MG TAB 10 R141.08
CLOMIPRAMINE 25MG 703427 ANAFRANIL 50 R215.71
CLOMIPRAMINE 25MG 703381 CLOMIDEP 50 R215.71
CLOMIPRAMINE 25MG 847429 EQUINORM 50 R215.71
CLONIDINE 0.025MG 788317 MENOGRAINE 100 R190.84
CLOPIDOGREL 75MG 719884 ACTICLOP 75 (WAS SPEC CLOPIDOGREL) 75MG TAB 30 R179.55
CLOPIDOGREL 75MG 716667 ARROW CLOPIDOGREL 75MG TAB 30 R179.55
CLOPIDOGREL 75MG 3005262 AVIOLIX 30 R179.55
CLOPIDOGREL 75MG 3006181 BECLOP 30 R179.55
CLOPIDOGREL 75MG 721968 CLOPIDOGREL 75 BIOTECH 75MG TAB 30 R179.55
CLOPIDOGREL 75MG 722438 CLOPIDOGREL UNICORN 75MG 30 R179.55
CLOPIDOGREL 75MG 711440 CLOPIWIN 75MG TAB 30 R179.55
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
CLOPIDOGREL 75MG 721326 CLOSOLVE 75MG TAB 30 R179.55
CLOPIDOGREL 75MG 3003631 CLOVEXA 30 R179.55
CLOPIDOGREL 75MG 3001355 DEPLATT 30 R179.55
CLOPIDOGREL 75MG 711422 MISTRO 75MG TAB 30 R179.55
CLOPIDOGREL 75MG 714293 PHARMA DYNAMICS CLOPIDOGREL 75MG TAB 30 R179.55
CLOPIDOGREL 75MG 711423 PLAGROL 75MG TAB 30 R179.55
CLOPIDOGREL 75MG 874965 PLAVIX 75MG TAB 30 R179.55
CLOPIDOGREL 75MG 3000177 ZYKLOT 30 R179.55
CLOTRIMAZOLE 100MG VAT 712213 CANESTEN 6 VAG TAB 100MG VAT 6 R37.94
CLOTRIMAZOLE 100MG VAT 717811 GLENMARK CLOTRIMAZOLE 100MG VAT 6 R37.94
CLOTRIMAZOLE 10MG/1G CRM 826952 A-POR 10MG/1G CRE 20 R11.26
CLOTRIMAZOLE 10MG/1G CRM 796336 CANALBA 1% CRE 20 R11.26
CLOTRIMAZOLE 10MG/1G CRM 788554 CANDASPOR 1% CRE 20 R11.26
CLOTRIMAZOLE 10MG/1G CRM 797006 CANDIZOLE 1% CRE 20 R11.26
CLOTRIMAZOLE 10MG/1G CRM 712205 CANESTEN 1% CRE 20 R11.26
CLOTRIMAZOLE 10MG/1G CRM 824011 CANEX TOPICAL 10 GRAM CRE 20 R11.26
CLOTRIMAZOLE 10MG/1G CRM 878421 CLOMADERM CRE 20 R11.26
CLOTRIMAZOLE 10MG/1G CRM 798150 CLOTRIMAZOLE TOPICAL BIOTECH 20 R11.26
CLOTRIMAZOLE 10MG/1G CRM 705246 DIS-CHEM CLOTRIMAZOLE TOPICAL CRE 20 R11.26
CLOTRIMAZOLE 10MG/1G CRM 846422 FUNGISPOR TOPICAL 1% CRE 20 R11.26
CLOTRIMAZOLE 10MG/1G CRM 716106 INNOSPORE 1% 20 R11.26
CLOTRIMAZOLE 10MG/1G CRM 799696 MEDASPOR TOPICAL 1% CRE 20 R11.26
CLOTRIMAZOLE 10MG/1G CRM 799505 MICOMISAN CRE 20 R11.26
CLOTRIMAZOLE 10MG/1G CRM 793493 NORMOSPOR 1% CRE 20 R11.26
CLOTRIMAZOLE 10MG/1G CRM 839639 TRIMAZE 10MG/G CRE 20 R11.26
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
CLOTRIMAZOLE 10MG/1G CRM 816299 XERASPOR-T 1% CRE 20 R11.26
CLOTRIMAZOLE 10MG/1G VCR 826960 A-POR 10MG/1G VCR 50 R26.51
CLOTRIMAZOLE 10MG/1G VCR 831875 CANALBA VAG 1% VCR 50 R26.51
CLOTRIMAZOLE 10MG/1G VCR 831883 CANDASPOR VAG 1% VCR 50 R26.51
CLOTRIMAZOLE 10MG/1G VCR 832596 CANDIZOLE V 1% VCR 50 R26.51
CLOTRIMAZOLE 10MG/1G VCR 703548 CANESTAN 35G 1% VCR 50 R26.51
CLOTRIMAZOLE 10MG/1G VCR 831905 CANESTEN 1% VCR 50 R26.51
CLOTRIMAZOLE 10MG/1G VCR 831913 CANEX VCR 10MG/G VCR 50 R26.51
CLOTRIMAZOLE 10MG/1G VCR 832359 CLOTRIMAZOLE BIOTECH VAGINAL 50 R26.51
CLOTRIMAZOLE 10MG/1G VCR 832332 COVOSPOR VAGINAL 1% VCR 50 R26.51
CLOTRIMAZOLE 10MG/1G VCR 705247 DIS-CHEM CLOTRIMAZOLE VCR 50 R26.51
CLOTRIMAZOLE 10MG/1G VCR 846341 FUNGISPOR 1% VCR 50 R26.51
CLOTRIMAZOLE 10MG/1G VCR 878448 GYNEZOL 1% VCR 50 R26.51
CLOTRIMAZOLE 10MG/1G VCR 711138 INNOSPORE 1% VCR 50 R26.51
CLOTRIMAZOLE 10MG/1G VCR 832391 MEDASPOR VAG 1% VCR 50 R26.51
CLOTRIMAZOLE 10MG/1G VCR 832405 MICOMISAN VAG VCR 50 R26.51
CLOTRIMAZOLE 10MG/1G VCR 832421 NORMOSPOR VAG 1% VCR 50 R26.51
CLOTRIMAZOLE 10MG/1G VCR 832499 XERASPOR V 1% VCR 50 R26.51
CLOTRIMAZOLE 500MG VAT 712264 CANESTEN 1 VAG 500MG VAT 1 R97.54
CLOTRIMAZOLE 500MG VAT 717842 GLENMARK CLOTRIMAZOLE 500MG VAT 1 R97.54
CLOZAPINE 100MG 717082 ASPEN CLOZAPINE 100MG TAB 100 R1,212.43
CLOZAPINE 100MG 700178 CLOMENT 100MG TAB 100 R1,212.43
CLOZAPINE 100MG 705845 CLOZAPINE OETHMAAN 100 R1,212.43
CLOZAPINE 100MG 736716 LEPONEX 100MG TAB 100 R1,212.43
CLOZAPINE 25MG 717081 ASPEN CLOZAPINE 25MG TAB 100 R346.89
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
CLOZAPINE 25MG 700176 CLOMENT 25MG TAB 100 R346.89
CLOZAPINE 25MG 705844 CLOZAPINE OETHMAAN 100 R346.89
CLOZAPINE 25MG 736708 LEPONEX 25MG TAB 100 R346.89
CO TRIMOXAZOLE 240MG/5ML 779881 CO-TRIM SUS 50 R6.67
CO TRIMOXAZOLE 240MG/5ML 894842 DOCTRIM 50 R6.67
CO TRIMOXAZOLE 240MG/5ML 705259 ILVITRIM SUS 50 R6.67
CO TRIMOXAZOLE 240MG/5ML 793310 NOVATRIM 50 R6.67
CO TRIMOXAZOLE 240MG/5ML 758221 PURBAC 240mg/5ml SUS 50 R6.67
CO TRIMOXAZOLE 480MG 706434 BACTRIM ADULT 480MG TAB 500 R239.07
CO TRIMOXAZOLE 480MG 773603 CO-TRIMOXAZOLE 480 BIOTECH 500 R239.07
CO TRIMOXAZOLE 480MG 716731 COZOLE 480mg TAB 500 R239.07
CO TRIMOXAZOLE 480MG 721751 DUROBAC 480MG TAB 500 R239.07
CO TRIMOXAZOLE 480MG 704095 ILVITRIM 480MG TAB 500 R239.07
CO TRIMOXAZOLE 480MG 735698 LAGATRIM 480MG TAB 500 R239.07
CO TRIMOXAZOLE 480MG 3000786 NOVATRIM 400MG/80MG 500 R239.07
CO TRIMOXAZOLE 480MG 867977 NUCOTRIM TAB 500 R239.07
CO TRIMOXAZOLE 480MG 758248 PURBAC ADULT 480MG TAB 500 R239.07
CO TRIMOXAZOLE 480MG 789836 TRIMETHOX 480MG TAB 500 R239.07
CO TRIMOXAZOLE 480MG 715609 TRIXAZOLE TAB 500 R239.07
CO TRIMOXAZOLE 480MG 793698 XEROPRIM 480MG TAB 500 R239.07
CO TRIMOXAZOLE 960MG 706442 BACTRIM DS 960MG TAB 30 R45.95
CO TRIMOXAZOLE 960MG 3000247 CO-TRIMOXAZOLE ASCENDIS DS 30 R45.95
CO TRIMOXAZOLE 960MG 3004712 CO-TRIMOXAZOLE DS PHARMC 30 R45.95
CO TRIMOXAZOLE 960MG 721778 DUROBAC DS 960MG TAB 30 R45.95
CO TRIMOXAZOLE 960MG 758256 PURBAC DS 960MG TAB 30 R45.95
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
CO TRIMOXAZOLE 960MG 782793 SANDOZ-CO-TRIMOXAZOLE 960MG TAB 30 R45.95
CYCLIZINE 12.5MG/5ML 792225 ACULOID 12.5MG/5ML SYR 50 R23.12
CYCLIZINE 12.5MG/5ML 808962 ADCO-CYCLIZINE 12.5MG/5ML SYR 50 R23.12
CYCLIZINE 12.5MG/5ML 792845 MEDAZINE-S 12.5MG/5ML SYR 50 R23.12
CYCLIZINE 12.5MG/5ML 820571 NAUZINE S 50ML SUS 50 R23.12
CYCLIZINE 12.5MG/5ML 796700 TRIAZINE PAEDIATRIC (WAS NORIZINE) 50ML SUS 50 R23.12
CYCLIZINE 12.5MG/5ML 774642 VALOID PEDIATRIC SYR 50 R23.12
CYCLIZINE 50MG 792217 ACULOID 500MG TAB 20 R29.61
CYCLIZINE 50MG 808954 ADCO-CYCLIZINE 50MG TAB 20 R29.61
CYCLIZINE 50MG 809322 COVAMET 50MG TAB 20 R29.61
CYCLIZINE 50MG 811513 EMITEX 50MG TAB 20 R29.61
CYCLIZINE 50MG 792853 MEDAZINE-T 50MG TAB 20 R29.61
CYCLIZINE 50MG 799424 NAUZINE 50MG TAB 20 R29.61
CYCLIZINE 50MG 772143 TRIAZINE TAB 20 R29.61
CYCLIZINE 50MG 774634 VALOID 50MG TAB 20 R29.61
CYCLIZINE 50MG SUP 772135 TRIAZINE (PAEDIATRIC) 50MG SPP 6 R40.54
CYCLIZINE 50MG SUP 774618 VALOID PAED 50MG SPP 6 R40.54
CYPROHEPTADINE 4MG 701422 CIPLA-ACTIN 4MG TAB 30 R52.67
CYPROHEPTADINE 4MG 753858 PERIACTIN 4MG TAB 30 R52.67
CYPROTERONE 50MG 703583 ANDROCUR 50MG TAB 20 R497.91
CYPROTERONE 50MG 899089 CIPLA-CYPROTERONE ACETATE 20 R497.91
CYPROTERONE AND ESTROGEN 825859 DIANE - 35 TAB 28 R152.86
CYPROTERONE AND ESTROGEN 707875 DIVA-35 TAB 28 R152.86
CYPROTERONE AND ESTROGEN 897214 GINETTE TAB 28 R152.86
CYPROTERONE AND ESTROGEN 897311 MINERVA TAB 28 R152.86
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
DAPAGLIFLOZIN 10MG 3006122 DAGLIF 30 R300.00
DAPAGLIFLOZIN 10MG 3006543 DAPTICA 30 R300.00
DAPAGLIFLOZIN 10MG 3005567 DUFORZIG 10MG 30 R300.00
DAPAGLIFLOZIN 10MG 723709 FORXIGA 10MG 30 R300.00
DAPAGLIFLOZIN 10MG 3006449 SAGALATIN 30 R300.00
DAPAGLIFLOZIN 5MG 3006119 DAGLIF 30 R300.00
DAPAGLIFLOZIN 5MG 3006542 DAPTICA 30 R300.00
DAPAGLIFLOZIN 5MG 723708 FORXIGA 30 R300.00
DAPAGLIFLOZIN 5MG 3006448 SAGALATIN 30 R300.00
DARIFENACIN 15MG 706046 ENABLEX 15MG 30 R449.16
DARIFENACIN 15MG 3005481 FLODEN CR 15MG 30 R449.16
DARIFENACIN 7.5MG 706045 ENABLEX 7.5MG 14 R209.61
DARIFENACIN 7.5MG 3005480 FLODEN CR 7.5MG 14 R209.61
DARUNAVIR 400MG 3001998 PARANVIR 60 R614.68
DARUNAVIR 400MG 3000049 PREZISTA 60 R614.68
DARUNAVIR 600MG 3004989 NURADAR 600MG 60 R1,023.66 Temporarily closed group
DARUNAVIR 600MG 3005882 PARANVIR 600MG 60 R1,023.66 Temporarily closed group
DARUNAVIR 600MG 719711 PREZISTA 600MG 60 R1,023.66 Temporarily closed group
DASATINIB 100MG 3006316 DASATINIB 100 TEVA 30 R16,241.67
DASATINIB 100MG 718478 SPRYCEL 100MG 30 R16,241.67
DASATINIB 100MG 3006496 TAZATRED 30 R16,241.67
DASATINIB 20MG 3006236 DASATINIB 20 TEVA 60 R6,496.66
DASATINIB 20MG 711441 SPRYCEL 20MG 60 R6,496.66
DASATINIB 50MG 3006248 DASATINIB 50 TEVA 60 R16,241.67
DASATINIB 50MG 711442 SPRYCEL 50MG 60 R16,241.67
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
DASATINIB 50MG 3006478 TAZATRED 60 R16,241.67
DASATINIB 70MG 3006249 DASATINIB 70 TEVA 60 R22,701.95
DASATINIB 70MG 711443 SPRYCEL 70MG 60 R22,701.95
DASATINIB 70MG 3006484 TAZATRED 60 R22,701.95
DESLORATADINE 2.5MG/5ML 720915 ADCO-DESLORATADINE 2.5MG/5ML SYR 150 R228.09
DESLORATADINE 2.5MG/5ML 3004617 AERZIT 150 R228.09
DESLORATADINE 2.5MG/5ML 3006680 CLAREX 150 R228.09
DESLORATADINE 2.5MG/5ML 721616 DEHRIN 2.5MG/5ML 150 R228.09
DESLORATADINE 2.5MG/5ML 702044 DESELEX 2.5MG/ML 150 R228.09
DESLORATADINE 2.5MG/5ML 3003432 DESENEEZE 150 R228.09
DESLORATADINE 2.5MG/5ML 720028 NEOCLARITYNE 2.5MG/ML 150 R228.09
DESLORATADINE 5MG 721528 ACUHIST 5MG 30 R136.10
DESLORATADINE 5MG 722045 AERZIT 5MG TAB 30 R136.10
DESLORATADINE 5MG 721853 ARYDESE 5MG TAB 30 R136.10
DESLORATADINE 5MG 3006679 CLAREX 30 R136.10
DESLORATADINE 5MG 719454 CLAREX 5MG 30 R136.10
DESLORATADINE 5MG 709843 DAZIT 5MG TAB 30 R136.10
DESLORATADINE 5MG 714362 DESAWAY 5MG TAB 30 R136.10
DESLORATADINE 5MG 898658 DESELEX 5MG TAB 30 R136.10
DESLORATADINE 5MG 3006715 DESLORATADINE GLENMARK 30 R136.10
DESLORATADINE 5MG 714103 DESODENE 5MG TAB 30 R136.10
DESLORATADINE 5MG 718393 NEOCLARITYNE 5MG TAB 30 R136.10
DESLORATADINE 5MG 718710 NEOLORIDIN 5MG TAB 30 R136.10
DESLORATADINE 5MG 715715 POLLENTYME ND 5MG TAB 30 R136.10
DESVENLAFAXINE 100MG 3004987 DEPVEN 100 XL 30 R393.99
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
DESVENLAFAXINE 100MG 3004437 DESLAFEKS 30 R393.99
DESVENLAFAXINE 100MG 3004327 DESLAFORE XR 30 R393.99
DESVENLAFAXINE 100MG 3002751 EXLOV XR 30 R393.99
DESVENLAFAXINE 100MG 720595 EXSIRA 30 R393.99
DESVENLAFAXINE 100MG 3004350 VOLOXIN 30 R393.99
DESVENLAFAXINE 50MG 3004986 DEPVEN 50 XL 30 R393.99
DESVENLAFAXINE 50MG 3004436 DESLAFEKS 30 R393.99
DESVENLAFAXINE 50MG 3004326 DESLAFORE XR 30 R393.99
DESVENLAFAXINE 50MG 3002750 EXLOV XR 30 R393.99
DESVENLAFAXINE 50MG 720594 EXSIRA 30 R393.99
DESVENLAFAXINE 50MG 3004347 VOLOXIN 30 R393.99
DEXCHLORPHENIRAMINE COMBINATIONS
3000025
SYRBETADEXAMINE 100 R221.37
DEXCHLORPHENIRAMINE COMBINATIONS
713058
SYRCELESTAMINE 100 R221.37
DEXCHLORPHENIRAMINE COMBINATIONS
3004784
TABBETADEXAMINE 30 R248.89
DEXCHLORPHENIRAMINE COMBINATIONS
713066
TABCELESTAMINE 30 R248.89
DEXTROMETHORPHAN 789119 BENYLIN DRY COUGH SYR 100 R37.97
DEXTROMETHORPHAN 708132 DILINCT DRY SYR 100 R37.97
DIAZEPAM 10MG 753181 PAX 10MG TAB 30 R30.60
DIAZEPAM 10MG 774480 VALIUM 10MG TAB 30 R30.60
DIAZEPAM 5MG 708062 BETAPAM 5MG TAB 1000 R136.21
DIAZEPAM 5MG 721174 DOVAL 5MG TAB 1000 R136.21
DIAZEPAM 5MG 774472 VALIUM 5MG TAB 1000 R136.21
DICLOFENAC 100MG SIMPLE REG 791547 FORTFEN SR 100MG SRC 30 R145.69
DICLOFENAC 100MG SIMPLE REG 778230 VOLTAREN SR 100MG TAB 30 R145.69
DICLOFENAC 100MG SR 718480 DICLOFENAC SR BIOTECH 100 MG TAB 30 R142.11
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
DICLOFENAC 100MG SR 706314 DIFEN SR 100MG 30 R142.11
DICLOFENAC 100MG SR 827592 PANAMOR SR 100 MG TAB 30 R142.11
DICLOFENAC 100MG SR 787272 VELTEX 100CR 100MG SRC 30 R142.11
DICLOFENAC 100MG SUP 893398 A-LENNON DICLOFENAC SUP 5 R79.03
DICLOFENAC 100MG SUP 845272 DICLOHEXAL 100MG SUP 5 R79.03
DICLOFENAC 100MG SUP 807621 PANAMOR SUPP-100 100MG SUP 5 R79.03
DICLOFENAC 100MG SUP 778214 VOLTAREN 100MG SUP 5 R79.03
DICLOFENAC 25MG 786594 ADCO-DICLOFENAC 25MG TAB 30 R6.72
DICLOFENAC 25MG 893390 A-LENNON DICLOFENAC TAB 30 R6.72
DICLOFENAC 25MG 718479 DICLOFENAC BIOTECH 25MG TAB 30 R6.72
DICLOFENAC 25MG 786012 MYLAN DICLOFENAC (AR 25MG TAB 30 R6.72
DICLOFENAC 25MG 752371 PANAMOR-25 25MG TAB 30 R6.72
DICLOFENAC 25MG 778206 VOLTAREN 25MG TAB 30 R6.72
DICLOFENAC 25MG 718854 VOLTAREN ACTI-GO SOFT GEL CAPSULES 30 R6.72
DICLOFENAC 50MG DSP 715311 CATAFAST D 50MG 15 R58.19
DICLOFENAC 50MG DSP 813036 CATAFLAM D DISP 50MG 15 R58.19
DICLOFENAC 50MG DSP 707451 DICLOFLAM 50MG DSP 15 R58.19
DICLOFENAC 50MG DSP 888602 DICLOFLAM BLACKCURRANT 50MG 15 R58.19
DICLOFENAC 50MG DSP 3002801 PANAMOR 15 R58.19
DICLOFENAC 75MG SRC 3001708 MOTIFINE 75MG CAP 30 R123.93
DICLOFENAC 75MG SRC 827584 PANAMOR SR 75 MG TAB 30 R123.93
DICLOFENAC 75MG SRC 793663 VELTEX 75CR 75MG SRC 30 R123.93
DICLOFENAC OPD 722050 PANAMOR 5ML 1 R215.13
DICLOFENAC OPD 886963 VOLTAREN OPHTHA 5 ML 1 R215.13
DICLOFENAC POT 50MG 705058 DYNAK 50MG TAB 20 R50.54
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
DICLOFENAC POT 50MG 704384 K-FENAK 50MG TAB 20 R50.54
DICLOFENAC POT 50MG 3003311 K-FENAK ANTI-INFLAMMATORY 20 R50.54
DICLOFENAC SOD 50MG 788597 ADCO-DICLOFENAC 50MG TAB 15 R6.26
DICLOFENAC SOD 50MG 893391 A-LENNON DICLOFENAC TAB 15 R6.26
DICLOFENAC SOD 50MG 786020 MYLAN DICLOFENAC SOD 50MG TAB 15 R6.26
DICLOFENAC SOD 50MG 752398 PANAMOR AT-50 50MG TAB 15 R6.26
DICLOFENAC SOD 50MG 719838 SANDOZ DICLOFENAC SOD 50MG TAB 15 R6.26
DICLOFENAC SOD 50MG 778222 VOLTAREN GT 50MG TAB 15 R6.26
DICLOFENAC TOPICAL 852201 ATHRU-DERM 30 R52.04
DICLOFENAC TOPICAL 702511 PANAMOR GEL 30 R52.04
DICLOFENAC TOPICAL 778257 VOLTAREN EMULGEL 30 R52.04
DOCETAXEL 20MG 3003306 DOCETAXEL 20 TEVA CONCENTRATE FOR SOLUTI 1 R702.62
DOCETAXEL 20MG 3001749 DOCETAXEL ADCO CONCENTRATE FOR SOLUTION 1 R702.62
DOCETAXEL 20MG 3004004 DOCETAXEL FRESENIUS CONCENTRATE FOR SOL 1 R702.62
DOCETAXEL 20MG 719389 DOCETERE VIAL RTU 1 R702.62
DOCETAXEL 20MG 3002451 EUROTAX CONCENTRATE FOR SOLUTION FOR INF 1 R702.62
DOCETAXEL 20MG 723793 KEY DOCETAXEL CONCENTRATE SOL VIAL 0.5ML 1 R702.62
DOCETAXEL 20MG 3003556 PROSAGLIC 20 CONCENTRATE FOR SOLUTION FO 1 R702.62
DOCETAXEL 20MG 3003459 TAXOCAN SOLUTION FOR INFUSION 2 ML VIAL 1 R702.62
DOCETAXEL 20MG 814768 TAXOTERE 1 R702.62
DOCETAXEL 80MG 3003307 DOCETAXEL 80 TEVA CONCENTRATE FOR SOLUTI 1 R2,810.46
DOCETAXEL 80MG 3001752 DOCETAXEL ADCO CONCENTRATE FOR SOLUTION 1 R2,810.46
DOCETAXEL 80MG 3004003 DOCETAXEL FRESENIUS CONCENTRATE FOR SOL 1 R2,810.46
DOCETAXEL 80MG 719390 DOCETERE VIAL RTU 1 R2,810.46
DOCETAXEL 80MG 3002452 EUROTAX CONCENTRATE FOR SOLUTION FOR INF 1 R2,810.46
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
DOCETAXEL 80MG 723794 KEY DOCETAXEL CONCENTRATE SOL VIAL 2ML ( 1 R2,810.46
DOCETAXEL 80MG 3003557 PROSAGLIC 80 CONCENTRATE FOR SOLUTION FO 1 R2,810.46
DOCETAXEL 80MG 3003460 TAXOCAN SOLUTION FOR INFUSION 8ML VIAL 1 R2,810.46
DOCETAXEL 80MG 814741 TAXOTERE 1 R2,810.46
DOLUTEGRAVIR 50MG 3001418 DALIMUNE 30 R234.08
DOLUTEGRAVIR 50MG 3003491 DOLUTEGRAVIR MYLAN 30 R234.08
DOLUTEGRAVIR 50MG 3002140 GRADOVIR 30 R234.08
DOLUTEGRAVIR 50MG 3001470 HETVIR 30 R234.08
DOLUTEGRAVIR 50MG 3002263 MYLTEGA 30 R234.08
DOLUTEGRAVIR 50MG 3002904 NOVALUTE 30 R234.08
DOLUTEGRAVIR 50MG 3000878 OLEGRA 30 R234.08
DOLUTEGRAVIR 50MG 3002340 STIGRA 30 R234.08
DOLUTEGRAVIR 50MG 3002617 TEGEM 30 R234.08
DOLUTEGRAVIR 50MG 722009 TIVICAY 30 R234.08
DOMPERIDONE 10MG 715830 BIO-DOMPERIDONE 10MG TAB 10 R61.60
DOMPERIDONE 10MG 3006446 DOMPERIDONE CIPLA 10 R61.60
DOMPERIDONE 10MG 744611 MOTILIUM TAB 10 R61.60
DOMPERIDONE 10MG 894498 VOMIDON 10MG TAB 10 R61.60
DOMPERIDONE 10MG 717054 VOMI-GUARD 10MG TAB 10 R61.60
DONEPEZIL 10MG 723249 ALZIDO 10MG TAB 30 R248.17
DONEPEZIL 10MG 837334 ARICEPT 10MG TAB 30 R248.17
DONEPEZIL 10MG 720803 ARIMENTIA 10MG TAB 30 R248.17
DONEPEZIL 10MG 720363 ARIMER 10MG TAB 30 R248.17
DONEPEZIL 10MG 722445 CURLOVON 30 R248.17
DONEPEZIL 10MG 715040 DONECEPT 10MG TAB 30 R248.17
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
DONEPEZIL 10MG 723345 DONEPEZIL UNICORN 10MG 30 R248.17
DONEPEZIL 10MG 720340 DONERIN 10MG TAB 30 R248.17
DONEPEZIL 10MG 722954 JUBEZIL 10MG TAB 30 R248.17
DONEPEZIL 10MG 721162 MACLEODS DONEPEZIL 10MG TAB 30 R248.17
DONEPEZIL 10MG 722447 NEPIZEL 10MG TAB 30 R248.17
DONEPEZIL 10MG 722729 ZEPANALZ 10MG TAB 30 R248.17
DONEPEZIL 5MG 723248 ALZIDO 5MG TAB 30 R236.35
DONEPEZIL 5MG 837326 ARICEPT 5MG TAB 30 R236.35
DONEPEZIL 5MG 720802 ARIMENTIA 5MG TAB 30 R236.35
DONEPEZIL 5MG 720362 ARIMER 5MG TAB 30 R236.35
DONEPEZIL 5MG 722444 CURLOVON 30 R236.35
DONEPEZIL 5MG 715039 DONECEPT 5MG TAB 30 R236.35
DONEPEZIL 5MG 723344 DONEPEZIL UNICORN 5MG 30 R236.35
DONEPEZIL 5MG 720339 DONERIN 5MG TAB 30 R236.35
DONEPEZIL 5MG 722953 JUBEZIL 5MG TAB 30 R236.35
DONEPEZIL 5MG 721161 MACLEODS DONEPEZIL 5MG TAB 30 R236.35
DONEPEZIL 5MG 722446 NEPIZEL 5MG TAB 30 R236.35
DONEPEZIL 5MG 722728 ZEPANALZ 5MG TAB 30 R236.35
DORZOLAMIDE 720983 GLAUCOPRESS 5ML 1 R155.90
DORZOLAMIDE 819832 TRUSOPT 5ML 1 R155.90
DOTHIEPIN 25MG 757888 PROTHIADEN 25MG CAP 100 R193.91
DOTHIEPIN 25MG 800198 THADEN 25MG CAP 100 R193.91
DOXAZOSIN 4MG 701426 CARDUGEN WAS MERCKDOXAZOSIN 4MG 30 R68.04
DOXAZOSIN 4MG 3000184 URODOXA 4MG 30 R68.04
DOXAZOSIN 4MG XL 869856 CARDURA XL 4MG TAB 30 R175.29
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
DOXAZOSIN 4MG XL 714292 CARZIN XL 4MG TAB 30 R175.29
DOXORUBICIN 10MG/5ML 721804 DOXORUBICIN ACCORD CONCENTRATE FOR INFUS 1 R85.85 Temporarily closed group
DOXORUBICIN 10MG/5ML 713679 DOXORUBICIN EBEWE SOLUTION FOR INFUSI 1 R85.85 Temporarily closed group
DOXORUBICIN 10MG/5ML 3004245 DOXORUBICIN FRESENIUS CONC FOR SOL FOR I 1 R85.85 Temporarily closed group
DOXORUBICIN 10MG/5ML 823635 DOXORUBICIN RTU 105 VIAL 5ML 1 R85.85 Temporarily closed group
DOXORUBICIN 10MG/5ML 721800 RUBEXET RTU CONCENTRATED SOLUTION FOR IN 1 R85.85 Temporarily closed group
DOXORUBICIN 20MG/ML 837008 DOXORUBICIN RTU 200100 VIAL 100ML 1 R1,763.43
DOXORUBICIN 20MG/ML 721802 RUBEXET RTU CONCENTRATED SOLUTION FOR IN 1 R1,763.43
DOXORUBICIN 2MG/ML 867411 CAELYX VIAL 10ML 1 R5,498.51
DOXORUBICIN 2MG/ML 719985 DOXOLIP CONCENTRATE FOR INFUSION VIAL 10 1 R5,498.51
DOXORUBICIN 2MG/ML 720412 DOXOPEG 10ML VIAL 1 R5,498.51
DOXORUBICIN 2MG/ML 3004522 SOPILCIN CONCENTRATE FOR INFUSION VIAL 1 1 R5,498.51
DOXORUBICIN 50MG/25ML 721805 DOXORUBICIN ACCORD CONCENTRATE FOR INFUS 1 R429.24 Temporarily closed group
DOXORUBICIN 50MG/25ML 713680 DOXORUBICIN EBEWE SOLUTION FOR INFUSIO 1 R429.24 Temporarily closed group
DOXORUBICIN 50MG/25ML 3004247 DOXORUBICIN FRESENIUS CONC FOR SOL FOR I 1 R429.24 Temporarily closed group
DOXORUBICIN 50MG/25ML 823643 DOXORUBICIN RTU 5025 VIAL 25ML 1 R429.24 Temporarily closed group
DOXORUBICIN 50MG/25ML 721801 RUBEXET RTU CONCENTRATED SOLUTION FOR IN 1 R429.24 Temporarily closed group
DOXYCYCLINE 100MG 893402 A-LENNON DOXYCYCLINE 100MG CAP 100 R61.40
DOXYCYCLINE 100MG 716944 CYCLIDOX 100MG CAP 100 R61.40
DOXYCYCLINE 100MG 722844 DOXYCYCLINE BIOTECH 100MG TAB 100 R61.40
DOXYCYCLINE 100MG 809667 DOXYCYL 100MG CAP 100 R61.40
DOXYCYCLINE 100MG 714192 DOXYTET 100MG CAP 100 R61.40
DOXYCYCLINE 50MG 808407 DOXYCYL 50MG CAP 30 R96.24
DOXYCYCLINE 50MG 798401 DUMOXIN 50 50MG CAP 30 R96.24
DOXYLAMINE 25MG 3007095 NOMOWAKE 14 R37.50
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
DOXYLAMINE 25MG 765201 SOMNIL 14 R37.50
DULOXETINE 30MG 703911 CYMBALTA 30MG CAP 28 R176.51
DULOXETINE 30MG 713705 CYMGEN 30MG CAP 28 R176.51
DULOXETINE 30MG 3004446 DEPRETA 30MG CAP 28 R176.51
DULOXETINE 30MG 723475 DRL DULOXETINE 28 R176.51
DULOXETINE 30MG 3003191 DULEVE 28 R176.51
DULOXETINE 30MG 723857 DULTA 28 R176.51
DULOXETINE 30MG 3002891 DUZELA 28 R176.51
DULOXETINE 30MG 718210 YELATE 30MG CAP 28 R176.51
DULOXETINE 30MG SRC 3005259 CALMADEP DR 30 R173.96
DULOXETINE 30MG SRC 3004841 DEOTIN 30MG SRC 30 R173.96
DULOXETINE 30MG SRC 3004434 DUELOKS 30 R173.96
DULOXETINE 30MG SRC 3003277 DULOXETINE DR 30MG AUSTELL 30 R173.96
DULOXETINE 30MG SRC 3003835 DULOXETINE MR 30 UNICORN 30 R173.96
DULOXETINE 30MG SRC 3003153 DULOXETINE MYLAN 30 R173.96
DULOXETINE 30MG SRC 3006198 DULOXETINE XR 30 BIOTECH 30 R173.96
DULOXETINE 60MG 703910 CYMBALTA 60MG CAP 28 R176.51
DULOXETINE 60MG 712786 CYMGEN 60MG CAP 28 R176.51
DULOXETINE 60MG 3004447 DEPRETA 60MG CAP 28 R176.51
DULOXETINE 60MG 723476 DRL DULOXETINE 28 R176.51
DULOXETINE 60MG 3003192 DULEVE 28 R176.51
DULOXETINE 60MG 723858 DULTA 28 R176.51
DULOXETINE 60MG 3002892 DUZELA 28 R176.51
DULOXETINE 60MG 718212 YELATE 60MG CAP 28 R176.51
DULOXETINE 60MG SRC 3005260 CALMADEP DR 30 R173.96
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
DULOXETINE 60MG SRC 3004894 DEOTIN 60MG SRC 30 R173.96
DULOXETINE 60MG SRC 3004435 DUELOKS 30 R173.96
DULOXETINE 60MG SRC 3003279 DULOXETINE DR 60MG AUSTELL 30 R173.96
DULOXETINE 60MG SRC 3003836 DULOXETINE MR 60 UNICORN 30 R173.96
DULOXETINE 60MG SRC 3003147 DULOXETINE MYLAN 30 R173.96
DULOXETINE 60MG SRC 3006199 DULOXETINE XR 60 BIOTECH 30 R173.96
DUTASTERIDE 0.5MG 703202 AVODART 30 R276.00
DUTASTERIDE 0.5MG 3006069 ZEDRAST 30 R276.00
ECONAZOLE VCR 832367 GYNO-PEVARYL VC 80 R296.53
ECONAZOLE VCR 703089 VARI-ECONAZOLE NITRATE VC 80 R296.53
EFAVIRENZ 200MG 712932 ADCO-EFAVIRENZ 200MG TAB 90 R288.78
EFAVIRENZ 200MG 718601 EFAMAT 200MG TAB 90 R288.78
EFAVIRENZ 200MG 710593 ERIGE 200MG CAP 90 R288.78
EFAVIRENZ 200MG 709529 SONKE-EFAVIRENZ 200MG 90 R288.78
EFAVIRENZ 200MG 712070 STOCRIN 200MG 90 R288.78
EFAVIRENZ 200MG 720841 ZENVIR 200MG CAP 90 R288.78
EFAVIRENZ 50MG 715585 ADCO-EFAVIRENZ 50MG 30 R52.16
EFAVIRENZ 50MG 718603 EFAMAT 50MG 30 R52.16
EFAVIRENZ 50MG 710592 ERIGE 50MG 30 R52.16
EFAVIRENZ 50MG 712069 STOCRIN 50MG TAB 30 R52.16
EFAVIRENZ 50MG 720840 ZENVIR 50MG CAP 30 R52.16
EFAVIRENZ 600MG 709545 ADCO-EFAVIRENZ 600MG TAB 30 R173.96
EFAVIRENZ 600MG 710019 ASPEN EFAVIRENZ 600MG TAB 30 R173.96
EFAVIRENZ 600MG 709331 CIPLA-EFAVIRENZ 600MG TAB 30 R173.96
EFAVIRENZ 600MG 717778 EFAVIRENZ WINTHROP 600MG TAB 30 R173.96
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
EFAVIRENZ 600MG 717978 EFRIN 600MG TAB 30 R173.96
EFAVIRENZ 600MG 710594 ERIGE 600MG TAB 30 R173.96
EFAVIRENZ 600MG 715591 HEVAZ 600MG TAB 30 R173.96
EFAVIRENZ 600MG 709528 SONKE-EFAVIRENZ 600MG TAB 30 R173.96
EFAVIRENZ 600MG 703318 STOCRIN 600MG CAP 30 R173.96
EFAVIRENZ 600MG 718099 VIREF 600MG TAB 30 R173.96
EFAVIRENZ 600MG 3000055 ZENFAR 600MG TAB 30 R173.96
EMTRICITABINE/TENOFOVIR DISOPROXIL
715997 ADCO EMTEVIR 200MG/300MG TAB 30 R428.18
EMTRICITABINE/TENOFOVIR DISOPROXIL
715091 DIDIVIR 200MG/300MG TAB 30 R428.18
EMTRICITABINE/TENOFOVIR DISOPROXIL
723307 EMCOVIR 30 R428.18
EMTRICITABINE/TENOFOVIR DISOPROXIL
723717 EMTEN 30 R428.18
EMTRICITABINE/TENOFOVIR DISOPROXIL
721498 EMTROC 200MG/300MG TAB 30 R428.18
EMTRICITABINE/TENOFOVIR DISOPROXIL
720869 HETEMCIT 200MG/300MG TAB 30 R428.18
EMTRICITABINE/TENOFOVIR DISOPROXIL
3004674 PREPETAM 30 R428.18
EMTRICITABINE/TENOFOVIR DISOPROXIL
717275 TEMECIT 200MG/300MG 30 R428.18
EMTRICITABINE/TENOFOVIR DISOPROXIL
715579 TENCITAB 30 R428.18
EMTRICITABINE/TENOFOVIR DISOPROXIL
720242 TENEMCOM 200MG/300MG TAB 30 R428.18
EMTRICITABINE/TENOFOVIR DISOPROXIL
717981 TENEMINE 200MG/300MG 30 R428.18
EMTRICITABINE/TENOFOVIR DISOPROXIL
3004544 TREMDEX 200MG/300MG 30 R428.18
EMTRICITABINE/TENOFOVIR DISOPROXIL
708254 TRUVADA 200MG/300MG TAB 30 R428.18
EMTRICITABINE/TENOFOVIR DISOPROXIL
715071 TYRICTEN 200MG/300MG TAB 30 R428.18
EMTRICITABINE/TENOFOVIR/EFAVIRENZ
720428 ATENEF 30 R331.67
EMTRICITABINE/TENOFOVIR/EFAVIRENZ
715578 ATRIPLA 30 R331.67
EMTRICITABINE/TENOFOVIR/EFAVIRENZ
717837 ATROIZA 30 R331.67
EMTRICITABINE/TENOFOVIR/EFAVIRENZ
718874 CITENVIR 30 R331.67
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
EMTRICITABINE/TENOFOVIR/EFAVIRENZ
719507 EFTENEM 30 R331.67
EMTRICITABINE/TENOFOVIR/EFAVIRENZ
721197 HEFTENAM 30 R331.67
EMTRICITABINE/TENOFOVIR/EFAVIRENZ
3002312 HETRIPCO 30 R331.67
EMTRICITABINE/TENOFOVIR/EFAVIRENZ
716768 ODIMUNE 30 R331.67
EMTRICITABINE/TENOFOVIR/EFAVIRENZ
721720 RIZENE TAB 30 R331.67
EMTRICITABINE/TENOFOVIR/EFAVIRENZ
3004090 TABEX 30 R331.67
EMTRICITABINE/TENOFOVIR/EFAVIRENZ
3002598 TEERENZ 30 R331.67
EMTRICITABINE/TENOFOVIR/EFAVIRENZ
3001860 TEEVIR 30 R331.67
EMTRICITABINE/TENOFOVIR/EFAVIRENZ
721430 TRENVIR 30 R331.67
EMTRICITABINE/TENOFOVIR/EFAVIRENZ
716630 TRIBUSS 30 R331.67
EMTRICITABINE/TENOFOVIR/EFAVIRENZ
3000260 TRIEMTA 30 R331.67
EMTRICITABINE/TENOFOVIR/EFAVIRENZ
721497 TRIOLAR 30 R331.67
EMTRICITABINE/TENOFOVIR/EFAVIRENZ
723676 TRIONCE 30 R331.67
EMTRICITABINE/TENOFOVIR/EFAVIRENZ
3006556 TRIOVIR 30 R331.67
EMTRICITABINE/TENOFOVIR/EFAVIRENZ
723890 TRIPAVIR 30 R331.67
EMTRICITABINE/TENOFOVIR/EFAVIRENZ
3001233 TRIPLOCO 30 R331.67
EMTRICITABINE/TENOFOVIR/EFAVIRENZ
3000291 TRIVAGE 30 R331.67
EMTRICITABINE/TENOFOVIR/EFAVIRENZ
718672 TRIVENZ 30 R331.67
EMTRICITABINE/TENOFOVIR/EFAVIRENZ
720853 TRUNO 600/200/300 30 R331.67
EMTRICITABINE/TENOFOVIR/EFAVIRENZ
3001080 VIRTEM 30 R331.67
ENALAPRIL 10MG 881481 ALAPREN 10 TAB 30 R63.43
ENALAPRIL 10MG 721626 AUSTELL ENALAPRIL 10MG TAB 30 R63.43
ENALAPRIL 10MG 894324 CIPLATEC 10 TAB 30 R63.43
ENALAPRIL 10MG 3004847 ENALAPRIL 10 ARYA 30 R63.43
ENALAPRIL 10MG 723157 ENALAPRIL BIOTECH 10MG 30 R63.43
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ENALAPRIL 10MG 886843 ENALAPRIL UNICORN 10MG 30 R63.43
ENALAPRIL 10MG 891279 ENAP 10MG TAB 30 R63.43
ENALAPRIL 10MG 712763 ENVAS 10MG TAB 30 R63.43
ENALAPRIL 10MG 867853 HR-ENALAPRIL 10 TAB 30 R63.43
ENALAPRIL 10MG 3006415 NATRAPRESS 30 R63.43
ENALAPRIL 10MG 868914 PHARMAPRESS 10 TAB 30 R63.43
ENALAPRIL 10MG 759783 RENITEC 10 10MG TAB 30 R63.43
ENALAPRIL 20MG 881503 ALAPREN 20 TAB 30 R107.02
ENALAPRIL 20MG 721627 AUSTELL ENALAPRIL 20MG TAB 30 R107.02
ENALAPRIL 20MG 701729 CIPLATEC 20MG TAB 30 R107.02
ENALAPRIL 20MG 3004848 ENALAPRIL 20 ARYA 30 R107.02
ENALAPRIL 20MG 723159 ENALAPRIL BIOTECH 20MG 30 R107.02
ENALAPRIL 20MG 886851 ENALAPRIL UNICORN 20MG 30 R107.02
ENALAPRIL 20MG 891280 ENAP 20MG TAB 30 R107.02
ENALAPRIL 20MG 867861 HR-ENALAPRIL 20 TAB 30 R107.02
ENALAPRIL 20MG 3006414 NATRAPRESS 30 R107.02
ENALAPRIL 20MG 868922 PHARMAPRESS 20 TAB 30 R107.02
ENALAPRIL 20MG 759767 RENITEC 20 20MG TAB 30 R107.02
ENALAPRIL 5MG 881473 ALAPREN 5 TAB 30 R36.85
ENALAPRIL 5MG 721625 AUSTELL ENALAPRIL 5MG TAB 30 R36.85
ENALAPRIL 5MG 894316 CIPLATEC 5 TAB 30 R36.85
ENALAPRIL 5MG 3004846 ENALAPRIL 5 ARYA 30 R36.85
ENALAPRIL 5MG 723156 ENALAPRIL BIOTECH 5MG 30 R36.85
ENALAPRIL 5MG 3000716 ENALAPRIL UNICORN 30 R36.85
ENALAPRIL 5MG 891272 ENAP 5MG TAB 30 R36.85
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ENALAPRIL 5MG 712762 ENVAS 5MG TAB 30 R36.85
ENALAPRIL 5MG 867845 HR-ENALAPRIL 5 TAB 30 R36.85
ENALAPRIL 5MG 862622 HYPACE 5MG TAB 30 R36.85
ENALAPRIL 5MG 708109 PHARMAPRESS 5MG TAB 30 R36.85
ENALAPRIL 5MG 759759 RENITEC 5 5MG TAB 30 R36.85
ENALAPRIL PLUS HYDROCHL 20MG/12.5MG
3005236 ACENTEN 20/12.5 30 R97.08
ENALAPRIL PLUS HYDROCHL 20MG/12.5MG
787035 CO-RENITEC 20/12.5MG TAB 30 R97.08
ENALAPRIL PLUS HYDROCHL 20MG/12.5MG
891287 ENAP CO 20MG/12.5MG TAB 30 R97.08
ENALAPRIL PLUS HYDROCHL 20MG/12.5MG
885019 PHARMAPRESS CO TAB 30 R97.08
EPIRUBICIN 10MG 716228 ACCORD EPIRUBICIN 10 VIAL 5ML 1 R155.76
EPIRUBICIN 10MG 714218 ASPEN EPIRUBICIN 10ML VIAL POWDER FOR RE 1 R155.76
EPIRUBICIN 10MG 714241 ASPEN EPIRUBICIN 5ML VIAL 1 R155.76
EPIRUBICIN 10MG 716240 EPICORD 10 VIAL 5ML 1 R155.76
EPIRUBICIN 10MG 710406 EPIRUBICIN-HEXAL VIAL 5ML 1 R155.76
EPIRUBICIN 50MG 716239 ACCORD EPIRUBICIN 50 VIAL 25ML 1 R778.81
EPIRUBICIN 50MG 714219 ASPEN EPIRUBICIN 50ML VIAL POWDER FOR RE 1 R778.81
EPIRUBICIN 50MG 714220 ASPEN EPIRUBICIN VIAL 25ML 1 R778.81
EPIRUBICIN 50MG 716241 EPICORD 50 VIAL 25ML 1 R778.81
EPIRUBICIN 50MG 710408 EPIRUBICIN-HEXAL VIAL 25ML 1 R778.81
ERLOTINIB 100MG 3002247 ERCYTA 30 R13,100.98
ERLOTINIB 100MG 3002632 ERLOCIP 30 R13,100.98
ERLOTINIB 100MG 712633 TARCEVA 30 R13,100.98
ERLOTINIB 100MG 3002816 TARPIB 30 R13,100.98
ERLOTINIB 100MG 3004280 TELONTA 30 R13,100.98
ERLOTINIB 100MG 3002419 TERLOT 30 R13,100.98
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ERLOTINIB 150MG 3002294 ERCYTA 30 R15,558.44
ERLOTINIB 150MG 3002633 ERLOCIP 30 R15,558.44
ERLOTINIB 150MG 712634 TARCEVA 30 R15,558.44
ERLOTINIB 150MG 3002817 TARPIB 30 R15,558.44
ERLOTINIB 150MG 3004281 TELONTA 30 R15,558.44
ERLOTINIB 150MG 3002420 TERLOT 30 R15,558.44
ERLOTINIB 25MG 3002631 ERLOCIP 30 R4,614.37
ERLOTINIB 25MG 712628 TARCEVA 30 R4,614.37
ERLOTINIB 25MG 3002811 TARPIB 30 R4,614.37
ERLOTINIB 25MG 3004279 TELONTA 30 R4,614.37
ERYTHROMYCIN 125MG/5ML 793329 BETAMYCIN 125/5ML SUS 100 R24.63
ERYTHROMYCIN 125MG/5ML 787108 ERYMYCIN ESTOLATE P 125/5ML SUS 100 R24.63
ERYTHROMYCIN 125MG/5ML 758396 PURMYCIN 125MG/5ML SUS 100 R24.63
ERYTHROMYCIN 125MG/5ML 823570 XERAMEL-S 125MG/5ML SUS 100 R24.63
ERYTHROMYCIN 250MG 780561 ADCO-ERYTHROMYCIN 250MG CAP 500 R684.67
ERYTHROMYCIN 250MG 710310 ERYKO 250MG TAB 500 R684.67
ERYTHROMYCIN 250MG 724076 ERYMYCIN AF 250MG CAP 500 R684.67
ERYTHROMYCIN 250MG 758388 PURMYCIN 250MG CAP 500 R684.67
ERYTHROMYCIN 250MG 719683 RACEMIN 250MG TAB 500 R684.67
ERYTHROMYCIN 250MG 824682 XERAMEL 250 MG CAP 500 R684.67
ERYTHROMYCIN 250MG/5ML 787086 ERYMYCIN ESTOLATE PF 250/5ML SUS 100 R59.85
ERYTHROMYCIN 250MG/5ML 758418 PURMYCIN 250MG/5ML SUS 100 R59.85
ERYTHROMYCIN 250MG/5ML 848409 XERAMEL SF 100 R59.85
ESCITALOPRAM 10MG 719547 ACCORD ESCITALOPRAM 10MG TAB 30 R96.96
ESCITALOPRAM 10MG 703232 CIPRALEX 10MG TAB 30 R96.96
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ESCITALOPRAM 10MG 711214 CITRAZ 10MG TAB 30 R96.96
ESCITALOPRAM 10MG 720377 DOLIN 10MG TAB 30 R96.96
ESCITALOPRAM 10MG 721157 EMERDYNE (WAS MACLEODS ESCITALOPRAM) 10MG30
TAB R96.96
ESCITALOPRAM 10MG 3005243 EPRAJUB 30 R96.96
ESCITALOPRAM 10MG 715596 ESCITALOPRAM BE-TABS 10MG TAB 30 R96.96
ESCITALOPRAM 10MG 722145 ESCITALOPRAM UNICORN 10MG TAB 30 R96.96
ESCITALOPRAM 10MG 3000919 ESETAM 30 R96.96
ESCITALOPRAM 10MG 712595 ESPRADEP 10MG TAB 30 R96.96
ESCITALOPRAM 10MG 714012 FICALI 10MG TAB 30 R96.96
ESCITALOPRAM 10MG 710303 LEXAMIL 10MG TAB 30 R96.96
ESCITALOPRAM 10MG 718287 NEXITO 10MG TAB 30 R96.96
ESCITALOPRAM 10MG 718743 ZITOLEX 10MG TAB 30 R96.96
ESCITALOPRAM 10MG 718669 ZYDUS ESCITALOPRAM 10MG TAB 30 R96.96
ESCITALOPRAM 10MG 3002266 ZYESCITO 30 R96.96
ESCITALOPRAM 10MG 715402 ZYTOMIL 10MG TAB 30 R96.96
ESCITALOPRAM 20MG 719548 ACCORD ESCITALOPRAM 20MG TAB 30 R87.60
ESCITALOPRAM 20MG 709647 CIPRALEX 20MG TAB 30 R87.60
ESCITALOPRAM 20MG 711215 CITRAZ 20MG TAB 30 R87.60
ESCITALOPRAM 20MG 720378 DOLIN 20MG TAB 30 R87.60
ESCITALOPRAM 20MG 721159 EMERDYNE (WAS MACLEODS ESCITALOPRAM) 20MG30
TAB R87.60
ESCITALOPRAM 20MG 3005244 EPRAJUB 30 R87.60
ESCITALOPRAM 20MG 715597 ESCITALOPRAM BE-TABS 20MG TAB 30 R87.60
ESCITALOPRAM 20MG 722147 ESCITALOPRAM UNICORN 20MG TAB 30 R87.60
ESCITALOPRAM 20MG 3000922 ESETAM 30 R87.60
ESCITALOPRAM 20MG 710304 LEXAMIL 20MG TAB 30 R87.60
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ESCITALOPRAM 20MG 720824 MARPREM 20MG TAB 30 R87.60
ESCITALOPRAM 20MG 714013 MYLAN ESCITALOPRAM 20MG TAB 30 R87.60
ESCITALOPRAM 20MG 718744 ZITOLEX 20MG TAB 30 R87.60
ESCITALOPRAM 20MG 3002267 ZYESCITO 30 R87.60
ESCITALOPRAM 20MG 715403 ZYTOMIL 20MG TAB 30 R87.60
ESOMEPRAZOLE 20MG 3005694 ESOMEPRAZOLE 20MG CIPLA 14 R116.07
ESOMEPRAZOLE 20MG 3002447 ESOTAB 14 R116.07
ESOMEPRAZOLE 20MG 3005257 FLUXTRIN 14 R116.07
ESOMEPRAZOLE 20MG 3006963 JUBIGORD 14 R116.07
ESOMEPRAZOLE 20MG 721061 NECTIZOLE 20MG TAB 14 R116.07
ESOMEPRAZOLE 20MG 721089 NESOPRAM 20MG TAB 14 R116.07
ESOMEPRAZOLE 20MG 897132 NEXIAM 20MG 14 R116.07
ESOMEPRAZOLE 20MG 721056 NEXIFLUX 20MG TAB 14 R116.07
ESOMEPRAZOLE 20MG 3005340 NEXILOK 14 R116.07
ESOMEPRAZOLE 20MG 720753 NEXIPRAZ 20MG TAB 14 R116.07
ESOMEPRAZOLE 20MG 3005630 NEXIPRAZ OTC 14 R116.07
ESOMEPRAZOLE 20MG 718879 NEXMEZOL 20MG 14 R116.07
ESOMEPRAZOLE 20MG 721578 NEXOMEP 20MG 14 R116.07
ESOMEPRAZOLE 20MG 3004572 NEXTELL 14 R116.07
ESOMEPRAZOLE 20MG 3005139 TRULOC 14 R116.07
ESOMEPRAZOLE 20MG 720215 TRUSTAN 20MG 14 R116.07
ESOMEPRAZOLE 40MG 3005695 ESOMEPRAZOLE 40MG CIPLA 14 R173.33
ESOMEPRAZOLE 40MG 3002448 ESOTAB 14 R173.33
ESOMEPRAZOLE 40MG 3005258 FLUXTRIN 14 R173.33
ESOMEPRAZOLE 40MG 3006964 JUBIGORD 14 R173.33
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ESOMEPRAZOLE 40MG 721062 NECTIZOLE 40MG TAB 14 R173.33
ESOMEPRAZOLE 40MG 721090 NESOPRAM 40MG TAB 14 R173.33
ESOMEPRAZOLE 40MG 897125 NEXIAM 40MG 14 R173.33
ESOMEPRAZOLE 40MG 721057 NEXIFLUX 40MG TAB 14 R173.33
ESOMEPRAZOLE 40MG 3005341 NEXILOK 14 R173.33
ESOMEPRAZOLE 40MG 720754 NEXIPRAZ 40MG TAB 14 R173.33
ESOMEPRAZOLE 40MG 718880 NEXMEZOL 40MG 14 R173.33
ESOMEPRAZOLE 40MG 721579 NEXOMEP 40MG 14 R173.33
ESOMEPRAZOLE 40MG 3004573 NEXTELL 14 R173.33
ESOMEPRAZOLE 40MG 3005142 TRULOC 14 R173.33
ESOMEPRAZOLE 40MG 720217 TRUSTAN 40MG 14 R173.33
ETOPOSIDE 100MG/5ML 719861 ASPEN ETOPOSIDE SOLUTION FOR INFUSION VI 1 R231.44
ETOPOSIDE 100MG/5ML 850926 EPOSIN VIAL 5ML 1 R231.44
ETOPOSIDE 100MG/5ML 3005394 ETOPOSIDE FRESENIUS CONC FOR SOLUTION FO 1 R231.44
ETOPOSIDE 100MG/5ML 710402 ETOPOSIDE-HEXAL VIAL 5ML 1 R231.44
ETOPOSIDE 100MG/5ML 841021 P&U ETOPOSIDE CSV VIAL 5ML 1 R231.44
ETORICOXIB 120MG 709110 ARCOXIA 120MG 7 R64.89
ETORICOXIB 120MG 3001968 AZCURA 7 R64.89
ETORICOXIB 120MG 3001638 CORICIB 7 R64.89
ETORICOXIB 120MG 3004263 COXETORI 7 R64.89
ETORICOXIB 120MG 3002300 EBOV 7 R64.89
ETORICOXIB 120MG 3002400 ECOXAR 7 R64.89
ETORICOXIB 120MG 3002933 ETIFLAM 7 R64.89
ETORICOXIB 120MG 3002678 ETOFLAM 7 R64.89
ETORICOXIB 120MG 3002099 ETORICOXIB AUSTELL 7 R64.89
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ETORICOXIB 120MG 3003605 ETORICOXIB BIOTECH 7 R64.89
ETORICOXIB 120MG 723368 EXINEF 120MG 7 R64.89
ETORICOXIB 120MG 3003526 EXORICA 7 R64.89
ETORICOXIB 120MG 3002545 EXTRIB 7 R64.89
ETORICOXIB 120MG 3002324 EXXIB 7 R64.89
ETORICOXIB 120MG 3001966 MARACOXA 7 R64.89
ETORICOXIB 120MG 723130 SPEC ETORICOXIB 120MG 7 R64.89
ETORICOXIB 120MG 3002332 THRYTIX 7 R64.89
ETORICOXIB 30MG 3001702 ARCOXIA TAB 28 R81.56
ETORICOXIB 30MG 3002586 CORICIB 28 R81.56
ETORICOXIB 30MG 3001701 EXINEF TAB 28 R81.56
ETORICOXIB 30MG 3002542 EXTRIB 28 R81.56
ETORICOXIB 60MG 709108 ARCOXIA 60MG 28 R226.73
ETORICOXIB 60MG 3001961 AZCURA 28 R226.73
ETORICOXIB 60MG 3001636 CORICIB 28 R226.73
ETORICOXIB 60MG 3004261 COXETORI 28 R226.73
ETORICOXIB 60MG 3002298 EBOV 28 R226.73
ETORICOXIB 60MG 3002397 ECOXAR 28 R226.73
ETORICOXIB 60MG 3002930 ETIFLAM 28 R226.73
ETORICOXIB 60MG 3002676 ETOFLAM 28 R226.73
ETORICOXIB 60MG 3002097 ETORICOXIB AUSTELL 28 R226.73
ETORICOXIB 60MG 3003603 ETORICOXIB BIOTECH 28 R226.73
ETORICOXIB 60MG 723366 EXINEF 60MG 28 R226.73
ETORICOXIB 60MG 3003524 EXORICA 28 R226.73
ETORICOXIB 60MG 3002543 EXTRIB 28 R226.73
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ETORICOXIB 60MG 3002321 EXXIB 28 R226.73
ETORICOXIB 60MG 3001918 MARACOXA 28 R226.73
ETORICOXIB 60MG 723128 SPEC ETORICOXIB 60MG 28 R226.73
ETORICOXIB 60MG 3002330 THRYTIX 28 R226.73
ETORICOXIB 90MG 709109 ARCOXIA 7 R55.92
ETORICOXIB 90MG 3001967 AZCURA 7 R55.92
ETORICOXIB 90MG 3001637 CORICIB 7 R55.92
ETORICOXIB 90MG 3004262 COXETORI 7 R55.92
ETORICOXIB 90MG 3002299 EBOV 7 R55.92
ETORICOXIB 90MG 3002398 ECOXAR 7 R55.92
ETORICOXIB 90MG 3002931 ETIFLAM 7 R55.92
ETORICOXIB 90MG 3002677 ETOFLAM 7 R55.92
ETORICOXIB 90MG 3002098 ETORICOXIB AUSTELL 7 R55.92
ETORICOXIB 90MG 3003604 ETORICOXIB BIOTECH 7 R55.92
ETORICOXIB 90MG 723367 EXINEF 7 R55.92
ETORICOXIB 90MG 3003525 EXORICA 7 R55.92
ETORICOXIB 90MG 3002544 EXTRIB 7 R55.92
ETORICOXIB 90MG 3002323 EXXIB 7 R55.92
ETORICOXIB 90MG 3001965 MARACOXA 7 R55.92
ETORICOXIB 90MG 723129 SPEC ETORICOXIB 7 R55.92
ETORICOXIB 90MG 3002331 THRYTIX 7 R55.92
EXEMESTANE 25MG 3004032 ACTAMASIN 30 R1,067.48
EXEMESTANE 25MG 700482 AROMASIN 30 R1,067.48
EXEMESTANE 25MG 721738 ASPEN EXEMESTANE 30 R1,067.48
EXEMESTANE 25MG 720023 EQUISIN 30 R1,067.48
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
EZETIMIBE 10MG 3004104 EZENTIA 30 R210.02
EZETIMIBE 10MG 3003403 EZETIMIBE 10 TEVA 10MG 30 R210.02
EZETIMIBE 10MG 3003866 EZETIMIBE 10 UNICORN 30 R210.02
EZETIMIBE 10MG 704378 EZETROL 10MG 30 R210.02
EZETIMIBE 10MG 3006551 EZOTAK 30 R210.02
EZETIMIBE 10MG 3003378 MEZIBE 10MG 30 R210.02
EZETIMIBE 10MG 3004792 MIBITEZ 10MG 30 R210.02
EZETIMIBE 10MG 3004783 NITASOL 30 R210.02
EZETIMIBE 10MG 3003423 TACTUS 10MG 30 R210.02
EZETIMIBE 10MG 3004519 TOLEZE 30 R210.02
EZETIMIBE 10MG 3003893 TREZECOL 30 R210.02
EZETIMIBE 10MG 3004468 TRYZETOR 30 R210.02
EZETIMIBE 10MG 3003902 ZYTEZO 30 R210.02
EZETIMIBE/SIMVASTATIN 10MG/10MG
3003965 EZESIM 10MG/10MG 30 R188.94
EZETIMIBE/SIMVASTATIN 10MG/10MG
3003344 EZIMVA 10MG/10MG 30 R188.94
EZETIMIBE/SIMVASTATIN 10MG/10MG715237 INEGY 10MG/10MG 30 R188.94
EZETIMIBE/SIMVASTATIN 10MG/10MG
3003826 MEZIBE PLUS 10MG/10MG 30 R188.94
EZETIMIBE/SIMVASTATIN 10MG/10MG
3003518 TRYZETOR PLUS 10MG/10MG 30 R188.94
EZETIMIBE/SIMVASTATIN 10MG/20MG
3003966 EZESIM 10MG/20MG 30 R189.02
EZETIMIBE/SIMVASTATIN 10MG/20MG
3003345 EZIMVA 10MG/20MG 30 R189.02
EZETIMIBE/SIMVASTATIN 10MG/20MG715238 INEGY 10MG/20MG 30 R189.02
EZETIMIBE/SIMVASTATIN 10MG/20MG
3003828 MEZIBE PLUS 10MG/20MG 30 R189.02
EZETIMIBE/SIMVASTATIN 10MG/20MG
3003530 TRYZETOR PLUS 10MG/20MG 30 R189.02
EZETIMIBE/SIMVASTATIN 10MG/40MG
3003986 EZESIM 10MG/40MG 30 R188.94
EZETIMIBE/SIMVASTATIN 10MG/40MG
3003347 EZIMVA 10MG/40MG 30 R188.94
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
EZETIMIBE/SIMVASTATIN 10MG/40MG715240 INEGY 10MG/40MG 30 R188.94
EZETIMIBE/SIMVASTATIN 10MG/40MG
3003897 MEZIBE PLUS 10MG/40MG 30 R188.94
EZETIMIBE/SIMVASTATIN 10MG/40MG
3003632 TRYZETOR PLUS 10MG/40MG 30 R188.94
FAMCICLOVIR 125MG 718876 CIPLAFAM 125MG TAB 10 R147.82
FAMCICLOVIR 125MG 826715 FAMVIR 125MG TAB 10 R147.82
FAMCICLOVIR 125MG 3000669 MACLEODS FAMCICLOVIR 10 R147.82
FAMCICLOVIR 250MG 718877 CIPLAFAM 250MG TAB 21 R645.15
FAMCICLOVIR 250MG 815853 FAMVIR 250MG TAB 21 R645.15
FAMCICLOVIR 250MG 3000670 MACLEODS FAMCICLOVIR 21 R645.15
FELODIPINE 5MG 703221 FELODIPINE KIARA 5MG 30 R132.96
FELODIPINE 5MG 805548 PLENDIL 5MG 30 R132.96
FENOTEROL 2.5MG/5ML 718554 FENOVENT 2.5MG/ML 150 R89.64
FENTANYL 100MCG 716800 ADCO-TENYL 100MCG PTD 5 R1,533.87
FENTANYL 100MCG 814024 DUROGESIC 100MCG PTD 5 R1,533.87
FENTANYL 100MCG 719282 FENDERMAL 16.8MG (100MCG/H) 5 R1,533.87
FENTANYL 25MCG 716797 ADCO-TENYL 25MCG PTD 5 R514.81
FENTANYL 25MCG 814008 DUROGESIC 25MCG PTD 5 R514.81
FENTANYL 25MCG 719279 FENDERMAL 4.2MG PATCH (25MCG/H) 5 R514.81
FENTANYL 50MCG 716798 ADCO-TENYL 50MCG PTD 5 R861.06
FENTANYL 50MCG 814016 DUROGESIC 50MCG PTD 5 R861.06
FENTANYL 50MCG 719280 FENDERMAL 8.4MG (50MCG/H) 5 R861.06
FENTANYL 75MCG 716799 ADCO-TENYL 75MCG PTD 5 R1,192.13
FENTANYL 75MCG 819425 DUROGESIC 75MCG PTD 5 R1,192.13
FENTANYL 75MCG 719281 FENDERMAL 12.6MG (75MCG/H) 5 R1,192.13
FEXOFENADINE 120MG 709841 FASTWAY 120MG TAB 10 R57.83
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
FEXOFENADINE 120MG 714068 FENOFEX 120MG TAB 10 R57.83
FEXOFENADINE 120MG 710836 FEXAWAY 120MG TAB 10 R57.83
FEXOFENADINE 120MG 707199 FEXO 120MG TAB 10 R57.83
FEXOFENADINE 120MG 3000602 FEXOFENADINE BIOTECH 10 R57.83
FEXOFENADINE 120MG 3005935 FEXOGEN 10 R57.83
FEXOFENADINE 120MG 3006472 FEXXTAB 10 R57.83
FEXOFENADINE 120MG 848093 TELFAST 120MG TAB 10 R57.83
FEXOFENADINE 120MG 714055 TELLERGE 120MG TAB 10 R57.83
FEXOFENADINE 180MG 709710 FASTWAY 180MG TAB 30 R214.38
FEXOFENADINE 180MG 714069 FENOFEX 180MG TAB 30 R214.38
FEXOFENADINE 180MG 710837 FEXAWAY 180MG TAB 30 R214.38
FEXOFENADINE 180MG 707200 FEXO 180MG TAB 30 R214.38
FEXOFENADINE 180MG 3000603 FEXOFENADINE BIOTECH 30 R214.38
FEXOFENADINE 180MG 3005936 FEXOGEN 30 R214.38
FEXOFENADINE 180MG 3006473 FEXXTAB 30 R214.38
FEXOFENADINE 180MG 848107 TELFAST 180MG TAB 30 R214.38
FEXOFENADINE 180MG 714053 TELLERGE 180MG TAB 30 R214.38
FINASTERIDE 1MG 3006682 FINASTERIDE 1UNICORN 30 R187.37
FINASTERIDE 1MG 709848 FINPECIA 1MG 30 R187.37
FINASTERIDE 1MG 718147 PROFINA 30 R187.37
FINASTERIDE 1MG 852570 PROPECIA 1MG 30 R187.37
FINASTERIDE 5MG 716739 ACCORD FINASTERIDE 5MG 28 R294.28
FINASTERIDE 5MG 709473 FINCAR 5MG 28 R294.28
FINASTERIDE 5MG 723250 FINIDE 5MG 28 R294.28
FINASTERIDE 5MG 793736 PROSCAR 5MG 28 R294.28
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
FINGOLIMOD 0.5MG 3005254 FILENGIA 30 R6,409.07
FINGOLIMOD 0.5MG 3002561 MYELENEA .5MG 30 R6,409.07
FINGOLIMOD 0.5MG 720446 TUVIGIN .5MG 30 R6,409.07
FLAVOXATE 200MG 3005691 FLOSPASM 15 R98.12
FLAVOXATE 200MG 820113 URISPAS 15 R98.12
FLUCLOXACILLIN 250MG 710308 FLUPEN 20 R72.42
FLUCLOXACILLIN 250MG 723163 OETHMAAN FLUCLOXACILLIN 20 R72.42
FLUCLOXACILLIN 250MG 781231 SANDOZ FLUCLOXACILLIN 20 R72.42
FLUCLOXACILLIN 250MG 3004454 SEPTAPEN 20 R72.42
FLUCONAZOLE 150MG 703624 ASPEN FLUCONAZOLE 150MG 1 R28.63
FLUCONAZOLE 150MG 721667 AURO FLUCONAZOLE 150MG CAP 1 R28.63
FLUCONAZOLE 150MG 704357 AUSTELL FLUCONAZOLE 150MG CAP 1 R28.63
FLUCONAZOLE 150MG 3004682 BIO FLUCONAZOLE 1 R28.63
FLUCONAZOLE 150MG 786373 DIFLUCAN 150MG CAP 1 R28.63
FLUCONAZOLE 150MG 703635 DIFLUZOLE 150MG CAP 1 R28.63
FLUCONAZOLE 150MG 3000954 FLUCONAZOLE STRIDES 1 R28.63
FLUCONAZOLE 150MG 718565 FLUCONAZOLE UNICORN 150MG CAP 1 R28.63
FLUCONAZOLE 150MG 700149 FLUCORIC 150MG CAP 1 R28.63
FLUCONAZOLE 150MG 700598 FLUZOL 150MG CAP 1 R28.63
FLUCONAZOLE 150MG 720858 GLENMARK FLUCONAZOLE 150MG TAB 1 R28.63
FLUCONAZOLE 150MG 713556 GULF FLUCONAZOLE 150MG CAP 1 R28.63
FLUCONAZOLE 150MG 720826 INSEP 150MG CAP 1 R28.63
FLUCONAZOLE 150MG 711530 MYCOREST 150MG CAP 1 R28.63
FLUCONAZOLE 150MG 705384 MYLAN FLUCONAZOLE 150MG CAP 1 R28.63
FLUCONAZOLE 200MG 723427 ARICON 200MG CAP 28 R447.40
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
FLUCONAZOLE 200MG 703626 ASPEN FLUCONAZOLE 200MG CAP 28 R447.40
FLUCONAZOLE 200MG 720661 AURO FLUCONAZOLE 200MG 28 R447.40
FLUCONAZOLE 200MG 704356 AUSTELL FLUCONAZOLE 200MG CAP 28 R447.40
FLUCONAZOLE 200MG 3004683 BIO FLUCONAZOLE 28 R447.40
FLUCONAZOLE 200MG 704116 CIPLA-FLUCONAZOLE 200MG CAP 28 R447.40
FLUCONAZOLE 200MG 820539 DIFLUCAN 200MG CAP 28 R447.40
FLUCONAZOLE 200MG 3000905 FLUCONAZOLE STRIDES 28 R447.40
FLUCONAZOLE 200MG 700202 FLUCORIC 200MG CAP 28 R447.40
FLUCONAZOLE 200MG 700601 FLUZOL 200MG CAP 28 R447.40
FLUCONAZOLE 200MG 720859 GLENMARK FLUCONAZOLE 200MG TAB 28 R447.40
FLUCONAZOLE 200MG 713557 GULF FLUCONAZOLE 200MG CAP 28 R447.40
FLUCONAZOLE 200MG 720827 INSEP 200MG CAP 28 R447.40
FLUCONAZOLE 200MG 705385 MYLAN-FLUCONAZOLE 200MG CAP 28 R447.40
FLUCONAZOLE 200MG 720045 ZYDUS FLUCONAZOLE 200MG CAP 28 R447.40
FLUCONAZOLE 50MG 723426 ARICON 50MG CAP 14 R168.48
FLUCONAZOLE 50MG 703623 ASPEN FLUCONAZOLE 50MG CAP 14 R168.48
FLUCONAZOLE 50MG 704358 AUSTELL FLUCONAZOLE 50MG CAP 14 R168.48
FLUCONAZOLE 50MG 3004681 BIO FLUCONAZOLE 14 R168.48
FLUCONAZOLE 50MG 703634 CIPLA-FLUCONAZOLE 50MG CAP 14 R168.48
FLUCONAZOLE 50MG 786365 DIFLUCAN 50MG CAP 14 R168.48
FLUCONAZOLE 50MG 700131 FLUCORIC 50MG CAP 14 R168.48
FLUCONAZOLE 50MG 700597 FLUZOL 50MG CAP 14 R168.48
FLUCONAZOLE 50MG 720857 GLENMARK FLUCONAZOLE 50MG TAB 14 R168.48
FLUCONAZOLE 50MG 713555 GULF FLUCONAZOLE 50MG CAP 14 R168.48
FLUOCINOLONE CRM 716278 CORTODERM CRE 500 R516.45
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
FLUOCINOLONE CRM 768278 SYNALAR CRE 500 R516.45
FLUOCINOLONE OIN 716286 CORTODERM OIN 500 R739.44
FLUOCINOLONE OIN 768286 SYNALAR OIN 500 R739.44
FLUOXETINE 20MG 894303 DEPROZAN 20MG CAP 30 R37.56
FLUOXETINE 20MG 716520 FLUOXETINE ACTOR 20MG CAP 30 R37.56
FLUOXETINE 20MG 3001358 FLUOXETINE BIOTECH 30 R37.56
FLUOXETINE 20MG 820016 LILLY-FLUOXETINE 20 MG CAP 30 R37.56
FLUOXETINE 20MG 700877 LORIEN 30 R37.56
FLUOXETINE 20MG 821063 LORIEN 20 MG CAP 30 R37.56
FLUOXETINE 20MG 840653 NUZAK 20MG CAP 30 R37.56
FLUOXETINE 20MG 838713 OETHMAAN FLUOXETINE 20MG CAP 30 R37.56
FLUOXETINE 20MG 879282 PROHEXAL 20MG CAP 30 R37.56
FLUOXETINE 20MG 894243 PROHEXAL 20T 30 R37.56
FLUOXETINE 20MG 719658 PROLAX 20MG CAP 30 R37.56
FLUOXETINE 20MG 757969 PROZAC 20 20MG CAP 30 R37.56
FLUOXETINE 20MG 822981 PROZAC 20 MG TAB 30 R37.56
FLUOXETINE 20MG 700686 RANFLOCS 20MG CAP 30 R37.56
FLUOXETINE 20MG 705064 ZYDUS FLUOXETINE 20MG CAP 30 R37.56
FLUTICASONE 27.5MCG/1DOSE 712866 AVAMYS 120 DOSE 1 R226.35
FLUTICASONE 27.5MCG/1DOSE 3002590 GENEMIST 120 DOSE 1 R226.35
FLUTICASONE 50MCG 787795 FLIXONASE AQUE 50MCG 1 R84.61
FLUTICASONE 50MCG 704383 FLOMIST 50MCG NAS 1 R84.61
FLUTICASONE 50MCG 714595 FLONASE 50MCG NAS 1 R84.61
FLUTICASONE 50MCG 3004111 FLUTICASONE OTC TEVA 120 DOSE 1 R84.61
FLUVASTATIN 80MG 700963 LESCOL XL 28 R278.19
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
FLUVASTATIN 80MG 718208 VATICOL XL 28 R278.19
FLUVOXAMINE 100MG 706443 FAVERIN 100MG 30 R384.94
FLUVOXAMINE 100MG 805203 LUVOX BI-TABS 100MG 30 R384.94
FOLIC ACID .5MG 705531 AHA FOLIC ACID 0.5MG 100 R17.16
FOLIC ACID .5MG 721202 CLICKS PAY LESS FOLIC ACID SUPPLEMENT 100 R17.16
FOLIC ACID .5MG 710557 EGOLI FOLIC ACID 100 R17.16
FOLIC ACID .5MG 721366 FOLIC ACID 0.5MG 100 R17.16
FOLIC ACID .5MG 871281 FOLIC ACID 0.5MG 100 R17.16
FOLIC ACID .5MG 723151 FOLIC ACID 0.5MG 100 R17.16
FOLIC ACID .5MG 721661 FOLIK 0.5MG 100 R17.16
FOLIC ACID .5MG 3003970 MEDIRITE FOLIC ACID 100 R17.16
FOLIC ACID .5MG 3005402 SMART FOLIC ACID 100 R17.16
FOLIC ACID .5MG 723361 SOLAL FOLATE 100 R17.16
FOLIC ACID .5MG 723196 STELLAR ACTIV-FOLATE 100 R17.16
FORMOTEROL AND BUDESONIDE 4.5MCG/80MCG
705986 SYMBICORD 80/4.5MCG PER INHALATION 120DO 1 R217.49
FORMOTEROL AND BUDESONIDE 4.5MCG/80MCG
720218 VANNAIR 80/4.5MCG PER INHALATION 120 DOS 1 R217.49
FOSFOMYCIN 3G 3003290 ACTIZONE 1 R184.27
FOSFOMYCIN 3G 3003011 FOMNOS 1 R184.27
FOSFOMYCIN 3G 3005643 FURIZOME 1 R184.27
FOSFOMYCIN 3G 3002880 TRACTINFECT 1 R184.27
FOSFOMYCIN 3G 814210 URIZONE 3G 1 R184.27
FULVESTRANT 250MG/5ML 3003514 ERANFU PRE-FILLED SYRINGE 5ML 2 R7,252.85
FULVESTRANT 250MG/5ML 707442 FASLODEX PRE-FILLED SYRINGE 5ML 2 R7,252.85
FULVESTRANT 250MG/5ML 3002375 FASTELEV PRE-FILLED SYRINGE 5ML 2 R7,252.85
FULVESTRANT 250MG/5ML 3004998 FREXIVO PRE-FILLED SYRINGE 5ML 2 R7,252.85
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
FULVESTRANT 250MG/5ML 3006714 FULVEDEX PRE-FILLED SYRINGE 5ML 2 R7,252.85
FULVESTRANT 250MG/5ML 3003571 FULVESTRANT MYLAN PRE-FILLED SYRINGE 5ML 2 R7,252.85
FUROSEMIDE 40MG 707423 AUSTELL-FUROSEMIDE 40MG 250 R62.18
FUROSEMIDE 40MG 716048 DINO-RETIC 40MG 250 R62.18
FUROSEMIDE 40MG 705967 DIURESIX 40MG 250 R62.18
FUROSEMIDE 40MG 821845 FUROBE 40MG 250 R62.18
FUROSEMIDE 40MG 3004521 FUROSEMIDE 40 UNIMED 250 R62.18
FUROSEMIDE 40MG 735949 LASIX 40MG 250 R62.18
FUROSEMIDE 40MG 857769 MYLAN FUROSEMIDE 40MG 250 R62.18
FUROSEMIDE 40MG 758272 PURESIS 40MG 250 R62.18
FUSIDIC ACID CRM 727431 FUCIDIN 15 R94.24
FUSIDIC ACID CRM 3005448 STAFUBAK 15 R94.24
FUSIDIC ACID OINT 727377 FUCIDIN 15 R94.24
FUSIDIC ACID OINT 3005449 STAFUBAK 15 R94.24
GABAPENTIN 100MG 721740 BIOTECH GABAPENTIN 100MG 100 R208.87
GABAPENTIN 100MG 722865 EPIGAB 100MG 100 R208.87
GABAPENTIN 100MG 707622 EPLEPTIN 100MG 100 R208.87
GABAPENTIN 100MG 807443 NEURONTIN 100MG 100 R208.87
GABAPENTIN 300MG 721741 BIOTECH GABAPENTIN 300MG 100 R521.90
GABAPENTIN 300MG 722866 EPIGAB 300MG 100 R521.90
GABAPENTIN 300MG 707623 EPLEPTIN 300MG 100 R521.90
GABAPENTIN 300MG 807451 NEURONTIN 300MG 100 R521.90
GABAPENTIN 400MG 721742 BIOTECH GABAPENTIN 400MG CAPS 100 R521.90
GABAPENTIN 400MG 722867 EPIGAB 400MG CAP 100 R521.90
GABAPENTIN 400MG 707624 EPLEPTIN 400MG CAP 100 R521.90
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
GABAPENTIN 400MG 807478 NEURONTIN 400MG CAP 100 R521.90
GALANTAMINE 16MG 723727 REMCEPT XL 16MG 30 R777.27
GALANTAMINE 16MG 714433 REMINYL CR 16MG 30 R777.27
GALANTAMINE 24MG 723728 REMCEPT XL 24MG 30 R1,079.55
GALANTAMINE 24MG 714434 REMINYL CR 24MG 30 R1,079.55
GALANTAMINE 8MG 723726 REMCEPT XL 8MG 30 R777.27
GALANTAMINE 8MG 714432 REMINYL CR 8MG 30 R777.27
GEMCITABINE 1G 713873 ACCORD GEMCITABINE POWDER FOR RECONSTITU 1 R1,215.49
GEMCITABINE 1G 3004887 CERBIGEM 1 POWDER FOR SOLUTION FOR INFUS 1 R1,215.49
GEMCITABINE 1G 715323 CYTIGEM POWDER FOR RECONTRUCTION 50ML VI 1 R1,215.49
GEMCITABINE 1G 3004230 GEMCITABINE RTU FRESENIUS CONC FOR SOL F 1 R1,215.49
GEMCITABINE 1G 3002821 GEMCITABINE SANDOZ CONC FOR SOLUTION FOR 1 R1,215.49
GEMCITABINE 1G 715252 GEMTAZ POWDER FOR RECONSTITUTION 25ML VI 1 R1,215.49
GEMCITABINE 1G 815802 GEMZAR 1 R1,215.49
GEMCITABINE 1G 717964 MYLAN GEMCITABINE POWDER FOR SOLUTION VI 1 R1,215.49
GEMCITABINE 1G 718304 ONCOGEM VIAL POWDER FOR INJECTION 1 R1,215.49
GEMCITABINE 1G 3003452 ROGEM VIAL POWDER SOLUTION FOR INJECTION 1 R1,215.49
GEMCITABINE 200MG 713874 ACCORD GEMCITABINE POWDER FOR RECONSTITU 1 R243.09
GEMCITABINE 200MG 3004890 CERBIGEM 200 POWDER FOR SOLUTION FOR INF 1 R243.09
GEMCITABINE 200MG 715322 CYTIGEM POWDER FOR RECONSTITUTION 10ML V 1 R243.09
GEMCITABINE 200MG 3004229 GEMCITABINE RTU FRESENIUS CONC FOR SOL F 1 R243.09
GEMCITABINE 200MG 3002820 GEMCITABINE SANDOZ CONC FOR SOLUTION FOR 1 R243.09
GEMCITABINE 200MG 715251 GEMTAZ POWDER FOR RECONSTITUTION 5 ML VI 1 R243.09
GEMCITABINE 200MG 815799 GEMZAR 1 R243.09
GEMCITABINE 200MG 717963 MYLAN GEMCITABINE POWDER FOR SOLUTION VI 1 R243.09
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
GEMCITABINE 200MG 718303 ONCOGEM VIAL POWDER FOR INJECTION 1 R243.09
GEMCITABINE 200MG 3003442 ROGEM VIAL POWDER SOLUTION FOR INJECTION 1 R243.09
GLIBENCLAMIDE 5MG 827053 BIO-GLIBENCLAMIDE 5MG TAB 500 R182.99
GLIBENCLAMIDE 5MG 894502 DIACARE 5MG TAB 500 R182.99
GLIBENCLAMIDE 5MG 781258 GLIBENCLAMIDE 5 OETHMAAN 500 R182.99
GLIBENCLAMIDE 5MG 729361 GLYCOMIN 5MG TAB 500 R182.99
GLICLAZIDE 30MG 714582 DIAGLUCIDE MR 30MG 60 R65.41
GLICLAZIDE 30MG 702923 DIAMICRON MR 30MG 60 R65.41
GLICLAZIDE 30MG 714909 DIARAN MR 30MG 60 R65.41
GLICLAZIDE 30MG 716953 DYNA GLICLAZIDE SR 30MG 60 R65.41
GLICLAZIDE 30MG 3004170 GLICLAZIDE MR AUSTELL 60 R65.41
GLICLAZIDE 30MG 721692 GLICLAZIDE UNICORN MR 30MG SRT 60 R65.41
GLICLAZIDE 30MG 3000684 GLYTAB MR 30MG 60 R65.41
GLICLAZIDE 30MG 3006093 GLYZID MR 60 R65.41
GLICLAZIDE 60MG 3004865 DIAGEN MR 30 R65.04
GLICLAZIDE 60MG 718247 DIAGLUCIDE MR 60mg SRT 30 R65.04
GLICLAZIDE 60MG 718245 DIAMICRON MR 60mg SRT 30 R65.04
GLICLAZIDE 60MG 3006007 DIARAN MR 30 R65.04
GLICLAZIDE 60MG 3005220 DYNACAZ 60MG MR 30 R65.04
GLICLAZIDE 60MG 3004171 GLICLAZIDE MR AUSTELL 30 R65.04
GLICLAZIDE 60MG 3003578 GLUCTAM MR 30 R65.04
GLICLAZIDE 60MG 3006094 GLYZID MR 30 R65.04
GLICLAZIDE 60MG 3005806 TENDIAP MR 30 R65.04
GLICLAZIDE 80MG 834599 ADCO-GLUCOMED 80MG TAB 60 R76.78
GLICLAZIDE 80MG 705760 AUSTELL-GLICLAZIDE 80MG TAB 60 R76.78
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
GLICLAZIDE 80MG 700639 CONINSUL (WAS MYLAN GLICLAZIDE) 80MG TAB 60 R76.78
GLICLAZIDE 80MG 868906 DIAGLUCIDE 80MGTAB 60 R76.78
GLICLAZIDE 80MG 720665 DIAGLUMED 80MG TAB 60 R76.78
GLICLAZIDE 80MG 834866 GLICLAZIDE 80 KIARA 80MG TAB 60 R76.78
GLICLAZIDE 80MG 719463 GLICLAZIDE UNICORN 60 R76.78
GLICLAZIDE 80MG 707587 GLYCOBETA 80MG TAB 60 R76.78
GLICLAZIDE 80MG 838209 GLYCRON 80MG TAB 60 R76.78
GLICLAZIDE 80MG 700717 GLYGARD 60 R76.78
GLIMEPIRIDE 1MG 716714 ACCORD GLIMEPIRIDE 1MG TAB 30 R74.37
GLIMEPIRIDE 1MG 831557 AMARYL 1MG TAB 30 R74.37
GLIMEPIRIDE 1MG 714854 ASPEN GLIMEPIRIDE 1MG TAB 30 R74.37
GLIMEPIRIDE 1MG 717076 AUSTELL GLIMEPIRIDE 1MG TAB 30 R74.37
GLIMEPIRIDE 1MG 704362 GLAMARYL 1MG TAB 30 R74.37
GLIMEPIRIDE 1MG 707388 GLIMEPIRIDE 1 OETHMAAN 30 R74.37
GLIMEPIRIDE 1MG 710904 SULPHONUR 1MG TAB 30 R74.37
GLIMEPIRIDE 2MG 716715 ACCORD GLIMEPIRIDE 2MG TAB 30 R145.83
GLIMEPIRIDE 2MG 831565 AMARYL 2MG TAB 30 R145.83
GLIMEPIRIDE 2MG 714855 ASPEN GLIMEPIRIDE 2MG TAB 30 R145.83
GLIMEPIRIDE 2MG 717077 AUSTELL GLIMEPIRIDE 2MG TAB 30 R145.83
GLIMEPIRIDE 2MG 704363 GLAMARYL 2MG TAB 30 R145.83
GLIMEPIRIDE 2MG 707389 GLIMEPIRIDE 2 OETHMAAN 30 R145.83
GLIMEPIRIDE 2MG 710905 SULPHONUR 2MG TAB 30 R145.83
GLIMEPIRIDE 4MG 716716 ACCORD GLIMEPIRIDE 4MG TAB 30 R226.56
GLIMEPIRIDE 4MG 831573 AMARYL 4MG TAB 30 R226.56
GLIMEPIRIDE 4MG 714856 ASPEN GLIMEPIRIDE 4MG TAB 30 R226.56
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
GLIMEPIRIDE 4MG 717078 AUSTELL GLIMEPIRIDE 4MG TAB 30 R226.56
GLIMEPIRIDE 4MG 704364 GLAMARYL 4MG TAB 30 R226.56
GLIMEPIRIDE 4MG 707390 GLIMEPIRIDE 4 OETHMAAN 30 R226.56
GLIMEPIRIDE 4MG 710906 SULPHONUR 4MG TAB 30 R226.56
GRANISETRON 1MG 713782 ASPEN GRANISETRON 1MG TAB 10 R443.46
GRANISETRON 1MG 716740 GRANICIP 1MG TAB 10 R443.46
GRANISETRON 1MG 715707 GRANITRIL 1MG TAB 10 R443.46
GRANISETRON 1MG 812374 KYTRIL ORAL 1MG TAB 10 R443.46
GRANISETRON 1MG/1ML 712891 ADCO-GRANISETRON AMPOULE 1ML 5 R202.02
GRANISETRON 1MG/1ML 720942 GRANISETRON FRESENIUS AMPOULE 1ML 5 R202.02
GRANISETRON 1MG/1ML 718524 GRANISETRON TEVA 1 5 R202.02
GRANISETRON 1MG/1ML 715706 GRANITRIL VIAL 1ML 5 R202.02
GRANISETRON 1MG/1ML 721164 GRANTRYL AMPOULE 1ML 5 R202.02
GRANISETRON 1MG/1ML 861863 KYTRIL IV 1ML 5 R202.02
GRANISETRON 2MG 713784 ASPEN GRANISETRON 2MG TAB 5 R370.82
GRANISETRON 2MG 715305 GRANICIP 2MG TAB 5 R370.82
GRANISETRON 2MG 701453 KYTRIL ORAL 2MG TAB 5 R370.82
GRANISETRON 3MG/3ML 712892 ADCO-GRANISETRON AMPOULE 3ML 5 R581.77
GRANISETRON 3MG/3ML 720943 GRANISETRON FRESENIUS AMPOULE 3ML 5 R581.77
GRANISETRON 3MG/3ML 718525 GRANISETRON TEVA 3 5 R581.77
GRANISETRON 3MG/3ML 721165 GRANTRYL AMPOULE 3ML 5 R581.77
GRANISETRON 3MG/3ML 787019 KYTRIL IV 5 R581.77
GRANISETRON 3MG/3ML 714109 MYLAN GRANISETRON AMPOULE 3ML 5 R581.77
HYDROCHLOROTHIAZIDE 25MG 3001173 GULF HYDROCHLOROTHIAZIDE 100 R60.62
HYDROCHLOROTHIAZIDE 25MG 890470 HEXAZIDE 100 R60.62
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
HYDROCHLOROTHIAZIDE 25MG 880949 RIDAQ 100 R60.62
HYDROCORTISONE 0.005 CRM 720011 DILUCORT CRE 25 R43.70
HYDROCORTISONE 0.005 CRM 826642 MEZZODERM HYDROCORTI 0 CRE 25 R43.70
HYDROCORTISONE 0.005 CRM 764353 SKINCALM 0.5% CRE 25 R43.70
HYDROCORTISONE 0.01 CRM 807834 BIOCORT 1% CRE 25 R27.32
HYDROCORTISONE 0.01 CRM 745472 MYLOCORT 1% CRE 25 R27.32
HYDROCORTISONE 0.01 CRM 757217 PROCUTAN 1% CRE 25 R27.32
HYDROCORTISONE 0.01 CRM 810223 STOPITCH 20G 1% CRE 25 R27.32
HYDROCORTISONE 0.01 CRM 700445 VARI-HYDROCORTISONE 1% CRE 25 R27.32
HYDROCORTISONE 0.01 OINT 745448 MYLOCORT 1% OIN 25 R56.53
HYDROCORTISONE 0.01 OINT 757268 PROCUTAN 1% OIN 25 R56.53
HYOSCINE AND METAMIZOLE 10MG/250MG
711292 BUSCOPAN COMPOUND 350 R824.97
HYOSCINE AND METAMIZOLE 10MG/250MG
762717 SCOPEX CO 350 R824.97
IBANDRONIC ACID 6MG/6ML 710463 BONDRONAT VIAL 6ML 1 R3,232.97
IBANDRONIC ACID 6MG/6ML 3000788 BONRIX CONCENTRATE SOLUTION VIAL 6ML 1 R3,232.97
IBUPROFEN 100MG/5ML 710857 BRUFEN PEAD SUS 100 R47.04
IBUPROFEN 100MG/5ML 704781 IBUGESIC 100 R47.04
IBUPROFEN 100MG/5ML 3004030 IBUGESIC ORAL SUSPENSION (STRAWBERRY) 100 R47.04
IBUPROFEN 100MG/5ML 700315 IBUMAX PEAD 100 R47.04
IBUPROFEN 100MG/5ML 721335 INFLAMAX PAEDIATRIC 100MG/5ML 100 R47.04
IBUPROFEN 100MG/5ML 700695 NUROFEN FOR CHILDREN SUGAR FREE 100 R47.04
IBUPROFEN 100MG/5ML 712683 NUROFEN FOR CHILDREN STRAWBERRY SUS 100 R47.04
IBUPROFEN 200MG TAB/CAP 892302 ADVIL LIQUI GEL 200MG CAP 1000 R178.22
IBUPROFEN 200MG TAB/CAP 717155 AUSTELL IBUPROFEN 200MG TAB 1000 R178.22
IBUPROFEN 200MG TAB/CAP 721118 AUSTIFEN 200MG TAB 1000 R178.22
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
IBUPROFEN 200MG TAB/CAP 708186 BETAGESIC 200MG TAB 1000 R178.22
IBUPROFEN 200MG TAB/CAP 787426 BETAPROFEN 200MG TAB 1000 R178.22
IBUPROFEN 200MG TAB/CAP 710822 BRUFEN 200MG 1000 R178.22
IBUPROFEN 200MG TAB/CAP 895196 IBOFLAM 200MG TAB 1000 R178.22
IBUPROFEN 200MG TAB/CAP 705940 IBU 200MG TAB 1000 R178.22
IBUPROFEN 200MG TAB/CAP 721114 IBUCARE 200MG TAB 1000 R178.22
IBUPROFEN 200MG TAB/CAP 700316 IBUCINE 200MG TAB 1000 R178.22
IBUPROFEN 200MG TAB/CAP 809268 IBUMED 200MG CAP 1000 R178.22
IBUPROFEN 200MG TAB/CAP 868221 IBUNATE TAB 1000 R178.22
IBUPROFEN 200MG TAB/CAP 708536 IBUSOR 200MG TAB 1000 R178.22
IBUPROFEN 200MG TAB/CAP 733741 INZA 200MG TAB 1000 R178.22
IBUPROFEN 200MG TAB/CAP 868469 LENAFEN TAB 1000 R178.22
IBUPROFEN 200MG TAB/CAP 748560 NUROFEN 200MG TAB 1000 R178.22
IBUPROFEN 200MG TAB/CAP 3001126 NUROFEN EXPRESS 1000 R178.22
IBUPROFEN 200MG TAB/CAP 3002435 NUROFEN EXPRESS LIQUID 1000 R178.22
IBUPROFEN 200MG TAB/CAP 824852 UNIFEN 200MG TAB 1000 R178.22
IBUPROFEN 400MG 780596 ADCO-IBUPROFEN 400MG TAB 1000 R451.92
IBUPROFEN 400MG 716004 ADVIL LIQUI-GEL CAP 1000 R451.92
IBUPROFEN 400MG 717153 AUSTELL IBUPROFEN 400MG TAB 1000 R451.92
IBUPROFEN 400MG 721119 AUSTIFEN 400MG TAB 1000 R451.92
IBUPROFEN 400MG 701975 BETAPROFEN 400MG FC TAB 1000 R451.92
IBUPROFEN 400MG 708290 BREN 400MG TAB 1000 R451.92
IBUPROFEN 400MG 710830 BRUFEN 400MG TAB 1000 R451.92
IBUPROFEN 400MG 721116 IBUCARE 400MG TAB 1000 R451.92
IBUPROFEN 400MG 700318 IBUCINE (WAS IBUMAX) 400MG TAB 1000 R451.92
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
IBUPROFEN 400MG 733768 INZA 400MG TAB 1000 R451.92
IBUPROFEN 400MG 897984 NUROFEN PERIOD PAIN (WAS NUROFEN EXTRA STRENG)
1000 TAB R451.92
IBUPROFEN 400MG 701654 RANFEN 400MG TAB 1000 R451.92
IBUPROFEN PARACETAMOL CODEINE
705264 DENTOPAIN FORTE CAP 30 R66.35
IBUPROFEN PARACETAMOL CODEINE
704606 GEN-PAYNE 30 R66.35
IBUPROFEN PARACETAMOL CODEINE
704587 IBUPAIN FORTE 30 R66.35
IBUPROFEN PARACETAMOL CODEINE
719664 IBUPAIN FORTE BLISTER PACK 30 R66.35
IBUPROFEN PARACETAMOL CODEINE
704791 MYBULEN 30 R66.35
IBUPROFEN PARACETAMOL CODEINE
745561 MYPRODOL 30 R66.35
IBUPROFEN PARACETAMOL CODEINE
705245
SUS MYBULEN SUS 100 R78.57
IBUPROFEN PARACETAMOL CODEINE
793744
SUS MYPRODOL SUS 100 R78.57
IBUPROFEN/PSEUDOEPHEDRINE 795623 ADVIL CS 10 R32.68
IBUPROFEN/PSEUDOEPHEDRINE 707952 BENYLIN FOR COLDS TAB 10 R32.68
IBUPROFEN/PSEUDOEPHEDRINE 3004811 DEMAZIN COLD AND FLU 10 R32.68
IBUPROFEN/PSEUDOEPHEDRINE 721827 IBUMAX COLD & FLU 10 R32.68
IBUPROFEN/PSEUDOEPHEDRINE 826847 NUROFEN COLD AND FLU 10 R32.68
IBUPROFEN/PSEUDOEPHEDRINE 702941 SINUTAB 3-WAY TAB 10 R32.68
IMATINIB 100MG 3002706 GLEETIB 60 R4,738.38
IMATINIB 100MG 705491 GLEEVEC 60 R4,738.38
IMATINIB 100MG 722780 IMATINIB ACCORD 60 R4,738.38
IMATINIB 100MG 718595 IMAVEC 60 R4,738.38
IMATINIB 100MG 722940 MIVESTA 60 R4,738.38
IMATINIB 100MG 3004872 NUVITAB 60 R4,738.38
IMATINIB 100MG 719926 SUNMATIN 60 R4,738.38
IMATINIB 100MG 718477 VATIVIO 60 R4,738.38
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
IMATINIB 100MG 3006517 VATIVIO FC 60 R4,738.38
IMATINIB 400MG 3002707 GLEETIB 30 R8,247.76
IMATINIB 400MG 705490 GLEEVEC 400 30 R8,247.76
IMATINIB 400MG 722788 IMATINIB ACCORD 30 R8,247.76
IMATINIB 400MG 723296 IMAVEC 30 R8,247.76
IMATINIB 400MG 722964 MIVESTA 30 R8,247.76
IMATINIB 400MG 3004878 NUVITAB 30 R8,247.76
IMATINIB 400MG 719927 SUNMATIN 30 R8,247.76
IMATINIB 400MG 3000431 VATIVIO 30 R8,247.76
IMIPRAMINE 10MG 724661 ETHIPRAMINE 10MG TAB 1000 R642.48
IMIPRAMINE 10MG 771120 TOFRANIL 10MG TAB 1000 R642.48
IMIQUIMOD CREAM 851884 ALDARA CREAM 250MG 12 R976.51
IMIQUIMOD CREAM 3003492 GLENTRIZ 250MG 12 R976.51
INDAPAMIDE 1.5MG 716962 DYNA INDAPAMIDE SR 1.5MG SRT 30 R50.47
INDAPAMIDE 1.5MG 830836 NATRILIX SR 1.5MG SRT 30 R50.47
INDAPAMIDE 2.5MG 819417 ADCO-DAPAMAX 2.5MG TAB 600 R447.21
INDAPAMIDE 2.5MG 700820 CATEXAN 600 R447.21
INDAPAMIDE 2.5MG 710313 CIPLA-INDAPAMIDE 2.5MG TAB 600 R447.21
INDAPAMIDE 2.5MG 833045 DAPTRIL 2.5mg TAB 600 R447.21
INDAPAMIDE 2.5MG 822825 HYDRO-LESS 2.5MG TAB 600 R447.21
INDAPAMIDE 2.5MG 831026 INDAPAMIDE 2.5 KIARA 2.5MG TAB 600 R447.21
INDAPAMIDE 2.5MG 703329 MYLAN INDAPAMIDE 2.5MG TAB 600 R447.21
INDAPAMIDE 2.5MG 746002 NATRILIX 600 R447.21
INDOMETHACIN 25MG 701891 AMDOCIN 25MG CAP 100 R19.18
INDOMETHACIN 25MG 704725 ARTHREXIN 25MG CAP 100 R19.18
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
INDOMETHACIN 25MG 787833 BETACIN 25MG CAP 100 R19.18
INDOMETHACIN 25MG 868213 GULF INDOMETHACIN CAP 100 R19.18
INDOMETHACIN 25MG 704776 INDOMETHACIN 25 OETHMAAN 25MG CAP 100 R19.18
INDOMETHACIN 25MG 788996 MEDIFLEX 25MG CAP 100 R19.18
INDOMETHACIN 25MG 814393 METHOCAPS 25MG CAP 100 R19.18
INSULIN APIDRA 706039 APIDRA CARTRIDGES 3ML 5 R434.52
INSULIN APIDRA 709861 APIDRA SOLOSTAR DISPOSABLE PENS 3ML 5 R434.52
INSULIN BASAGLAR 722456 BASAGLAR CARTRIDGE 3ML 5 R515.43
INSULIN BASAGLAR 722454 BASAGLAR PRE-FILLED PEN 3ML 5 R515.43
INSULIN DEGLUDEC AND ASPART 722292 RYZODEG FLEXTOUCH PRE-FILLED PEN 3ML 5 R681.29
INSULIN DEGLUDEC AND ASPART 3005571 RYZODEG PENFILL 3ML 5 R681.29
INSULIN FIASP 3004243 FIASP FLEXTOUCH 3ML 5 R442.68
INSULIN FIASP 3004226 FIASP PENFILL 3ML 5 R442.68
INSULIN HUMALOG 862355 INSU HUMALOG CART 5 R450.25
INSULIN HUMALOG 706760 INSU MIRIO PEN HUMALOG 5 R450.25
INSULIN HUMALOG MIX 25 861782 HUMALOG MIX 25 CARTRIDGE 3ML 100IU INJ 5 R582.36
INSULIN HUMALOG MIX 25 706761 HUMALOG MIX 25 KWIKPEN 3ML 5 R582.36
INSULIN HUMALOG MIX 50 705074 HUMALOG MIX 50 CARTRIDGE 3ML 5 R582.36
INSULIN HUMALOG MIX 50 706762 HUMALOG MIX 50 KWIKPEN 3ML 5 R582.36
INSULIN LEVEMIR 705313 INSU LEVEMIR 3ML FLEXPEN PREFILLED CARTR 100MG/1ML
5 R470.01
INSULIN LEVEMIR 705312 INSU LEVEMIR 3ML FLEXPEN PREFILLED MULTI DOSE5100MG/1ML R470.01
INSULIN NOVORAPID 897775 NOVORAPID PENFILL 3ML 5 R435.93
INSULIN NOVORAPID 897767 NOVORAPID FLEXPEN PENSET 3ML 5 R435.93
INSULIN OPTISULIN 723474 OPTISULIN CARTRIDGE 3ML 5 R493.82
INSULIN OPTISULIN 721502 OPTISULIN PEN 3ML 5 R493.82
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
IPRATROPIUM BROMIDE .25MG/2ML 794007 ATROVENT UDVS PAED 0.25/2ML SLN 60 R256.26
IPRATROPIUM BROMIDE .25MG/2ML 890164 SABAX IPRATROPIUM 0. SLN 60 R256.26
IPRATROPIUM BROMIDE .5MG/2ML 786241 ATROVENT UDV 0.5MG/2ML SLN 60 R367.25
IPRATROPIUM BROMIDE .5MG/2ML 714287 IPVENT RESPULES 0.5MG/2ML SLN 60 R367.25
IPRATROPIUM BROMIDE .5MG/2ML 890172 SABAX IPRATROPIUM 0.5MG/2ML SLNSLN 60 R367.25
IRBESARTAN 150MG 837814 APROVEL 150MG 28 R112.28
IRBESARTAN 150MG 717793 DYNARB 150MG 28 R112.28
IRBESARTAN 150MG 712385 IRBEWIN 150MG 28 R112.28
IRBESARTAN 150MG 723194 JUBITAN 150MG 28 R112.28
IRBESARTAN 150MG 3005389 TROBET 28 R112.28
IRBESARTAN 300MG 837822 APROVEL 300MG 28 R118.77
IRBESARTAN 300MG 717794 DYNARB 300MG 28 R118.77
IRBESARTAN 300MG 712384 IRBEWIN 300MG 28 R118.77
IRBESARTAN 300MG 718507 IRTANEL 300MG 28 R118.77
IRBESARTAN 300MG 723203 JUBITAN 300MG 28 R118.77
IRBESARTAN 300MG 3005399 TROBET 28 R118.77
IRBESARTAN/HCTZ 150MG/12.5MG 3004677 ARBIN CO 150MG/12.5MG 30 R242.05
IRBESARTAN/HCTZ 150MG/12.5MG 891353 CO-APROVEL 150MG/12.5MG 30 R242.05
IRBESARTAN/HCTZ 150MG/12.5MG 712386 CO-IRBEWIN 150MG/12.5MG 30 R242.05
IRBESARTAN/HCTZ 150MG/12.5MG 3005381 TROBET CO 150MG/12.5MG 30 R242.05
IRBESARTAN/HCTZ 300MG/12.5MG 3004676 ARBIN CO 300MG/12.5MG 30 R242.05
IRBESARTAN/HCTZ 300MG/12.5MG 898597 CO-APROVEL 300MG/12.5MG 30 R242.05
IRBESARTAN/HCTZ 300MG/12.5MG 712387 CO-IRBEWIN 300MG/12.5MG 30 R242.05
IRBESARTAN/HCTZ 300MG/12.5MG 3005382 TROBET CO 300MG/12.5MG 30 R242.05
IRINOTECAN 100MG/5ML 712872 ACCORD IRINOTECAN 5ML VIAL 1 R1,061.50
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
IRINOTECAN 100MG/5ML 829579 CAMPTO 1 R1,061.50
IRINOTECAN 100MG/5ML 716183 CIPLA IRINOTECAN VIAL 5ML 1 R1,061.50
IRINOTECAN 100MG/5ML 712873 IRINOTAS 5ML VIAL 1 R1,061.50
IRINOTECAN 100MG/5ML 711902 IRINOTECAN 100 OETHMAAN 5ML VIAL 100MG/5ML INF1 R1,061.50
IRINOTECAN 100MG/5ML 718489 IRINOTECAN SAFELINE CONCENTRATE FOR SOLU 1 R1,061.50
IRINOTECAN 100MG/5ML 717027 MYLAN IRINOTECAN VIAL 5ML 1 R1,061.50
IRINOTECAN 40MG/2ML 712603 ACCORD IRINOTECAN 2ML VIAL 1 R424.59
IRINOTECAN 40MG/2ML 716182 CIPLA IRINOTECAN VIAL 2ML 1 R424.59
IRINOTECAN 40MG/2ML 712643 IRINOTAS VIAL 2ML 1 R424.59
IRINOTECAN 40MG/2ML 711903 IRINOTECAN 40 OETHMAAN 2ML VIAL 40MG/2ML INF 1 R424.59
IRINOTECAN 40MG/2ML 718488 IRINOTECAN SAFELINE CONCENTRATE FOR SOLU 1 R424.59
IRINOTECAN 40MG/2ML 717026 MYLAN IRINOTECAN VIAL 2ML 1 R424.59
ISOSORBIDE 60MG SRT 821500 IMDUR 60MG TAB 30 R200.84
ISOSORBIDE 60MG SRT 710251 MONICOR SR 60MG TAB 30 R200.84
ISOSORBIDE DINITRATE 5MG 734411 ISORDIL SUBLINGUAL 5MG TAB 50 R54.27
ISOSORBIDE DINITRATE 5MG 784192 SANDOZ-ISOSORBIDE DIN 5MG TAB 50 R54.27
ISOTRETINOIN 10MG 701667 ACNETANE 10MG CAP 60 R340.18
ISOTRETINOIN 10MG 711877 ACNETRET 10MG CAP 60 R340.18
ISOTRETINOIN 10MG 701469 ORATANE 10MG CAP 60 R340.18
ISOTRETINOIN 10MG 761125 ROACCUTANE 10MG CAP 60 R340.18
ISOTRETINOIN 20MG 701656 ACNETANE 20MG CAP 60 R664.84
ISOTRETINOIN 20MG 711876 ACNETRET 20MG CAP 60 R664.84
ISOTRETINOIN 20MG 701471 ORATANE 20MG CAP 60 R664.84
ISOTRETINOIN 20MG 761133 ROACCUTANE 20MG CAP 60 R664.84
ISPAGHULA 703167 AGIOGEL 10 R151.39
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ISPAGHULA 703581 DIS-CHEM ISPAGHULA HUSK 10 R151.39
ISPAGHULA 727857 FYBOGEL ORANGE 3.5G 10 R151.39
ISPAGHULA 710640 FYBOHUSK - ORANGE FLAVOUR (WAS FYBOGO) SAC
10 R151.39
ISPAGHULA 707874 ISPAGEL 10 R151.39
ITRACONAZOLE 100MG 705371 ADCO-SPOROZOLE 100MG CAP 4 R184.45
ITRACONAZOLE 100MG 786322 SPORANOX 100MG CAP 4 R184.45
ITRACONAZOLE 100MG 708721 TRISPORAL 100MG CAP 4 R184.45
IVABRADINE 5MG 710620 CORALAN 5MG 60 R304.17
IVABRADINE 5MG 3004756 IVABRADINE 5 UNICORN 60 R304.17
IVABRADINE 5MG 3003702 IVACOR 5MG 60 R304.17
IVABRADINE 5MG 3003505 IVOLAN 60 R304.17
IVABRADINE 7.5MG 710621 CORALAN 7.5MG 60 R304.17
IVABRADINE 7.5MG 3004757 IVABRADINE 7.5 UNICORN 60 R304.17
IVABRADINE 7.5MG 3003703 IVACOR 7.5MG 60 R304.17
KETOCONAZOLE 200MG 875368 KETAZOL 200MG TABLET TAB 10 R175.70
KETOCONAZOLE 20MG/1G CRM 890760 KETAZOLE CRE 20 R49.66
KETOCONAZOLE 20MG/1G CRM 747327 NIZCREME 20MG/G CRE 20 R49.66
KETOCONAZOLE SHAMPOO 899101 ADCO-DERMED SHA 80 R72.73
KETOCONAZOLE SHAMPOO 701565 KEZ SHAMPOO 80 R72.73
KETOCONAZOLE SHAMPOO 835587 NIZ SHAMPOO 20MG/G SHA 80 R72.73
KETOROLAC 5MG/ML 820032 ACULAR 5ML 1 R180.84
KETOROLAC 5MG/ML 723869 KELOPT 5ML 1 R180.84
LACTULOSE 10G 815047 DUPHALAC DRY 10G SAC 30 R199.04
LACTULOSE 10G 700167 LAXETTE DRY 10G SAC 30 R199.04
LACTULOSE 3.3G/5ML 708722 ACULAX SYR 500 R135.47
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
LACTULOSE 3.3G/5ML 717972 ANLAC SYR 500 R135.47
LACTULOSE 3.3G/5ML 721611 DUPHALAC SYR 500 R135.47
LACTULOSE 3.3G/5ML 797723 LACSON SYR 500 R135.47
LACTULOSE 3.3G/5ML 3001815 LACTO-LOOZ 500 R135.47
LACTULOSE 3.3G/5ML 3000645 LACTULAX 500 R135.47
LACTULOSE 3.3G/5ML 817309 LAXETTE SYR 500 R135.47
LAMIVUDINE 150MG 821632 3TC 150MG TAB 60 R152.69
LAMIVUDINE 150MG 707962 ADCO-LAMIVUDINE 150MG TAB 60 R152.69
LAMIVUDINE 150MG 703716 ASPEN LAMIVUDINE 150MG TAB 60 R152.69
LAMIVUDINE 150MG 717806 HETLAM 150MG TAB 60 R152.69
LAMIVUDINE 150MG 717979 LAZENA 150MG TAB 60 R152.69
LAMIVUDINE 150MG 710602 LEGRAM 150MG TAB 60 R152.69
LAMIVUDINE 150MG 721499 MACLEODS LAMIVUDINE 60 R152.69
LAMIVUDINE 150MG 703378 SONKE LAMIVUDINE 150MG TAB 60 R152.69
LAMIVUDINE 150MG 714830 VARI-LAMIVUDINE 150MG TAB 60 R152.69
LAMIVUDINE 50MG/5ML 821640 3TC 50MG/MLl SYR 240 R134.98
LAMIVUDINE 50MG/5ML 708708 ADCO-LAMIVUDINE 50MG/5ML SYR 240 R134.98
LAMIVUDINE 50MG/5ML 703715 ASPEN LAMIVUDINE 50MG/5ML SYR 240 R134.98
LAMIVUDINE 50MG/5ML 704041 CIPLA-LAMIVUDINE ORAL SOLUTION 50MG/5ML 240 R134.98
LAMIVUDINE 50MG/5ML 710603 LEGRAM 50MG/5MLSYR 240 R134.98
LAMIVUDINE 50MG/5ML 715969 PHARMA-Q LAMIVUDINE 50MG/5ML SYR 240 R134.98
LAMIVUDINE AND ABACAVIR 722096 ABACAVIR AND LAMIVUDINE CIPLA 600/300 30 R660.99
LAMIVUDINE AND ABACAVIR 3001013 AURO ABACAVIR LAMIVUDINE 600/300MG 30 R660.99
LAMIVUDINE AND ABACAVIR 717977 DUMIVA 30 R660.99
LAMIVUDINE AND ABACAVIR 3002822 HETBACLAM 600MG/300MG 30 R660.99
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
LAMIVUDINE AND ABACAVIR 722622 HETERUAM 600MG/300MG 30 R660.99
LAMIVUDINE AND ABACAVIR 707321 KIVEXA 600MG/300MG 30 R660.99
LAMIVUDINE AND ABACAVIR 3005573 MYLAMBA 30 R660.99
LAMIVUDINE AND ABACAVIR 3002799 VEXABAX 600MG/300MG 30 R660.99
LAMIVUDINE AND ABACAVIR 3006401 VIRULATE 600MG/300MG 30 R660.99
LAMIVUDINE AND ABACAVIR 120MG/60MG
3002829 DIVUDINE 120/60 120/60MG 60 R577.87 Temporarily closed group
LAMIVUDINE AND ABACAVIR 120MG/60MG
3003421 DUMIVA 120/60MG 60 R577.87 Temporarily closed group
LAMIVUDINE TENOFOVIR AND EFAVIRENZ
721547 ARION 30 R265.15
LAMIVUDINE TENOFOVIR AND EFAVIRENZ
718733 EFLATEN 30 R265.15
LAMIVUDINE TENOFOVIR AND EFAVIRENZ
723043 ELTENO 30 R265.15
LAMIVUDINE TENOFOVIR AND EFAVIRENZ
717780 TENARENZ 30 R265.15
LAMIVUDINE TENOFOVIR DOLUTEGRAVIR
3000426 ACRIPTEGA 30 R233.98
LAMIVUDINE TENOFOVIR DOLUTEGRAVIR
3006417 DIVTRIDA 30 R233.98
LAMIVUDINE TENOFOVIR DOLUTEGRAVIR
3004253 DOTENAL 30 R233.98
LAMIVUDINE TENOFOVIR DOLUTEGRAVIR
3000605 KOVATRAX 30 R233.98
LAMIVUDINE TENOFOVIR DOLUTEGRAVIR
3000572 LANOGRAV 30 R233.98
LAMIVUDINE TENOFOVIR DOLUTEGRAVIR
3000600 LAVEM 30 R233.98
LAMIVUDINE TENOFOVIR DOLUTEGRAVIR
3000596 LUVIGEN 30 R233.98
LAMIVUDINE TENOFOVIR DOLUTEGRAVIR
3000585 NUVACO 30 R233.98
LAMIVUDINE TENOFOVIR DOLUTEGRAVIR
3000522 ODYSTRA 30 R233.98
LAMIVUDINE TENOFOVIR DOLUTEGRAVIR
3000956 RANEGA 30 R233.98
LAMIVUDINE TENOFOVIR DOLUTEGRAVIR
3000532 REYDIN 30 R233.98
LAMIVUDINE TENOFOVIR DOLUTEGRAVIR
3000571 TELATRI 30 R233.98
LAMIVUDINE TENOFOVIR DOLUTEGRAVIR
3000636 TEMIV 30 R233.98
LAMIVUDINE TENOFOVIR DOLUTEGRAVIR
3002693 VIRATEN 30 R233.98
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
LAMIVUDINE TENOFOVIR DOLUTEGRAVIR
3000435 VOLUTRIP 30 R233.98
LAMIVUDINE TENOFOVIR DOLUTEGRAVIR
3000580 VULANTE (WAS EMDOLTEN) 30 R233.98
LAMIVUDINE/ABACAVIR/DOLUTEGRAVIR
3003611 CAGOL 30 R780.54
LAMIVUDINE/ABACAVIR/DOLUTEGRAVIR
3002458 DAMICAVA 30 R780.54
LAMIVUDINE/ABACAVIR/DOLUTEGRAVIR
3004778 KAVIDEZA 30 R780.54
LAMIVUDINE/ABACAVIR/DOLUTEGRAVIR
3005398 KAVMYL 30 R780.54
LAMIVUDINE/ABACAVIR/DOLUTEGRAVIR
722296 TRELAVUE 30 R780.54
LAMOTRIGINE 100MG 707789 AUSTELL-LAMOTRIGINE 100MG TAB 60 R256.36
LAMOTRIGINE 100MG 710389 DYNA-LAMOTRIGINE 100MG TAB 60 R256.36
LAMOTRIGINE 100MG 704381 EPITEC 100MG TAB 60 R256.36
LAMOTRIGINE 100MG 722726 GIROTEC 100MG TAB 60 R256.36
LAMOTRIGINE 100MG 805521 LAMICTIN 100MG TAB 60 R256.36
LAMOTRIGINE 100MG 704488 LAMITOR 100MG TAB 60 R256.36
LAMOTRIGINE 100MG 3002171 LAMOROLA 60 R256.36
LAMOTRIGINE 100MG 3004312 LAMOTRIGINE UNICHEM 60 R256.36
LAMOTRIGINE 100MG 705248 SANDOZ LAMOTRIGINE 100MG TAB 60 R256.36
LAMOTRIGINE 100MG 3000451 SERINEM 100MG 60 R256.36
LAMOTRIGINE 200MG 707790 AUSTELL-LAMOTRIGINE 200MG TAB 60 R412.63
LAMOTRIGINE 200MG 710390 DYNA-LAMOTRIGINE 200MG TAB 60 R412.63
LAMOTRIGINE 200MG 704382 EPITEC 200MG TAB 60 R412.63
LAMOTRIGINE 200MG 722727 GIROTEC 200MG TAB 60 R412.63
LAMOTRIGINE 200MG 819034 LAMICTIN 200MG TAB 60 R412.63
LAMOTRIGINE 200MG 712217 LAMITOR 200MG TAB 60 R412.63
LAMOTRIGINE 200MG 3005109 LAMOROLA 60 R412.63
LAMOTRIGINE 200MG 3004313 LAMOTRIGINE UNICHEM 60 R412.63
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
LAMOTRIGINE 200MG 3000452 SERINEM 200MG 60 R412.63
LAMOTRIGINE 25MG 707787 AUSTELL-LAMOTRIGINE 25MG TAB 60 R107.43
LAMOTRIGINE 25MG 710387 DYNA-LAMOTRIGINE 25MG TAB 60 R107.43
LAMOTRIGINE 25MG 704379 EPITEC 25MG TAB 60 R107.43
LAMOTRIGINE 25MG 805505 LAMICTIN 25MG TAB 60 R107.43
LAMOTRIGINE 25MG 704486 LAMITOR 25MG TAB 60 R107.43
LAMOTRIGINE 25MG 3002169 LAMOROLA 60 R107.43
LAMOTRIGINE 25MG 3004310 LAMOTRIGINE UNICHEM 60 R107.43
LAMOTRIGINE 25MG 3000448 SERINEM 25MG 60 R107.43
LAMOTRIGINE 25MG DSP 813893 LAMICTIN P25 25MG 60 R81.33
LAMOTRIGINE 25MG DSP 3004154 LAMOTRIGINE ZYDUS 25MG 60 R81.33
LAMOTRIGINE 50MG 707788 AUSTELL-LAMOTRIGINE 50MG TAB 60 R155.04
LAMOTRIGINE 50MG 710388 DYNA-LAMOTRIGINE 50MG TAB 60 R155.04
LAMOTRIGINE 50MG 704380 EPITEC 50MG TAB 60 R155.04
LAMOTRIGINE 50MG 722725 GIROTEC 50MG TAB 60 R155.04
LAMOTRIGINE 50MG 805513 LAMICTIN 50MG TAB 60 R155.04
LAMOTRIGINE 50MG 710885 LAMIDUS 50MG TAB 60 R155.04
LAMOTRIGINE 50MG 704487 LAMITOR 50MG TAB 60 R155.04
LAMOTRIGINE 50MG 3002170 LAMOROLA 60 R155.04
LAMOTRIGINE 50MG 3004311 LAMOTRIGINE UNICHEM 60 R155.04
LAMOTRIGINE 50MG 3000449 SERINEM 50MG 60 R155.04
LAMOTRIGINE 50MG DSP 891708 LAMICTIN P50 50MG 60 R133.30
LAMOTRIGINE 50MG DSP 3004163 LAMOTRIGINE ZYDUS 50MG 60 R133.30
LANSOPRAZOLE 15MG 704839 ASPEN LANSOPRAZOLE 15MG CAP 14 R65.01
LANSOPRAZOLE 15MG 707192 BURNLOC 15MG CAP 14 R65.01
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
LANSOPRAZOLE 15MG 715812 LANCAP OTC 15MG CAP 14 R65.01
LANSOPRAZOLE 15MG 708052 LANCAP 15MG CAP 14 R65.01
LANSOPRAZOLE 15MG 3005572 LANCAP OTC 14 R65.01
LANSOPRAZOLE 15MG 704752 LANSOLOC OTC 15MG CAP 14 R65.01
LANSOPRAZOLE 15MG 715079 LANSOPRAZOLE UNICORN 15MG CAP 14 R65.01
LANSOPRAZOLE 15MG 831425 LANZOR 15MG CAP 14 R65.01
LANSOPRAZOLE 15MG 3007108 LOZPRAS 14 R65.01
LANSOPRAZOLE 15MG 3006533 MAKOPRAX 14 R65.01
LANSOPRAZOLE 15MG 716841 ROZNAL OTC 15MG CAP 14 R65.01
LANSOPRAZOLE 30MG 704668 ADCO-ROZNAL 30MG CAP 30 R189.19
LANSOPRAZOLE 30MG 704838 ASPEN-LANSOPRAZOLE 30MG CAP 30 R189.19
LANSOPRAZOLE 30MG 715080 GASTRID 30MG CAP 30 R189.19
LANSOPRAZOLE 30MG 708053 LANCAP 30MG CAP 30 R189.19
LANSOPRAZOLE 30MG 704754 LANSOLOC 30MG CAP 30 R189.19
LANSOPRAZOLE 30MG 793752 LANZOR 30MG CAP 30 R189.19
LANSOPRAZOLE 30MG 3005966 LOZPRAS 30 R189.19
LANSOPRAZOLE 30MG 3006534 MAKOPRAX 30 R189.19
LANSOPRAZOLE 30MG 706643 RAN-LANSOPRAZOLE 30MG 30 R189.19
LATANOPROST 720971 ATANA 2.5ML 1 R186.17 Temporarily closed group
LATANOPROST 723018 SPERSATAN 2.5ML 1 R186.17 Temporarily closed group
LATANOPROST 833223 XALATAN 50MCG/1ML 1 R186.17 Temporarily closed group
LEFLUNOMIDE 10MG 898171 ARAVA 10MG TAB 30 R751.75
LEFLUNOMIDE 10MG 3000528 RAVALEF 10MG 30 R751.75
LEFLUNOMIDE 10MG 721609 RHEUMALEF 10MG TAB 30 R751.75
LEFLUNOMIDE 20MG 898175 ARAVA 20MG TAB 30 R751.75
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
LEFLUNOMIDE 20MG 721806 LUNAR 20MG TAB 30 R751.75
LEFLUNOMIDE 20MG 3000529 RAVALEF 20MG 30 R751.75
LEFLUNOMIDE 20MG 721610 RHEUMALEF 20MG TAB 30 R751.75
LENALIDOMIDE 10MG 3002551 EUROLEN 21 R5,234.21
LENALIDOMIDE 10MG 3002410 LENALIDOMIDE CIPLA 21 R5,234.21
LENALIDOMIDE 10MG 3002243 LENALIDOMIDE DRL 21 R5,234.21
LENALIDOMIDE 10MG 3002559 MYLOMID 21 R5,234.21
LENALIDOMIDE 10MG 711342 REVLIMID 21 R5,234.21
LENALIDOMIDE 15MG 3002601 EUROLEN 21 R7,070.09
LENALIDOMIDE 15MG 3002411 LENALIDOMIDE CIPLA 21 R7,070.09
LENALIDOMIDE 15MG 3002244 LENALIDOMIDE DRL 21 R7,070.09
LENALIDOMIDE 15MG 712414 REVLIMID 21 R7,070.09
LENALIDOMIDE 25MG 3002603 EUROLEN 21 R7,197.65
LENALIDOMIDE 25MG 3002413 LENALIDOMIDE CIPLA 21 R7,197.65
LENALIDOMIDE 25MG 3002245 LENALIDOMIDE DRL 21 R7,197.65
LENALIDOMIDE 25MG 3002560 MYLOMID 21 R7,197.65
LENALIDOMIDE 25MG 709424 REVLIMID 21 R7,197.65
LENALIDOMIDE 5MG 3002314 EUROLEN 21 R3,217.11
LENALIDOMIDE 5MG 3002409 LENALIDOMIDE CIPLA 21 R3,217.11
LENALIDOMIDE 5MG 3002242 LENALIDOMIDE DRL 21 R3,217.11
LENALIDOMIDE 5MG 709425 REVLIMID 21 R3,217.11
LERCANIDIPINE 10MG 3005493 LERBLOK 28 R184.93
LERCANIDIPINE 10MG 723574 LERCANIDIPINE TEVA 28 R184.93
LERCANIDIPINE 10MG 3004293 LERTENS 28 R184.93
LERCANIDIPINE 10MG 3004306 LERZAN 28 R184.93
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
LERCANIDIPINE 10MG 704035 ZANIDIP 28 R184.93
LERCANIDIPINE 10MG 3005908 ZERCAP 28 R184.93
LERCANIDIPINE 20MG 3005494 LERBLOK 28 R246.45
LERCANIDIPINE 20MG 723575 LERCANIDIPINE TEVA 28 R246.45
LERCANIDIPINE 20MG 3004294 LERTENS 28 R246.45
LERCANIDIPINE 20MG 3004184 LERZAN 28 R246.45
LERCANIDIPINE 20MG 708037 ZANIDIP 28 R246.45
LERCANIDIPINE 20MG 3005907 ZERCAP 28 R246.45
LETROZOLE 2.5MG 715704 ACCORD LETROZOLE 30 R544.89
LETROZOLE 2.5MG 718349 CIPLA LETROZOLE 30 R544.89
LETROZOLE 2.5MG 831468 FEMARA 30 R544.89
LETROZOLE 2.5MG 716696 FEMZOLE 30 R544.89
LETROZOLE 2.5MG 715718 LARADEX 30 R544.89
LETROZOLE 2.5MG 3005305 LETRAZ 30 R544.89
LETROZOLE 2.5MG 3004945 LETROZOLE HETERO 30 R544.89
LEVETIRACETAM 250MG 718486 DYNA LEVETIRACETAM 250MG TAB 30 R62.73
LEVETIRACETAM 250MG 721701 EPIKEPP 250MG TAB 30 R62.73
LEVETIRACETAM 250MG 700958 KEPPRA 250MG TAB 30 R62.73
LEVETIRACETAM 250MG 720697 LEVETIRACETAM BIOTECH 250MG TAB 30 R62.73
LEVETIRACETAM 250MG 722150 LEVETIRACETAM UNICORN 250MG TAB 30 R62.73
LEVETIRACETAM 250MG 714662 REDILEV 250MG TAB 30 R62.73
LEVETIRACETAM 500MG 718485 DYNA LEVETIRACETAM 500MG 60 R250.89
LEVETIRACETAM 500MG 721702 EPIKEPP 500MG 60 R250.89
LEVETIRACETAM 500MG 700959 KEPPRA 500MG 60 R250.89
LEVETIRACETAM 500MG 714663 REDILEV 500MG 60 R250.89
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
LEVETIRACETAM 750MG 718484 DYNA LEVETIRACETAM 750MG TAB 30 R188.17
LEVETIRACETAM 750MG 721703 EPIKEPP 750MG TAB 30 R188.17
LEVETIRACETAM 750MG 703165 KEPPRA 750MG TAB 30 R188.17
LEVETIRACETAM 750MG 720696 LEVETIRACETAM BIOTECH 750MG TAB 30 R188.17
LEVETIRACETAM 750MG 722151 LEVETIRACETAM UNICORN 750MG TAB 30 R188.17
LEVETIRACETAM 750MG 714664 REDILEV 750MG TAB 30 R188.17
LEVOCETIRIZINE 5MG 719790 ALLERWAY 5MG 10 R31.67
LEVOCETIRIZINE 5MG 3000066 CETAWAY 10 R31.67
LEVOCETIRIZINE 5MG 722018 CETIZAL 10 R31.67
LEVOCETIRIZINE 5MG 3006206 CEZIT 10 R31.67
LEVOCETIRIZINE 5MG 722356 GLENCET 5MG TAB 10 R31.67
LEVOCETIRIZINE 5MG 721713 LEVOGEX 5MG TAB 10 R31.67
LEVOCETIRIZINE 5MG 3005500 LEZLERG 10 R31.67
LEVOCETIRIZINE 5MG 723449 TEXAMER 5MG TAB 10 R31.67
LEVOCETIRIZINE 5MG 3005657 XEVOLCIN FC 10 R31.67
LEVOCETIRIZINE 5MG 3005696 XYLEVE 10 R31.67
LEVOCETIRIZINE 5MG 703450 XYZAL 5MG TAB 10 R31.67
LEVOFLOXACIN 250MG 721734 ARTAV 250MG 10 R148.91
LEVOFLOXACIN 250MG 713786 ASPEN LEVOFLOXACIN 250MG TAB 10 R148.91
LEVOFLOXACIN 250MG 717066 AUSTELL LEVOFLOXACIN 250MG TAB 10 R148.91
LEVOFLOXACIN 250MG 721540 MACLEODS LEVOFLOXACIN 250MG TAB 10 R148.91
LEVOFLOXACIN 250MG 716514 MYLAN LEVOFLOXACIN 250MG TAB 10 R148.91
LEVOFLOXACIN 250MG 707946 SANDOZ LEVOFLOXACIN 250MG TAB 10 R148.91
LEVOFLOXACIN 250MG 717359 TAVALOXX 250MG TAB 10 R148.91
LEVOFLOXACIN 250MG 845876 TAVANIC 250MG TAB 10 R148.91
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
LEVOFLOXACIN 250MG 718708 ZYBACT 250MG TAB 10 R148.91
LEVOFLOXACIN 500MG 721736 ARTAV 500MG 5 R106.46
LEVOFLOXACIN 500MG 3005173 ARYLEVO 5 R106.46
LEVOFLOXACIN 500MG 713785 ASPEN LEVOFLOXACIN 500MG TAB 5 R106.46
LEVOFLOXACIN 500MG 717067 AUSTELL LEVOFLOXACIN 500MG TAB 5 R106.46
LEVOFLOXACIN 500MG 710312 LEVOFLOXACIN-WINTHROP 500MG TAB 5 R106.46
LEVOFLOXACIN 500MG 3000478 LEVOJUB 500MG TAB 5 R106.46
LEVOFLOXACIN 500MG 721541 MACLEODS LEVOFLOXACIN 500MG TAB 5 R106.46
LEVOFLOXACIN 500MG 716513 MYLAN LEVOFLOXACIN 500MG TAB 5 R106.46
LEVOFLOXACIN 500MG 707947 SANDOZ LEVOFLOXACIN 500MG TAB 5 R106.46
LEVOFLOXACIN 500MG 709846 TAVALOXX 500MG TAB 5 R106.46
LEVOFLOXACIN 500MG 845884 TAVANIC 500MG TAB 5 R106.46
LEVOFLOXACIN 500MG 718709 ZYBACT 500MG TAB 5 R106.46
LEVOFLOXACIN 750MG 721737 ARTAV 750MG 5 R208.68
LEVOFLOXACIN 750MG 719775 LEVOFLOXACIN WINTHROP 750MG 5 R208.68
LEVOFLOXACIN 750MG 709847 TAVALOXX 750MG 5 R208.68
LEVOFLOXACIN 750MG 720239 TAVANIC 750MG 5 R208.68
LEVONORGESTREL AND ETHINYLESTRADIOL
721606 LEVETTE 0.15MG/0.03MG 28 R95.43
LEVONORGESTREL AND ETHINYLESTRADIOL
826030 NORDETTE 28 28 R95.43
LEVONORGESTREL AND ETHINYLESTRADIOL
720419 ORALCON .15MG/.03MG 28 R95.43
LINEZOLID 600MG 723836 AKLID 600MG 10 R2,901.78
LINEZOLID 600MG 3005593 ELTURIN 600 10 R2,901.78
LINEZOLID 600MG 3003719 LINEZOLID LHC 10 R2,901.78
LINEZOLID 600MG 721512 LINEZOLID SPECPHARM 600MG 10 R2,901.78
LINEZOLID 600MG 722714 LINEZOLID TEVA 600MG 10 R2,901.78
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
LINEZOLID 600MG 3003772 LINOKEM 10 R2,901.78
LINEZOLID 600MG 721141 VOXWIN WAS LINEZOLID HETERO 600MG 10 R2,901.78
LINEZOLID 600MG 3002381 ZENILID 10 R2,901.78
LINEZOLID 600MG 3003818 ZENOXPAR 10 R2,901.78
LINEZOLID 600MG 700464 ZYVOXID 600MG 10 R2,901.78
LISINOPRIL 10MG 712598 AUSTELL-LISINOPRIL 10MG TAB 30 R31.52
LISINOPRIL 10MG 3000547 LISO 10MG 30 R31.52
LISINOPRIL 10MG 714678 LIZRO 10MG TAB 30 R31.52
LISINOPRIL 10MG 700692 SINOPREN 10MG TAB 30 R31.52
LISINOPRIL 10MG 703645 ZEMAX 10MG TAB 30 R31.52
LISINOPRIL 10MG 781703 ZESTRIL 10MG TAB 30 R31.52
LISINOPRIL 10MG 862053 ZETOMAX (ZESTOMAX) 10MG TAB 30 R31.52
LISINOPRIL 20MG 715938 APEX-LISINOPRIL 20MG TAB 30 R31.52
LISINOPRIL 20MG 708189 AUSTELL LISINOPRIL 20MG TAB 30 R31.52
LISINOPRIL 20MG 3000548 LISO 20MG 30 R31.52
LISINOPRIL 20MG 714679 LIZRO 20MG TAB 30 R31.52
LISINOPRIL 20MG 716794 LYSIN 20MG TAB 30 R31.52
LISINOPRIL 20MG 700694 SINOPREN 20MG TAB 30 R31.52
LISINOPRIL 20MG 781711 ZESTRIL 20MG TAB 30 R31.52
LISINOPRIL 20MG 862061 ZETOMAX (ZESTOMAX) 20MG TAB 30 R31.52
LISINOPRIL 5MG 862045 ADCO-ZETOMAX 5MG TAB 30 R31.52
LISINOPRIL 5MG 703646 CIPLA LISINOPRIL (WAS ZEMAX ) 5MG TAB 30 R31.52
LISINOPRIL 5MG 3000546 LISO 5MG 30 R31.52
LISINOPRIL 5MG 714677 LIZRO 5MG TAB 30 R31.52
LISINOPRIL 5MG 716792 LYSIN 5MG TAB 30 R31.52
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
LISINOPRIL 5MG 700691 SINOPREN 5MG TAB 30 R31.52
LISINOPRIL 5MG 781681 ZESTRIL 5MG TAB 30 R31.52
LISINOPRIL CO 10MG/12.5MG 716120 AURO-LISINOPRIL CO 30 R56.10
LISINOPRIL CO 10MG/12.5MG 716943 LISINOPRIL CO UNICORN 10MG/12.5MG TAB 30 R56.10
LISINOPRIL CO 10MG/12.5MG 704437 LISORETIC 10MG/12.5MG TAB 30 R56.10
LISINOPRIL CO 10MG/12.5MG 707292 LISOZIDE 10MG/12.5MG TAB 30 R56.10
LISINOPRIL CO 10MG/12.5MG 817848 ZESTORETIC 10MG/12.5MG TAB 30 R56.10
LISINOPRIL CO 10MG/12.5MG 704597 ZETOMAX CO 10MG/12.5MG TAB 30 R56.10
LISINOPRIL CO 20MG/12.5MG 716945 LISINOPRIL CO UNICORN 20MG/12.5MG 30 R97.40
LISINOPRIL CO 20MG/12.5MG 704438 LISORETIC 20MG/12.5MG TAB 30 R97.40
LISINOPRIL CO 20MG/12.5MG 707291 LISOZIDE 20MG/12.5MG TAB 30 R97.40
LISINOPRIL CO 20MG/12.5MG 797685 ZESTORETIC 20MG/12.5MG TAB 30 R97.40
LISINOPRIL CO 20MG/12.5MG 708260 ZESTOZIDE 20MG/12.5MG TAB 30 R97.40
LISINOPRIL CO 20MG/12.5MG 704598 ZETOMAX CO 20MG/12.5MG TAB 30 R97.40
LOPERAMIDE 1MG/5ML 811467 ADCO-LOPERAMIDE 1MG/5ML SYR 50 R37.20
LOPERAMIDE 1MG/5ML 810908 GASTRON 1MG/5ML SYR 50 R37.20
LOPERAMIDE 1MG/5ML 732478 IMODIUM 1MG/5ML SYR 50 R37.20
LOPERAMIDE 1MG/5ML 820563 LOPERASTAT SYRUP 0.2MG/ML SYR 50 R37.20
LOPERAMIDE 2MG 792071 ADCO-LOPERAMIDE 2MG TAB 6 R9.06
LOPERAMIDE 2MG 792691 BETAPERAMIDE 2MG TAB 6 R9.06
LOPERAMIDE 2MG 707342 CIPLA-LOPERAMIDE 2MG TAB 6 R9.06
LOPERAMIDE 2MG 703393 DIS-CHEM ANTI-DIARRHOEAL 2 MG TAB 6 R9.06
LOPERAMIDE 2MG 810916 GASTRON 2MG TAB 6 R9.06
LOPERAMIDE 2MG 703518 IMMODIUM MELT 6 R9.06
LOPERAMIDE 2MG 807761 IMODIUM 2MG CAP 6 R9.06
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
LOPERAMIDE 2MG 732486 IMODIUM 2MG TAB 6 R9.06
LOPERAMIDE 2MG 823759 LOPEDIUM ( EFF) 2 MG TAB 6 R9.06
LOPERAMIDE 2MG 796697 NORIMODE 2MG TAB 6 R9.06
LOPERAMIDE 2MG 791768 PRODIUM 2MG TAB 6 R9.06
LORATADINE 10MG 717051 APEX-LORATADINE 10MG TAB 30 R60.72
LORATADINE 10MG 899430 AP-LORATADINE 10MG TAB 30 R60.72
LORATADINE 10MG 704780 CIPLA-LORATADINE 10MG TAB 30 R60.72
LORATADINE 10MG 702159 CLARINESE 10MG TAB 30 R60.72
LORATADINE 10MG 785113 CLARITYNE 10MG TAB 30 R60.72
LORATADINE 10MG 700092 LAURA 10MG TAB 30 R60.72
LORATADINE 10MG 704275 LORAHIST 10MG TAB 30 R60.72
LORATADINE 10MG 702518 LORANO 10MG TAB 30 R60.72
LORATADINE 10MG 3000616 LORATADINE 10 BIOTECH 30 R60.72
LORATADINE 10MG 705359 LORFAST 10MG TAB 30 R60.72
LORATADINE 10MG 707313 LORHAY 10MG TAB 30 R60.72
LORATADINE 10MG 713908 LORMEG 10MG TAB 30 R60.72
LORATADINE 10MG 701361 POLLENTYME 10MG TAB 30 R60.72
LORATADINE 10MG 705410 RHINIGINE 10MG TAB 30 R60.72
LORATADINE 5MG/5ML 704886 AP LORATIDINE SYR 150 R130.63
LORATADINE 5MG/5ML 705102 CLARINESE SYR 150 R130.63
LORATADINE 5MG/5ML 789291 CLARITYNE 5MG/5ML SYR 150 R130.63
LORATADINE 5MG/5ML 701640 LORAHIST SYR 150 R130.63
LORATADINE 5MG/5ML 703918 POLLENTYME 5MG/5ML SYR 150 R130.63
LORAZEPAM 1MG 705500 ATIVAN 1.0MG TAB 100 R175.61
LORAZEPAM 1MG 771759 TRANQIPAM 1MG TAB 100 R175.61
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
LORAZEPAM 2.5MG 705519 ATIVAN 2.5MG TAB 100 R540.46
LORAZEPAM 2.5MG 771767 TRANQIPAM 2.5MG TAB 100 R540.46
LOSARTAN 100MG 716495 ANNIN 100MG 30 R92.35
LOSARTAN 100MG 717069 AUSTELL LOSARTAN100MG TAB 30 R92.35
LOSARTAN 100MG 716644 CIPLAZAR 100MG TAB 30 R92.35
LOSARTAN 100MG 710079 COZAAR 100MG TAB 30 R92.35
LOSARTAN 100MG 717042 HYTENZA 100MG TAB 30 R92.35
LOSARTAN 100MG 3003797 LOSARTAN ACCORD 100MG TAB 30 R92.35
LOSARTAN 100MG 3000542 LOSARTAN MACLEODS 30 R92.35
LOSARTAN 100MG 718366 LOSARTAN UNICORN 100MG TAB 30 R92.35
LOSARTAN 100MG 720776 LOZAAN 100MG TAB 30 R92.35
LOSARTAN 100MG 721260 NORMOTEN 100MG TAB 30 R92.35
LOSARTAN 100MG 717296 RASOL 100MG TAB 30 R92.35
LOSARTAN 100MG 713254 SPEC-LOSARTAN 100MG TAB 30 R92.35
LOSARTAN 100MG 3000513 ZAARIO 30 R92.35
LOSARTAN 100MG 709964 ZARTAN 100MG TAB 30 R92.35
LOSARTAN 50MG 716494 ANNIN 50MG TAB 30 R80.52
LOSARTAN 50MG 717068 AUSTELL LOSARTAN 50MG TAB 30 R80.52
LOSARTAN 50MG 716643 CIPLAZAR 50MG TAB 30 R80.52
LOSARTAN 50MG 818739 COZAAR 50MG TAB 30 R80.52
LOSARTAN 50MG 717024 HYTENZA 50MG TAB 30 R80.52
LOSARTAN 50MG 3003796 LOSARTAN ACCORD 50MG TAB 30 R80.52
LOSARTAN 50MG 3000575 LOSARTAN BIOTECH 30 R80.52
LOSARTAN 50MG 3000541 LOSARTAN MACLEODS 30 R80.52
LOSARTAN 50MG 718365 LOSARTAN UNICORN 50MG TAB 30 R80.52
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
LOSARTAN 50MG 720775 LOZAAN 50MG TAB 30 R80.52
LOSARTAN 50MG 721259 NORMOTEN 50MG TAB 30 R80.52
LOSARTAN 50MG 717295 RASOL 50MG TAB 30 R80.52
LOSARTAN 50MG 715871 RENICARD 50MG TAB 30 R80.52
LOSARTAN 50MG 713255 SPEC-LOSARTAN 50MG TAB 30 R80.52
LOSARTAN 50MG 3000512 ZAARIO 30 R80.52
LOSARTAN 50MG 709225 ZARTAN 50MG TAB 30 R80.52
LOSARTAN CO 100MG/25MG 3007076 ANNIN CO 100/25MG 30 R96.15
LOSARTAN CO 100MG/25MG 3000159 CO-NORMOTEN 100MG/25MG 30 R96.15
LOSARTAN CO 100MG/25MG 887096 FORTZAAR 100MG/25MG 30 R96.15
LOSARTAN CO 100MG/25MG 3005296 HYLOKAT 100/25 30 R96.15
LOSARTAN CO 100MG/25MG 717084 HYTENZA CO 100MG/25MG 30 R96.15
LOSARTAN CO 100MG/25MG 716059 LOHYPE FORTE PLUS 100MG/25MG 30 R96.15
LOSARTAN CO 100MG/25MG 715857 LOSAAR PLUS 100MG/25MG 30 R96.15
LOSARTAN CO 100MG/25MG 718368 LOSARTAN CO UNICORN 100MG/25MG 30 R96.15
LOSARTAN CO 100MG/25MG 3000577 LOSARTAN COMP BIOTECH 100MG/25MG 30 R96.15
LOSARTAN CO 100MG/25MG 715739 LOZAAN CO 100/25 30 R96.15
LOSARTAN CO 100MG/25MG 715849 NETRASOL CO 100/25MG 30 R96.15
LOSARTAN CO 100MG/25MG 716515 SARTOC-CO 100MG/25MG 30 R96.15
LOSARTAN CO 100MG/25MG 3006576 ZAARIO PLUS 100/25 30 R96.15
LOSARTAN CO 100MG/25MG 716217 ZARTAN CO 100MG/25MG 30 R96.15
LOSARTAN CO 50MG/12.5MG 3007075 ANNIN CO 50/12.5MG 30 R86.67
LOSARTAN CO 50MG/12.5MG 717070 AUSTELL LOSARTAN CO 50MG/12.5MG TAB 30 R86.67
LOSARTAN CO 50MG/12.5MG 3000158 CO-NORMOTEN 50MG/12.5MG 30 R86.67
LOSARTAN CO 50MG/12.5MG 828181 COZAAR COMP 50MG/12.5MG TAB 30 R86.67
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
LOSARTAN CO 50MG/12.5MG 3005295 HYLOKAT 50/12.5 30 R86.67
LOSARTAN CO 50MG/12.5MG 716476 HYTENZA CO 50MG/12.5MG TAB 30 R86.67
LOSARTAN CO 50MG/12.5MG 716058 LOHYPE PLUS 50MG/12.5MG TAB 30 R86.67
LOSARTAN CO 50MG/12.5MG 715856 LOSAAR PLUS 50MG/12.5MG TAB 30 R86.67
LOSARTAN CO 50MG/12.5MG 716274 LOSACAR CO 50MG/12,5MG TAB 30 R86.67
LOSARTAN CO 50MG/12.5MG 718367 LOSARTAN CO UNICORN 50MG/12.5MG TAB 30 R86.67
LOSARTAN CO 50MG/12.5MG 3000576 LOSARTAN COMP BIOTECH 50MG/12.5MG 30 R86.67
LOSARTAN CO 50MG/12.5MG 715740 LOZAAN CO 50MG/12.5MG TAB 30 R86.67
LOSARTAN CO 50MG/12.5MG 715848 NETRASOL CO 50MG/12.5MG TAB 30 R86.67
LOSARTAN CO 50MG/12.5MG 715064 SARTOC-CO 50/12.5 50MG/12.5MG TAB 30 R86.67
LOSARTAN CO 50MG/12.5MG 3006575 ZAARIO PLUS 50/12.5 30 R86.67
LOSARTAN CO 50MG/12.5MG 716216 ZARTAN CO 50MG/12.5MG TAB 30 R86.67
LYMECYCLINE 300MG 3003791 LYMAC 28 R295.80
LYMECYCLINE 300MG 3006075 LYMECYCLINE 300MG UNICORN 28 R295.80
LYMECYCLINE 300MG 770159 TETRALYSAL 28 R295.80
MAGNESIUM CHLORIDE 535MG 706356 CLICKS MAGNESIUM SLOW RELEASE TABLETS 30 R54.22
MAGNESIUM CHLORIDE 535MG 878235 MAG SR 535MG 30 R54.22
MAGNESIUM CHLORIDE 535MG 845981 MAGNI-SLOW (MAGNESIUM SLOW RELEASE) 535MG 30
TAB R54.22
MAGNESIUM CHLORIDE 535MG 840521 REVITE MAGNESIUM 30 R54.22
MAGNESIUM CHLORIDE 535MG 764418 SLOW-MAG 535MG TAB 30 R54.22
MAGNESIUM CHLORIDE 535MG 3006492 SLOW-MAG PERFORMANCE ORANGE 30 R54.22
MAGNESIUM OXIDE/ALUMINIUM HYDROXIDE/DICY
703640 ALUMAG D 200 R18.40
MAGNESIUM OXIDE/ALUMINIUM HYDROXIDE/DICY
797499 ALUMITE D 200 R18.40
MAGNESIUM OXIDE/ALUMINIUM HYDROXIDE/DICY
700771 AMGEL 200 R18.40
MAGNESIUM OXIDE/ALUMINIUM HYDROXIDE/DICY
782173 CO-GEL 200 R18.40
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
MAGNESIUM OXIDE/ALUMINIUM HYDROXIDE/DICY
702725 DICYCLOMINE CO GEL 200 R18.40
MAGNESIUM OXIDE/ALUMINIUM HYDROXIDE/DICY
789933 GELUMEN ANTACID SUS 200 R18.40
MAGNESIUM OXIDE/ALUMINIUM HYDROXIDE/DICY
3006688 MEDDEV 200 R18.40
MAGNESIUM OXIDE/ALUMINIUM HYDROXIDE/DICY
786810 NEUTRAGEL D SUS 200 R18.40
MEBENDAZOLE 100MG 703063 ADCO WORMEX 6 R12.19
MEBENDAZOLE 100MG 878227 CIPEX TAB 6 R12.19
MEBENDAZOLE 100MG 795607 D-WORM 100MG TAB 6 R12.19
MEBENDAZOLE 100MG 775614 VERMOX 100MG TAB 6 R12.19
MEBENDAZOLE 100MG 810533 WORMGO 100MG TAB 6 R12.19
MEBENDAZOLE 100MG 845671 WORMSTOP 100MG TAB 6 R12.19
MEBENDAZOLE 100MG/5ML SUS 828297 CIPEX SUS 30 R23.43
MEBENDAZOLE 100MG/5ML SUS 775606 VERMOX 30ML SUS 30 R23.43
MEBENDAZOLE 100MG/5ML SUS 845698 WORMSTOP 100MG/5ML SUS 30 R23.43
MEBENDAZOLE 500MG 704656 ADCO-WORMEX 500MG TAB 1 R15.77
MEBENDAZOLE 500MG 833894 D-WORM SD 500MG TAB 1 R15.77
MEBENDAZOLE 500MG 807524 VERMOX 500MG TAB 1 R15.77
MEBENDAZOLE 500MG 845701 WORMSTOP 500mg TAB 1 R15.77
MEBEVERINE 135MG 822019 BEVISPAS 135 MG TAB 20 R39.44
MEBEVERINE 135MG 715476 COLOFAC 135MG TAB 20 R39.44
MEBEVERINE 135MG 701892 MYLAN MEBEVERINE HYDROCHLORIDE 20 R39.44
MEBEVERINE 135MG 825328 SANDOZ MEBEVERINE 135MG TAB 20 R39.44
MEFENAMIC ACID 250MG 883102 ADCO-MEFENAMIC ACID CAP 100 R104.39
MEFENAMIC ACID 250MG 797707 FENAMIN 250MG CAP 100 R104.39
MEFENAMIC ACID 250MG 796433 PONAC 250MG CAP 100 R104.39
MEFENAMIC ACID 250MG 756148 PONSTAN 250MG CAP 100 R104.39
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
MEFENAMIC ACID 250MG 812250 PONSTEL 250 250MG CAP 100 R104.39
MEFENAMIC ACID 500MG 797715 FENAMIN 50 R150.05
MEFENAMIC ACID 500MG 794201 PONAC FORTE 50 R150.05
MEFENAMIC ACID 500MG 810371 PONSTEL FORTE 50 R150.05
MEFENAMIC ACID 50MG/5ML 875643 ADCO-MEFENAMIC SUS SUS 200 R39.04
MEFENAMIC ACID 50MG/5ML 797014 FENAMIN 50MG/5ML SUS 200 R39.04
MEFENAMIC ACID 50MG/5ML 793264 PONAC 50MG/5ML SUS 200 R39.04
MEFENAMIC ACID 50MG/5ML 756156 PONSTAN 50MG/5ML SUS 200 R39.04
MEFENAMIC ACID 50MG/5ML 810398 PONSTEL S 50MG/5ML SUS 200 R39.04
MELATONIN 2MG 3006992 CADIATEV 30 R327.57
MELATONIN 2MG 721635 CIRCADIN 2MG 30 R327.57
MELATONIN 2MG 3005561 MELNOC XR 2MG 30 R327.57
MELATONIN 2MG 3005566 NOCTRIN XR 2MG 30 R327.57
MELOXICAM 15MG 705376 ADCO-MELOXICAM 15MG TAB 30 R88.49
MELOXICAM 15MG 707668 APEX-MELOXICAM 15MG TAB 30 R88.49
MELOXICAM 15MG 711325 ARROW MELOXICAM 15MG TAB 30 R88.49
MELOXICAM 15MG 899070 COXFLAM 15MG TAB 30 R88.49
MELOXICAM 15MG 717092 FLAMARYX 15MG TAB 30 R88.49
MELOXICAM 15MG 704828 FLEXOCAM 15MG TAB 30 R88.49
MELOXICAM 15MG 718305 GLENMARK MELOXICAM 15MG TAB 30 R88.49
MELOXICAM 15MG 701522 LOXIFLAM 15MG TAB 30 R88.49
MELOXICAM 15MG 705177 M-CAM 15MG TAB 30 R88.49
MELOXICAM 15MG 718382 MEDOXICAM15MG TAB 30 R88.49
MELOXICAM 15MG 705297 MELFLAM 15MG TAB 30 R88.49
MELOXICAM 15MG 716169 MELOXICAM UNICORN 15MG TAB 30 R88.49
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
MELOXICAM 15MG 842052 MOBIC 15MG TAB 30 R88.49
MELOXICAM 15MG 705230 ZYDUS-MELOXICAM 15MG TAB 30 R88.49
MELOXICAM 7.5MG 705375 ADCO-MELOXICAM 7.5MG TAB 30 R39.56
MELOXICAM 7.5MG 711324 ARROW MELOXICAM 7.5MG TAB 30 R39.56
MELOXICAM 7.5MG 707667 AUSTELL MELOXICAM (WAS APEX-MELOXICAM) 7.5MG
30TAB R39.56
MELOXICAM 7.5MG 899066 COXFLAM 7.5MG TAB 30 R39.56
MELOXICAM 7.5MG 718306 COXITEC 7.5MG TAB 30 R39.56
MELOXICAM 7.5MG 717091 FLAMARYX 7.5MG TAB 30 R39.56
MELOXICAM 7.5MG 704829 FLEXOCAM 7.5MG TAB 30 R39.56
MELOXICAM 7.5MG 701520 LOXIFLAM 7.5MG TAB 30 R39.56
MELOXICAM 7.5MG 705176 M-CAM 7.5MG TAB 30 R39.56
MELOXICAM 7.5MG 718381 MEDOXICAM 7.5MG TAB 30 R39.56
MELOXICAM 7.5MG 705296 MELFLAM 7.5MG TAB 30 R39.56
MELOXICAM 7.5MG 716168 MELOXICAM UNICORN 7.5MG TAB 30 R39.56
MELOXICAM 7.5MG 705229 MELZY 7.5MG 30 R39.56
MELOXICAM 7.5MG 818615 MOBIC 7.5 MG TAB 30 R39.56
MEMANTINE 10MG 722117 COGNIMET 10MG TAB 60 R335.70
MEMANTINE 10MG 722967 EBITINE 10MG 60 R335.70
MEMANTINE 10MG 705592 EBIXA 10MG TAB 60 R335.70
MEMANTINE 10MG 722058 MEMANTINE UNICHEM 10MG TAB 60 R335.70
MEMANTINE 10MG 722059 MEMINIST 10MG TAB 60 R335.70
MEMANTINE 10MG 721208 MEMOR 10MG TAB 60 R335.70
MEMANTINE 10MG 3005797 NOALZH 60 R335.70
MEPYRAMINE 2G/100G CRM 800511 ALLERGEX MEPYRAMINE (WAS MEPYRIMAL) CRE 25 R20.44
MEPYRAMINE 2G/100G CRM 897334 ALSAN (JP HIST CREAM CRE 25 R20.44
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
MEPYRAMINE 2G/100G CRM 703834 ANTHISAN CRE 25 R20.44
MEPYRAMINE 2G/100G CRM 701102 MEPYRADERM CRE 25 R20.44
MESALAZINE 1G 722335 PENTASA 100 R1,051.54
MESALAZINE 1G 716333 SALOFALK 100 R1,051.54
METFORMIN 1000MG 709172 BIGSENS 1000MG TAB 60 R52.45
METFORMIN 1000MG 3005946 CARBUCE 60 R52.45
METFORMIN 1000MG 719786 DIAPHAGE 1000MG 60 R52.45
METFORMIN 1000MG 703909 GLUCOPHAGE 1000MG TAB 60 R52.45
METFORMIN 1000MG 714683 MENGEN 1000MG TAB 60 R52.45
METFORMIN 1000MG 711773 METORED 1000MG TAB 60 R52.45
METFORMIN 1000MG 721443 MYLAN METFORMIN 1000MG TAB 60 R52.45
METFORMIN 1000MG 719645 ROMIDAB 1000MG 60 R52.45
METFORMIN 500MG 714427 ACCORD METFORMIN 500MG TAB 500 R220.64
METFORMIN 500MG 707670 APEX-METFORMIN 500MG TAB 500 R220.64
METFORMIN 500MG 706672 ARROW METFORMIN 500MG TAB 500 R220.64
METFORMIN 500MG 705757 AUSTELL-METFORMIN 500MG TAB 500 R220.64
METFORMIN 500MG 708281 BIGSENS 500MG TAB 500 R220.64
METFORMIN 500MG 3002168 CARBUCE 500 R220.64
METFORMIN 500MG 715936 DIAFORMIN 500MG TAB 500 R220.64
METFORMIN 500MG 714186 DIAMIN 500MG TAB 500 R220.64
METFORMIN 500MG 719784 DIAPHAGE 500MG 500 R220.64
METFORMIN 500MG 708009 FORMINAL 500MG TAB 500 R220.64
METFORMIN 500MG 714525 GLUCONORM 500MG TAB 500 R220.64
METFORMIN 500MG 729159 GLUCOPHAGE 500MG TAB 500 R220.64
METFORMIN 500MG 709338 INDO METFORMIN FC 500MG TAB 500 R220.64
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
METFORMIN 500MG 714680 MENGEN 500MG TAB 500 R220.64
METFORMIN 500MG 718231 METCHEK 500MG TAB 500 R220.64
METFORMIN 500MG 702385 METFORAL 500 TAB 500 R220.64
METFORMIN 500MG 3001357 METFORMIN 500 BIOTECH 500 R220.64
METFORMIN 500MG 718828 METFORMIN ALKEM 500MG TAB 500 R220.64
METFORMIN 500MG 711636 METORED 500MG TAB 500 R220.64
METFORMIN 500MG 709246 METPHAGE 500MG TAB 500 R220.64
METFORMIN 500MG 897957 MYLAN-METFORMIN 500MG TAB 500 R220.64
METFORMIN 500MG 719643 ROMIDAB 500MG TAB 500 R220.64
METFORMIN 500MG 815225 SANDOZ METFORMIN HCL 500MG TAB 500 R220.64
METFORMIN 850MG 714426 ACCORD METFORMIN 850MG TAB 300 R233.52
METFORMIN 850MG 706673 ARROW METFORMIN 850MG TAB 300 R233.52
METFORMIN 850MG 705758 AUSTELL-METFORMIN 850MG TAB 300 R233.52
METFORMIN 850MG 708282 BIGSENS 850MG TAB 300 R233.52
METFORMIN 850MG 3002167 CARBUCE 300 R233.52
METFORMIN 850MG 705358 DIABETMIN 850MG TAB 300 R233.52
METFORMIN 850MG 715937 DIAFORMIN FORTE 850MG TAB 300 R233.52
METFORMIN 850MG 714187 DIAMIN 850MG TAB 300 R233.52
METFORMIN 850MG 719785 DIAPHAGE 850MG 300 R233.52
METFORMIN 850MG 708010 FORMINAL 850MG TAB 300 R233.52
METFORMIN 850MG 714526 GLUCONORM 850MG TAB 300 R233.52
METFORMIN 850MG 729167 GLUCOPHAGE FORTE 850MG TAB 300 R233.52
METFORMIN 850MG 709339 INDO METFORMIN FC 850MG TAB 300 R233.52
METFORMIN 850MG 714681 MENGEN 850MG TAB 300 R233.52
METFORMIN 850MG 718232 METCHEK 850MG TAB 300 R233.52
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
METFORMIN 850MG 702363 METFORAL 850 TAB 300 R233.52
METFORMIN 850MG 3001356 METFORMIN 850 BIOTECH 300 R233.52
METFORMIN 850MG 718827 METFORMIN ALKEM 850MG TAB 300 R233.52
METFORMIN 850MG 815233 METFORMIN HCL 850 FC KIARA (WAS SANDOZ METFORMIN)
300 850MG TAB
R233.52
METFORMIN 850MG 711638 METORED 850MG TAB 300 R233.52
METFORMIN 850MG 709247 METPHAGE 850MG TAB 300 R233.52
METFORMIN 850MG 897961 MYLAN METFORMIN 850MG TAB 300 R233.52
METFORMIN 850MG 719644 ROMIDAB 850MG 300 R233.52
METFORMIN AND DAPAGLIFLOZIN 10MG/1000MG
3006456 SYNGLUTRA 10/1000 30 R368.12
METFORMIN AND DAPAGLIFLOZIN 10MG/1000MG
3004735 XIGDUO XR 10MG/1000MG 30 R368.12
METFORMIN AND DAPAGLIFLOZIN 5MG/1000MG
3006455 SYNGLUTRA 5/1000 60 R368.12
METFORMIN AND DAPAGLIFLOZIN 5MG/1000MG
3004733 XIGDUO XR 5MG/1000MG 60 R368.12
METFORMIN AND VILDAGLIPTIN 50MG
717637
1000MGGALVUS MET 50 MG1000MG 60 R224.40
METFORMIN AND VILDAGLIPTIN 50MG
3000955
1000MGJALRAMET 501000 60 R224.40
METFORMIN AND VILDAGLIPTIN 50MG850MG
717636 GALVUS MET 50MG850MG 60 R224.40
METFORMIN AND VILDAGLIPTIN 50MG850MG
3000953 JALRAMET 50850 60 R224.40
METFORMIN XR 1000MG 3004449 CADBOWER XR 60 R116.34
METFORMIN XR 1000MG 3004453 CARBUCE XR 60 R116.34
METFORMIN XR 1000MG 720926 GLUCOPHAGE XR 60 R116.34
METFORMIN XR 1000MG 3004481 GLUCOTRIN XR 60 R116.34
METFORMIN XR 1000MG 3003996 METFORMIN TEVA ER 60 R116.34
METFORMIN XR 500MG 3001226 BIGSENS XR 90 R67.71
METFORMIN XR 500MG 3004448 CADBOWER XR 90 R67.71
METFORMIN XR 500MG 3004452 CARBUCE XR 90 R67.71
METFORMIN XR 500MG 710196 GLUCOPHAGE XR 90 R67.71
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
METFORMIN XR 500MG 3004482 GLUCOTRIN XR 90 R67.71
METFORMIN XR 500MG 3000810 METFORMIN XR ACCORD 90 R67.71
METHYLDOPA 250MG 732052 HYPOTONE 250MG TAB 100 R102.97 Temporarily closed group
METHYLDOPA 250MG 785962 TIMUCEN 250MG TAB 100 R102.97 Temporarily closed group
METHYLPHENIDATE 10MG 3002699 METHYLPHENIDATE 10 BIOTECH 30 R145.30
METHYLPHENIDATE 10MG 702505 METHYLPHENIDATE HCI DOUGLES 10MG TAB 30 R145.30
METHYLPHENIDATE 10MG 761044 RITALIN 10MG TAB 30 R145.30
METHYLPHENIDATE 10MG SRC 3004461 MEDIKINET MR 10MG 30 R242.67
METHYLPHENIDATE 10MG SRC 717254 RITALIN LA 10MG 30 R242.67
METHYLPHENIDATE 18MG SRT 3003000 ACERTA 30 R460.12
METHYLPHENIDATE 18MG SRT 704161 CONCERTA 18MG 30 R460.12
METHYLPHENIDATE 18MG SRT 723701 CONTRAMYL XR 18MG 30 R460.12
METHYLPHENIDATE 18MG SRT 3003032 MEFEDINEL 30 R460.12
METHYLPHENIDATE 18MG SRT 3004825 MEGLARAT PR 30 R460.12
METHYLPHENIDATE 18MG SRT 3004289 METHYLPHENIDATE UNICORN 30 R460.12
METHYLPHENIDATE 18MG SRT 723695 NEUCON 18MG 30 R460.12
METHYLPHENIDATE 18MG SRT 3003264 RADD 30 R460.12
METHYLPHENIDATE 20MG SRC 3004462 MEDIKINET MR 20MG 30 R485.36
METHYLPHENIDATE 20MG SRC 701627 RITALIN LA 20MG 30 R485.36
METHYLPHENIDATE 27MG SRT 3003003 ACERTA 30 R460.12
METHYLPHENIDATE 27MG SRT 714559 CONCERTA 27MG 30 R460.12
METHYLPHENIDATE 27MG SRT 723702 CONTRAMYL XR 27MG 30 R460.12
METHYLPHENIDATE 27MG SRT 3003034 MEFEDINEL 30 R460.12
METHYLPHENIDATE 27MG SRT 3004826 MEGLARAT PR 30 R460.12
METHYLPHENIDATE 27MG SRT 3004290 METHYLPHENIDATE UNICORN 30 R460.12
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
METHYLPHENIDATE 27MG SRT 723696 NEUCON 27MG 30 R460.12
METHYLPHENIDATE 27MG SRT 3003266 RADD 30 R460.12
METHYLPHENIDATE 30MG SRC 3004463 MEDIKINET MR 30MG 30 R616.04
METHYLPHENIDATE 30MG SRC 701630 RITALIN LA 30MG 30 R616.04
METHYLPHENIDATE 36MG SRT 3003008 ACERTA 30 R460.12
METHYLPHENIDATE 36MG SRT 704162 CONCERTA 36MG 30 R460.12
METHYLPHENIDATE 36MG SRT 723704 CONTRAMYL XR 36MG 30 R460.12
METHYLPHENIDATE 36MG SRT 3003039 MEFEDINEL 30 R460.12
METHYLPHENIDATE 36MG SRT 3004827 MEGLARAT PR 30 R460.12
METHYLPHENIDATE 36MG SRT 3004291 METHYLPHENIDATE UNICORN 30 R460.12
METHYLPHENIDATE 36MG SRT 723697 NEUCON 36MG 30 R460.12
METHYLPHENIDATE 36MG SRT 3003267 RADD 30 R460.12
METHYLPHENIDATE 40MG SRC 3004464 MEDIKINET MR 40MG 30 R684.49
METHYLPHENIDATE 40MG SRC 701632 RITALIN LA 40MG 30 R684.49
METHYLPHENIDATE 54MG SRT 3003009 ACERTA 30 R460.12
METHYLPHENIDATE 54MG SRT 704163 CONCERTA 54MG 30 R460.12
METHYLPHENIDATE 54MG SRT 723705 CONTRAMYL XR 54MG 30 R460.12
METHYLPHENIDATE 54MG SRT 3003040 MEFEDINEL 30 R460.12
METHYLPHENIDATE 54MG SRT 3004828 MEGLARAT PR 30 R460.12
METHYLPHENIDATE 54MG SRT 3004292 METHYLPHENIDATE UNICORN 30 R460.12
METHYLPHENIDATE 54MG SRT 723698 NEUCON 54MG 30 R460.12
METHYLPHENIDATE 54MG SRT 3003268 RADD 30 R460.12
METOCLOPRAMIDE 10MG 715875 ADCO-CONTROMET 10MG TAB 500 R88.08
METOCLOPRAMIDE 10MG 717891 BIO METOCLOPRAMIDE 10MG TAB 500 R88.08
METOCLOPRAMIDE 10MG 700712 CLOMAX 10MG TAB 500 R88.08
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
METOCLOPRAMIDE 10MG 714828 CLOPAMON 10MG TAB 500 R88.08
METOCLOPRAMIDE 10MG 740519 MAXOLON T 10MG TAB 500 R88.08
METOCLOPRAMIDE 10MG 757845 METOCLOPRAMIDE 10 OETHMAAN 500 R88.08
METOCLOPRAMIDE 5MG/5ML 783064 ADCO-CONTROMET 5MG/5ML SYR 100 R17.61
METOCLOPRAMIDE 5MG/5ML 714844 CLOPAMON 5MG/5ML SYR 100 R17.61
METOCLOPRAMIDE 5MG/5ML 740500 MAXOLON S SYR 100 R17.61
METRONIDAZOLE 200MG 742872 ADCO-METRONIDAZOLE 200MG TAB 250 R45.50
METRONIDAZOLE 200MG 703389 ANAEROBYL 200MG 250 R45.50
METRONIDAZOLE 200MG 821705 BEMETRAZOLE 200 MG TAB 250 R45.50
METRONIDAZOLE 200MG 726346 FLAGYL 200MG TAB 250 R45.50
METRONIDAZOLE 200MG 784710 MEDAMET 200MG TAB 250 R45.50
METRONIDAZOLE 200MG 848824 METAGYL 200MG TAB 250 R45.50
METRONIDAZOLE 200MG 793159 METAZOL 200MG TAB 250 R45.50
METRONIDAZOLE 200MG 745863 NAROBIC 200MG CAP 250 R45.50
METRONIDAZOLE 200MG 772216 TRICHAZOLE 200MG TAB 250 R45.50
METRONIDAZOLE 400MG 701076 ADCO-METRONIDAZOLE 400MG TAB 500 R126.86
METRONIDAZOLE 400MG 702148 AMZOLE 400MG TAB 500 R126.86
METRONIDAZOLE 400MG 715866 ANAEROBYL 400MG TAB 500 R126.86
METRONIDAZOLE 400MG 788708 BEMETRAZOLE 400MG TAB 500 R126.86
METRONIDAZOLE 400MG 707242 BIO-METRONIDAZOLE 400MG TAB 500 R126.86
METRONIDAZOLE 400MG 726354 FLAGYL 400MG TAB 500 R126.86
METRONIDAZOLE 400MG 848832 METAGYL FORTE TAB 500 R126.86
METRONIDAZOLE 400MG 793167 METAZOL 400MG TAB 500 R126.86
METRONIDAZOLE 400MG 779822 METRAZOLE 400MG TAB 500 R126.86
METRONIDAZOLE 400MG 783544 METROSTAT 400MG TAB 500 R126.86
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
METRONIDAZOLE 400MG 804924 NIDASALL 500 R126.86
METRONIDAZOLE 400MG 792136 SUPRAZOLE 400MG TAB 500 R126.86
METRONIDAZOLE 400MG 772224 TRICHAZOLE 400MG TAB 500 R126.86
MICONAZOLE 20MG/1G 877719 COVAREX 20MG/1G CRE 25 R48.74
MICONAZOLE 20MG/1G 717274 DAKTARIN 20MG/1G CRE 25 R48.74
MICONAZOLE 20MG/1G 700595 DERMAZOLE 20MG/1G CRE 25 R48.74
MICONAZOLE 20MG/1G 3005185 SUTHAREX 25 R48.74
MICONAZOLE 20MG/1G GEL 835307 DAKTARIN ORAL 2% 40 R168.12
MICONAZOLE 20MG/1G GEL 718641 VARI MICONAZOLE 2% 40 R168.12
MICONAZOLE/HYDROCORTISONE 20MG/10MG
717266 DAKTACORT 20MG/10MG CRE 20 R80.71
MICONAZOLE/HYDROCORTISONE 20MG/10MG
715635 ELOZART 20MG/10MG CRE 20 R80.71
MIRTAZAPINE 15MG 708239 ADCO-MIRTERON 15MG TAB 30 R241.73
MIRTAZAPINE 15MG 709692 ASPEN MIRTAZAPINE 15MG TAB 30 R241.73
MIRTAZAPINE 15MG 710528 BERON 15MG TAB 30 R241.73
MIRTAZAPINE 15MG 721209 MIRADEP 15MG TAB 30 R241.73
MIRTAZAPINE 15MG 3005175 MIRTANEO 30 R241.73
MIRTAZAPINE 15MG 710802 MYLAN MIRTAZAPINE 15MG TAB 30 R241.73
MIRTAZAPINE 15MG 714684 MYTRA 15MG TAB 30 R241.73
MIRTAZAPINE 15MG 897760 REMERON 15MG TAB 30 R241.73
MIRTAZAPINE 15MG 708303 SANDOZ MIRTAZAPINE 15MG TAB 30 R241.73
MIRTAZAPINE 30MG 708242 ADCO-MIRTERON 30MG TAB 30 R367.32
MIRTAZAPINE 30MG 709693 ASPEN MIRTAZAPINE 30MG TAB 30 R367.32
MIRTAZAPINE 30MG 710529 BERON 30MG TAB 30 R367.32
MIRTAZAPINE 30MG 721210 MIRADEP 30MG TAB 30 R367.32
MIRTAZAPINE 30MG 3005176 MIRTANEO 30 R367.32
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
MIRTAZAPINE 30MG 710803 MYLAN MIRTAZAPINE 30MG TAB 30 R367.32
MIRTAZAPINE 30MG 714685 MYTRA 30MG TAB 30 R367.32
MIRTAZAPINE 30MG 842958 REMERON 30MG TAB 30 R367.32
MIRTAZAPINE 30MG 708304 SANDOZ MIRTAZAPINE 30MG TAB 30 R367.32
MODAFINIL 100MG 3004875 MODAFINIL 100 IPHARMA 100MG 30 R504.32
MODAFINIL 100MG 701388 PROVIGIL 100MG 30 R504.32
MOMETASONE 1MG/1G CRM 705444 ASPEN MOMETASONE 1MG/1G CRE 20 R151.45
MOMETASONE 1MG/1G CRM 782017 ELOCON 1MG/1G CRE 20 R151.45
MOMETASONE 1MG/1G CRM 718942 MOMATE 0.1% CRE 20 R151.45
MOMETASONE 1MG/1G CRM 714014 MOMETAGEN 1MG/1G CRE 20 R151.45
MOMETASONE 1MG/1G OINT 782025 ELOCON 0.1% 20 R159.30
MOMETASONE 1MG/1G OINT 718307 MOMATE 0.1% 20 R159.30
MOMETASONE 50MCG AQS 3006851 MOMETASONE NS KIARA 140 DOSE 1 R199.24
MOMETASONE 50MCG AQS 3004007 MONACT 140 DOSE 1 R199.24
MOMETASONE 50MCG AQS 883253 NASONEX 50MCG 140 AQS 1 R199.24
MOMETASONE 50MCG AQS 713968 NEXOMIST 50MCG 140 AQS 1 R199.24
MOMETASONE 50MCG AQS 3004441 RHINIMET 140 DOSE 1 R199.24
MOMETASONE 50MCG AQS 883261 RINELON AQUEOUS 50MCG 140 AQS 1 R199.24
MOMETASONE 50MCG AQS 3004673 TRISONE NS 140 DOSE (WAS NETRIN NS) 1 R199.24
MOMETASONE 50MCG AQS 3004661 ZOMATE NS 140 DOSE 1 R199.24
MONTELUKAST 10MG 3005881 ASTELAIR 28 R190.63
MONTELUKAST 10MG 720431 BELAIR 10MG TAB 28 R190.63
MONTELUKAST 10MG 718310 GLENMONT 10MG TAB 28 R190.63
MONTELUKAST 10MG 718125 KULAIR 10MG TAB 28 R190.63
MONTELUKAST 10MG 717385 LUMONT 10MG TAB 28 R190.63
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
MONTELUKAST 10MG 3005408 MACLUTEK 28 R190.63
MONTELUKAST 10MG 717625 MINAIR 10MG TAB 28 R190.63
MONTELUKAST 10MG 717470 MONTE-AIR 10MG TAB 28 R190.63
MONTELUKAST 10MG 721303 MONTEFLO 10MG TAB 28 R190.63
MONTELUKAST 10MG 719640 MONTELUKAST BIOTECH 10MG TAB 28 R190.63
MONTELUKAST 10MG 3001384 MONTELUKAST LHC 28 R190.63
MONTELUKAST 10MG 717833 MONTELUKAST SPECPHARM 10MG TAB 28 R190.63
MONTELUKAST 10MG 721269 MONTELUKAST UNICORN 10MG TAB 28 R190.63
MONTELUKAST 10MG 849472 SINGULAIR 10MG TAB 28 R190.63
MONTELUKAST 10MG 718606 SINTAIR 10MG TAB 28 R190.63
MONTELUKAST 10MG 717257 SINTRINE 10MG TAB 28 R190.63
MONTELUKAST 10MG 716547 TOPRAZ 5MG TAB 28 R190.63
MONTELUKAST 4MG 3005111 ASTELAIR 28 R190.63
MONTELUKAST 4MG 717888 BELAIR 4MG CHU 28 R190.63
MONTELUKAST 4MG 718308 GLENMONT 4MG CHU 28 R190.63
MONTELUKAST 4MG 718123 KULAIR 4MG CHU 28 R190.63
MONTELUKAST 4MG 717383 LUMONT 4MG CHU 28 R190.63
MONTELUKAST 4MG 3005406 MACLUTEK 28 R190.63
MONTELUKAST 4MG 717623 MINAIR 4MG CHU 28 R190.63
MONTELUKAST 4MG 717468 MONTE-AIR 4MG CHU 28 R190.63
MONTELUKAST 4MG 721300 MONTEFLO 4MG CHU 28 R190.63
MONTELUKAST 4MG 719638 MONTELUKAST CHEW BIOTECH 4MG TAB 28 R190.63
MONTELUKAST 4MG 717831 MONTELUKAST SPECPHARM 4MG CHU 28 R190.63
MONTELUKAST 4MG 721574 MONTELUKAST UNICORN 4MG 28 R190.63
MONTELUKAST 4MG 700251 SINGULAIR 4MG CHU 28 R190.63
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
MONTELUKAST 4MG 718604 SINTAIR 4MG CHU 28 R190.63
MONTELUKAST 4MG 717256 SINTRINE 4MG CHU 28 R190.63
MONTELUKAST 4MG 716544 TOPRAZ 4MG CHU 28 R190.63
MONTELUKAST 4MG SAC 717467 MONTE-AIR SPRINKLES 4MG 28 R220.94
MONTELUKAST 4MG SAC 3005218 MONTELUKAST ORAL GRANULES UNICORN 28 R220.94
MONTELUKAST 4MG SAC 706567 SINGULAIR 4MG SPRINKLES 28 R220.94
MONTELUKAST 4MG SAC 3005091 SINTRINE ORAL GRANULES 28 R220.94
MONTELUKAST 5MG 3005112 ASTELAIR 28 R190.63
MONTELUKAST 5MG 717889 BELAIR 5MG CHU 28 R190.63
MONTELUKAST 5MG 718309 GLENMONT 5MG CHU 28 R190.63
MONTELUKAST 5MG 718124 KULAIR 5MG CHU 28 R190.63
MONTELUKAST 5MG 717384 LUMONT 5MG CHU 28 R190.63
MONTELUKAST 5MG 3005407 MACLUTEK 28 R190.63
MONTELUKAST 5MG 717624 MINAIR 5MG CHU 28 R190.63
MONTELUKAST 5MG 717469 MONTE-AIR 5MG CHU 28 R190.63
MONTELUKAST 5MG 721302 MONTEFLO 5MG CHU 28 R190.63
MONTELUKAST 5MG 719639 MONTELUKAST CHEW BIOTECH 5MG TAB 28 R190.63
MONTELUKAST 5MG 717832 MONTELUKAST SPECPHARM 5MG CHU 28 R190.63
MONTELUKAST 5MG 721575 MONTELUKAST UNICORN 5MG CHU 28 R190.63
MONTELUKAST 5MG 849464 SINGULAIR 5MG CHU 28 R190.63
MONTELUKAST 5MG 718605 SINTAIR 5MG CHU 28 R190.63
MONTELUKAST 5MG 717255 SINTRINE 5MG CHU 28 R190.63
MONTELUKAST 5MG 716546 TOPRAZ 5MG CHU 28 R190.63
MORPHINE 10MG/1ML 744530 MORPHINE SULPH FRESENIUS AMPOULE 1ML 10 R72.86
MORPHINE 10MG/1ML 895157 PHARMA-Q MORPHINE AMPOULE 1ML 10 R72.86
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
MORPHINE 10MG/1ML 711033 SABAX MORPHINE SULPHATE AMPOULE 1ML 10 R72.86
MORPHINE 15MG/1ML 744549 MORPHINE SULPH FRESENIUS 10 R79.86
MORPHINE 15MG/1ML 824267 MYLAN MORPHINE 10 R79.86
MORPHINE 15MG/1ML 894951 PHARMA-Q MORPHINE AMPOULE 1ML 10 R79.86
MORPHINE 15MG/1ML 711034 SABAX MORPHINE SULPHATE AMPOULE 1ML 10 R79.86
MOXIFLOXACIN 400MG 714067 AVEBACT 400MG TAB 10 R412.84
MOXIFLOXACIN 400MG 881988 AVELON 400MG TAB 10 R412.84
MOXIFLOXACIN 400MG 3001369 AVOXA 10 R412.84
MOXIFLOXACIN 400MG 714104 DRL MOXIFLOXACIN 400MG TAB 10 R412.84
MOXIFLOXACIN 400MG 3000054 FLOXAVE 10 R412.84
MOXIFLOXACIN 400MG 714361 LITARES 400MG TAB 10 R412.84
MOXIFLOXACIN 400MG 721160 LONXAVE 400MG TAB 10 R412.84
MOXIFLOXACIN 400MG 721071 MOFLOXX 400MG TAB 10 R412.84
MOXIFLOXACIN 400MG 715146 MOXIBAY 400MG TAB 10 R412.84
MOXIFLOXACIN 400MG 715250 NUMOXX 400MG TAB 10 R412.84
MOXONIDINE .2MG 712382 CYNT 0.2MG TAB 28 R263.59
MOXONIDINE .2MG 851892 PHYSIOTENS 0.2MG TAB 28 R263.59
MOXONIDINE .4MG 712383 CYNT 0.4MG TAB 28 R266.91
MOXONIDINE .4MG 851914 PHYSIOTENS 0.4MG TAB 28 R266.91
MUPIROCIN 20MG/1G 706493 BACTROBAN 20MG/G OIN 14 R69.33
MUPIROCIN 20MG/1G 723040 BANOGON OINT 14 R69.33
MUPIROCIN 20MG/1G 721693 DERMOBAN OIN 14 R69.33
MUPIROCIN 20MG/1G 721587 NUBAN 20MG/1G 14 R69.33
MUPIROCIN 20MG/1G 715837 SUPIROBAN 20MG/G OIN 14 R69.33
MUPIROCIN 20MG/1G CRE 702504 BACTROBAN 15 R71.85
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
MUPIROCIN 20MG/1G CRE 3006768 SUPIROBAN 15 R71.85
MYCOPHENOLIC ACID 250MG 833630 CELLCEPT 250MG 100 R1,225.83
MYCOPHENOLIC ACID 250MG 724022 CIMUNE 100 R1,225.83
MYCOPHENOLIC ACID 250MG 720413 MYCOCEPT 250MG 100 R1,225.83
MYCOPHENOLIC ACID 250MG 720269 MYCOKEM 250MG 100 R1,225.83
MYCOPHENOLIC ACID 250MG 720271 MYCOPHENOLATE ALKEM 250MG 100 R1,225.83
MYCOPHENOLIC ACID 250MG 3000335 MYCOPHENOLATE TEVA 100 R1,225.83
MYCOPHENOLIC ACID 250MG 705493 MYFORTIC 180 180MG 100 R1,225.83
MYCOPHENOLIC ACID 500MG 707162 CELLCEPT 500MG 50 R1,225.83
MYCOPHENOLIC ACID 500MG 724023 CIMUNE 50 R1,225.83
MYCOPHENOLIC ACID 500MG 722961 MICOMUNE 500MG 50 R1,225.83
MYCOPHENOLIC ACID 500MG 718504 MYCOCEPT 500MG 50 R1,225.83
MYCOPHENOLIC ACID 500MG 720270 MYCOKEM 500MG 50 R1,225.83
MYCOPHENOLIC ACID 500MG 720272 MYCOPHENOLATE ALKEM 500MG 50 R1,225.83
MYCOPHENOLIC ACID 500MG 3000336 MYCOPHENOLATE TEVA 500MG 50 R1,225.83
MYCOPHENOLIC ACID 500MG 705492 MYFORTIC 360 360MG 50 R1,225.83
NAPROXEN 250MG 785245 ADCO-NAPROXEN 250MG TAB 250 R169.26
NAPROXEN 250MG 715831 BIO-NAPROXEN 250MG TAB 250 R169.26
NAPROXEN 250MG 810185 MYLAN NAPROXEN (ARCA 250MG TAB 250 R169.26
NAPROXEN 250MG 812625 NAFASOL EC250 250 R169.26
NAPROXEN 250MG 806447 NAPFLAM 250MG TAB 250 R169.26
NAPROXEN 250MG 805238 NAPROSCRIPT 250 R169.26
NAPROXEN 275MG 705300 ASPEN NAPROXEN 275MG TAB 60 R537.14
NAPROXEN 275MG 768448 SYNFLEX 275MG TAB 60 R537.14
NEBIVOLOL 5MG 716483 LOVISPES TAB 30 R214.77
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
NEBIVOLOL 5MG 700558 NEBILET TAB 30 R214.77
NEVIRAPINE 200MG 717834 ACRIPTAZ 200MG TAB 60 R302.21
NEVIRAPINE 200MG 707961 ADCO-NEVIRAPINE 200MG TAB 60 R302.21
NEVIRAPINE 200MG 703718 ASPEN NEVIRAPINE 200MG TAB 60 R302.21
NEVIRAPINE 200MG 3000791 MACLEODS NEVIRAPINE 60 R302.21
NEVIRAPINE 200MG 717492 NEVIR 200MG TAB 60 R302.21
NEVIRAPINE 200MG 717003 NEVIVIR 200MG TAB 60 R302.21
NEVIRAPINE 200MG 709533 SONKE-NEVIRAPINE 200MG TAB 60 R302.21
NEVIRAPINE 200MG 714831 VARI-NEVIRAPINE 200MG TAB 60 R302.21
NEVIRAPINE 200MG 710606 VIROPON 200MG TAB 60 R302.21
NEVIRAPINE 50MG/5ML 704731 ASPEN NEVIRAPINE 50MG/5ML SUS 240 R225.91
NEVIRAPINE 50MG/5ML 704040 CIPLA-NEVIRAPINE ORAL SOL 50MG/5ML 240 R225.91
NEVIRAPINE 50MG/5ML 710604 VIROPON 50MG/5ML SUS 240 R225.91
NIFEDIPINE 30MG 793124 ADALAT XL 30MG SRT 30 R117.37
NIFEDIPINE 30MG 861545 ADCO-VASCARD 30 SR 30 R117.37
NIFEDIPINE 30MG 718083 BIO NIFEDIPINE XL 30MG SRT 30 R117.37
NIFEDIPINE 30MG 723283 CIPALAT XR 30MG TAB 30 R117.37
NIFEDIPINE 30MG 711682 FEDALOC SR 30MG TAB 30 R117.37
NIFEDIPINE 30MG 3002730 FIDOCARE 30 XL 30 R117.37
NIFEDIPINE 30MG 719449 GITSALAT 30MG TAB 30 R117.37
NIFEDIPINE 30MG 715000 MACOREL SR 30MG SRT 30 R117.37
NIFEDIPINE 30MG 715002 SPEC NIFEDIPINE SR 30MG SRT 30 R117.37
NIFEDIPINE 60MG 793132 ADALAT XL 60MG SRT 30 R168.40
NIFEDIPINE 60MG 722977 ADCO-VASCARD 30 R168.40
NIFEDIPINE 60MG 718085 BIO NIFEDIPINE XL 60MG SRT 30 R168.40
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
NIFEDIPINE 60MG 723284 CIPALAT XR 60MG TAB 30 R168.40
NIFEDIPINE 60MG 711714 FEDALOC SR 60MG TAB 30 R168.40
NIFEDIPINE 60MG 3002731 FIDOCARE 60 XL 30 R168.40
NIFEDIPINE 60MG 719450 GITSALAT 60MG TAB 30 R168.40
NIFEDIPINE 60MG 715001 MACOREL SR 60MG SRT 30 R168.40
NIFEDIPINE 60MG 715003 SPEC NIFEDIPINE SR 60MG SRT 30 R168.40
NITROFURANTOIN 100MG 3006190 CIPLADANTIN 100MG 50 R575.20
NITROFURANTOIN 100MG 739847 MACRODANTIN 100MG 50 R575.20
NITROFURANTOIN 100MG 3005478 TURANTO 100MG 50 R575.20
NITROFURANTOIN 100MG 3005789 UNITRO 50 R575.20
NITROFURANTOIN 50MG 3006188 CIPLADANTIN 50MG 50 R286.62
NITROFURANTOIN 50MG 739839 MACRODANTIN 50MG 50 R286.62
NITROFURANTOIN 50MG 3005477 TURANTO 50MG 50 R286.62
NITROFURANTOIN 50MG 3005788 UNITRO 50 R286.62
NORFLOXACIN 400MG 702524 FLOXIN 400MG TAB 6 R32.15
NORFLOXACIN 400MG 716516 NORFLOXACIN ACTOR 400MG TAB 6 R32.15
NORFLOXACIN 400MG 717382 UTIFLOXA 400MG TAB 6 R32.15
NORFLOXACIN 400MG 836338 UTIN-400 400MG TAB 6 R32.15
NYSTATIN 701100 CANDACIDE 20ML SUS 20 R44.04
NYSTATIN 835056 CANSTAT ORAL 20ML SUS 20 R44.04
NYSTATIN 835285 NYSTACID 100000U/1ML SUS 20 R44.04
NYSTATIN TOPICAL 784966 CANSTAT 15 R34.83
NYSTATIN TOPICAL 797022 NYSTACID 15 R34.83
OFLOXACIN 200MG 717063 APEX-OFLOXACIN 200MG TAB 10 R18.70
OFLOXACIN 200MG 700731 TAFLOC 10 R18.70
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
OFLOXACIN 200MG 783358 TARIVID 200MG TAB 10 R18.70
OFLOXACIN 400MG 717064 APEX-OFLOXACIN 400MG TAB 10 R37.45
OFLOXACIN 400MG 700733 TAFLOC 10 R37.45
OFLOXACIN OPD 839957 EXOCIN 5ML 1 R82.81
OFLOXACIN OPD 702935 OCTIN OPTHALMIC DROPS 5ML 1 R82.81
OLANZAPINE 10MG 720692 ADCO OLANZAPINE 10MG TAB 30 R517.98
OLANZAPINE 10MG 3005271 ALONZA 30 R517.98
OLANZAPINE 10MG 3003478 MELTOLAN 30 R517.98
OLANZAPINE 10MG 718997 MYLAN OLANZAPINE 10MG TAB 30 R517.98
OLANZAPINE 10MG 3003673 NEZOLAP 30 R517.98
OLANZAPINE 10MG 3004398 OLANDUS 30 R517.98
OLANZAPINE 10MG 721389 OLAWIN 10MG TAB 30 R517.98
OLANZAPINE 10MG 715996 OLEANZ 10MG 30 R517.98
OLANZAPINE 10MG 715659 OLEXAR 10MG TAB 30 R517.98
OLANZAPINE 10MG 720714 PREXOLAN 10MG TAB 30 R517.98
OLANZAPINE 10MG 715685 REDILANZ 10MG TAB 30 R517.98
OLANZAPINE 10MG 3006114 ZIPOLA 30 R517.98
OLANZAPINE 10MG 723747 ZOLANZ 30 R517.98
OLANZAPINE 10MG 721653 ZYLENA 10MG TAB 30 R517.98
OLANZAPINE 10MG 827517 ZYPREXA 10MG TAB 30 R517.98
OLANZAPINE 10MG ODT 3005327 NEZOLAP ODT 30 R697.11
OLANZAPINE 10MG ODT 721390 OLAWIN ORADISPERSIBLE 10MG MLT 30 R697.11
OLANZAPINE 10MG ODT 3003670 PHRENPE ORODISPERSIBLE 30 R697.11
OLANZAPINE 10MG ODT 719807 PREXOLAN ODT 10MG 30 R697.11
OLANZAPINE 10MG ODT 707939 ZYPREXA VELOTAB 10MG 30 R697.11
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
OLANZAPINE 2.5MG 720687 ADCO OLANZAPINE 2.5MG TAB 30 R330.76
OLANZAPINE 2.5MG 3005269 ALONZA 30 R330.76
OLANZAPINE 2.5MG 718995 MYLAN OLANZAPINE 2.5MG TAB 30 R330.76
OLANZAPINE 2.5MG 3003671 NEZOLAP 30 R330.76
OLANZAPINE 2.5MG 3004396 OLANDUS 30 R330.76
OLANZAPINE 2.5MG 715994 OLEANZ 2.5MG TAB 30 R330.76
OLANZAPINE 2.5MG 715657 OLEXAR 2.5MG TAB 30 R330.76
OLANZAPINE 2.5MG 720712 PREXOLAN 2.5MG TAB 30 R330.76
OLANZAPINE 2.5MG 715683 REDILANZ 2.5MG TAB 30 R330.76
OLANZAPINE 2.5MG 3006112 ZIPOLA 30 R330.76
OLANZAPINE 2.5MG 864188 ZYPREXA 2.5MG TAB 30 R330.76
OLANZAPINE 5MG 720691 ADCO OLANZAPINE 5MG TAB 30 R391.90
OLANZAPINE 5MG 3005270 ALONZA 30 R391.90
OLANZAPINE 5MG 3003477 MELTOLAN 30 R391.90
OLANZAPINE 5MG 718996 MYLAN OLANZAPINE 5MG TAB 30 R391.90
OLANZAPINE 5MG 3003672 NEZOLAP 30 R391.90
OLANZAPINE 5MG 3004397 OLANDUS 30 R391.90
OLANZAPINE 5MG 721388 OLAWIN 5MG TAB 30 R391.90
OLANZAPINE 5MG 715995 OLEANZ 5MG 30 R391.90
OLANZAPINE 5MG 715658 OLEXAR 5MG TAB 30 R391.90
OLANZAPINE 5MG 720713 PREXOLAN 5MG TAB 30 R391.90
OLANZAPINE 5MG 715684 REDILANZ 5MG TAB 30 R391.90
OLANZAPINE 5MG 3006113 ZIPOLA 30 R391.90
OLANZAPINE 5MG 723745 ZOLANZ 30 R391.90
OLANZAPINE 5MG 721652 ZYLENA 5MG TAB 30 R391.90
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
OLANZAPINE 5MG 827509 ZYPREXA 5MG TAB 30 R391.90
OLANZAPINE 5MG ODT 3005326 NEZOLAP ODT 30 R543.89
OLANZAPINE 5MG ODT 721386 OLAWIN ORADISPERSIBLE 5MG MLT 30 R543.89
OLANZAPINE 5MG ODT 715967 OLEANZ RAPITAB 5MG 30 R543.89
OLANZAPINE 5MG ODT 3003668 PHRENPE ORODISPERSIBLE 30 R543.89
OLANZAPINE 5MG ODT 719806 PREXOLAN ODT 5MG 30 R543.89
OLANZAPINE 5MG ODT 707938 ZYPREXA VELOTAB 5MG 30 R543.89
OMEPRAZOLE 10MG 703988 ALTOSEC 10MG CAPS 30 R194.15
OMEPRAZOLE 10MG 849383 LOSEC MUPS 10MG TAB 30 R194.15
OMEPRAZOLE 10MG 703461 OMEZ 10MG CAPS 30 R194.15
OMEPRAZOLE 10MG 3000170 RAPACID 30 R194.15
OMEPRAZOLE 20MG 703987 ALTOSEC 20MG CAPS 30 R180.81
OMEPRAZOLE 20MG 720358 CORPOCID 20MG TAB 30 R180.81
OMEPRAZOLE 20MG 705466 LOKIT 20MG CAP 30 R180.81
OMEPRAZOLE 20MG 3005752 LOKIT OD 30 R180.81
OMEPRAZOLE 20MG 3004647 LOKIT OTC 20MG CAP 30 R180.81
OMEPRAZOLE 20MG 849391 LOSEC MUPS 20MG CAPS 30 R180.81
OMEPRAZOLE 20MG 704629 NOZER 20MG CAPS 30 R180.81
OMEPRAZOLE 20MG 703459 OMEZ 20MG CAPS 30 R180.81
OMEPRAZOLE 20MG 704700 OMEZ OTC 30 R180.81
OMEPRAZOLE 20MG 3000589 OMIFLUX 20MG 30 R180.81
OMEPRAZOLE 20MG 720812 PROBITOR 20MG CAP 30 R180.81
OMEPRAZOLE 20MG 703543 RAPACID 20MG CAP 30 R180.81
OMEPRAZOLE 20MG 703534 SANDOZ OMEPRAZOLE 20MG TAB 30 R180.81
OMEPRAZOLE 20MG 3006267 TUMSIGON 30 R180.81
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
OMEPRAZOLE 20MG 3006156 TUMSIGON OTC 30 R180.81
OMEPRAZOLE 40MG 3004648 LOKIT OD 30 R303.95
OMEPRAZOLE 40MG 706688 OMEZ 30 R303.95
ONDANSETRON 4MG 707912 ASPETRON 4MG 10 R194.17
ONDANSETRON 4MG 716720 AUSTELL ONDANSETRON 4MG 10 R194.17
ONDANSETRON 4MG 716801 CIPLA-ONDANSETRON 4MG 10 R194.17
ONDANSETRON 4MG 711531 VOMIZ 4MG 10 R194.17
ONDANSETRON 4MG 705944 ZOFER 4MG 10 R194.17
ONDANSETRON 4MG 785814 ZOFRAN 4MG 10 R194.17
ONDANSETRON 4MG DSP 3006193 OMECTRON 4 ODT 10 R195.55
ONDANSETRON 4MG DSP 3005939 ONDANSETRON 4 ODT UNICORN 10 R195.55
ONDANSETRON 4MG DSP 3006620 ONDANSETRON 4MG ODT CIPLA 10 R195.55
ONDANSETRON 4MG DSP 3000044 VOMIZ D 4MG 10 R195.55
ONDANSETRON 4MG DSP 713980 ZOFER RAPITAB 4MG 10 R195.55
ONDANSETRON 4MG DSP 862223 ZOFRAN ZYDIS 4MG 10 R195.55
ONDANSETRON 4MG DSP 3005615 ZOTHENA 10 R195.55
ONDANSETRON 4MG INJ 717049 ALEPET AMPOULE 2ML 5 R40.45
ONDANSETRON 4MG INJ 705458 ASPEN ONDANSETRON 5 R40.45
ONDANSETRON 4MG INJ 710908 DANSET AMPOULE 2ML 5 R40.45
ONDANSETRON 4MG INJ 710988 DANTRON VIAL 2ML 5 R40.45
ONDANSETRON 4MG INJ 720786 EMISTOP AMPOULE 2ML 5 R40.45
ONDANSETRON 4MG INJ 705537 MYLAN ONDANSETRON 5 R40.45
ONDANSETRON 4MG INJ 705078 NAUSETRON 4MG 5 R40.45
ONDANSETRON 4MG INJ 711906 ONDANSETRON CIPLA IV AMPOULE 2ML 5 R40.45
ONDANSETRON 4MG INJ 718557 ONDANSETRON FRESENIUS AMPOULE 5 R40.45
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ONDANSETRON 4MG INJ 711904 SABAX ONDANSETRON AMPOULE 2ML 5 R40.45
ONDANSETRON 4MG INJ 716548 VOMIZ AMPOULE 2ML 5 R40.45
ONDANSETRON 4MG INJ 705941 ZOFER 4MG/2ML 5 R40.45
ONDANSETRON 4MG INJ 785806 ZOFRAN 2ML 5 R40.45
ONDANSETRON 8MG 707913 ASPETRON 8MG 10 R388.42
ONDANSETRON 8MG 717154 AUSTELL ONDANSETRON 8MG 10 R388.42
ONDANSETRON 8MG 716802 CIPLA-ONDANSETRON 8MG 10 R388.42
ONDANSETRON 8MG 711532 VOMIZ 8MG 10 R388.42
ONDANSETRON 8MG 705945 ZOFER 8MG 10 R388.42
ONDANSETRON 8MG 785830 ZOFRAN 8MG 10 R388.42
ONDANSETRON 8MG DSP 3006194 OMECTRON 8 ODT 10 R391.07
ONDANSETRON 8MG DSP 3005940 ONDANSETRON 8 ODT UNICORN 10 R391.07
ONDANSETRON 8MG DSP 3006622 ONDANSETRON 8MG ODT CIPLA 10 R391.07
ONDANSETRON 8MG DSP 3000045 VOMIZ D 8MG 10 R391.07
ONDANSETRON 8MG DSP 714957 ZOFER RAPITAB 8MG 10 R391.07
ONDANSETRON 8MG DSP 862231 ZOFRAN ZYDIS 8MG 10 R391.07
ONDANSETRON 8MG DSP 3005616 ZOTHENA 10 R391.07
ONDANSETRON 8MG INJ 717050 ALEPET AMPOULE 4ML 5 R92.66
ONDANSETRON 8MG INJ 710909 DANSET AMPOULE 4ML 5 R92.66
ONDANSETRON 8MG INJ 710989 DANTRON VIAL 4ML 5 R92.66
ONDANSETRON 8MG INJ 720788 EMISTOP AMPOULE 4ML 5 R92.66
ONDANSETRON 8MG INJ 705538 MYLAN ONDANSETRON 5 R92.66
ONDANSETRON 8MG INJ 705079 NAUSETRON 8MG 5 R92.66
ONDANSETRON 8MG INJ 718558 ONDANSETRON FRESENIUS AMPOULE 5 R92.66
ONDANSETRON 8MG INJ 705460 ONDANSETRON PHARMC 5ML AMPOULE 5 R92.66
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ONDANSETRON 8MG INJ 711905 SABAX ONDANSETRON AMPOULE 4ML 5 R92.66
ONDANSETRON 8MG INJ 711533 VOMIZ AMPOULE 4ML 5 R92.66
ONDANSETRON 8MG INJ 705943 ZOFER 8MG/4ML 5 R92.66
ONDANSETRON 8MG INJ 785822 ZOFRAN 4ML 5 R92.66
ONDANSETRON 8MG INJ 711907 ZYDUS-ONDANSETRON AMPOULE 4ML 5 R92.66
OSELTAMIVIR 30MG 3003048 OSELTAMIVIR ADCO 10 R155.25
OSELTAMIVIR 30MG 716752 TAMIFLU 10 R155.25
OSELTAMIVIR 45MG 3003049 OSELTAMIVIR ADCO 10 R294.99
OSELTAMIVIR 45MG 716751 TAMIFLU 10 R294.99
OSELTAMIVIR 75MG 712392 CIPLA-OSELTAMIVIR 10 R310.51
OSELTAMIVIR 75MG 3005479 MACSELTA 10 R310.51
OSELTAMIVIR 75MG 3002599 OSELFLU 10 R310.51
OSELTAMIVIR 75MG 3003050 OSELTAMIVIR ADCO 10 R310.51
OSELTAMIVIR 75MG 705728 TAMIFLU 10 R310.51
OSELTAMIVIR 75MG 3004791 TAMYGEN 10 R310.51
OSELTAMIVIR 75MG 3006506 ZAAFLU 10 R310.51
OXALIPLATIN 100MG 3000405 ELOPLAT CONCENTRATE FOR SOLUTION VIAL 20 1 R1,757.28
OXALIPLATIN 100MG 707495 ELOXATIN 1 R1,757.28
OXALIPLATIN 100MG 717830 INTAS OXALIPLATIN POWDER FOR INJECTION V 1 R1,757.28
OXALIPLATIN 100MG 723390 OPLAXIN CONCENTRATE FOR SOLUTION 1ML VIA 1 R1,757.28
OXALIPLATIN 100MG 3004002 OXALIPLATIN FRESENIUS CONCENTRATE FOR SO 1 R1,757.28
OXALIPLATIN 100MG 723796 OXALIPLATIN KEY POWDER FOR INFUSION VIAL 1 R1,757.28
OXALIPLATIN 100MG 717569 OXALIPLATIN PCH 100 CONCENTRATE SOLUTION 1 R1,757.28
OXALIPLATIN 100MG 710317 OXALIWIN RTU VIAL 20ML 1 R1,757.28
OXALIPLATIN 100MG 3002795 OXILICO CONCENTRATE SOLUTION FOR INFUSIO 1 R1,757.28
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
OXALIPLATIN 50MG 3000404 ELOPLAT CONCENTRATE FOR SOLUTION VIAL 10 1 R878.59
OXALIPLATIN 50MG 707494 ELOXATIN 1 R878.59
OXALIPLATIN 50MG 717829 INTAS OXALIPLATIN POWDER FOR INJECTION V 1 R878.59
OXALIPLATIN 50MG 3004000 OXALIPLATIN FRESENIUS CONCENTRATE FOR SO 1 R878.59
OXALIPLATIN 50MG 723795 OXALIPLATIN KEY POWDER FOR INFUSION VIAL 1 R878.59
OXALIPLATIN 50MG 717567 OXALIPLATIN PCH 50 CONCENTRATE FOR SOLUT 1 R878.59
OXALIPLATIN 50MG 710319 OXALIWIN RTU VIAL 10ML 1 R878.59
OXALIPLATIN 50MG 3002796 OXILICO CONCENTRATE SOLUTION FOR INFUSIO 1 R878.59
OXAZEPAM 10MG 758183 PURATA 10MG TAB 100 R64.19
OXAZEPAM 10MG 763500 SEREPAX 10MG TAB 100 R64.19
OXAZEPAM 15MG 758191 PURATA 15MG TAB 100 R49.56
OXAZEPAM 15MG 751758 SANDOZ-OXAZEPAM 15MG TAB 100 R49.56
OXAZEPAM 15MG 763519 SEREPAX 15MG TAB 100 R49.56
OXAZEPAM 30MG 758205 PURATA 30MG TAB 100 R94.97
OXAZEPAM 30MG 751766 SANDOZ-OXAZEPAM 30MG TAB 100 R94.97
OXAZEPAM 30MG 763527 SEREPAX FORTE 30MG TAB 100 R94.97
OXCARBAZEPINE 300MG 717226 MYLAN OXCARBAZEPINE 50 R312.69
OXCARBAZEPINE 300MG 892484 TRILEPTAL FCT 50 R312.69
OXCARBAZEPINE 600MG 717227 MYLAN OXCARBAZEPINE 50 R588.76
OXCARBAZEPINE 600MG 892491 TRILEPTAL FCT 50 R588.76
OXYBUTYNIN 5MG 720658 DITROPAN 5MG TAB 100 R215.42
OXYBUTYNIN 5MG 872253 LENDITRO 5MG 100 R215.42
OXYBUTYNIN 5MG 701893 MYLAN OXYBUTYNIN CHLORIDE 100 R215.42
OXYBUTYNIN 5MG 722063 OXYREST 100 R215.42
OXYMETAZOLINE .25MG/1ML NAS 702620 DRINASAL (WAS MERCK-P-NASAL) METERED 0.025% 1 R56.99
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
OXYMETAZOLINE .25MG/1ML NAS 732338 ILIADIN ILIADIN METERED PAED 0.025% 1 R56.99
OXYMETAZOLINE .25MG/1ML NAS 3001287 OXYMIST CHILDREN 10ML 1 R56.99
OXYMETAZOLINE .25MG/1ML NAS 720643 ZADIN 10ML 0.025% NAS 1 R56.99
OXYMETAZOLINE .25MG/1ML NOD 702618 DRINASAL (WAS MERCK-P-NASAL) 0.025% 10ML 1 R46.43
OXYMETAZOLINE .25MG/1ML NOD 732281 ILIADIN NOSE PAED 0.025% 10NL 1 R46.43
OXYMETAZOLINE .25MG/1ML NOD 720641 ZADIN 10ML 0.025% NOD 1 R46.43
OXYMETAZOLINE .5MG/1ML NAS 721441 DRIXINE 0.05% NAS 1 R65.03
OXYMETAZOLINE .5MG/1ML NAS 721976 DRIXINE METERED PUMP 20ML 1 R65.03
OXYMETAZOLINE .5MG/1ML NAS 3006482 ILIADIN ALOE 15ML 1 R65.03
OXYMETAZOLINE .5MG/1ML NAS 732303 ILIADIN SPRAY PLASTIC ADULT 1 R65.03
OXYMETAZOLINE .5MG/1ML NAS SPRAY
814199 DRIXINE ADULT PUMP 1 R59.28
OXYMETAZOLINE .5MG/1ML NAS SPRAY
732265 ILIADIN METERED ADULT 1 R59.28
OXYMETAZOLINE .5MG/1ML NAS SPRAY
715296 NAZENE ADULT NASAL METERED SPRAY 20ML 1 R59.28
OXYMETAZOLINE .5MG/1ML NAS SPRAY
3001288 OXYMIST ADULT 10ML 1 R59.28
OXYMETAZOLINE .5MG/1ML NAS SPRAY
723748 OXYSPRAY MOISTURISING 23ML 1 R59.28
OXYMETAZOLINE .5MG/1ML NAS SPRAY
700305 VICKS SINEX DECONGESTANT 1 R59.28
OXYMETAZOLINE .5MG/1ML NAS SPRAY
897326 VICKS SINEX DECONGESTANT 1 R59.28
OXYMETAZOLINE .5MG/1ML NAS SPRAY
720644 ZADIN 10ML 0.05% NAS 1 R59.28
OXYMETAZOLINE .5MG/1ML NOD 732257 ILIADIN NOSE ADULT .5MG/1ML 1 R46.43
OXYMETAZOLINE .5MG/1ML NOD 720642 ZADIN 10ML 0.0005 1 R46.43
OXYTETRACYCLINE 250MG 884167 NUCOTET CAP 100 R26.10
OXYTETRACYCLINE 250MG 895029 OXY 250mg CAP 100 R26.10
OXYTETRACYCLINE 250MG 703224 PHARMATET (YELLO/ORANGE) 250MG CAP 100 R26.10
OXYTETRACYCLINE 250MG 812072 TETRACEM 250MG CAP 100 R26.10
PACLITAXEL 100MG/16.7ML 720616 ACCORD PACLITAXEL CONCENTRATE FOR INFUSI 1 R491.27
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
PACLITAXEL 100MG/16.7ML 712753 ANZATAX VIAL 16.7ML 1 R491.27
PACLITAXEL 100MG/16.7ML 716632 ASPEN PACLITAXEL VIAL 16.67ML 1 R491.27
PACLITAXEL 100MG/16.7ML 716179 CIPLA PACLITAXEL VIAL 16.7ML 1 R491.27
PACLITAXEL 100MG/16.7ML 715014 EBETAXEL CONCENTRATE FOR INFUSION VIAL 1 1 R491.27
PACLITAXEL 100MG/16.7ML 716950 GENEXOL CONCENTRATE FOR INFUSION VIAL 16 1 R491.27
PACLITAXEL 100MG/16.7ML 717009 PACLITAXEL 100 EUROLAB VIAL 16.7ML 1 R491.27
PACLITAXEL 100MG/16.7ML 3006704 PACLITAXEL 100MG/16.7ML FRESENIUS CONC F 1 R491.27
PACLITAXEL 100MG/16.7ML 714757 PCH-PACLITAXEL 100 SOLUTION 1 R491.27
PACLITAXEL 100MG/16.7ML 700431 TEVA-PACLITAXEL VIAL 16.7ML 1 R491.27
PACLITAXEL 300MG/50ML 720617 ACCORD PACLITAXEL CONCENTRATE FOR INFUSI 1 R1,470.85
PACLITAXEL 300MG/50ML 712754 ANZATAX VIAL 50ML 1 R1,470.85
PACLITAXEL 300MG/50ML 716633 ASPEN PACLITAXEL VIAL 50ML 1 R1,470.85
PACLITAXEL 300MG/50ML 715016 EBETAXEL CONCENTRATE FOR INFUSION VIAL 5 1 R1,470.85
PACLITAXEL 300MG/50ML 717011 PACLITAXEL 300 EUROLAB CONCENTRATE FOR I 1 R1,470.85
PACLITAXEL 300MG/50ML 3006705 PACLITAXEL 300MG/50ML FRESENIUS CONC FOR 1 R1,470.85
PACLITAXEL 300MG/50ML 714758 PCH-PACLITAXEL 300 SOLUTION 1 R1,470.85
PACLITAXEL 300MG/50ML 700432 TEVA-PACLITAXEL 300 50ML 1 R1,470.85
PACLITAXEL 30MG/5ML 720614 ACCORD PACLITAXEL CONCENTRATE FOR INFUSI 1 R147.08
PACLITAXEL 30MG/5ML 704208 ANZATAX 30MG/5ML 1 R147.08
PACLITAXEL 30MG/5ML 716631 ASPEN PACLITAXEL VIAL 5ML 1 R147.08
PACLITAXEL 30MG/5ML 703386 BIOLYSE PACLITAXEL FOR INJ 5ML 1 R147.08
PACLITAXEL 30MG/5ML 716178 CIPLA PACLITAXEL VIAL 5ML 1 R147.08
PACLITAXEL 30MG/5ML 715013 EBETAXEL CONCENTRATE FOR INFUSION VIAL 5 1 R147.08
PACLITAXEL 30MG/5ML 3006703 PACLITAXEL 30MG/5ML FRESENIUS CONC FOR S 1 R147.08
PACLITAXEL 30MG/5ML 717008 PAXITAS VIAL 5ML 1 R147.08
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
PACLITAXEL 30MG/5ML 714756 PCH-PACLITAXEL 30 SOLUTION FOR INFUSION 1 R147.08
PACLITAXEL 30MG/5ML 700427 TEVA PACLITAXEL 30 5ML 1 R147.08
PALBOCICLIB 100 MG 3006261 PALBOCICLIB 100 MG CIPLA 21 R10,858.95
PALBOCICLIB 100 MG 3002865 PALBOCICLIB PFIZER 21 R10,858.95
PALBOCICLIB 125 MG 3006262 PALBOCICLIB 125 MG CIPLA 21 R10,858.95
PALBOCICLIB 125 MG 3002866 PALBOCICLIB PFIZER 21 R10,858.95
PALBOCICLIB 75 MG 3006258 PALBOCICLIB 75 MG CIPLA 21 R10,858.95
PALBOCICLIB 75 MG 3002864 PALBOCICLIB PFIZER 21 R10,858.95
PALONOSETRON 708388 ONICIT VIAL 5ML 1 R541.01
PALONOSETRON 3005645 PALCITA SOLUTION FOR INJECTION 5ML VIAL 1 R541.01
PALONOSETRON 3007017 PALONOSETRON FRESENIUS SOLUTION FOR INJE 1 R541.01
PALONOSETRON 3005816 PALONOSETRON TEVA SOLUTION FOR INJECTION 1 R541.01
PALONOSETRON 3002126 TRONSON SOLUTION FOR INJECTION VIAL 1 R541.01
PANTOPRAZOLE 20MG 717376 ASPEN PANTOPRAZOLE 20MG TAB 30 R126.71
PANTOPRAZOLE 20MG 715312 CONORAN 20MG TAB 30 R126.71
PANTOPRAZOLE 20MG 892291 GASTRIWIN 20MG TAB 30 R126.71
PANTOPRAZOLE 20MG 3006511 KIMLOC 30 R126.71
PANTOPRAZOLE 20MG 717420 MYLAN PANTOPRAZOLE 20MG TAB 30 R126.71
PANTOPRAZOLE 20MG 715610 PANTOCID 20MG TAB 30 R126.71
PANTOPRAZOLE 20MG 881589 PANTOLOC 20MG TAB 30 R126.71
PANTOPRAZOLE 20MG 3006184 PANTOPAZOLE OTC UNICORN 30 R126.71
PANTOPRAZOLE 20MG 3005121 PANTOPRAZOLE MR 20 MG AUSTELL 30 R126.71
PANTOPRAZOLE 20MG 721270 PANTOPRAZOLE UNICORN 20MG ECT 30 R126.71
PANTOPRAZOLE 20MG 720116 PANTOR 20MG TAB 30 R126.71
PANTOPRAZOLE 20MG 3006157 PAZIPEP OTC 30 R126.71
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
PANTOPRAZOLE 20MG 714674 PENTOZ 20MG TAB 30 R126.71
PANTOPRAZOLE 20MG 718886 PENTOZ OTC 20MG TAB 30 R126.71
PANTOPRAZOLE 20MG 715306 PEPLOC 20MG TAB 30 R126.71
PANTOPRAZOLE 20MG 722787 PEPLOC OTC 20MG ECT 30 R126.71
PANTOPRAZOLE 20MG 721552 PEPTAZOL 20MG ECT 30 R126.71
PANTOPRAZOLE 20MG 3005654 PRAZANT 30 R126.71
PANTOPRAZOLE 20MG 722767 PRAZOLOC 30 R126.71
PANTOPRAZOLE 20MG 723826 PRAZOLOC OTC 30 R126.71
PANTOPRAZOLE 20MG 3005373 PRAZTEK 30 R126.71
PANTOPRAZOLE 20MG 721183 TOPRAFLUX 20MG ECT 30 R126.71
PANTOPRAZOLE 20MG 3006182 TOPRAFLUX OTC 30 R126.71
PANTOPRAZOLE 20MG 705368 TOPZOLE 20MG TAB 30 R126.71
PANTOPRAZOLE 20MG 718142 TOPZOLE OTC 20MG TAB 30 R126.71
PANTOPRAZOLE 40MG 717377 ASPEN PANTOPRAZOLE 40MG TAB 30 R204.79
PANTOPRAZOLE 40MG 715313 CONORAN 40MG TAB 30 R204.79
PANTOPRAZOLE 40MG 812153 GASTRIWIN (WAS CONTROLOC) 40MG 30 R204.79
PANTOPRAZOLE 40MG 3006512 KIMLOC 30 R204.79
PANTOPRAZOLE 40MG 717421 MYLAN PANTOPRAZOLE 40MG TAB 30 R204.79
PANTOPRAZOLE 40MG 708031 PANTOCID 40MG ECT 30 R204.79
PANTOPRAZOLE 40MG 811793 PANTOLOC 40MG TAB 30 R204.79
PANTOPRAZOLE 40MG 3005122 PANTOPRAZOLE MR 40 MG AUSTELL 30 R204.79
PANTOPRAZOLE 40MG 721273 PANTOPRAZOLE UNICORN 40MG ECT 30 R204.79
PANTOPRAZOLE 40MG 720117 PANTOR 40MG TAB 30 R204.79
PANTOPRAZOLE 40MG 714675 PENTOZ 40MG TAB 30 R204.79
PANTOPRAZOLE 40MG 715307 PEPLOC 40MG TAB 30 R204.79
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
PANTOPRAZOLE 40MG 721553 PEPTAZOL 40MG ECT 30 R204.79
PANTOPRAZOLE 40MG 3005655 PRAZANT 30 R204.79
PANTOPRAZOLE 40MG 722768 PRAZOLOC 40MG TAB 30 R204.79
PANTOPRAZOLE 40MG 3005374 PRAZTEK 30 R204.79
PANTOPRAZOLE 40MG 721184 TOPRAFLUX 40MG ECT 30 R204.79
PANTOPRAZOLE 40MG 705369 TOPZOLE 40MG TAB 30 R204.79
PARAC/CODEINE/DIPHENY/CAFF 736228 LENADOL TAB 18 R23.34
PARAC/CODEINE/DIPHENY/CAFF 757632 PROPAIN TAB 18 R23.34
PARAC/CODEINE/DIPHENY/CAFF 769541 TENSOLVE TAB 18 R23.34
PARACET MEPROBAN CAFF CODEINE
809055 ADCO-SALTERPYN TAB 500 R238.20
PARACET MEPROBAN CAFF CODEINE
786780 ANTIPYN FORTE TAB 500 R238.20
PARACET MEPROBAN CAFF CODEINE
823538 ASTRAPAIN FORTE TAB 500 R238.20
PARACET MEPROBAN CAFF CODEINE
798126 DYNAPAYNE 500 R238.20
PARACET MEPROBAN CAFF CODEINE
793574 GOLDGESIC TAB 500 R238.20
PARACET MEPROBAN CAFF CODEINE
800325 HOPYN (BRISCOPYN) TAB 500 R238.20
PARACET MEPROBAN CAFF CODEINE
892662 NUCOPAIN TAB 500 R238.20
PARACET MEPROBAN CAFF CODEINE
834440 SPECTRAPAIN FORTE TA TAB 500 R238.20
PARACET MEPROBAN CAFF CODEINE
766828 STILPANE TAB 500 R238.20
PARACET MEPROBAN CAFF CODEINE
793892 XEROGESIC TAB 500 R238.20
PARACETAM COD CAF DOXYLAMINE 780553 ADCO-DOL TAB 20 R20.34
PARACETAM COD CAF DOXYLAMINE 758493 PYNSTOP TAB 20 R20.34
PARACETAMOL 120MG/5ML 792101 ACTAMOL 120MG/5ML SYR 100 R14.61
PARACETAMOL 120MG/5ML 704093 ACTAMOL RED (UN-BOXED) 120MG/5ML SYR 100 R14.61
PARACETAMOL 120MG/5ML 745715 ADCO-NAPAMOL ELIXIR 100 R14.61
PARACETAMOL 120MG/5ML 717187 BARRS PARACETAMOL 100 R14.61
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
PARACETAMOL 120MG/5ML 789526 BRUNOMOL SYR 100 R14.61
PARACETAMOL 120MG/5ML 711993 CALPOL 120MG/5ML SUS 100 R14.61
PARACETAMOL 120MG/5ML 3006243 CETAPON JUNIOR PAEDIATRIC 100 R14.61
PARACETAMOL 120MG/5ML 798045 DYNADOL 100 R14.61
PARACETAMOL 120MG/5ML 703820 FEVERPAIN SYR 100 R14.61
PARACETAMOL 120MG/5ML 863742 FEVERPAIN (BOXED) SYR 100 R14.61
PARACETAMOL 120MG/5ML 895199 GO-PAIN P SYR 100 R14.61
PARACETAMOL 120MG/5ML 752118 PAINAMOL SYR 100 R14.61
PARACETAMOL 120MG/5ML 889772 PAINBLOK SYR 100 R14.61
PARACETAMOL 120MG/5ML 703349 PAINBLOK (GLASS BOTTLE) 100 R14.61
PARACETAMOL 120MG/5ML 704450 PAINOGESIC SYR 100 R14.61
PARACETAMOL 120MG/5ML 788953 PANADO ( ALCO/SUGAR 120MG/5M SYR 100 R14.61
PARACETAMOL 120MG/5ML 752282 PANADO PAED SYRUP 120mg/5ml SYR 100 R14.61
PARACETAMOL 120MG/5ML 703118 PANADO PAED SYRUP STRAWBERRY 100 R14.61
PARACETAMOL 120MG/5ML 3003458 PANADO PAEDIATRIC SYRUP 5ML 100 R14.61
PARACETAMOL 120MG/5ML 707583 PARACETAMOL ELIXIR SAD (ALCOHOL FREE) SYR 100 R14.61
PARACETAMOL 120MG/5ML 714708 PYNGESIC S SYR 100 R14.61
PARACETAMOL 120MG/5ML 758558 PYRALEN 120MG/5ML SYR 100 R14.61
PARACETAMOL 120MG/5ML 3003420 VARIPAN SUGAR FREE 100 R14.61
PARACETAMOL 120MG/5ML 710452 WOODWARD'S PARACETAMOL SYR 100 R14.61
PARACETAMOL 500MG 717725 ACTAMOL 500MG TAB 1000 R319.43
PARACETAMOL 500MG 716045 ADCO-NAPAMOL 500MG TAB 1000 R319.43
PARACETAMOL 500MG 745723 ADCO-NAPAMOL 500MG TAB 1000 R319.43
PARACETAMOL 500MG 757403 ADCO-PROLIEF 500MG TAB 1000 R319.43
PARACETAMOL 500MG 805467 ANTALGIC 500 500MG TAB 1000 R319.43
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
PARACETAMOL 500MG 713153 AUSTELL-PARACETAMOL 500MG TAB 1000 R319.43
PARACETAMOL 500MG 3001556 CALPOL 1000 R319.43
PARACETAMOL 500MG 714499 CLICKS PARACETAMOL 500MG TAB 1000 R319.43
PARACETAMOL 500MG 701634 DIS-CHEM PARACETAMOL 500MG TAB 1000 R319.43
PARACETAMOL 500MG 720860 DOLOROL 500MG TAB 1000 R319.43
PARACETAMOL 500MG 3006086 DONAPAN 1000 R319.43
PARACETAMOL 500MG 798053 DYNADOL 1000 R319.43
PARACETAMOL 500MG 3004727 DYNADOL PATIENT READY PACK 1000 R319.43
PARACETAMOL 500MG 3004728 DYNADOL SECURITAINER 500MG TAB 1000 R319.43
PARACETAMOL 500MG 824992 GENCETAMOL 500MG TAB 1000 R319.43
PARACETAMOL 500MG 3007149 GO PAIN PARACETAMOL 1000 R319.43
PARACETAMOL 500MG 715112 GRAYS PARACETAMOL 500MG TAB 1000 R319.43
PARACETAMOL 500MG 867950 GULF PARACETAMOL 500MG TAB 1000 R319.43
PARACETAMOL 500MG 894212 JP PARACETAMOL 500MG TAB 1000 R319.43
PARACETAMOL 500MG 826588 LINK THERAPAIN 500MG TAB 1000 R319.43
PARACETAMOL 500MG 799629 PAINAMOL (GREEN) 500MG TAB 1000 R319.43
PARACETAMOL 500MG 752142 PAINAMOL WHITE 500MG TAB 1000 R319.43
PARACETAMOL 500MG 867969 PAINBLOK 500MG TAB 1000 R319.43
PARACETAMOL 500MG 704465 PAINOGESIC 500MG TAB 1000 R319.43
PARACETAMOL 500MG 752355 PANADO CAP 1000 R319.43
PARACETAMOL 500MG 752274 PANADO 500MG TAB 1000 R319.43
PARACETAMOL 500MG 720327 PANADO BLISTER PACK 500MG 1000 R319.43
PARACETAMOL 500MG 784443 PARAMED 500MG TAB 1000 R319.43
PARACETAMOL 500MG 752878 PARAPANE 500MG TAB 1000 R319.43
PARACETAMOL 500MG 714707 PYNGESIC T 500MG TAB 1000 R319.43
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
PARACETAMOL 500MG 885863 VON PARACETAMOL 500MG TAB 1000 R319.43
PARACETAMOL 500MG 3003810 ZYPOL 500MG TAB 1000 R319.43
PARACETAMOL CODEINE 500MG/8MG787043 CODOROL 500MG/8MG 20 R10.06
PARACETAMOL CODEINE 500MG/8MG719662 COGESIC 500MG/8MG TAB 20 R10.06
PARACETAMOL CODEINE 500MG/8MG720879 DOLOROL FORTE TAB 20 R10.06
PARACETAMOL CODEINE 500MG/8MG707910 PAINAMOL PLUS (BETAC TAB 20 R10.06
PARACETAMOL CODEINE 500MG/8MG895030 PAINCODEIN TAB 20 R10.06
PARACETAMOL CODEINE 500MG/8MG761303 ROCODIN 20 R10.06
PARACETAMOL CODEINE 500MG/8MG713688 VARIPAN CO 8MG500MG 20 R10.06
PARACETAMOL CODEINE DOXYLAMINE
826766 ABFLEX-4 TAB 20 R14.57
PARACETAMOL CODEINE DOXYLAMINE
792241 ACURATE TAB 20 R14.57
PARACETAMOL CODEINE DOXYLAMINE
703660 CODOXOL TAB 20 R14.57
PARACETAMOL CODEINE DOXYLAMINE
703059 DOXSYN 20 R14.57
PARACETAMOL CODEINE DOXYLAMINE
702609 DOXY CO TAB 20 R14.57
PARACETAMOL CODEINE DOXYLAMINE
860808 LENAPAIN TAB 20 R14.57
PARACETAMOL CODEINE DOXYLAMINE
814547 NOMOPAIN TAB 20 R14.57
PARACETAMOL CODEINE DOXYLAMINE
794821 PAXIDAL TAB 20 R14.57
PARACETAMOL CODEINE DOXYLAMINE
703748 PHARMADOL QUINOLINE YELLOW 20 R14.57
PARACETAMOL CODEINE DOXYLAMINE
702953 RESDOL TAB 20 R14.57
PARACETAMOL CODEINE DOXYLAMINE
823864 SEDAPAIN TAB 20 R14.57
PARACETAMOL CODEINE DOXYLAMINE
763101 SEDINOL TAB 20 R14.57
PARACETAMOL CODEINE DOXYLAMINE
768391 SYNDOL TAB 20 R14.57
PARACETAMOL CODEINE DOXYLAMINE
799815 TENSOPYN TAB 20 R14.57
PARACETAMOL CODEINE DOXYLAMINE
789135 XEROTENS 20 R14.57
PARACETAMOL CODEINE PROMETHAZINE
894289 ADCO-KIDDIPAYNE SYR 100 R15.65
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
PARACETAMOL CODEINE PROMETHAZINE
710248 BAN PAIN SYR 100 R15.65
PARACETAMOL CODEINE PROMETHAZINE
793566 GOLDGESIC SYR 100 R15.65
PARACETAMOL CODEINE PROMETHAZINE
823511 GO-PAIN SYR 100 R15.65
PARACETAMOL CODEINE PROMETHAZINE
732753 INFAPAIN FORTE SYR 100 R15.65
PARACETAMOL CODEINE PROMETHAZINE
836605 KID-EEZE SYR 100 R15.65
PARACETAMOL CODEINE PROMETHAZINE
736589 LENTOGESIC SYR 100 R15.65
PARACETAMOL CODEINE PROMETHAZINE
833746 MEDIPYN S 100 R15.65
PARACETAMOL CODEINE PROMETHAZINE
752185 PAINAGON SYR 100 R15.65
PARACETAMOL CODEINE PROMETHAZINE
789984 PYNMED SYR 100 R15.65
PARACETAMOL CODEINE PROMETHAZINE
807583 SALTERPYN SYR 100 R15.65
PARACETAMOL CODEINE PROMETHAZINE
766801 STILPANE SYR 100 R15.65
PARACETAMOL CODEINE PROMETHAZINE
766941 STOPAYNE SYR 100 R15.65
PARACETAMOL EFF 500MG 815306 PANADO EFFERVESCENT 16 R23.28
PARACETAMOL EFF 500MG 720438 PARAFIZZ 16 R23.28
PARACETAMOL IBUPROFEN 705266 IBUGESIC PLUS 30 R52.65
PARACETAMOL IBUPROFEN 719663 IBUPAIN BLISTER PACK 30 R52.65
PARACETAMOL IBUPROFEN 810177 MYPAID 30 R52.65
PARACETAMOL IBUPROFEN 716543 PANADO PLUS CAP 30 R52.65
PARACETAMOL IBUPROFEN SUS 705782 IBUMOL BANANA SUS 100 R66.65
PARACETAMOL IBUPROFEN SUS 705781 IBUMOL GRAPE SUS 100 R66.65
PARACETAMOL IBUPROFEN SUS 824496 LOTEM SUS 100 R66.65
PARACETAMOL PHENYLPROPANOLAMINE
795364 SINUCLEAR CAP 24 R36.79
PARACETAMOL PHENYLPROPANOLAMINE
797618 SINUSTAT CAP 24 R36.79
PARACETAMOL PSEUDOEPHEDRINE 703853
TRIPOLIDINE
ACUFLU P SYRUP (ALCOHOL AND SUGAR FREE) SYR
100 R27.40
PARACETAMOL PSEUDOEPHEDRINE 806218
TRIPOLIDINE
ADCO-FLUPAIN SYR 100 R27.40
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
PARACETAMOL PSEUDOEPHEDRINE 703964
TRIPOLIDINE
SINUCLEAR PAED ALCOHOL & SUGAR FREE SYR 100 R27.40
PARACETAMOL SPP 125MG 819697 EMPAPED 12 R65.34
PARACETAMOL SPP 125MG 3005066 PYRACET 12 R65.34
PARACETAMOL SPP 250MG 819700 EMPAPED 12 R82.77
PARACETAMOL SPP 250MG 3005067 PYRACET 12 R82.77
PAROXETINE 20MG 704904 ADCO-PAROXETINE 20MG TAB 30 R205.91
PAROXETINE 20MG 791571 AROPAX 20MG TAB 30 R205.91
PAROXETINE 20MG 711911 ARYAXEL 30 R205.91
PAROXETINE 20MG 707399 AUSTELL-PAROXETINE 20MG TAB 30 R205.91
PAROXETINE 20MG 704792 DEPAROC 20MG TAB 30 R205.91
PAROXETINE 20MG 718058 LENIO 20MG TAB 30 R205.91
PAROXETINE 20MG 705186 PARAX 20MG TABS 30 R205.91
PAROXETINE 20MG 716745 PAROXETINE UNICORN 20MG TAB 30 R205.91
PAROXETINE 20MG 704794 PAXIL 20MG TAB 30 R205.91
PAROXETINE 20MG 705122 SERRAPRESS 20MG TAB 30 R205.91
PAROXETINE 20MG 717561 TEXINE 20MG TAB 30 R205.91
PAROXETINE 20MG 705633 XET 20MG TAB 30 R205.91
PEMETREXED 100MG 3002855 ALIMTA VIAL POWDER FOR RECONSTITUTION 1 R1,676.59
PEMETREXED 100MG 3003489 EXTREDA VIAL POWDER CONCENTRATE FOR SOLU 1 R1,676.59
PEMETREXED 100MG 3002604 PEMETREXED ACCORD POWDER FOR SOLUTION VI 1 R1,676.59
PEMETREXED 100MG 3004835 PEMTORI IV POWDER FOR SOLUTION VIAL 1 R1,676.59
PEMETREXED 100MG 3003580 PEXALI POWDER FOR SOLUTION VIAL 1 R1,676.59
PEMETREXED 500MG 705833 ALIMTA VIAL POWDER FOR RECONSTITUTION 1 R8,383.51
PEMETREXED 500MG 3005136 APIMEX 500 POWDER CONCENTRATE FOR SOLUTI 1 R8,383.51
PEMETREXED 500MG 3003490 EXTREDA VIAL POWDER CONCENTRATE FOR SOLU 1 R8,383.51
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
PEMETREXED 500MG 723384 PEMETREXED ACCORD POWDER FOR SOLUTION VI 1 R8,383.51
PEMETREXED 500MG 3002218 PEMJECT POWDER FOR SOLUTION VIAL 1 R8,383.51
PEMETREXED 500MG 3004834 PEMTORI IV POWDER FOR SOLUTION VIAL 1 R8,383.51
PEMETREXED 500MG 3003581 PEXALI POWDER FOR SOLUTION VIAL 1 R8,383.51
PEMETREXED 500MG 3002874 PEXITAZ 500 POWDER FOR SOLUTION FOR INFU 1 R8,383.51
PEMETREXED 500MG 723753 TEREXTA VIAL POWDER FOR SOLUTION 1 R8,383.51
PENTOXIFYLLINE 400MG 703629 ASPEN PENTOXIFYLLINE 400MG SR 30 R310.05
PENTOXIFYLLINE 400MG 709077 DYNA-PENTOXYFILLIN SR 30 R310.05
PERINDOPRIL 4MG 715649 ACESYL 4MG TAB 30 R64.30
PERINDOPRIL 4MG 714869 ACTI-PREX 4MG TAB 30 R64.30
PERINDOPRIL 4MG 717293 BINDACE 4MG TAB 30 R64.30
PERINDOPRIL 4MG 710302 CIPLA-PERINDOPRIL 4MG TAB 30 R64.30
PERINDOPRIL 4MG 715786 CIPLASYL 4MG TAB 30 R64.30
PERINDOPRIL 4MG 708649 CIRCATOR 4MG TAB 30 R64.30
PERINDOPRIL 4MG 785121 COVERSYL 4MG TAB 30 R64.30
PERINDOPRIL 4MG 714527 PEARINDA 4MG TAB 30 R64.30
PERINDOPRIL 4MG 717783 PERINDOPRIL UNICORN 4MG TAB 30 R64.30
PERINDOPRIL 4MG 703541 PREXUM 4MG TAB 30 R64.30
PERINDOPRIL 4MG 720387 PREXUM 5MG TAB 30 R64.30
PERINDOPRIL 4MG 710611 RAN-PERINDOPRIL 4MG TAB 30 R64.30
PERINDOPRIL 4MG 716505 REPREX 4MG TAB 30 R64.30
PERINDOPRIL 4MG 712615 SPEC-PERINDOPRIL 4MG TAB 30 R64.30
PERINDOPRIL 4MG 710297 VECTORYL 4MG TAB 30 R64.30
PERINDOPRIL 4MG 716680 ZYDUS PERINDOPRIL 4MG TAB 30 R64.30
PERINDOPRIL 8MG 717294 BINDACE 8MG TAB 30 R124.63
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
PERINDOPRIL 8MG 710510 CIPLA-PERINDOPRIL 8MG TAB 30 R124.63
PERINDOPRIL 8MG 715795 CIPLASYL 8MG TAB 30 R124.63
PERINDOPRIL 8MG 3000236 CIRCATOR 30 R124.63
PERINDOPRIL 8MG 705915 COVERSYL 10MG TAB 30 R124.63
PERINDOPRIL 8MG 714528 PEARINDA 8MG TAB 30 R124.63
PERINDOPRIL 8MG 717784 PERINDOPRIL UNICORN 8MG TAB 30 R124.63
PERINDOPRIL 8MG 714646 PREXUM 10MG TAB 30 R124.63
PERINDOPRIL 8MG 716506 REPREX 8MG TAB 30 R124.63
PERINDOPRIL 8MG 712616 SPEC-PERINDOPRIL 8MG TAB 30 R124.63
PERINDOPRIL 8MG 710925 VECTORYL 8MG TAB 30 R124.63
PERINDOPRIL AND AMLODIPINE 10MG/10MG
719853 COVERAM 10/10 30 R179.34
PERINDOPRIL AND AMLODIPINE 10MG/10MG
3003576 MIXANVAL 10MG/10MG 30 R179.34
PERINDOPRIL AND AMLODIPINE 10MG/10MG
3003565 PEARLOC 8MG/10MG 30 R179.34
PERINDOPRIL AND AMLODIPINE 10MG/10MG
3001159 REAPTAN 10MG/10 MG 30 R179.34
PERINDOPRIL AND AMLODIPINE 10MG/10MG
3005811 RETISSOR 10/10 30 R179.34
PERINDOPRIL AND AMLODIPINE 10MG/5MG
719854 COVERAM 10/5 30 R168.95
PERINDOPRIL AND AMLODIPINE 10MG/5MG
3003575 MIXANVAL 10MG/5MG 30 R168.95
PERINDOPRIL AND AMLODIPINE 10MG/5MG
3003564 PEARLOC 8MG/5MG 30 R168.95
PERINDOPRIL AND AMLODIPINE 10MG/5MG
3001158 REAPTAN 10MG/5 MG 30 R168.95
PERINDOPRIL AND AMLODIPINE 10MG/5MG
3005810 RETISSOR 10/5 30 R168.95
PERINDOPRIL AND AMLODIPINE 5MG/10MG
719852 COVERAM 5/10 30 R147.52
PERINDOPRIL AND AMLODIPINE 5MG/10MG
3003574 MIXANVAL 5MG/10MG 30 R147.52
PERINDOPRIL AND AMLODIPINE 5MG/10MG
3003563 PEARLOC 4MG/10MG 30 R147.52
PERINDOPRIL AND AMLODIPINE 5MG/10MG
3001157 REAPTAN 5MG/10MG 30 R147.52
PERINDOPRIL AND AMLODIPINE 5MG/10MG
3005809 RETISSOR 5/10 30 R147.52
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
PERINDOPRIL AND AMLODIPINE 5MG/5MG
719855 COVERAM 5/5 30 R115.99
PERINDOPRIL AND AMLODIPINE 5MG/5MG
3003573 MIXANVAL 5MG/5MG 30 R115.99
PERINDOPRIL AND AMLODIPINE 5MG/5MG
3003551 PEARLOC 4MG/5MG 30 R115.99
PERINDOPRIL AND AMLODIPINE 5MG/5MG
3001150 REAPTAN 5MG/5MG 30 R115.99
PERINDOPRIL AND AMLODIPINE 5MG/5MG
3005808 RETISSOR 5/5 30 R115.99
PERINDOPRIL INDAPAMIDE 2MG/0.625MG
715650 ACESYL CO 0.625MG/2MG TAB 30 R107.68
PERINDOPRIL INDAPAMIDE 2MG/0.625MG
700512 PRETERAX 0.625MG/2MG TAB 30 R107.68
PERINDOPRIL INDAPAMIDE 2MG/0.625MG
721507 PREXUM 2.5 PLUS 2.5MG/0.625MG 2MG/.625MG TAB 30 R107.68
PERINDOPRIL INDAPAMIDE 2MG/0.625MG
713762 SPEC-PERINDOPRIL PLUS 0.625MG/2MG TAB 30 R107.68
PERINDOPRIL INDAPAMIDE 4-5MG/1.25MG
715651 ACESYL CO TAB 30 R96.15
PERINDOPRIL INDAPAMIDE 4-5MG/1.25MG
3006095 ACTI-PREX PLUS 4MG/1.25MG 30 R96.15
PERINDOPRIL INDAPAMIDE 4-5MG/1.25MG
717795 ARIPREL PLUS 4MG/1.25MGTAB 30 R96.15
PERINDOPRIL INDAPAMIDE 4-5MG/1.25MG
717095 CIPLASYL PLUS 30 R96.15
PERINDOPRIL INDAPAMIDE 4-5MG/1.25MG
708650 CIRCATOR PLUS 4MG/1.25MG 30 R96.15
PERINDOPRIL INDAPAMIDE 4-5MG/1.25MG
720389 COVERSYL PLUS 5MG/1.25MG TAB 30 R96.15
PERINDOPRIL INDAPAMIDE 4-5MG/1.25MG
877549 COVERSYL PLUS TAB 30 R96.15
PERINDOPRIL INDAPAMIDE 4-5MG/1.25MG
714952 PEARINDA PLUS TAB 30 R96.15
PERINDOPRIL INDAPAMIDE 4-5MG/1.25MG
717782 PERINDOPRIL CO UNICORN 4MG/1.25MG TAB 30 R96.15
PERINDOPRIL INDAPAMIDE 4-5MG/1.25MG
720388 PREXUM PLUS 5MG/1.25MG TAB 30 R96.15
PERINDOPRIL INDAPAMIDE 4-5MG/1.25MG
704929 PREXUM PLUS TAB 30 R96.15
PERINDOPRIL INDAPAMIDE 4-5MG/1.25MG
713763 SPEC-PERINDOPRIL PLUS TAB 30 R96.15
PERINDOPRIL INDAPAMIDE 4-5MG/1.25MG
3003940 TREXEVA PLUS 5MG/1.25MG 30 R96.15
PERINDOPRIL INDAPAMIDE 4-5MG/1.25MG
710298 VECTORYL PLUS TAB 30 R96.15
PERINDOPRIL INDAPAMIDE 8-10MG/2.5MG
721508 BIOPREXUM PLUS 10MG/2.5MG 30 R127.03 Temporarily closed group
PERINDOPRIL INDAPAMIDE 8-10MG/2.5MG
3003593 PEARINDA PLUS 8MG/2.5MG 30 R127.03 Temporarily closed group
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
PIOGLITAZONE 15MG 718148 ACCORD PIOGLITAZONE 15MG TAB 30 R103.15
PIOGLITAZONE 15MG 707974 CIPLA-PIOGLITAZONE 15MG TAB 30 R103.15
PIOGLITAZONE 15MG 3004033 PIOGLITAZONE 15MG PHARMA-Q 30 R103.15
PIOGLITAZONE 15MG 3000543 PIOGLITAZONE HYDROCHLORIDE MACLEODS 15MG 30 R103.15
PIOGLITAZONE 30MG 718150 ACCORD PIOGLITAZONE 30MG TAB 30 R172.74
PIOGLITAZONE 30MG 707981 CIPLA-PIOGLITAZONE 30MG TAB 30 R172.74
PIOGLITAZONE 30MG 3004034 PIOGLITAZONE 30MG PHARMA-Q 30 R172.74
PIOGLITAZONE 30MG 3000544 PIOGLITAZONE HYDROCHLORIDE MACLEODS 30MG 30 R172.74
PIROXICAM 20MG 800724 BREXECAM 20MG TAB 30 R38.64
PIROXICAM 20MG 799432 PYROCAPS 20MG CAP 30 R38.64
PIROXICAM 20MG 701072 ROXIFEN 20MG CAP 30 R38.64
PIROXICAM 20MG 797030 XYCAM 20MG CAP 30 R38.64
PIROXICAM 20MG DSP 716517 PIROXICAM ACTOR 20MG DT 30 R50.45
PIROXICAM 20MG DSP 827428 PIXICAM 20MG DSP 30 R50.45
PIROXICAM 20MG DSP 821144 RHEUGESIC 20MG DSP 30 R50.45
PIROXICAM 20MG DSP 797049 XYCAM DISPERS 20MG DSP 30 R50.45
PLERIXAFOR 3005177 HETERIX VIAL 1.2ML 1 R51,873.83
PLERIXAFOR 715940 MOZOBIL VIAL 1.2ML 1 R51,873.83
POMALIDOMIDE 3MG 723224 IMNOVID 21 R33,558.00
POMALIDOMIDE 3MG 3006836 POMALIDOMIDE 3MG CIPLA 21 R33,558.00
POMALIDOMIDE 4MG 722046 IMNOVID 21 R33,558.00
POMALIDOMIDE 4MG 3006837 POMALIDOMIDE 4MG CIPLA 21 R33,558.00
POTASSIUM CHLORIDE 600MG 3002425 BIOGEN POTASSIUM SLOW RELEASE 30 R49.28
POTASSIUM CHLORIDE 600MG 3003819 DIS-CHEM GOLD SLOW RELEASE POTASSIUM 30 R49.28
POTASSIUM CHLORIDE 600MG 755753 PLENISH K 30 R49.28
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
POTASSIUM CHLORIDE 600MG 3001820 PLENISH-K SR 30 R49.28
POTASSIUM CHLORIDE 600MG 719270 POTASSIUM CHLORIDE UNICORN 30 R49.28
POTASSIUM CHLORIDE 600MG 702947 SANDOZ K-600 30 R49.28
POTASSIUM CHLORIDE 600MG 718911 ULTIPOT 30 R49.28
POVIDONE IODINE MOW 707937 BETADINE MOUTHWASH ( MOW 200 R45.55
POVIDONE IODINE MOW 799688 DERMADINE ORAL GARG MOW 200 R45.55
POVIDONE IODINE MOW 785210 PODINE MOUTH WASH MOW 200 R45.55
POVIDONE IODINE MOW 819859 SEPTADINE ORAL ANTIS SLN 200 R45.55
POVIDONE IODINE MOW 890365 STERIDINE MOUTHWASH LIQ 200 R45.55
POVIDONE-IODINE OINT 702549 BARRS POVIDONE IODINE OIN 100 R101.56
POVIDONE-IODINE OINT 717217 BARRS POVIDONE-IODINE 10% 100 R101.56
POVIDONE-IODINE OINT 707945 BETADINE OINTMENT OIN 100 R101.56
POVIDONE-IODINE OINT 788716 DERMADINE OIN 100 R101.56
POVIDONE-IODINE OINT 755834 PODINE OIN 100 R101.56
POVIDONE-IODINE OINT 821713 SEPTADINE ANTISEP ( 10 % OIN 100 R101.56
PRAMIPEXOLE .125MG 722748 MYLAN PRAMIPEXOLE 0.125MG TAB 100 R258.12
PRAMIPEXOLE .125MG 719542 OXPOLA .125MG TAB 100 R258.12
PRAMIPEXOLE .125MG 721393 PAZORAM .125MG TAB 100 R258.12
PRAMIPEXOLE .125MG 723741 PEXASP 0.125MG 100 R258.12
PRAMIPEXOLE .125MG 898836 PEXOLA .125MG TAB 100 R258.12
PRAMIPEXOLE .125MG 719844 PRAMEX .125MG 100 R258.12
PRAMIPEXOLE .25MG 722749 MYLAN PRAMIPEXOLE 0.25MG TAB 100 R317.68
PRAMIPEXOLE .25MG 719543 OXPOLA 100 R317.68
PRAMIPEXOLE .25MG 721392 PAZORAM 100 R317.68
PRAMIPEXOLE .25MG 723740 PEXASP 0.25MG 100 R317.68
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
PRAMIPEXOLE .25MG 898848 PEXOLA .25MG 100 R317.68
PRAMIPEXOLE .25MG 719843 PRAMEX 100 R317.68
PRAMIPEXOLE .375MG 718253 PEXOLA ER 30 R405.66
PRAMIPEXOLE .375MG 3004925 PRAMIPEXOLE ER TEVA 30 R405.66
PRAMIPEXOLE .75MG 718255 PEXOLA ER 30 R524.28
PRAMIPEXOLE .75MG 3004926 PRAMIPEXOLE ER TEVA 30 R524.28
PRAMIPEXOLE 1.5MG 718256 PEXOLA ER 30 R579.86
PRAMIPEXOLE 1.5MG 3004927 PRAMIPEXOLE ER TEVA 30 R579.86
PRAMIPEXOLE 1MG 722750 MYLAN PRAMIPEXOLE 1MG TAB 100 R1,175.76
PRAMIPEXOLE 1MG 719545 OXPOLA 1MG TAB 100 R1,175.76
PRAMIPEXOLE 1MG 721391 PAZORAM 1MG TAB 100 R1,175.76
PRAMIPEXOLE 1MG 723742 PEXASP 0.1MG 100 R1,175.76
PRAMIPEXOLE 1MG 898828 PEXOLA 1MG TAB 100 R1,175.76
PRAMIPEXOLE 1MG 719845 PRAMEX 1MG TAB 100 R1,175.76
PRAMIPEXOLE 3MG 718257 PEXOLA ER 30 R854.02
PRAMIPEXOLE 3MG 3004928 PRAMIPEXOLE ER TEVA 30 R854.02
PRAVASTATIN 10MG 705212 ASPEN PRAVASTATIN 10MG TAB 30 R231.87
PRAVASTATIN 10MG 717073 AUSTELL PRAVASTATIN 10MG TAB 30 R231.87
PRAVASTATIN 10MG 710974 COLITE 10MG TAB 30 R231.87
PRAVASTATIN 10MG 715709 PIXETA 10MG TAB 30 R231.87
PRAVASTATIN 10MG 705901 SANDOZ PRAVASTATIN 10MG TAB 30 R231.87
PRAVASTATIN 20MG 705213 ASPEN PRAVASTATIN 20MG TAB 30 R298.62
PRAVASTATIN 20MG 717074 AUSTELL PRAVASTATIN 20MG TAB 30 R298.62
PRAVASTATIN 20MG 710975 COLITE 20MG TAB 30 R298.62
PRAVASTATIN 20MG 715710 PIXETA 20MG TAB 30 R298.62
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
PRAVASTATIN 20MG 705902 SANDOZ PRAVASTATIN 20MG TAB 30 R298.62
PRAVASTATIN 40MG 705214 ASPEN PRAVASTATIN 40MG TAB 30 R348.85
PRAVASTATIN 40MG 717075 AUSTELL PRAVASTATIN 40MG TAB 30 R348.85
PRAVASTATIN 40MG 715711 PIXETA 40MG TAB 30 R348.85
PRAVASTATIN 40MG 705903 SANDOZ PRAVASTATIN 40MG TAB 30 R348.85
PREDNISOLONE 15MG/5ML 716381 ADCO PREDNISOLONE 15MG/5ML SYR 50 R126.93
PREDNISOLONE 15MG/5ML 714552 ASPELONE 15MG/5ML SYR 50 R126.93
PREDNISOLONE 15MG/5ML 700170 PREDNISILONE 15 STRIDES 50 R126.93
PREDNISOLONE 15MG/5ML 805149 PRELONE 15MG/5ML SYR 50 R126.93
PREDNISOLONE 5MG 814407 CAPSOID 100 R47.39
PREDNISOLONE 5MG 800155 LENISOLONE 100 R47.39
PREDNISOLONE 5MG 703720 PRELONE 100 R47.39
PREDNISONE 5MG 788783 BETABS PREDNISONE 1000 R253.82
PREDNISONE 5MG 742732 METICORTEN 1000 R253.82
PREDNISONE 5MG 752304 PANAFCORT 1000 R253.82
PREDNISONE 5MG 818267 TROLIC 1000 R253.82
PREGABALIN 150MG 3004938 AVERTZ 60 R414.97
PREGABALIN 150MG 3005621 BELANEX 60 R414.97
PREGABALIN 150MG 3005476 GLOVIREG 60 R414.97
PREGABALIN 150MG 3006000 INNRIKA 60 R414.97
PREGABALIN 150MG 3004668 LYBET 60 R414.97
PREGABALIN 150MG 709806 LYRICA 60 R414.97
PREGABALIN 150MG 3004797 MYALICA 60 R414.97
PREGABALIN 150MG 3004458 NERGIL 60 R414.97
PREGABALIN 150MG 3006052 NEURALYN 60 R414.97
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
PREGABALIN 150MG 3002369 NUBACAP 60 R414.97
PREGABALIN 150MG 723855 NURIKA WAS PREGABALIN TEVA 60 R414.97
PREGABALIN 150MG 3006312 PREGABALIN 150 BIOTECH 60 R414.97
PREGABALIN 150MG 3004726 PREGABALIN 150 CIPLA 60 R414.97
PREGABALIN 150MG 3003384 PREGABALIN IVAX 60 R414.97
PREGABALIN 150MG 3002444 PREGABALIN MYLAN 60 R414.97
PREGABALIN 150MG 3004558 PRERICA 60 R414.97
PREGABALIN 150MG 3004992 PYLIXA 60 R414.97
PREGABALIN 150MG 3005207 TIMIRIL 60 R414.97
PREGABALIN 150MG 3006224 ZANERVA 60 R414.97
PREGABALIN 25MG 3004936 AVERTZ 60 R117.45
PREGABALIN 25MG 3005618 BELANEX 60 R117.45
PREGABALIN 25MG 3005474 GLOVIREG 60 R117.45
PREGABALIN 25MG 3005998 INNRIKA 60 R117.45
PREGABALIN 25MG 3004663 LYBET 60 R117.45
PREGABALIN 25MG 709804 LYRICA 60 R117.45
PREGABALIN 25MG 3004795 MYALICA 60 R117.45
PREGABALIN 25MG 3004456 NERGIL 60 R117.45
PREGABALIN 25MG 3006050 NEURALYN 60 R117.45
PREGABALIN 25MG 3002367 NUBACAP 60 R117.45
PREGABALIN 25MG 723853 NURIKA WAS PREGABALIN TEVA 60 R117.45
PREGABALIN 25MG 3006310 PREGABALIN 25 BIOTECH 60 R117.45
PREGABALIN 25MG 3004724 PREGABALIN 25 CIPLA 60 R117.45
PREGABALIN 25MG 3003381 PREGABALIN IVAX 60 R117.45
PREGABALIN 25MG 3002445 PREGABALIN MYLAN 60 R117.45
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
PREGABALIN 25MG 3004553 PRERICA 60 R117.45
PREGABALIN 25MG 3004980 PYLIXA 60 R117.45
PREGABALIN 25MG 3005205 TIMIRIL 60 R117.45
PREGABALIN 25MG 3006221 ZANERVA 60 R117.45
PREGABALIN 75MG 3004937 AVERTZ 60 R293.61
PREGABALIN 75MG 3005620 BELANEX 60 R293.61
PREGABALIN 75MG 3005475 GLOVIREG 60 R293.61
PREGABALIN 75MG 3005999 INNRIKA 60 R293.61
PREGABALIN 75MG 3004665 LYBET 60 R293.61
PREGABALIN 75MG 709805 LYRICA 60 R293.61
PREGABALIN 75MG 3004796 MYALICA 60 R293.61
PREGABALIN 75MG 3004457 NERGIL 60 R293.61
PREGABALIN 75MG 3006051 NEURALYN 60 R293.61
PREGABALIN 75MG 3002368 NUBACAP 60 R293.61
PREGABALIN 75MG 723854 NURIKA WAS PREGABALIN TEVA 60 R293.61
PREGABALIN 75MG 3006311 PREGABALIN 75 BIOTECH 60 R293.61
PREGABALIN 75MG 3004725 PREGABALIN 75 CIPLA 60 R293.61
PREGABALIN 75MG 3003382 PREGABALIN IVAX 60 R293.61
PREGABALIN 75MG 3002443 PREGABALIN MYLAN 60 R293.61
PREGABALIN 75MG 3004555 PRERICA 60 R293.61
PREGABALIN 75MG 3004984 PYLIXA 60 R293.61
PREGABALIN 75MG 3005206 TIMIRIL 60 R293.61
PREGABALIN 75MG 3006223 ZANERVA 60 R293.61
PROCHLORPERAZINE 5MG 744182 MITIL 5MG TAB 250 R263.96
PROCHLORPERAZINE 5MG 762849 SCRIPTO-METIC 5MG TAB 250 R263.96
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
PROCHLORPERAZINE 5MG 766542 STEMETIL 5MG TAB 250 R263.96
PROGUANIL ATOVAQUONE 3004577 MALAGEN 250MG/100MG 12 R350.04
PROGUANIL ATOVAQUONE 700780 MALANIL 250MG/100MG 12 R350.04
PROGUANIL ATOVAQUONE 720918 MALATEQ 250MG/100MG 12 R350.04
PROGUANIL ATOVAQUONE 720917 MOZITEC 250MG/100MG 12 R350.04
PROGUANIL ATOVAQUONE 719384 NUMAL 250MG/100MG 12 R350.04
PROMETHAZINE CODEINE EPHEDRINE
717606 DEQUA-COFF SYRP 100 R29.01
PROMETHAZINE CODEINE EPHEDRINE
736236 LENAZINE FORTE SYRP 100 R29.01
PROMETHAZINE CODEINE EPHEDRINE
754846 PHENSEDYL SYRP 100 R29.01
PROPRANOLOL 10MG 732567 INDERAL 10MG TAB 50 R8.34
PROPRANOLOL 10MG 806552 INDOBLOK 10MG TAB 50 R8.34
PROPRANOLOL 10MG 787167 PRODOROL 10MG TAB 50 R8.34
PROPRANOLOL 10MG 758140 PURBLOKA 10MG TAB 50 R8.34
PROPRANOLOL 40MG 806560 INDOBLOK 1000 50 R11.19
PROPRANOLOL 40MG 787175 PRODOROL 500 50 R11.19
PROPRANOLOL 40MG 758167 PURBLOKA 50 50 R11.19
PSEUDOEPHEDRINE 60MG 796972 ADCO-SUFEDRIN 60MG TAB 20 R21.84
PSEUDOEPHEDRINE 60MG 808571 SINU-MED 60MG TAB 20 R21.84
PSEUDOEPHEDRINE 60MG 767212 SUDAFED 60MG TAB 20 R21.84
PSEUDOEPHEDRINE PARACETAMOL 706321
500MG/30MG
FLUSIN SINUS TAB 20 R56.82
PSEUDOEPHEDRINE PARACETAMOL 893463
500MG/30MG
SINUGESIC 20 R56.82
PSEUDOEPHEDRINE PARACETAMOL 764272
500MG/30MG
SINUMAX 500MG/30MG 20 R56.82
PSEUDOEPHEDRINE PARACETAMOL 714955
500MG/30MG
SINUTAB SINUS PAIN NON-DROWSY 20 R56.82
PSEUDOEPHEDRINE, COMBINATIONS700789
30MG ACTIFED TAB 20 R30.18
PSEUDOEPHEDRINE, COMBINATIONS835536
30MG DECOFED TAB 20 R30.18
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
PYRAZINAMIDE 500MG 723042 MACLEODS PYRAZINAMIDE 84 R95.40
PYRAZINAMIDE 500MG 758612 PYRAZIDE 500MG 84 R95.40
PYRAZINAMIDE 500MG 761583 SANDOZ PYRAZINAMIDE 500MG 84 R95.40
QUETIAPINE 100MG 3003598 AROQUET 100 R504.95
QUETIAPINE 100MG 716051 DOPAQUEL 100MG TAB 100 R504.95
QUETIAPINE 100MG 720980 KIZOFRIN 100MG TAB 100 R504.95
QUETIAPINE 100MG 716670 MYLAN QUETIAPINE100MG TAB 100 R504.95
QUETIAPINE 100MG 718353 PSYQUET 100MG TAB 100 R504.95
QUETIAPINE 100MG 3003782 QUESARA 100 R504.95
QUETIAPINE 100MG 721745 QUETIAPINE BIOTECH 100MG TAB 100 R504.95
QUETIAPINE 100MG 716636 QUETOSER 100MG TAB 100 R504.95
QUETIAPINE 100MG 3004145 QUETZ 100MG TAB 100 R504.95
QUETIAPINE 100MG 716652 SEREZ 100MG TAB 100 R504.95
QUETIAPINE 100MG 850535 SEROQUEL 100MG TAB 100 R504.95
QUETIAPINE 100MG 718704 SIZONORM 100MG TAB 100 R504.95
QUETIAPINE 100MG 720894 SPEC QUETIAPINE 100MG TAB 100 R504.95
QUETIAPINE 100MG 3005106 TORQUIT 100 R504.95
QUETIAPINE 100MG 716647 TRUVALIN 100MG TAB 100 R504.95
QUETIAPINE 100MG 3000378 ZIMBIQUET 100MG TAB 100 R504.95
QUETIAPINE 150MG SRT 3003728 AROQUET XR 60 R454.01
QUETIAPINE 150MG SRT 3003647 QUERO XR 150MG 60 R454.01
QUETIAPINE 150MG SRT 3003537 QUESARA XR 60 R454.01
QUETIAPINE 150MG SRT 717404 SEROQUEL XR 150MG 60 R454.01
QUETIAPINE 150MG SRT 3000149 TRUVALIN XR 150MG 60 R454.01
QUETIAPINE 200MG 3003600 AROQUET 60 R489.17
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
QUETIAPINE 200MG 716052 DOPAQUEL 200MG TAB 60 R489.17
QUETIAPINE 200MG 720981 KIZOFRIN 200MG TAB 60 R489.17
QUETIAPINE 200MG 716671 MYLAN QUETIAPINE 200MG TAB 60 R489.17
QUETIAPINE 200MG 718354 PSYQUET 200MG TAB 60 R489.17
QUETIAPINE 200MG 3003783 QUESARA 60 R489.17
QUETIAPINE 200MG 721746 QUETIAPINE BIOTECH 200MG TAB 60 R489.17
QUETIAPINE 200MG 716637 QUETOSER 200MG TAB 60 R489.17
QUETIAPINE 200MG 3004146 QUETZ 200MG TAB 60 R489.17
QUETIAPINE 200MG 716653 SEREZ 200MG TAB 60 R489.17
QUETIAPINE 200MG 850543 SEROQUEL 200MG TAB 60 R489.17
QUETIAPINE 200MG 718705 SIZONORM 200MG TAB 60 R489.17
QUETIAPINE 200MG 720896 SPEC QUETIAPINE 200MG TAB 60 R489.17
QUETIAPINE 200MG 3005107 TORQUIT 60 R489.17
QUETIAPINE 200MG 716648 TRUVALIN 200MG TAB 60 R489.17
QUETIAPINE 200MG 3000379 ZIMBIQUET 60 R489.17
QUETIAPINE 200MG SRT 3003732 AROQUET XR 60 R926.67
QUETIAPINE 200MG SRT 3003648 QUERO XR 200MG 60 R926.67
QUETIAPINE 200MG SRT 3003540 QUESARA XR 60 R926.67
QUETIAPINE 200MG SRT 3004265 QUETIAPINE TEVA 60 R926.67
QUETIAPINE 200MG SRT 713748 SEROQUEL XR 200MG 60 R926.67
QUETIAPINE 200MG SRT 3000151 TRUVALIN XR 200MG 60 R926.67
QUETIAPINE 25MG 3003597 AROQUET 100 R266.87
QUETIAPINE 25MG 716050 DOPAQUEL 25MG TAB 100 R266.87
QUETIAPINE 25MG 720979 KIZOFRIN 25MG TAB 100 R266.87
QUETIAPINE 25MG 716668 MYLAN QUETIAPINE 25MG TAB 100 R266.87
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
QUETIAPINE 25MG 718352 PSYQUET 25MG TAB 100 R266.87
QUETIAPINE 25MG 3003781 QUESARA 100 R266.87
QUETIAPINE 25MG 721744 QUETIAPINE BIOTECH 25MG TAB 100 R266.87
QUETIAPINE 25MG 716635 QUETOSER 25MG TAB 100 R266.87
QUETIAPINE 25MG 3004143 QUETZ 25MG TAB 100 R266.87
QUETIAPINE 25MG 716651 SEREZ 25MG TAB 100 R266.87
QUETIAPINE 25MG 850527 SEROQUEL 25MG TAB 100 R266.87
QUETIAPINE 25MG 718674 SIZONORM 25MG TAB 100 R266.87
QUETIAPINE 25MG 720893 SPEC QUETIAPINE 25MG TAB 100 R266.87
QUETIAPINE 25MG 3005105 TORQUIT 100 R266.87
QUETIAPINE 25MG 716646 TRUVALIN 25MG TAB 100 R266.87
QUETIAPINE 25MG 3000339 ZIMBIQUET 25MG TAB 100 R266.87
QUETIAPINE 300MG 3003601 AROQUET 60 R571.77
QUETIAPINE 300MG 716053 DOPAQUEL 300MG TAB 60 R571.77
QUETIAPINE 300MG 720982 KIZOFRIN 300MG TAB 60 R571.77
QUETIAPINE 300MG 716672 MYLAN QUETIAPINE 300MG TAB 60 R571.77
QUETIAPINE 300MG 718355 PSYQUET 300MG TAB 60 R571.77
QUETIAPINE 300MG 3003784 QUESARA 60 R571.77
QUETIAPINE 300MG 721747 QUETIAPINE BIOTECH 300MG TAB 60 R571.77
QUETIAPINE 300MG 716638 QUETOSER 300MG TAB 60 R571.77
QUETIAPINE 300MG 3004147 QUETZ 300MG TAB 60 R571.77
QUETIAPINE 300MG 716654 SEREZ 300MG TAB 60 R571.77
QUETIAPINE 300MG 703344 SEROQUEL 300MG TAB 60 R571.77
QUETIAPINE 300MG 718706 SIZONORM 300MG TAB 60 R571.77
QUETIAPINE 300MG 720897 SPEC QUETIAPINE 300MG TAB 60 R571.77
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
QUETIAPINE 300MG 3005108 TORQUIT 60 R571.77
QUETIAPINE 300MG 716649 TRUVALIN 300MG TAB 60 R571.77
QUETIAPINE 300MG 3000380 ZIMBIQUET 300MG TAB 60 R571.77
QUETIAPINE 300MG SRT 3003733 AROQUET XR 60 R943.35
QUETIAPINE 300MG SRT 3003649 QUERO XR 300MG 60 R943.35
QUETIAPINE 300MG SRT 3003541 QUESARA XR 60 R943.35
QUETIAPINE 300MG SRT 3004266 QUETIAPINE TEVA 60 R943.35
QUETIAPINE 300MG SRT 713749 SEROQUEL XR 300MG 60 R943.35
QUETIAPINE 300MG SRT 3000152 TRUVALIN XR 300MG 60 R943.35
QUETIAPINE 400MG SRT 3003734 AROQUET XR 60 R991.32
QUETIAPINE 400MG SRT 3003650 QUERO XR 400MG 60 R991.32
QUETIAPINE 400MG SRT 3003542 QUESARA XR 60 R991.32
QUETIAPINE 400MG SRT 3004267 QUETIAPINE TEVA 60 R991.32
QUETIAPINE 400MG SRT 713750 SEROQUEL XR 400MG 60 R991.32
QUETIAPINE 400MG SRT 3000153 TRUVALIN XR 400MG 60 R991.32
QUETIAPINE 50MG SRT 3003727 AROQUET XR 60 R447.73
QUETIAPINE 50MG SRT 3003646 QUERO XR 50MG 60 R447.73
QUETIAPINE 50MG SRT 3004264 QUETIAPINE TEVA 60 R447.73
QUETIAPINE 50MG SRT 713747 SEROQUEL XR 50MG 60 R447.73
QUETIAPINE 50MG SRT 3000148 TRUVALIN XR 50MG 60 R447.73
QUINAPRIL 10MG 708119 ACCUMAX 10MG TAB 30 R61.54 Temporarily closed group
QUINAPRIL 10MG 783307 ACCUPRIL 10MG TAB 30 R61.54 Temporarily closed group
QUINAPRIL 20MG 708120 ACCUMAX 20MG TAB 30 R93.37 Temporarily closed group
QUINAPRIL 20MG 783315 ACCUPRIL 20MG TAB 30 R93.37 Temporarily closed group
QUINAPRIL HYDROCHLOROTHIAZIDE708116
10MG/12.5MG
ACCUMAX CO 10MG/12.5MG 30 R252.23
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
QUINAPRIL HYDROCHLOROTHIAZIDE795755
10MG/12.5MG
ACCURETIC 10MG/12.5MG 30 R252.23
QUINAPRIL HYDROCHLOROTHIAZIDE718056
10MG/12.5MG
KWINCO 10MG/12.5MG 30 R252.23
QUINAPRIL HYDROCHLOROTHIAZIDE708118
20MG/12.5MG
ACCUMAX CO 20MG/12.5MG TAB 30 R320.11
QUINAPRIL HYDROCHLOROTHIAZIDE805297
20MG/12.5MG
ACCURETIC 20MG/12.5MG TAB 30 R320.11
QUINAPRIL HYDROCHLOROTHIAZIDE718057
20MG/12.5MG
KWINCO 20MG/12.5MG TAB 30 R320.11
RABEPRAZOLE 10MG 3005369 BAPREZ 10 EC 28 R183.41
RABEPRAZOLE 10MG 863106 PARIET TAB 28 R183.41
RABEPRAZOLE 10MG 718384 RABEMED TAB 28 R183.41
RABEPRAZOLE 20MG 3005370 BAPREZ 20 EC 28 R368.09
RABEPRAZOLE 20MG 863114 PARIET TAB 28 R368.09
RABEPRAZOLE 20MG 718385 RABEMED TAB 28 R368.09
RALOXIFENE 60MG 847461 EVISTA 60MG 30 R665.67
RALOXIFENE 60MG 3005894 LOXITRIN 60MG 30 R665.67
RALOXIFENE 60MG 3005887 RALOTRIN 60MG 30 R665.67
RAMIPRIL 10MG 715957 APEX-RAMIPRIL 10MG CAP 30 R220.34
RAMIPRIL 10MG 705755 AUSTELL-RAMIPRIL 10MG CAP 30 R220.34
RAMIPRIL 10MG 3000179 LIRACEN 10MG CAP 30 R220.34
RAMIPRIL 10MG 705429 RAMPIL 10MG CAP 30 R220.34
RAMIPRIL 10MG 782602 TRITACE 10MG CAP 30 R220.34
RAMIPRIL 2.5MG 715954 APEX-RAMIPRIL 2.5MG CAP 30 R145.98
RAMIPRIL 2.5MG 705753 AUSTELL-RAMIPRIL 2.5MG CAP 30 R145.98
RAMIPRIL 2.5MG 704374 RAMIPRIL HEXAL 2.5MG TAB 30 R145.98
RAMIPRIL 2.5MG 704023 RAMIWIN 2.5MG TAB 30 R145.98
RAMIPRIL 2.5MG 705427 RAMPIL 2.5MG TAB 30 R145.98
RAMIPRIL 2.5MG 841587 TRITACE 2.5MG TAB 30 R145.98
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
RAMIPRIL 5MG 715955 APEX-RAMIPRIL 5.0 MG CAP 30 R220.63
RAMIPRIL 5MG 705754 AUSTELL-RAMIPRIL 5MG CAP 30 R220.63
RAMIPRIL 5MG 3000178 LIRACEN 5MG CAP 30 R220.63
RAMIPRIL 5MG 704375 RAMIPRIL HEXAL 5MG TAB 30 R220.63
RAMIPRIL 5MG 704025 RAMIWIN 5.0MG CAP 30 R220.63
RAMIPRIL 5MG 705428 RAMPIL 5MG TAB 30 R220.63
RAMIPRIL 5MG 841595 TRITACE 5.0MG TAB 30 R220.63
RANITIDINE 150MG 717160 APEX-RANITIDINE 150MG EFF 60 R69.18
RANITIDINE 150MG 712134 AUSTAC 150MG TAB 60 R69.18
RANITIDINE 150MG 700119 CPL ALLIANCE RANITIDINE 150MG TAB 60 R69.18
RANITIDINE 150MG 841609 RANIHEXAL 150MG TAB 60 R69.18
RASAGILINE 1MG 711769 AZILECT 1MG 28 R507.48
RASAGILINE 1MG 3005231 KINECT 1MG 28 R507.48
RASAGILINE 1MG 3004978 RASAPAR 1MG 28 R507.48
RASAGILINE 1MG 3005388 RAZAGIN 1MG 28 R507.48
RASAGILINE 1MG 3006965 RAZEDA 28 R507.48
REPAGLINIDE 0.5MG 3005538 NORMIDAB .5MG 90 R113.48
REPAGLINIDE 0.5MG 861324 NOVONORM .5MG 90 R113.48
REPAGLINIDE 1MG 3005541 NORMIDAB 1MG 90 R231.67
REPAGLINIDE 1MG 861332 NOVONORM 1MG 90 R231.67
REPAGLINIDE 2MG 3005542 NORMIDAB 2MG 90 R364.05
REPAGLINIDE 2MG 861340 NOVONORM 2MG 90 R364.05
RISEDRONATE 35MG 716659 ACTAMAX 35MG TAB 4 R239.24
RISEDRONATE 35MG 701117 ACTONEL ONCE-A-WEEK FC 35MG TAB 4 R239.24
RISEDRONATE 35MG 3003613 RISEDRONATE 35 BIOTECH 4 R239.24
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
RISPERIDONE .5MG 711471 ASPEN RISPERIDONE 0.5MG TAB 30 R127.03
RISPERIDONE .5MG 716500 AUROPERDAL 0.5MG TAB 30 R127.03
RISPERIDONE .5MG 720334 PERIDA 0.5MG TAB 30 R127.03
RISPERIDONE .5MG 712617 PERIZAL 0.5MG TAB 30 R127.03
RISPERIDONE .5MG 717996 RISNIA 0.5MG TAB 30 R127.03
RISPERIDONE .5MG 714101 RISPACOR 0.5MG TAB 30 R127.03
RISPERIDONE .5MG 891523 RISPERDAL 0.5MG TAB 30 R127.03
RISPERIDONE .5MG 712252 RISPERIDONE HEXAL 0.5MG TAB 30 R127.03
RISPERIDONE .5MG 711419 RISPERLET 0.5MG TAB 30 R127.03
RISPERIDONE .5MG 723314 RISPIDE 0.5MG TAB 30 R127.03
RISPERIDONE .5MG 715736 SCHIZOROL 0.5MG TAB 30 R127.03
RISPERIDONE .5MG 711511 ZOXADON 0.5MG TAB 30 R127.03
RISPERIDONE 1MG 711472 ASPEN RISPERIDONE 1MG TAB 30 R234.82
RISPERIDONE 1MG 716501 AUROPERDAL 1MG TAB 30 R234.82
RISPERIDONE 1MG 720335 PERIDA 1MG TAB 30 R234.82
RISPERIDONE 1MG 712618 PERIZAL 1MG TAB 30 R234.82
RISPERIDONE 1MG 717997 RISNIA 1MG TAB 30 R234.82
RISPERIDONE 1MG 713967 RISPACOR 1MG TAB 30 R234.82
RISPERIDONE 1MG 828432 RISPERDAL 1MG TAB 30 R234.82
RISPERIDONE 1MG 710790 RISPERIDONE HEXAL 1MG TAB 30 R234.82
RISPERIDONE 1MG 711420 RISPERLET 1MG TAB 30 R234.82
RISPERIDONE 1MG 718226 RISPEVON 1MG TAB 30 R234.82
RISPERIDONE 1MG 723315 RISPIDE 1MG TAB 30 R234.82
RISPERIDONE 1MG 711537 RISPONZ 1MG TAB 30 R234.82
RISPERIDONE 1MG 715737 SCHIZOROL 1MG TAB 30 R234.82
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
RISPERIDONE 1MG 711512 ZOXADON 1MG TAB 30 R234.82
RISPERIDONE 2MG 711473 ASPEN RISPERIDONE 2MG TAB 30 R501.17
RISPERIDONE 2MG 716502 AUROPERDAL 2MG TAB 30 R501.17
RISPERIDONE 2MG 712619 PERIZAL 2MG TAB 30 R501.17
RISPERIDONE 2MG 717998 RISNIA 2MG TAB 30 R501.17
RISPERIDONE 2MG 713966 RISPACOR 2MG TAB 30 R501.17
RISPERIDONE 2MG 801860 RISPERDAL 2MG TAB 30 R501.17
RISPERIDONE 2MG 710791 RISPERIDONE HEXAL 2MG TAB 30 R501.17
RISPERIDONE 2MG 711421 RISPERLET 2MG TAB 30 R501.17
RISPERIDONE 2MG 718227 RISPEVON 2MG TAB 30 R501.17
RISPERIDONE 2MG 723316 RISPIDE 2MG TAB 30 R501.17
RISPERIDONE 2MG 711534 RISPONZ 2MG TAB 30 R501.17
RISPERIDONE 2MG 715738 SCHIZOROL 2MG TAB 30 R501.17
RISPERIDONE 2MG 711513 ZOXADON 2MG TAB 30 R501.17
RISPERIDONE 3MG 711474 ASPEN RISPERIDONE 3MG TAB 30 R674.85
RISPERIDONE 3MG 716503 AUROPERDAL 3MG TAB 30 R674.85
RISPERIDONE 3MG 712621 PERIZAL 3MG TAB 30 R674.85
RISPERIDONE 3MG 717999 RISNIA 3MG TAB 30 R674.85
RISPERIDONE 3MG 713965 RISPACOR 3MG TAB 30 R674.85
RISPERIDONE 3MG 801879 RISPERDAL 3MG TAB 30 R674.85
RISPERIDONE 3MG 710793 RISPERIDONE HEXAL 3MG TAB 30 R674.85
RISPERIDONE 3MG 718228 RISPEVON 3MG TAB 30 R674.85
RISPERIDONE 3MG 711536 RISPONZ 3MG TAB 30 R674.85
RISPERIDONE 3MG 721750 ZOXADON 3MG TAB 30 R674.85
RISPERIDONE 4MG 711475 ASPEN RISPERIDONE 30 R653.41
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
RISPERIDONE 4MG 716504 AUROPERDAL 30 R653.41
RISPERIDONE 4MG 828440 RISPERDAL 30 R653.41
RISPERIDONE 4MG 718229 RISPEVON 30 R653.41
RISPERIDONE 4MG 711538 RISPONZ 30 R653.41
RISPERIDONE 4MG 721752 ZOXADON 30 R653.41
RISPERIDONE SYR 3000496 ASPEN RISPERIDONE 30 R609.04
RISPERIDONE SYR 3002921 PMI RISPERIDONE 30 R609.04
RISPERIDONE SYR 823163 RISPERDAL 30 R609.04
RIVAROXABAN 10MG 3002051 IXAROLA 30 R934.01
RIVAROXABAN 10MG 3002520 REZALTO 30 R934.01
RIVAROXABAN 10MG 3002434 RIVAXORED 30 R934.01
RIVAROXABAN 10MG 714238 XARELTO 30 R934.01
RIVAROXABAN 15MG 3002052 IXAROLA 42 R1,307.62
RIVAROXABAN 15MG 3002521 REZALTO 42 R1,307.62
RIVAROXABAN 15MG 3002436 RIVAXORED 42 R1,307.62
RIVAROXABAN 15MG 719859 XARELTO 42 R1,307.62
RIVAROXABAN 20MG 3002053 IXAROLA 30 R934.01
RIVAROXABAN 20MG 3002522 REZALTO 30 R934.01
RIVAROXABAN 20MG 3002437 RIVAXORED 30 R934.01
RIVAROXABAN 20MG 719860 XARELTO 30 R934.01
RIVASTIGMINE 3MG 848565 EXELON 3MG 60 R304.17
RIVASTIGMINE 3MG 3005489 KYRIZ 3MG 60 R304.17
RIVASTIGMINE 4.5MG 848573 EXELON 4.5MG 60 R304.17
RIVASTIGMINE 4.5MG 3005490 KYRIZ 4.5MG 60 R304.17
RIZATRIPTAN 10MG 848301 MAXALT RPD 3 R192.62
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
RIZATRIPTAN 10MG 3005047 MICRANIA MELTS 3 R192.62
RIZATRIPTAN 10MG 722946 MIGRAZAN ODT 3 R192.62
RIZATRIPTAN 10MG 3002141 RIZAGRAN MELT 3 R192.62
RIZATRIPTAN 10MG 722337 RIZATRIPTAN MYLAN ODT 3 R192.62
RIZATRIPTAN 10MG 3003115 RIZATRIPTAN UNICORN 3 R192.62
RIZATRIPTAN 10MG 3006207 ZYRAMIG 10 MG ODT 3 R192.62
ROSUVASTATIN 10MG 723098 CRESAGEN 10MG TAB 30 R149.11
ROSUVASTATIN 10MG 705989 CRESTOR 10MG TAB 30 R149.11
ROSUVASTATIN 10MG 3005358 CREVAS 30 R149.11
ROSUVASTATIN 10MG 721807 ROCREST 10MG TAB 30 R149.11
ROSUVASTATIN 10MG 721858 ROSTOR 10MG TAB 30 R149.11
ROSUVASTATIN 10MG 3004377 ROSUVASTATIN 10 ADCO 10MG TAB 30 R149.11
ROSUVASTATIN 10MG 3005070 ROSUVASTATIN 10 CIPLA 30 R149.11
ROSUVASTATIN 10MG 3004702 ROSUVASTATIN 10 PHARMC 30 R149.11
ROSUVASTATIN 10MG 3006406 ROSUVASTATIN 10MG SMART 30 R149.11
ROSUVASTATIN 10MG 3000401 ROSUVASTATIN UNICORN 10MG TAB 30 R149.11
ROSUVASTATIN 10MG 719251 ROSVATOR 10MG TAB 30 R149.11
ROSUVASTATIN 10MG 3003616 RUBISTOR 30 R149.11
ROSUVASTATIN 10MG 719194 STORWIN 10MG TAB 30 R149.11
ROSUVASTATIN 10MG 3004341 TOROLAR 30 R149.11
ROSUVASTATIN 10MG 3004140 TRINCHOL 30 R149.11
ROSUVASTATIN 10MG 3005279 VASROV 30 R149.11
ROSUVASTATIN 10MG 719082 VUSOR 10MG TAB 30 R149.11
ROSUVASTATIN 10MG 3003547 XARTIGEN 30 R149.11
ROSUVASTATIN 10MG 717520 ZUVAMOR 10MG TAB 30 R149.11
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ROSUVASTATIN 10MG 3005362 ZYROVA 30 R149.11
ROSUVASTATIN 20MG 723099 CRESAGEN 20MG TAB 30 R227.26
ROSUVASTATIN 20MG 705988 CRESTOR 20MG TAB 30 R227.26
ROSUVASTATIN 20MG 3005359 CREVAS 30 R227.26
ROSUVASTATIN 20MG 721809 ROCREST 20MG TAB 30 R227.26
ROSUVASTATIN 20MG 721860 ROSTOR 20MG TAB 30 R227.26
ROSUVASTATIN 20MG 3004378 ROSUVASTATIN 20 ADCO 20MG TAB 30 R227.26
ROSUVASTATIN 20MG 3005071 ROSUVASTATIN 20 CIPLA 30 R227.26
ROSUVASTATIN 20MG 3004701 ROSUVASTATIN 20 PHARMC 30 R227.26
ROSUVASTATIN 20MG 3006407 ROSUVASTATIN 20MG SMART 30 R227.26
ROSUVASTATIN 20MG 3000402 ROSUVASTATIN UNICORN 20MG TAB 30 R227.26
ROSUVASTATIN 20MG 719252 ROSVATOR 20MG TAB 30 R227.26
ROSUVASTATIN 20MG 3003617 RUBISTOR 30 R227.26
ROSUVASTATIN 20MG 719195 STORWIN 20MG TAB 30 R227.26
ROSUVASTATIN 20MG 3004342 TOROLAR 30 R227.26
ROSUVASTATIN 20MG 3004141 TRINCHOL 30 R227.26
ROSUVASTATIN 20MG 3005280 VASROV 30 R227.26
ROSUVASTATIN 20MG 719083 VUSOR 20MG TAB 30 R227.26
ROSUVASTATIN 20MG 3003577 XARTIGEN 30 R227.26
ROSUVASTATIN 20MG 717521 ZUVAMOR 20MG TAB 30 R227.26
ROSUVASTATIN 20MG 3005363 ZYROVA 30 R227.26
ROSUVASTATIN 40MG 723100 CRESAGEN 40MG TAB 30 R273.86
ROSUVASTATIN 40MG 705990 CRESTOR 40MG TAB 30 R273.86
ROSUVASTATIN 40MG 3005360 CREVAS 30 R273.86
ROSUVASTATIN 40MG 721810 ROCREST 40MG TAB 30 R273.86
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ROSUVASTATIN 40MG 721861 ROSTOR 40MG TAB 30 R273.86
ROSUVASTATIN 40MG 3004379 ROSUVASTATIN 40 ADCO 40MG TAB 30 R273.86
ROSUVASTATIN 40MG 3005072 ROSUVASTATIN 40 CIPLA 30 R273.86
ROSUVASTATIN 40MG 3004699 ROSUVASTATIN 40 PHARMC 30 R273.86
ROSUVASTATIN 40MG 3000403 ROSUVASTATIN UNICORN 40MG TAB 30 R273.86
ROSUVASTATIN 40MG 719253 ROSVATOR 40MG TAB 30 R273.86
ROSUVASTATIN 40MG 3003618 RUBISTOR 30 R273.86
ROSUVASTATIN 40MG 719197 STORWIN 40MG TAB 30 R273.86
ROSUVASTATIN 40MG 3004343 TOROLAR 30 R273.86
ROSUVASTATIN 40MG 3004142 TRINCHOL 30 R273.86
ROSUVASTATIN 40MG 3005282 VASROV 30 R273.86
ROSUVASTATIN 40MG 719084 VUSOR 40MG TAB 30 R273.86
ROSUVASTATIN 40MG 3003602 XARTIGEN 30 R273.86
ROSUVASTATIN 40MG 717522 ZUVAMOR 40MG TAB 30 R273.86
ROSUVASTATIN 5MG 723097 CRESAGEN 5MG TAB 30 R93.93
ROSUVASTATIN 5MG 710892 CRESTOR 5MG TAB 30 R93.93
ROSUVASTATIN 5MG 3005357 CREVAS 30 R93.93
ROSUVASTATIN 5MG 721857 ROSTOR 5MG TAB 30 R93.93
ROSUVASTATIN 5MG 3004374 ROSUVASTATIN 5 ADCO 5MG TAB 30 R93.93
ROSUVASTATIN 5MG 3005069 ROSUVASTATIN 5 CIPLA 30 R93.93
ROSUVASTATIN 5MG 3004703 ROSUVASTATIN 5 PHARMC 30 R93.93
ROSUVASTATIN 5MG 3006405 ROSUVASTATIN 5MG SMART 30 R93.93
ROSUVASTATIN 5MG 3000400 ROSUVASTATIN UNICORN 5MG TAB 30 R93.93
ROSUVASTATIN 5MG 719249 ROSVATOR 5MG TAB 30 R93.93
ROSUVASTATIN 5MG 3003615 RUBISTOR 30 R93.93
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ROSUVASTATIN 5MG 3004340 TOROLAR 30 R93.93
ROSUVASTATIN 5MG 3004139 TRINCHOL 30 R93.93
ROSUVASTATIN 5MG 3005278 VASROV 30 R93.93
ROSUVASTATIN 5MG 719081 VUSOR 5MG TAB 30 R93.93
ROSUVASTATIN 5MG 3003483 XARTIGEN 30 R93.93
ROSUVASTATIN 5MG 723655 ZUVAMOR 5MG TABS 30 R93.93
ROSUVASTATIN 5MG 3005361 ZYROVA 30 R93.93
ROXITHROMYCIN 150MG 899511 ROXITHROMYCIN HEXAL 150MG 10 R122.78
ROXITHROMYCIN 150MG 704782 ROXXIBID 150MG 10 R122.78
ROXITHROMYCIN 150MG 704614 THROSYN 150MG 10 R122.78
RUPATADINE 10MG 3004542 RAZTROL 30 R257.68
RUPATADINE 10MG 3002998 RUPALLERG 10MG 30 R257.68
RUPATADINE 10MG 720955 RUPANASE 10MG 30 R257.68
RUPATADINE 10MG 3005404 RUTARN 30 R257.68
RUPATADINE 10MG 3003794 ZEALARGY 30 R257.68
SALBUTAMOL 2MG/5ML 824186 ASTHAVENT SYR 100 R20.72
SALBUTAMOL 2MG/5ML 700920 VARI-SALBUTAMOL 2MG/5ML SYR 100 R20.72
SALBUTAMOL 2MG/5ML 775452 VENTEZE 2MG/5ML SYR 100 R20.72
SALBUTAMOL 2MG/5ML 775274 VENTOLIN 2MG/5ML SYR 100 R20.72
SALBUTAMOL 5MG/1ML SLN 835994 VENTEZE SOLN 20 R48.52
SALBUTAMOL 5MG/1ML SLN 836001 VENTOLIN RESPIRATOR 20 R48.52
SALBUTAMOL AER 200 DOSE 849332 ASTHAVENT ECOHALER 200DOSE 1 R38.87
SALBUTAMOL AER 200 DOSE 3004309 AZMALER 200 DOSE 1 R38.87
SALBUTAMOL AER 200 DOSE 3003183 GLENBUTE 200 DOSE 1 R38.87
SALBUTAMOL AER 200 DOSE 711213 VENTEZE CFC FREE 200 DOSE INH 1 R38.87
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
SALBUTAMOL AER 200 DOSE 720723 VENTIMAX CFC FREE 200 DOSE 100MCG INH 1 R38.87
SALBUTAMOL AER 200 DOSE 703371 VENTOLIN INH 200 CFC FREE 1 R38.87
SALBUTAMOL/IPRATROPIUM BROMIDE
717437 CO-IPRASAL UDV 2.5MLG 60 R549.93
SALBUTAMOL/IPRATROPIUM BROMIDE
824577 COMBIVENT UDV 2.5MG 60 R549.93
SALBUTAMOL/IPRATROPIUM BROMIDE
703983 DUOLIN RESPULES 2.5MG 60 R549.93
SALBUTAMOL/IPRATROPIUM BROMIDE
3005548 IPRABUT SOLUTION FOR NEBULISATION 60 R549.93
SALBUTAMOL/IPRATROPIUM BROMIDE
705722 SABAX COMBINED2.5MG 60 R549.93
SALBUTAMOL/IPRATROPIUM BROMIDE
3003903 SALIPRA 2.5ML 60 R549.93
SALMETEROL FLUTICASONE 25MCG/125MCG
715753 FOXAIR 25/125 120DOSE 1 R324.48
SALMETEROL FLUTICASONE 25MCG/125MCG
715190 SEREFLO 25/125 HFA 120 DOSE 1 R324.48
SALMETEROL FLUTICASONE 25MCG/125MCG
721413 SEREFLO 25/125 HFA SYNCHROBREATHE 120 DO 1 R324.48
SALMETEROL FLUTICASONE 25MCG/125MCG
894990 SERETIDE 25/125 120 DOSE 1 R324.48
SALMETEROL FLUTICASONE 25MCG/250MCG
715754 FOXAIR 25/250 120DOSE 1 R277.17
SALMETEROL FLUTICASONE 25MCG/250MCG
715191 SEREFLO 25/250 HFA 120 DOSE 1 R277.17
SALMETEROL FLUTICASONE 25MCG/250MCG
721414 SEREFLO 25/250 HFA SYNCHROBREATHE 120 DO 1 R277.17
SALMETEROL FLUTICASONE 25MCG/250MCG
895006 SERETIDE 25/250 120 DOSE 1 R277.17
SALMETEROL FLUTICASONE 25MCG/50MCG
715752 FOXAIR 25/50 120 DOSE 1 R152.58
SALMETEROL FLUTICASONE 25MCG/50MCG
715189 SEREFLO 25/50 HFA 120 DOSE 1 R152.58
SALMETEROL FLUTICASONE 25MCG/50MCG
721412 SEREFLO 25/50 HFA SYNCHROBREATHE 120 DOS 1 R152.58
SALMETEROL FLUTICASONE 25MCG/50MCG
894989 SERETIDE 25/50 120 DOSE 1 R152.58
SALMETEROL FLUTICASONE 50MCG/100MCG
715009 FOXAIR 50/100 ACCUHALER 1 R274.76
SALMETEROL FLUTICASONE 50MCG/100MCG
3003304 SEREFLO DPI 50/100 60 DOSE 1 R274.76
SALMETEROL FLUTICASONE 50MCG/100MCG
874493 SERETIDE 50/100 ACCUHALER 1 R274.76
SALMETEROL FLUTICASONE 50MCG/250MCG
3004879 AIRFLUSAL FORSPIRO 50/250 60 DOSE 1 R243.34
SALMETEROL FLUTICASONE 50MCG/250MCG
3005769 CASOROL CASOMETER 50/250 UG 60 DOSES 1 R243.34
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
SALMETEROL FLUTICASONE 50MCG/250MCG
715008 FOXAIR ACCUHALER 60 DOSE 50/250 1 R243.34
SALMETEROL FLUTICASONE 50MCG/250MCG
3003305 SEREFLO DPI 50/250 60 DOSE 1 R243.34
SALMETEROL FLUTICASONE 50MCG/250MCG
874507 SERETIDE ACCUHALER 60DOSE 50/250 1 R243.34
SALMETEROL FLUTICASONE 50MCG/500MCG
3004880 AIRFLUSAL FORSPIRO 50/500 60 DOSE 1 R464.46
SALMETEROL FLUTICASONE 50MCG/500MCG
3005772 CASOROL CASOMETER 50/500 UG 60 DOSES 1 R464.46
SALMETEROL FLUTICASONE 50MCG/500MCG
715007 FOXAIR 50/500 ACCUHALER 1 R464.46
SALMETEROL FLUTICASONE 50MCG/500MCG
874515 SERETIDE 50/500 ACCUHALER 1 R464.46
SENNA GLYCOSIDES 7.5MG 3003285 DIS-CHEM SENNA 200 R275.64
SENNA GLYCOSIDES 7.5MG 705231 DIS-CHEM SENNA 7.5MG TAB 200 R275.64
SENNA GLYCOSIDES 7.5MG 710370 LAXADOR SENNA 7.5MG TAB 200 R275.64
SENNA GLYCOSIDES 7.5MG 710368 LENNON SENNA 7.5MG TAB 200 R275.64
SENNA GLYCOSIDES 7.5MG 708867 SENNA-PIN 7.5MG TAB 200 R275.64
SENNA GLYCOSIDES 7.5MG 763225 SENOKOT 7.5MG TAB 200 R275.64
SERTRALINE 100MG 715935 APEX-SERTRALINE 100MG TAB 30 R128.86
SERTRALINE 100MG 712092 ARROW SERTRALINE 100MG TAB 30 R128.86
SERTRALINE 100MG 707293 AUSTELL SERTRALINE 100MG TAB 30 R128.86
SERTRALINE 100MG 719973 DYNA SERTRALINE 100MG TAB 30 R128.86
SERTRALINE 100MG 703999 SERLIFE 100MG TAB 30 R128.86
SERTRALINE 100MG 703993 TRALIDEP 30 R128.86
SERTRALINE 100MG 711991 ZOLID 100MG TAB 30 R128.86
SERTRALINE 50MG 712093 ARROW SERTRALINE 50MG TAB 30 R101.80
SERTRALINE 50MG 3004129 ARYSERT 30 R101.80
SERTRALINE 50MG 707294 AUSTELL SERTRALINE 50MG TAB 30 R101.80
SERTRALINE 50MG 719972 DYNA SERTRALINE 50MG TAB 30 R101.80
SERTRALINE 50MG 705420 SERDEP 50MG TAB 30 R101.80
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
SERTRALINE 50MG 703132 SERLIFE 50MG TAB 30 R101.80
SERTRALINE 50MG 715350 SERTRA 50MG TAB 30 R101.80
SERTRALINE 50MG 709904 SERTRALINE-WINTHROP 50MG TAB 30 R101.80
SERTRALINE 50MG 703992 TRALIDEP 30 R101.80
SERTRALINE 50MG 711992 ZOLID 50MG TAB 30 R101.80
SERTRALINE 50MG 868833 ZOLOFT 50MG TAB 30 R101.80
SERTRALINE 50MG 708915 ZYLIN 50MG TAB 30 R101.80
SILDENAFIL 100MG 723127 ACTIGRA 100MG TAB 12 R480.29
SILDENAFIL 100MG 716915 AVIGRA 100MG TAB 12 R480.29
SILDENAFIL 100MG 718396 DYNAFIL 100MG TAB 12 R480.29
SILDENAFIL 100MG 3005751 ERAFLEX 12 R480.29
SILDENAFIL 100MG 3005065 LIFANED 12 R480.29
SILDENAFIL 100MG 721403 RAVIAG 100MG TAB 12 R480.29
SILDENAFIL 100MG 721957 SILDAVEE 100MG TAB 12 R480.29
SILDENAFIL 100MG 3005125 SILDENAFIL 100 CIPLA 12 R480.29
SILDENAFIL 100MG 721979 SILDOJUB 12 R480.29
SILDENAFIL 100MG 3005925 SILREXIA 12 R480.29
SILDENAFIL 100MG 843679 VIAGRA 100MG TAB 12 R480.29
SILDENAFIL 100MG 720856 VIDENA 100MG TAB 12 R480.29
SILDENAFIL 100MG 720646 VITRIXA 100MG TAB 12 R480.29
SILDENAFIL 100MG 723198 ZELDINA 100MG 12 R480.29
SILDENAFIL 50MG 716914 AVIGRA 50MG TAB 12 R232.98
SILDENAFIL 50MG 718397 DYNAFIL 50MG TAB 12 R232.98
SILDENAFIL 50MG 3005750 ERAFLEX 12 R232.98
SILDENAFIL 50MG 3005068 LIFANED 12 R232.98
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
SILDENAFIL 50MG 721402 RAVIAG 50MG TAB 12 R232.98
SILDENAFIL 50MG 721956 SILDAVEE 50MG TAB 12 R232.98
SILDENAFIL 50MG 721554 SILDENAFIL CIPLA 50MG 12 R232.98
SILDENAFIL 50MG 721871 SILDOJUB 12 R232.98
SILDENAFIL 50MG 3005909 SILREXIA 12 R232.98
SILDENAFIL 50MG 843660 VIAGRA 50MG TAB 12 R232.98
SILDENAFIL 50MG 720855 VIDENA 50MG TAB 12 R232.98
SILDENAFIL 50MG 720645 VITRIXA 50MG TAB 12 R232.98
SILDENAFIL 50MG 723197 ZELDINA 50MG 12 R232.98
SILVER SULFADIAZINE 791725 BACTRAZINE 50 R57.49
SILVER SULFADIAZINE 836664 SILBECOR 50 R57.49
SIMVASTATIN 10MG 701276 ADCO-SIMVASTATIN 10MG TAB 30 R32.78
SIMVASTATIN 10MG 707089 ARROW SIMVASTATIN 10MG TAB 30 R32.78
SIMVASTATIN 10MG 706714 ASPEN SIMVASTATIN 10MG TAB 30 R32.78
SIMVASTATIN 10MG 705464 AUSTELL SIMVASTATIN 10MG TAB 30 R32.78
SIMVASTATIN 10MG 709668 BIOVAC SIMVASTATIN 10MG TAB 30 R32.78
SIMVASTATIN 10MG 715708 CHOLESTE 10MG TAB 30 R32.78
SIMVASTATIN 10MG 708307 CIPLA-SIMVASTATIN 10MG TAB 30 R32.78
SIMVASTATIN 10MG 705076 LIPIDEX 10MG TAB 30 R32.78
SIMVASTATIN 10MG 710868 NOVATIN 10MG TAB 30 R32.78
SIMVASTATIN 10MG 705281 SIMCARD 30 R32.78
SIMVASTATIN 10MG 700519 SIMVACOR 10MG TAB 30 R32.78
SIMVASTATIN 10MG 3002165 SIMVASTATIN 10 STRIDES 30 R32.78
SIMVASTATIN 10MG 703525 SIMVOTIN 10MG TAB 30 R32.78
SIMVASTATIN 10MG 783951 ZOCOR 10MG TAB 30 R32.78
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
SIMVASTATIN 10MG 710826 ZYSIM 10MG TAB 30 R32.78
SIMVASTATIN 20MG 701279 ADCO-SIMVASTATIN 20MG TAB 30 R35.01
SIMVASTATIN 20MG 707090 ARROW SIMVASTATIN 20MG TAB 30 R35.01
SIMVASTATIN 20MG 706715 ASPEN SIMVASTATIN 20MG TAB 30 R35.01
SIMVASTATIN 20MG 705465 AUSTELL-SIMVASTATIN 20MG TAB 30 R35.01
SIMVASTATIN 20MG 709822 BIOVAC SIMVASTATIN 20MG TAB 30 R35.01
SIMVASTATIN 20MG 714705 CHOLESTE 20MG TAB 30 R35.01
SIMVASTATIN 20MG 708308 CIPLA-SIMVASTATIN 20MG TAB 30 R35.01
SIMVASTATIN 20MG 705382 MYLAN SIMVASTATIN 20MG TAB 30 R35.01
SIMVASTATIN 20MG 710869 NOVATIN 20MG TAB 30 R35.01
SIMVASTATIN 20MG 3002166 ROLTESIM (WAS SIMVASTATIN 20 STRIDES) 30 R35.01
SIMVASTATIN 20MG 705282 SIMCARD 30 R35.01
SIMVASTATIN 20MG 700520 SIMVACOR 20MG TAB 30 R35.01
SIMVASTATIN 20MG 705077 SIMVASTATIN 20 OETHMAAN 20MG TAB 30 R35.01
SIMVASTATIN 20MG 703526 SIMVOTIN 20MG TAB 30 R35.01
SIMVASTATIN 20MG 783978 ZOCOR 20MG TAB 30 R35.01
SIMVASTATIN 20MG 710827 ZYSIM 20MG TAB 30 R35.01
SIMVASTATIN 40MG 701281 ADCO-SIMVASTATIN 40MG TAB 30 R39.21
SIMVASTATIN 40MG 707091 ARROW SIMVASTATIN 40MG TAB 30 R39.21
SIMVASTATIN 40MG 706716 ASPEN SIMVASTATIN 40MG TAB 30 R39.21
SIMVASTATIN 40MG 705467 AUSTELL-SIMVASTATIN 40MG TAB 30 R39.21
SIMVASTATIN 40MG 709823 BIOVAC SIMVASTATIN 40MG TAB 30 R39.21
SIMVASTATIN 40MG 714706 CHOLESTE 40MG TAB 30 R39.21
SIMVASTATIN 40MG 710511 CIPLA-SIMVASTATIN 40MG TAB 30 R39.21
SIMVASTATIN 40MG 710870 NOVATIN 40MG TAB 30 R39.21
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
SIMVASTATIN 40MG 704174 ROLTESIM (WAS SIMVASTATIN 40 STRIDES) 40MG TAB30 R39.21
SIMVASTATIN 40MG 708463 SIMVACOR 40MG TAB 30 R39.21
SIMVASTATIN 40MG 703527 SIMVOTIN 40MG TAB 30 R39.21
SIMVASTATIN 40MG 836265 ZOCOR 40MG TAB 30 R39.21
SIMVASTATIN 40MG 710828 ZYSIM 40MG TAB 30 R39.21
SOLIFENACIN 10MG 3005791 BLADEONZ 30 R268.69
SOLIFENACIN 10MG 3004138 FENENCE 30 R268.69
SOLIFENACIN 10MG 3004479 FLOLOC 30 R268.69
SOLIFENACIN 10MG 3005100 SOLESTAN 30 R268.69
SOLIFENACIN 10MG 3004272 SOLIFENACIN TEVA 30 R268.69
SOLIFENACIN 10MG 3003910 SOLIREST 30 R268.69
SOLIFENACIN 10MG 3005614 SOLVICYD 30 R268.69
SOLIFENACIN 10MG 3004053 UTROVES 30 R268.69
SOLIFENACIN 10MG 706217 VESICARE 30 R268.69
SOLIFENACIN 10MG 3004169 VESICONT 30 R268.69
SOLIFENACIN 10MG 3004539 VESIFIN 30 R268.69
SOLIFENACIN 5MG 3005790 BLADEONZ 30 R268.69
SOLIFENACIN 5MG 3004137 FENENCE 30 R268.69
SOLIFENACIN 5MG 3004478 FLOLOC 30 R268.69
SOLIFENACIN 5MG 3005116 SOLESTAN 30 R268.69
SOLIFENACIN 5MG 3004271 SOLIFENACIN TEVA 30 R268.69
SOLIFENACIN 5MG 3003909 SOLIREST 30 R268.69
SOLIFENACIN 5MG 3005613 SOLVICYD 30 R268.69
SOLIFENACIN 5MG 3004052 UTROVES 30 R268.69
SOLIFENACIN 5MG 706214 VESICARE 30 R268.69
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
SOLIFENACIN 5MG 3004168 VESICONT 30 R268.69
SOLIFENACIN 5MG 3004538 VESIFIN 30 R268.69
SORAFENIB 200MG 3006494 EUROSTIB 60 R12,085.21
SORAFENIB 200MG 708482 NEXAVAR 60 R12,085.21
SPIRONOLACTONE 100MG 701807 ALDACTONE 30 R313.25
SPIRONOLACTONE 100MG 898937 SPIRACTIN 30 R313.25
SPIRONOLACTONE 25MG 701793 ALDACTONE 25MG TAB 30 R51.37
SPIRONOLACTONE 25MG 765910 SPIRACTIN 25MG TAB 30 R51.37
SPIRONOLACTONE 25MG 769665 SPIRONOLACTONE 25 KIARA 25MG TAB 30 R51.37
STAVUDINE 30MG 701174 ASPEN STAVUDINE 30MG CAP 60 R73.39
STAVUDINE 30MG 709880 VARI-STAVUDINE 30MG CAP 60 R73.39
SULPIRIDE 50MG 722375 EGLONYL 50MG CAP 100 R245.27
SULPIRIDE 50MG 819654 ESPIRIDE 50 MG CAP 100 R245.27
SULPIRIDE 50MG 820199 OETHMAAN SULPIRIDE 50 MG CAP 100 R245.27
SUMATRIPTAN 100MG 791857 IMIGRAN 100MG TAB 4 R316.88
SUMATRIPTAN 100MG 707088 MIGREX 100MG TAB 4 R316.88
SUMATRIPTAN 100MG 711182 TRIPTAM 100MG TAB 4 R316.88
SUMATRIPTAN 50MG 815640 IMIGRAN 50MG TAB 2 R92.43
SUMATRIPTAN 50MG 707087 MIGREX 50MG TAB 2 R92.43
SUMATRIPTAN 50MG 711181 TRIPTAM 50MG TAB 2 R92.43
SUNITINIB 12.5MG 710179 SUTENT 28 R8,620.66
SUNITINIB 12.5MG 3005698 TISUMOR 28 R8,620.66
SUNITINIB 25MG 710181 SUTENT 28 R17,241.00
SUNITINIB 25MG 3005699 TISUMOR 28 R17,241.00
SUNITINIB 50MG 710182 SUTENT 28 R34,482.49
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
SUNITINIB 50MG 3005701 TISUMOR 28 R34,482.49
TACROLIMUS .5MG 3006546 GRAFTAC 50 R1,023.51
TACROLIMUS .5MG 713506 PROGRAF 0.5MG 50 R1,023.51
TACROLIMUS .5MG 3006739 TACROLIMUS 0.5 TEVA 50 R1,023.51
TACROLIMUS .5MG 3000444 TACRUM 0.5MG 50 R1,023.51
TACROLIMUS .5MG 3005097 TALOMUNE 50 R1,023.51
TACROLIMUS .5MG 3006799 TEVLIGRAF 50 R1,023.51
TACROLIMUS 1MG 3006547 GRAFTAC 100 R3,730.07
TACROLIMUS 1MG 851442 PROGRAF PRC04KSA 1MG 100 R3,730.07
TACROLIMUS 1MG 3006771 TACROLIMUS 1 TEVA 100 R3,730.07
TACROLIMUS 1MG 3000445 TACRUM 1MG 100 R3,730.07
TACROLIMUS 1MG 3005098 TALOMUNE 100 R3,730.07
TACROLIMUS 1MG 3006800 TEVLIGRAF 100 R3,730.07
TACROLIMUS 5MG 3006548 GRAFTAC 50 R9,074.96
TACROLIMUS 5MG 851450 PROGRAF PRC07KSA 5MG 50 R9,074.96
TACROLIMUS 5MG 3006772 TACROLIMUS 5 TEVA 50 R9,074.96
TACROLIMUS 5MG 3000447 TACRUM 5MG 50 R9,074.96
TACROLIMUS 5MG 3005099 TALOMUNE 50 R9,074.96
TACROLIMUS 5MG 3006801 TEVLIGRAF 50 R9,074.96
TADALAFIL 20MG 3000851 ADAFILL 2 R160.93
TADALAFIL 20MG 3005794 CAVERFIL 2 R160.93
TADALAFIL 20MG 700204 CIALIS 2 R160.93
TADALAFIL 20MG 720345 CIAVOR 2 R160.93
TADALAFIL 20MG 3003614 CYFIL 2 R160.93
TADALAFIL 20MG 3005904 LIDIAX 2 R160.93
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
TADALAFIL 20MG 3005845 SENTALIS 2 R160.93
TADALAFIL 20MG 3006545 TADALAFIL 20 MG ADCO 2 R160.93
TADALAFIL 20MG 3006684 TADALAFIL 20 UNICORN 2 R160.93
TADALAFIL 20MG 3005796 TADALAFIL DYNA 2 R160.93
TADALAFIL 20MG 3003559 TALVIOR 2 R160.93
TADALAFIL 20MG 3005544 TELDESEL 2 R160.93
TADALAFIL 5MG 3005793 CAVERFIL 30 R823.81
TADALAFIL 5MG 713444 CIALIS 5MG 30 R823.81
TADALAFIL 5MG 3004477 CIAVOR 30 R823.81
TADALAFIL 5MG 3003607 CYFIL 30 R823.81
TADALAFIL 5MG 3005903 LIDIAX 30 R823.81
TADALAFIL 5MG 3005844 SENTALIS 30 R823.81
TADALAFIL 5MG 3006544 TADALAFIL 5 MG ADCO 30 R823.81
TADALAFIL 5MG 3006683 TADALAFIL 5 UNICORN 30 R823.81
TADALAFIL 5MG 3005795 TADALAFIL DYNA 30 R823.81
TADALAFIL 5MG 3002553 TALVIOR 5MG 30 R823.81
TADALAFIL 5MG 3005545 TELDESEL 30 R823.81
TAMOXIFEN 20MG 735175 KESSAR 30 R159.85
TAMOXIFEN 20MG 782165 NEOPHEDAN-20 30 R159.85
TAMOXIFEN 20MG 747432 NOLVADEX-D 30 R159.85
TAMOXIFEN 20MG 712610 TAMOPLEX 30 R159.85
TAMOXIFEN 20MG 710403 TAMOXIHEXAL 30 R159.85
TAMSULOSIN .4MG 716778 BENIPROSIN 0.4MG SR 30 R202.97
TAMSULOSIN .4MG 840599 FLOMAX 0.4MG SR 30 R202.97
TAMSULOSIN .4MG 718715 OMSAL 0.4MG SR 30 R202.97
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
TAMSULOSIN .4MG 3005678 PRAVLEX SR 30 R202.97
TAMSULOSIN .4MG 714723 PROSTAFLO SR 0.4MG SR 30 R202.97
TAMSULOSIN .4MG 706713 TAMSUL 0.4MG SR 30 R202.97
TAMSULOSIN .4MG 710306 UROMAX 0.4MG SR 30 R202.97
TAMSULOSIN AND DUTASTERIDE .5MG/.4MG
723166 DUODART 0.5MG/0.4MG 30 R362.67
TAMSULOSIN AND DUTASTERIDE .5MG/.4MG
3003444 UROMAX CO 0.5MG/0.4MG 30 R362.67
TELMISARTAN 40MG 3000736 ADCO TELMISARTAN 30 R153.00
TELMISARTAN 40MG 3003078 CARDIZ 30 R153.00
TELMISARTAN 40MG 860387 MICARDIS 40MG TAB 30 R153.00
TELMISARTAN 40MG 720439 MIZART 40MG 30 R153.00
TELMISARTAN 40MG 714249 PRITOR 40MG TAB 30 R153.00
TELMISARTAN 40MG 3006060 TELCARD 30 R153.00
TELMISARTAN 40MG 3003679 TELEASE 30 R153.00
TELMISARTAN 40MG 720592 TELGEN 40MG TAB 30 R153.00
TELMISARTAN 40MG 3003300 TELMISARTAN 40 TEVA 30 R153.00
TELMISARTAN 40MG 3006326 TELMISARTAN 40 UNICORN 30 R153.00
TELMISARTAN 40MG 3004888 TELPRES 30 R153.00
TELMISARTAN 40MG 3004122 TELZA 30 R153.00
TELMISARTAN 40MG 721678 TESAR 40MG TAB 30 R153.00
TELMISARTAN 40MG 3005681 TESMINOL 30 R153.00
TELMISARTAN 40MG 3003653 TICARDA 30 R153.00
TELMISARTAN 80MG 3000737 ADCO TELMISARTAN 30 R167.98
TELMISARTAN 80MG 3003054 CARDIZ 30 R167.98
TELMISARTAN 80MG 860395 MICARDIS 80MG TAB 30 R167.98
TELMISARTAN 80MG 720440 MIZART 80MG 30 R167.98
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
TELMISARTAN 80MG 714250 PRITOR 80MG TAB 30 R167.98
TELMISARTAN 80MG 3006061 TELCARD 30 R167.98
TELMISARTAN 80MG 3003680 TELEASE 30 R167.98
TELMISARTAN 80MG 720593 TELGEN 80MG TAB 30 R167.98
TELMISARTAN 80MG 3003301 TELMISARTAN 80 TEVA 30 R167.98
TELMISARTAN 80MG 3006377 TELMISARTAN 80 UNICORN 30 R167.98
TELMISARTAN 80MG 3004889 TELPRES 30 R167.98
TELMISARTAN 80MG 3004123 TELZA 30 R167.98
TELMISARTAN 80MG 721679 TESAR 80MG TAB 30 R167.98
TELMISARTAN 80MG 3005682 TESMINOL 30 R167.98
TELMISARTAN 80MG 3003655 TICARDA 30 R167.98
TELMISARTAN AND AMLODIPINE 40MG/10MG
3006398 AMTELIP 40/10 28 R238.19
TELMISARTAN AND AMLODIPINE 40MG/10MG
3006580 TESAMOLOT 40/10 28 R238.19
TELMISARTAN AND AMLODIPINE 40MG/10MG
717367 TWYNSTA 40MG/10MG 28 R238.19
TELMISARTAN AND AMLODIPINE 40MG/5MG
3006392 AMTELIP 40/5 28 R209.23
TELMISARTAN AND AMLODIPINE 40MG/5MG
3006579 TESAMOLOT 40/5 28 R209.23
TELMISARTAN AND AMLODIPINE 40MG/5MG
717366 TWYNSTA 40MG/5MG 28 R209.23
TELMISARTAN AND AMLODIPINE 80MG/10MG
3006458 AMTELIP 80/10 28 R238.19
TELMISARTAN AND AMLODIPINE 80MG/10MG
3006582 TESAMOLOT 80/10 28 R238.19
TELMISARTAN AND AMLODIPINE 80MG/10MG
717369 TWYNSTA 80MG/10MG 28 R238.19
TELMISARTAN AND AMLODIPINE 80MG/5MG
3006444 AMTELIP 80/5 28 R209.23
TELMISARTAN AND AMLODIPINE 80MG/5MG
3006581 TESAMOLOT 80/5 28 R209.23
TELMISARTAN AND AMLODIPINE 80MG/5MG
717368 TWYNSTA 80MG/5MG 28 R209.23
TELMISARTAN HYDROCHLOROTHIAZIDE
894614
40MG/12.5MG
CO-MICARDIS 40/12.5MG TAB 28 R89.73
TELMISARTAN HYDROCHLOROTHIAZIDE
714251
40MG/12.5MG
CO-PRITOR 40/12.5 MG TAB 28 R89.73
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
TELMISARTAN HYDROCHLOROTHIAZIDE
3003962
40MG/12.5MG
CO-TELZA 40MG/12.5MG 28 R89.73
TELMISARTAN HYDROCHLOROTHIAZIDE
3000422
40MG/12.5MG
TELPRES PLUS 40MG/12.5MG 28 R89.73
TELMISARTAN HYDROCHLOROTHIAZIDE
3003570
40MG/12.5MG
TESAR CO 40MG/12.5MG 28 R89.73
TELMISARTAN HYDROCHLOROTHIAZIDE
3003656
40MG/12.5MG
TICARDA PLUS 40MG/12.5MG 28 R89.73
TELMISARTAN HYDROCHLOROTHIAZIDE
3002446
40MG/12.5MG
TREMISTAN PLUS 40MG/12.5MG 28 R89.73
TELMISARTAN HYDROCHLOROTHIAZIDE
894621
80MG/12.5MG
CO-MICARDIS 80MG/12,5MG 28 R89.73
TELMISARTAN HYDROCHLOROTHIAZIDE
714252
80MG/12.5MG
CO-PRITOR 80/12.5MG 28 R89.73
TELMISARTAN HYDROCHLOROTHIAZIDE
3003963
80MG/12.5MG
CO-TELZA 80MG/12.5MG 28 R89.73
TELMISARTAN HYDROCHLOROTHIAZIDE
3000423
80MG/12.5MG
TELPRES PLUS 80MG/12.5MG 28 R89.73
TELMISARTAN HYDROCHLOROTHIAZIDE
3003582
80MG/12.5MG
TESAR CO 80MG/12.5MG 28 R89.73
TELMISARTAN HYDROCHLOROTHIAZIDE
3003657
80MG/12.5MG
TICARDA PLUS 80MG/12.5MG 28 R89.73
TELMISARTAN HYDROCHLOROTHIAZIDE
3001913
80MG/12.5MG
TREMISTAN PLUS 80MG/12.5MG 28 R89.73
TEMOZOLOMIDE 100MG 718135 ACCORD TEMOZOLOMIDE 5 R2,543.67
TEMOZOLOMIDE 100MG 718097 TEMINTAS 5 R2,543.67
TEMOZOLOMIDE 20MG 718134 ACCORD TEMOZOLOMIDE 5 R508.73
TEMOZOLOMIDE 20MG 718096 TEMINTAS 5 R508.73
TEMOZOLOMIDE 250MG 718136 ACCORD TEMOZOLOMIDE 5 R6,289.83
TEMOZOLOMIDE 250MG 718098 TEMINTAS 5 R6,289.83
TEMOZOLOMIDE 5MG 718133 ACCORD TEMOZOLOMIDE 5 R125.98
TEMOZOLOMIDE 5MG 718095 TEMINTAS 5 R125.98
TENOFOVIR 300MG 715993 ADCO TENOFOVIR 300MG TAB 30 R291.33
TENOFOVIR 300MG 715056 ASPEN TENOFOVIR 300MG TAB 30 R291.33
TENOFOVIR 300MG 718284 HETERO TENOFOVIR 300MG TAB 30 R291.33
TENOFOVIR 300MG 718283 RICOVIR 300MG TAB 30 R291.33
TENOFOVIR 300MG 3002370 RIOVEX 300 30 R291.33
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
TENOFOVIR 300MG 714994 SONKE-TENOFOVIR 300MG TAB 30 R291.33
TENOFOVIR 300MG 708253 VIREAD 300MG TAB 30 R291.33
TENOFOVIR 300MG 715072 ZEFIN 300MG TAB 30 R291.33
TERBINAFINE 10MG/1G 720777 ALMATIL 0.01 CRE 15 R106.27
TERBINAFINE 10MG/1G 792705 LAMISIL 10MG/1G CRE 15 R106.27
TERBINAFINE 10MG/1G 880892 LAMISIL DERM GEL 10MG/1G 15 R106.27
TERBINAFINE 10MG/1G 711199 TERBANE 10MG/1G CRE 15 R106.27
TERBINAFINE 10MG/1G 720710 TERBASPOR 10MG/1G CRE 15 R106.27
TERBINAFINE 10MG/1G 706073 TERBICIL 10MG/1G CRE 15 R106.27
TERBINAFINE 10MG/1G 3005987 TERBI-CLEAR 15 R106.27
TERBINAFINE 250MG 714754 ARROW TERBINAFINE 250MG TAB 14 R349.08
TERBINAFINE 250MG 722724 BINACIL 250MG TAB 14 R349.08
TERBINAFINE 250MG 792713 LAMISIL 250MG TAB 14 R349.08
TERBINAFINE 250MG 711778 LAMISPOR 250MG TAB 14 R349.08
TERBINAFINE 250MG 705114 MYLAN-TERBINAFINE 250MG TAB 14 R349.08
TERBINAFINE 250MG 706757 TERBANE 250MG TAB 14 R349.08
TERBINAFINE 250MG 705430 TERBICIL 250MG TAB 14 R349.08
TERBINAFINE 250MG 714868 TERBI-CLEAR (GLENMARK TERBINAFINE) 250MG TAB14 R349.08
TERBINAFINE 250MG 719135 TERBINAFINE UNICORN 250MG TAB 14 R349.08
TERIFLUNOMIDE 14MG 721520 AUBAGIO 28 R5,833.29
TERIFLUNOMIDE 14MG 3005306 AUBAMIDE 28 R5,833.29
TERIFLUNOMIDE 14MG 3005642 AUBERIF 28 R5,833.29
TERIFLUNOMIDE 14MG 3005318 TERIFLUNOMIDE 14 TEVA 28 R5,833.29
THEOPHYLLINE 200MG 788368 THEOPHYLLINE ANHYDROUS 200 KIARA 60 R64.35
THEOPHYLLINE 200MG 783005 THEOPLUS 200MG 60 R64.35
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
THEOPHYLLINE 250MG 725005 EUPHYLLIN RETARD 250MG 56 R241.86
THEOPHYLLINE 250MG 748501 NUELIN SA 250MG 56 R241.86
THEOPHYLLINE 300MG 788376 THEOPHYLLINE ANHYDROUS 300 KIARA 60 R94.26
THEOPHYLLINE 300MG 783013 THEOPLUS 300MG 60 R94.26
TIBOLONE 2.5MG 797111 LIVIFEM 30 R415.39
TIBOLONE 2.5MG 3005149 TIBILIVE 30 R415.39
TIBOLONE 2.5MG 3005440 TIBOLONE ACTOR 30 R415.39
TIMOLOL DORZOLAMIDE 860379 COSOPT 5ML 1 R216.93
TIMOLOL DORZOLAMIDE 721902 GLAUMIDE-CO 10ML 1 R216.93
TIMOLOL DORZOLAMIDE 721977 GLAUOPT CO 5ML 1 R216.93
TIMOLOL DORZOLAMIDE 3000372 OCUDOR CO 5ML 1 R216.93
TIMOLOL LANTANOPROST 722712 CO-ATANA 25ML 1 R194.61 Temporarily closed group
TIMOLOL LANTANOPROST 702983 XALACOM 2.5ML 1 R194.61 Temporarily closed group
TIOTROPIUM BROMIDE 18MCG CPS 714152 FORVENT (REFILL) CAPS 30 R380.89
TIOTROPIUM BROMIDE 18MCG CPS 702526 SPIRIVA MA REFILL CAPS 30 R380.89
TIOTROPIUM BROMIDE 18MCG KIT 714167 FORVENT HANDIHALER COMPLETE WITH 30 INH 1 R629.16
TIOTROPIUM BROMIDE 18MCG KIT 3006100 NEUMOTROPIO 30 INH CAPSULES WITH ZEPHIR 1 R629.16
TIOTROPIUM BROMIDE 18MCG KIT 702523 SPIRIVA MA COMPLETE INH 1 R629.16
TOBRAMYCIN 3MG/1ML 771082 TOBREX 5ML 1 R119.58
TOBRAMYCIN 3MG/1ML 3002121 TORYN 5ML 1 R119.58
TOPIRAMATE 100MG 718857 EPIMATE 100MG 60 R535.76
TOPIRAMATE 100MG 710901 EPITOZ 100MG TAB 60 R535.76
TOPIRAMATE 100MG 716468 PAMIRAM 100MG TAB 60 R535.76
TOPIRAMATE 100MG 715981 TOPALEX 100MG TAB 60 R535.76
TOPIRAMATE 100MG 822531 TOPAMAX 100MG TAB 60 R535.76
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
TOPIRAMATE 100MG 3006098 TOPIRAMATE 100 UNICORN 60 R535.76
TOPIRAMATE 100MG 718291 TOPIROL 100MG TAB 60 R535.76
TOPIRAMATE 100MG 708391 TOPLEP 100MG TAB 60 R535.76
TOPIRAMATE 200MG 718858 EPIMATE 200MG 60 R843.16
TOPIRAMATE 200MG 716482 PAMIRAM 200MG TAB 60 R843.16
TOPIRAMATE 200MG 836753 TOPAMAX 200MG TAB 60 R843.16
TOPIRAMATE 200MG 708392 TOPLEP 200MG TAB 60 R843.16
TOPIRAMATE 25MG 718855 EPIMATE 25MG 60 R194.52
TOPIRAMATE 25MG 710899 EPITOZ 25 MG TAB 60 R194.52
TOPIRAMATE 25MG 716000 PAMIRAM 25 MG TAB 60 R194.52
TOPIRAMATE 25MG 715978 TOPALEX 25 MG TAB 60 R194.52
TOPIRAMATE 25MG 822515 TOPAMAX 25 MG TAB 60 R194.52
TOPIRAMATE 25MG 3006096 TOPIRAMATE 25 UNICORN 60 R194.52
TOPIRAMATE 25MG 718288 TOPIROL 25MG 60 R194.52
TOPIRAMATE 25MG 708389 TOPLEP 25 MG TAB 60 R194.52
TOPIRAMATE 50MG 718856 EPIMATE 50MG 60 R370.70
TOPIRAMATE 50MG 710900 EPITOZ 50 MG TAB 60 R370.70
TOPIRAMATE 50MG 716001 PAMIRAM 50 MG TAB 60 R370.70
TOPIRAMATE 50MG 715979 TOPALEX 50 MG TAB 60 R370.70
TOPIRAMATE 50MG 822523 TOPAMAX 50MG TAB 60 R370.70
TOPIRAMATE 50MG 3006097 TOPIRAMATE 50 UNICORN 60 R370.70
TOPIRAMATE 50MG 718290 TOPIROL 50 MG TAB 60 R370.70
TOPIRAMATE 50MG 708390 TOPLEP 50MG TAB 60 R370.70
TORASEMIDE 10MG 3000186 RISAT 30 R172.09
TORASEMIDE 10MG 723758 TORASEMIDE BIOTECH 30 R172.09
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
TORASEMIDE 10MG 3003210 TORSINAT 30 R172.09
TORASEMIDE 10MG 820385 UNAT 30 R172.09
TORASEMIDE 2.5MG 3003208 TORSINAT 2.5MG 30 R141.29
TORASEMIDE 2.5MG 820369 UNAT 2.5MG 30 R141.29
TORASEMIDE 5MG 3000185 RISAT 30 R145.40
TORASEMIDE 5MG 723757 TORASEMIDE BIOTECH 30 R145.40
TORASEMIDE 5MG 3003209 TORSINAT 30 R145.40
TORASEMIDE 5MG 820377 UNAT 30 R145.40
TRAMADOL 100MG 3004935 TRAMADOL SR 100 AUSTELL 60 R351.77
TRAMADOL 100MG 705810 TRAMAHEXAL SR 100MG 60 R351.77
TRAMADOL 100MG 891980 TRAMAL SR 100MG 60 R351.77
TRAMADOL 100MG 719275 TRAMAZAC SR 100MG SRT 60 R351.77
TRAMADOL 150MG 705811 TRAMA HEXAL 150 SR 60 R580.49
TRAMADOL 150MG 891983 TRAMAL SR 150MG 60 R580.49
TRAMADOL 150MG 719276 TRAMAZAC SR 150MG SRT 60 R580.49
TRAMADOL 200MG 3004952 TRAMADOL SR 200 AUSTELL 60 R562.81
TRAMADOL 200MG 705812 TRAMAHEXAL SR 60 R562.81
TRAMADOL 200MG 719277 TRAMAZAC SR 60 R562.81
TRAMADOL 50MG 710250 AUSTELL-TRAMADOL 50MG CAP 100 R209.56
TRAMADOL 50MG 705379 DOLOTRAM 50MG CAP 100 R209.56
TRAMADOL 50MG 3005355 DOLTREX 100 R209.56
TRAMADOL 50MG 705175 DOMADOL 50MG CAP 100 R209.56
TRAMADOL 50MG 706557 SYNOTRAM FLASHTABS 100 R209.56
TRAMADOL 50MG 864900 TRAMAHEXAL 50MG CAP 100 R209.56
TRAMADOL 50MG 797146 TRAMAL 50MG CAP 100 R209.56
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
TRAMADOL 50MG 717391 TRAMASPEN 50MG CAP 100 R209.56
TRAMADOL 50MG 706475 TRAMAZAC 50MG CAP 100 R209.56
TRAMADOL PARACETAMOL 3005693 CETVIO 37.5MG/325MG 60 R117.25
TRAMADOL PARACETAMOL 3005607 DOLTREX CO 37.5/325 60 R117.25
TRAMADOL PARACETAMOL 3005997 PAINOGESIC CO 60 R117.25
TRAMADOL PARACETAMOL 3005380 PANREX 37.5MG/325MG 60 R117.25
TRAMADOL PARACETAMOL 3006700 PARACETAMOL/TRAMADOL 325MG/37.5MG CIPLA 60 R117.25
TRAMADOL PARACETAMOL 3006438 PARTRACET 37.5MG/325MG 60 R117.25
TRAMADOL PARACETAMOL 723073 PATRAM 37.5MG/325MG 60 R117.25
TRAMADOL PARACETAMOL 723749 TAMOLTRA 37.5MG/325MG 60 R117.25
TRAMADOL PARACETAMOL 700243 TRAMACET 37.5MG/325MG TAB 60 R117.25
TRAMADOL PARACETAMOL 3005311 TRAMADOL/PARACETAMOL 37.5/325MG AUSTELL 60 R117.25
TRAMADOL PARACETAMOL 721680 TRAMAHEXAL CO 37.5/325 37.5MG/325MG 60 R117.25
TRAMADOL PARACETAMOL 3006155 TRAMASPEN CO 37.5MG/325MG 60 R117.25
TRAMADOL PARACETAMOL 719052 TRAMAZAC CO 37.5MG/325MG TAB 60 R117.25
TRAMADOL PARACETAMOL 3006045 TRAPACETOL 37.5MG/325MG 60 R117.25
TRAMADOL PARACETAMOL 719300 ULTRACET 37.5MG/325MG TAB 60 R117.25
TRANEXAMIC 500MG 3004102 BIO TRANEXAMIC 20 R141.11
TRANEXAMIC 500MG 717134 CYKLOKAPRON 500MG TAB 20 R141.11
TRANEXAMIC 500MG 3005188 EMKAPRON 20 R141.11
TRANEXAMIC 500MG 3003844 FIBTIN 20 R141.11
TRANEXAMIC 500MG 719414 MORWAK 500MG 20 R141.11
TRANEXAMIC 500MG 716276 TRANIC 500MG TAB 20 R141.11
TRAZODONE 100MG 714597 ASPEN TRAZODONE 100 R697.01
TRAZODONE 100MG 720913 BIOTECH TRAZODONE 100 R697.01
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
TRAZODONE 100MG 744425 MOLIPAXIN 100 R697.01
TRAZODONE 100MG 3002773 SARIPREV 100 R697.01
TRAZODONE 100MG 3003396 TREZOT 100 R697.01
TRAZODONE 100MG 3002777 ZERPAS 100 R697.01
TRAZODONE 50MG 714596 ASPEN TRAZODONE 50MG CAP 100 R363.26
TRAZODONE 50MG 720912 BIOTECH TRAZODONE 50MG CAP 100 R363.26
TRAZODONE 50MG 744417 MOLIPAXIN 50MG CAP 100 R363.26
TRAZODONE 50MG 3002776 SARIPREV 100 R363.26
TRAZODONE 50MG 3000266 TREZOT 100 R363.26
TRAZODONE 50MG 3002774 ZERPAS 100 R363.26
TRETINOIN CREAM .5MG/1G 842605 ILOTYCIN A CREAM 0.5MG/G CRE 20 R282.12
TRETINOIN CREAM .5MG/1G 874752 RETACNYL 0.5MG/G CRE 20 R282.12
TRETINOIN CREAM .5MG/1G 760242 RETIN A 0.5MG/G CRE 20 R282.12
TRIAMCINOLONE 55MCG 895149 NASACOR T 120 DOSE 1 R207.72 Temporarily closed group
TRIAMCINOLONE 55MCG 721681 TRIAMIST 120 DOSE 1 R207.72 Temporarily closed group
TRIPROL PSEUDO CODE 10MG/5ML 700797 ACTIFED CO LINCTUS SYR 200 R53.98
TRIPROL PSEUDO CODE 10MG/5ML 779873 ACUGEST CO LINCTUS SYR 200 R53.98
TRIPROL PSEUDO CODE 10MG/5ML 806226 ADCO-TUSSEND SYR 200 R53.98
TRIPROL PSEUDO CODE 10MG/5ML 827355 FLUDACTIL CO LINCT SYR 200 R53.98
TRIPROLIDINE PSEUDOEPH CODEINE792195
GUA PAED
ACUTUSSIVE EXPECT PAED 100 R27.08
TRIPROLIDINE PSEUDOEPH CODEINE794813
GUA PAED
ADCO-NEOFED PAED 100 R27.08
TRIPROLIDINE PSEUDOEPH CODEINE738220
GUA PAED
LINCTIFED EXP PAED SYRP 100 R27.08
TRIPROLIDINE PSEUDOEPH CODEINE826618
GUA PAED
LINK DINEXOL PAED 100 R27.08
TRIPROLIDINE PSEUDOEPH CODEINE806269
GUA PAED
TRIFEN EXP PAED SYRP 100 R27.08
TRIPROLIDINE PSEUDOEPHEDRINE 30MG/5ML
700770 ACTIFED 100 R30.35
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
TRIPROLIDINE PSEUDOEPHEDRINE 30MG/5ML
853003 BETAFED SYRUP 100 R30.35
TRIPROLIDINE PSEUDOEPHEDRINE 30MG/5ML
835544 DECOFED SYRUP 100 R30.35
TRIPROLIDINE PSEUDOEPHEDRINE 30MG/5ML
716134 FLUSIN SINUS 100 R30.35
TRIPROLIDINE PSEUDOEPHEDRINE CODEINE
792187 GUA
ACUTUSSIVE EXPECT ADULT 100 R28.73
TRIPROLIDINE PSEUDOEPHEDRINE CODEINE
738212 GUA
LINCTIFED WET COUGH REGULAR (W 100 R28.73
TRIPROLIDINE PSEUDOEPHEDRINE CODEINE
799475 GUA
TRIFEN EXP ADULT SYRP 100 R28.73
TRIPTORELIN 3.75MG 710373 GONAPEPTYL DEPOT VIAL POWDER FOR RECONST 1 R1,346.23
TRIPTORELIN 3.75MG 3004011 TRELSTAR LA POWDER FOR PROLONGED-RELEASE 1 R1,346.23
VALACICLOVIR 500MG 716508 ANVIRO 500MG TAB 42 R902.51
VALACICLOVIR 500MG 720818 MYLAN VALACICLOVIR 500MG TAB 42 R902.51
VALACICLOVIR 500MG 719995 SHILOVA 500MG TAB 42 R902.51
VALACICLOVIR 500MG 721152 VALATREX 500MG TAB 42 R902.51
VALACICLOVIR 500MG 718863 VAVIREX 500MG TAB 42 R902.51
VALACICLOVIR 500MG 817783 ZELITREX 500MG TAB 42 R902.51
VALACICLOVIR 500MG 715249 ZELIVIRE 500MG TAB 42 R902.51
VALGANCICLOVIR 450MG 3003130 CYTAMEG 60 R14,499.21 Temporarily closed group
VALGANCICLOVIR 450MG 703908 VALCYTE 450 60 R14,499.21 Temporarily closed group
VALGANCICLOVIR 450MG 3001700 VALHET 60 R14,499.21 Temporarily closed group
VALGANCICLOVIR 450MG 3003109 VALVIR 60 R14,499.21 Temporarily closed group
VALPROIC ACID 200MG 818666 EPILIM CR 200MG SRT 100 R335.76
VALPROIC ACID 200MG 718274 EPILIZINE CR 200MG SRT 100 R335.76
VALPROIC ACID 200MG 721460 EPROLEP CR 200 200MG SRT 100 R335.76
VALPROIC ACID 200MG 718465 NAVALPRO CR 200MG SRT 100 R335.76
VALPROIC ACID 200MG 3005165 RUBILIM CR 100 R335.76
VALPROIC ACID 300MG 818674 EPILIM CR 300MG SRT 100 R490.64
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
VALPROIC ACID 300MG 718275 EPILIZINE CR 300MG SRT 100 R490.64
VALPROIC ACID 300MG 720762 EPROLEP CR 300 100 R490.64
VALPROIC ACID 300MG 718466 NAVALPRO CR CR 300MG SRT 100 R490.64
VALPROIC ACID 300MG 3005166 RUBILIM CR 100 R490.64
VALPROIC ACID 300MG 720026 VALEPTIC CR 300MG 100 R490.64
VALPROIC ACID 500MG 818682 EPILIM CR 500MG SRT 100 R812.01
VALPROIC ACID 500MG 718276 EPILIZINE CR 500MG SRT 100 R812.01
VALPROIC ACID 500MG 721055 EPROLEP CR 500 100 R812.01
VALPROIC ACID 500MG 718468 NAVALPRO CR 500MG SRT 100 R812.01
VALPROIC ACID 500MG 3005167 RUBILIM CR 100 R812.01
VALPROIC ACID 500MG 720027 VALEPTIC CR 500MG 100 R812.01
VALSARTAN 160MG 723947 ADCO-VALSARTAN 28 R103.77
VALSARTAN 160MG 700710 DIOVAN 160MG TAB 28 R103.77
VALSARTAN 160MG 723725 DYNAVAL 160MG TAB 28 R103.77
VALSARTAN 160MG 715569 MIGROBEN 160MG TAB 28 R103.77
VALSARTAN 160MG 3005264 NIOSAR 28 R103.77
VALSARTAN 160MG 3001856 REGOVAL 28 R103.77
VALSARTAN 160MG 704696 TAREG 160MG TAB 28 R103.77
VALSARTAN 160MG 3000481 VALHEFT 28 R103.77
VALSARTAN 160MG 723771 VASOVAN 160MG 28 R103.77
VALSARTAN 160MG 715556 ZOMEVEK 160MG TAB 28 R103.77
VALSARTAN 320MG 710051 DIOVAN 30 R280.12
VALSARTAN 320MG 3005423 NIOSAR 30 R280.12
VALSARTAN 320MG 3004729 REGOVAL 30 R280.12
VALSARTAN 40MG 705488 DIOVAN 40MG 28 R83.46
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
VALSARTAN 40MG 3005425 NIOSAR 40MG 28 R83.46
VALSARTAN 80MG 723946 ADCO-VALSARTAN 28 R103.77
VALSARTAN 80MG 700000 DIOVAN 80MG TAB 28 R103.77
VALSARTAN 80MG 723724 DYNAVAL 28 R103.77
VALSARTAN 80MG 715568 MIGROBEN 80MG TAB 28 R103.77
VALSARTAN 80MG 3005263 NIOSAR 28 R103.77
VALSARTAN 80MG 3001865 REGOVAL 28 R103.77
VALSARTAN 80MG 705060 TAREG 80MG TAB 28 R103.77
VALSARTAN 80MG 3000480 VALHEFT 28 R103.77
VALSARTAN 80MG 723770 VASOVAN 80MG 28 R103.77
VALSARTAN 80MG 715555 ZOMEVEK 80MG TAB 28 R103.77
VALSARTAN AMLODIPINE AND HYDROCHLOROTHIAZIDE
717633 CO EXFORGE
10MG/160MG/12.5MG
10MG/160MG/12.5MG 28 R204.23
VALSARTAN AMLODIPINE AND HYDROCHLOROTHIAZIDE
3001675 CO-COPALIA
10MG/160MG/12.5MG
10MG/160MG/12.5MG 28 R204.23
VALSARTAN AMLODIPINE AND HYDROCHLOROTHIAZIDE
717634 CO EXFORGE
10MG/160MG/25MG
10MG/160MG/25MG 28 R205.37
VALSARTAN AMLODIPINE AND HYDROCHLOROTHIAZIDE
3001666 CO-COPALIA
10MG/160MG/25MG
10MG/160MG/25MG 28 R205.37
VALSARTAN AMLODIPINE AND HYDROCHLOROTHIAZIDE
717631 CO EXFORGE
5MG/160MG/12.5MG
5MG/160MG/12.5MG 28 R175.75
VALSARTAN AMLODIPINE AND HYDROCHLOROTHIAZIDE
3001732 CO-COPALIA
5MG/160MG/12.5MG
5MG/160MG/12.5MG 28 R175.75
VALSARTAN AMLODIPINE AND HYDROCHLOROTHIAZIDE
717632 CO EXFORGE
5MG/160MG/25MG
5MG/160MG/25MG 28 R182.69
VALSARTAN AMLODIPINE AND HYDROCHLOROTHIAZIDE
3001659 CO-COPALIA
5MG/160MG/25MG
5MG/160MG/25MG 28 R182.69
VALSARTAN AND AMLODIPINE 10MG/160MG
3005432 AMLODIPINE/VALSARTAN 10/160 BIOTECH 28 R167.50
VALSARTAN AND AMLODIPINE 10MG/160MG
3005298 ARLOZYB 10/160 28 R167.50
VALSARTAN AND AMLODIPINE 10MG/160MG
3003568 CALSAR 10MG/160MG 28 R167.50
VALSARTAN AND AMLODIPINE 10MG/160MG
721594 COPALIA 10MG160MG 28 R167.50
VALSARTAN AND AMLODIPINE 10MG/160MG
3004874 DAFIRO 10/160MG 28 R167.50
VALSARTAN AND AMLODIPINE 10MG/160MG
711254 EXFORGE 10MG160MG 28 R167.50
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
VALSARTAN AND AMLODIPINE 10MG/160MG
3006281 FORGEVASC 10/160 MG 28 R167.50
VALSARTAN AND AMLODIPINE 10MG/160MG
3005226 GEMVALAZ 10/160 28 R167.50
VALSARTAN AND AMLODIPINE 10MG/160MG
3005468 TENSOFORJ 10/160 28 R167.50
VALSARTAN AND AMLODIPINE 10MG/160MG
3000683 VALDUO 10MG160MG 28 R167.50
VALSARTAN AND AMLODIPINE 10MG/160MG
3003281 VALVASC 10/160 28 R167.50
VALSARTAN AND AMLODIPINE 10MG/160MG
3004575 ZYVASC 10MG/160MG 28 R167.50
VALSARTAN AND AMLODIPINE 10MG/320MG
719126 EXFORGE 10MG/320MG 30 R313.53
VALSARTAN AND AMLODIPINE 10MG/320MG
3003233 VALDUO 10MG/320MG 30 R313.53
VALSARTAN AND AMLODIPINE 5MG/160MG
3005431 AMLODIPINE/VALSARTAN 5/160 BIOTECH 28 R140.43
VALSARTAN AND AMLODIPINE 5MG/160MG
3005297 ARLOZYB 5/160 28 R140.43
VALSARTAN AND AMLODIPINE 5MG/160MG
3003567 CALSAR 5MG/160MG 28 R140.43
VALSARTAN AND AMLODIPINE 5MG/160MG
721593 COPALIA 5MG160MG 28 R140.43
VALSARTAN AND AMLODIPINE 5MG/160MG
3003390 DAFIRO 5/160MG 28 R140.43
VALSARTAN AND AMLODIPINE 5MG/160MG
711253 EXFORGE 5MG160MG 28 R140.43
VALSARTAN AND AMLODIPINE 5MG/160MG
3006280 FORGEVASC 5/160 MG 28 R140.43
VALSARTAN AND AMLODIPINE 5MG/160MG
3005225 GEMVALAZ 5/160 28 R140.43
VALSARTAN AND AMLODIPINE 5MG/160MG
3005467 TENSOFORJ 5/160 28 R140.43
VALSARTAN AND AMLODIPINE 5MG/160MG
3000682 VALDUO 5MG160MG 28 R140.43
VALSARTAN AND AMLODIPINE 5MG/160MG
3003280 VALVASC 5/160 28 R140.43
VALSARTAN AND AMLODIPINE 5MG/160MG
3004574 ZYVASC 5MG/160MG 28 R140.43
VALSARTAN AND SACUBITRIL 100MG723104 ENTRESTO 100MG 28 R483.22
VALSARTAN AND SACUBITRIL 100MG3003712 VYMADA 100MG 28 R483.22
VALSARTAN AND SACUBITRIL 200MG723105 ENTRESTO 200MG 28 R483.22
VALSARTAN AND SACUBITRIL 200MG3003714 VYMADA 200MG 28 R483.22
VALSARTAN AND SACUBITRIL 50MG 723103 ENTRESTO 50MG 28 R483.22
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
VALSARTAN AND SACUBITRIL 50MG 3003698 VYMADA 50MG 28 R483.22
VALSARTAN HYDROCHLOROTHIAZIDE
891894
160MG/12.5MG
CO-DIOVAN 160MG/12.5MG TAB 28 R173.84
VALSARTAN HYDROCHLOROTHIAZIDE
715571
160MG/12.5MG
CO-MIGROBEN 160MG/12.5MG TAB 28 R173.84
VALSARTAN HYDROCHLOROTHIAZIDE
715672
160MG/12.5MG
CO-TAREG 160MG/12.5MG TAB 28 R173.84
VALSARTAN HYDROCHLOROTHIAZIDE
715559
160MG/12.5MG
CO-ZOMEVEK 160MG/12.5MG TAB 28 R173.84
VALSARTAN HYDROCHLOROTHIAZIDE
3005849
160MG/12.5MG
NIOSAR CO 160/12.5 MG 28 R173.84
VALSARTAN HYDROCHLOROTHIAZIDE
719205
160MG/12.5MG
REGOVAL CO 160MG/12.5MG 28 R173.84
VALSARTAN HYDROCHLOROTHIAZIDE
706051
160MG/25MG
CO-DIOVAN PLUS 160MG/25MG TAB 28 R173.84
VALSARTAN HYDROCHLOROTHIAZIDE
715572
160MG/25MG
CO-MIGROBEN 160MG/25MG TAB 28 R173.84
VALSARTAN HYDROCHLOROTHIAZIDE
715673
160MG/25MG
CO-TAREG PLUS 160MG/25MG TAB 28 R173.84
VALSARTAN HYDROCHLOROTHIAZIDE
715560
160MG/25MG
CO-ZOMEVEK160MG/25MG TAB 28 R173.84
VALSARTAN HYDROCHLOROTHIAZIDE
3005926
160MG/25MG
NIOSAR CO 160/25 MG 28 R173.84
VALSARTAN HYDROCHLOROTHIAZIDE
719206
160MG/25MG
REGOVAL CO 160MG/25MG 28 R173.84
VALSARTAN HYDROCHLOROTHIAZIDE
839884
80MG/12.5MG
CO-DIOVAN 80MG/12.5MG TAB 28 R173.84
VALSARTAN HYDROCHLOROTHIAZIDE
715570
80MG/12.5MG
CO-MIGROBEN 80MG/12.5MG TAB 28 R173.84
VALSARTAN HYDROCHLOROTHIAZIDE
705068
80MG/12.5MG
CO-TAREG 80MG/12.5MG TAB 28 R173.84
VALSARTAN HYDROCHLOROTHIAZIDE
715558
80MG/12.5MG
CO-ZOMEVEK 80MG/12.5MG TAB 28 R173.84
VALSARTAN HYDROCHLOROTHIAZIDE
3005827
80MG/12.5MG
NIOSAR CO 80/12.5 MG 28 R173.84
VALSARTAN HYDROCHLOROTHIAZIDE
719204
80MG/12.5MG
REGOVAL CO 80MG/12.5MG 28 R173.84
VARDENAFIL 10MG 701069 LEVITRA 10MG 2 R39.40
VARDENAFIL 10MG 3005877 VARFYDO 10MG FC 2 R39.40
VARDENAFIL 20MG 701071 LEVITRA 20MG 2 R81.42
VARDENAFIL 20MG 3005878 VARFYDO 20MG FC 20MG 2 R81.42
VENLAFAXINE 150MG SR 715256 EFEGEN XR 150MG SRC 30 R236.07
VENLAFAXINE 150MG SR 852945 EFEXOR XR 150MG CAP 30 R236.07
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
VENLAFAXINE 150MG SR 3004107 ILLOVEX XR 30 R236.07
VENLAFAXINE 150MG SR 710743 SANDOZ VENLAFAXINE XL 150MG CAP 30 R236.07
VENLAFAXINE 150MG SR 719405 VENLAFAXINE ADCO 150MG TAB 30 R236.07
VENLAFAXINE 150MG SR 718362 VENLAFAXINE UNICORN XR 150MG SRC 30 R236.07
VENLAFAXINE 150MG SR 706404 VENLOR XR 150MG CAP 30 R236.07
VENLAFAXINE 150MG SR 3006057 VEXALIN XR 30 R236.07
VENLAFAXINE 225MG 3004108 ILLOVEX XR 30 R362.10
VENLAFAXINE 225MG 3003046 VENLAFAXINE XR 225 ADCO 30 R362.10
VENLAFAXINE 37.5MG 3004105 ILLOVEX XR 30 R116.74
VENLAFAXINE 37.5MG 719402 VENLAFAXINE ADCO 30 R116.74
VENLAFAXINE 37.5MG 706399 VENLOR XR 30 R116.74
VENLAFAXINE 75MG SR 715254 EFEGEN XR 75MG SRC 30 R138.70
VENLAFAXINE 75MG SR 852937 EFEXOR XR 75MG CAP 30 R138.70
VENLAFAXINE 75MG SR 3004106 ILLOVEX XR 30 R138.70
VENLAFAXINE 75MG SR 710742 SANDOZ VENLAFAXINE XL 75MG CAP 30 R138.70
VENLAFAXINE 75MG SR 719403 VENLAFAXINE ADCO 75MG TAB 30 R138.70
VENLAFAXINE 75MG SR 718361 VENLAFAXINE UNICORN XR 75MG SRC 30 R138.70
VENLAFAXINE 75MG SR 706402 VENLOR XR 75MG CAP 30 R138.70
VENLAFAXINE 75MG SR 3006056 VEXALIN XR 30 R138.70
VERAPAMIL 40MG 734071 ISOPTIN DRAGEES 40MG TAB 500 R361.05
VERAPAMIL 40MG 774944 VASOMIL 40MG TAB 500 R361.05
VERAPAMIL 40MG 775789 VERAPAMIL 40 OETHMAAN 500 R361.05
VERAPAMIL SR 240MG 813354 CALCICARD SR 240 240MG SRT 100 R726.22
VERAPAMIL SR 240MG 734373 ISOPTIN SR 240MG SRT 100 R726.22
VERAPAMIL SR 240MG 819573 RAVAMIL SR 240MG SRT 100 R726.22
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
VERAPAMIL SR 240MG 700071 VERAHEXAL 240 SR 100 R726.22
VILDAGLIPTIN 50MG 715554 GALVUS 28 R77.81
VILDAGLIPTIN 50MG 721592 JALRA 28 R77.81
VILDAGLIPTIN 50MG 3004451 ZOMVIL 28 R77.81
VINCRISTINE 2MG/2ML 785202 ABIC VINCRISTINE 2ML 5 R726.40
VINCRISTINE 2MG/2ML 713432 ACCORD VINCRISTINE 2ML VIAL 5 R726.40
VINORELBINE 10MG/1ML 715822 ASPEN VINOREBIN CONCENTRATE FOR SOLUTION 10 R2,574.25
VINORELBINE 10MG/1ML 822655 NAVELBINE 10 R2,574.25
VINORELBINE 10MG/1ML 716039 VINORELBIN EBEWE VIAL 1ML 10 R2,574.25
VINORELBINE 10MG/1ML 715784 VINORELBINE PIERRE FABRE VIAL 1ML 10 R2,574.25
VINORELBINE 10MG/1ML 2ML 721304 SANDOZ VINORELBINE VIAL 2ML 10 R2,498.17
VINORELBINE 20MG 700191 NAVELBINE ORAL 1 R564.45
VINORELBINE 20MG 3003765 NAVILIN 1 R564.45
VINORELBINE 30MG 700192 NAVELBINE ORAL 1 R846.68
VINORELBINE 30MG 3003766 NAVILIN 1 R846.68
VINORELBINE 50MG/5ML 715821 ASPEN VINORELBIN CONCENTRATE FOR SOLUTIO 1 R1,249.30
VINORELBINE 50MG/5ML 819263 NAVELBINE 1 R1,249.30
VINORELBINE 50MG/5ML 721305 SANDOZ VINORELBINE VIAL 5ML 1 R1,249.30
VINORELBINE 50MG/5ML 712611 VINOREL VIAL 5ML 1 R1,249.30
VINORELBINE 50MG/5ML 716040 VINORELBIN EBEWE VIAL 5ML 1 R1,249.30
VINORELBINE 50MG/5ML 715783 VINORELBINE PIERRE FABRE VIAL 5ML 1 R1,249.30
VORICONAZOLE 200MG 700845 VFEND 200MG 28 R10,288.06
VORICONAZOLE 200MG 3005141 VORISPORE 200 FC 200MG 28 R10,288.06
VORICONAZOLE 50MG 700832 VFEND 50MG 14 R1,286.07
VORICONAZOLE 50MG 3005140 VORISPORE 50 FC 50MG 14 R1,286.07
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
VORTIOXETINE 10MG 720751 BRINTELLIX 60 R766.90
VORTIOXETINE 10MG 3006569 BRIVOR 60 R766.90
VORTIOXETINE 10MG 3005472 VORELLIX 60 R766.90
VORTIOXETINE 10MG 3006929 VORTIOXETINE 10MG ASPEN 60 R766.90
VORTIOXETINE 10MG 3004687 VORTIOXETINE LUNDBECK 60 R766.90
VORTIOXETINE 20MG 720752 BRINTELLIX 60 R832.67
VORTIOXETINE 20MG 3006570 BRIVOR 60 R832.67
VORTIOXETINE 20MG 3005473 VORELLIX 60 R832.67
VORTIOXETINE 20MG 3006930 VORTIOXETINE 20MG ASPEN 60 R832.67
VORTIOXETINE 20MG 3004688 VORTIOXETINE LUNDBECK 60 R832.67
VORTIOXETINE 5MG 721190 BRINTELLIX 60 R766.90
VORTIOXETINE 5MG 3006568 BRIVOR 60 R766.90
VORTIOXETINE 5MG 3005471 VORELLIX 60 R766.90
VORTIOXETINE 5MG 3006928 VORTIOXETINE 5MG ASPEN 60 R766.90
VORTIOXETINE 5MG 3004686 VORTIOXETINE LUNDBECK 60 R766.90
ZIDOVUDINE 300MG 707960 ADCO-ZIDOVUDINE TAB 60 R181.43 Temporarily closed group
ZIDOVUDINE 300MG 703712 ASPEN ZIDOVUDINE TAB 60 R181.43 Temporarily closed group
ZIDOVUDINE 300MG 717984 ZIDOMAT TAB 60 R181.43 Temporarily closed group
ZIDOVUDINE 50MG/5ML 708709 ADCO-ZIDOVUDINE 50MG/5ML SYR 200 R118.75
ZIDOVUDINE 50MG/5ML 703713 ASPEN ZIDOVUDINE 50MG/5ML SYR 200 R118.75
ZIDOVUDINE 50MG/5ML 704039 CIPLA-ZIDOVUDINE ORAL SOLUTION 50MG/5ML 200 R118.75
ZIDOVUDINE 50MG/5ML 710634 DOZRA 50MG/5ML SOL 200 R118.75
ZIDOVUDINE 50MG/5ML 715970 PHARMA-Q ZIDOVUDINE 50MG/5ML SOL 200 R118.75
ZIDOVUDINE 50MG/5ML 794236 RETROVIR S SYRUP 50MG/5ML SYR 200 R118.75
ZIDOVUDINE LAMIVUDINE 300MG/150MG
715992 ADCO LAMIVUDINE & ZIDOVUDINE 150MG/300MG TAB60 R370.86
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ZIDOVUDINE LAMIVUDINE 300MG/150MG
703627 ASPEN LAMZID 300MG/150MG TAB 60 R370.86
ZIDOVUDINE LAMIVUDINE 300MG/150MG
707300 CIPLA-DUOVIR 300MG/150MG TAB 60 R370.86
ZIDOVUDINE LAMIVUDINE 300MG/150MG
714827 COLAMZIV 300MG/150MG TAB 60 R370.86
ZIDOVUDINE LAMIVUDINE 300MG/150MG
875821 COMBIVIR 300MG/150MG TAB 60 R370.86
ZIDOVUDINE LAMIVUDINE 300MG/150MG
715669 COMBOZIL 150MG/300MG TAB 60 R370.86
ZIDOVUDINE LAMIVUDINE 300MG/150MG
718081 DIVUWIN 150MG/300MG 60 R370.86
ZIDOVUDINE LAMIVUDINE 300MG/150MG
710596 LODIZ 300MG/150MG TAB 60 R370.86
ZIDOVUDINE LAMIVUDINE 300MG/150MG
723893 MACLEODS LAMIVUDINE 150MG/ZIDOVUDINE 300 60 R370.86
ZIDOVUDINE LAMIVUDINE 300MG/150MG
707971 SONKE-LAMIVUDINE AND ZIDOVUDINE 300MG/150MG60
TAB R370.86
ZIDOVUDINE LAMIVUDINE 300MG/150MG
720618 ZOVILAM 150MG/300MG 60 R370.86
ZIPRASIDONE 20MG 703465 GEODON 20MG 60 R330.00
ZIPRASIDONE 20MG 3005307 ZIPSID 20MG 60 R330.00
ZIPRASIDONE 40MG 703468 GEODON 40MG 60 R354.99
ZIPRASIDONE 40MG 3005308 ZIPSID 40MG 60 R354.99
ZIPRASIDONE 60MG 703475 GEODON 60MG 60 R475.00
ZIPRASIDONE 60MG 3005309 ZIPSID 60MG 60 R475.00
ZIPRASIDONE 80MG 703476 GEODON 80MG 60 R565.00
ZIPRASIDONE 80MG 3005310 ZIPSID 80MG 60 R565.00
ZOLEDRONIC ACID 4MG 3000601 AUSTELL ZOLEDRONIC ACID IV CONCENTRATE F 1 R830.63
ZOLEDRONIC ACID 4MG 3000051 EURODRON CONCENTRATED SOLUTION FOR INFUS 1 R830.63
ZOLEDRONIC ACID 4MG 715952 ZOBONE POWDER FOR SOLUTION VIAL 1 R830.63
ZOLEDRONIC ACID 4MG 720613 ZOLAPOR 4MG/5ML INF 1 R830.63
ZOLEDRONIC ACID 4MG 3006979 ZOLEDRONIC ACID FRESENIUS CONCETRATE FOR 1 R830.63
ZOLEDRONIC ACID 4MG 3005917 ZOLTERO CONCENTRATION FOR SOLUTION FOR I 1 R830.63
ZOLEDRONIC ACID 4MG 717192 ZOMEDRON POWDER FOR RECONSTITUTION VIAL 1 R830.63
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ZOLEDRONIC ACID 4MG 708533 ZOMETA AMPOULE POWDER FOR RECONSTITUTION 1 R830.63
ZOLEDRONIC ACID 4MG 3001686 ZOSTEOPOR CONCENTRATE FOR SOLUTION VIAL 1 R830.63
ZOLEDRONIC ACID 5MG 709787 ACLASTA BOTTLE 100ML 5MG/100ML 1 R2,974.29
ZOLEDRONIC ACID 5MG 723577 ZOCLASTA SOLUTION FOR INFUSION BOTTLE 10 5MG/100ML
1 R2,974.29
ZOLMITRIPTAN 2.5MG RAPID 724011 ZOLMIFOR ODT 6 R213.77
ZOLMITRIPTAN 2.5MG RAPID 897005 ZOMIG RAPIMELT 6 R213.77
ZOLPIDEM 10MG 703809 ADCO-ZOLPIDEM 10MG TAB 30 R122.28
ZOLPIDEM 10MG 703384 IVEDAL 10MG TAB 30 R122.28
ZOLPIDEM 10MG 716497 MEDPLOZ 10MG TAB 30 R122.28
ZOLPIDEM 10MG 706737 MYLAN ZOLPIDEM 10MG TAB 30 R122.28
ZOLPIDEM 10MG 703912 NOXIDEM 10MG TAB 30 R122.28
ZOLPIDEM 10MG 719875 NYXE 10MG 30 R122.28
ZOLPIDEM 10MG 837180 STILNOX 10MG TAB 30 R122.28
ZOLPIDEM 10MG 3005120 ZIZZ 30 R122.28
ZOLPIDEM 10MG 703986 ZOLNOXS 10MG TAB 30 R122.28
ZOLPIDEM 10MG 3006091 ZOLPIDEM 10 TRINITY 30 R122.28
ZOLPIDEM 10MG 3005288 ZOLPIDEM 10MG AUSTELL 30 R122.28
ZOLPIDEM 10MG 701980 ZOLPIHEXAL 10MG TAB 30 R122.28
ZOPICLONE 7.5MG 874728 ALCHERA TAB 30 R56.25
ZOPICLONE 7.5MG 712508 AUSTELL-ZOPICLONE TAB 30 R56.25
ZOPICLONE 7.5MG 718473 BIO ZOPICLONE TAB 30 R56.25
ZOPICLONE 7.5MG 732494 IMOVANE 7.5MG TAB 30 R56.25
ZOPICLONE 7.5MG 857785 SANDOZ ZOPICLONE TAB 30 R56.25
ZOPICLONE 7.5MG 894220 Z-DORM TAB 30 R56.25
ZOPICLONE 7.5MG 3005565 ZOMNEA 30 R56.25
 POLMED REFERENCE PRICE LIST
ACUTE AND CHRONIC MEDICINE JANUARY 2024

The generic reference prices below are VAT inclusive. List as of 12 December 2022. List may be subject to change.

GENERIC GENERIC
GENERIC REFERENCE PRICE NAPPI
NAPPI DESCRIPTION PACK REFERENCE PRICE
DESCRIPTION CODE
SIZE (INCL VAT)
ZOPICLONE 7.5MG 3006129 ZOPEAZE 30 R56.25
ZOPICLONE 7.5MG 707688 ZOPICLONE UNICORN 30 R56.25
ZOPICLONE 7.5MG 705115 ZOPIGEN 7.5MG TAB 30 R56.25
ZOPICLONE 7.5MG 867365 ZOPIMED TAB 30 R56.25
ZOPICLONE 7.5MG 3000734 ZOPISLEEP 30 R56.25
ZOPICLONE 7.5MG 700722 ZOPIVANE 30 R56.25