1National Health Act 1953 - Determination under section 85B - Price determinations and special patient contributions (No. PB 118 of 2008)

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Determination — Price determinations and special patient contributions
(PB 118 of 2008)

as amended

made under section 85B of the

National Health Act 1953

This compilation was prepared on 1 January 2010
taking into account amendments up to PB 121 of 2009

Prepared by the Office of Legislative Drafting and Publishing,
Attorney-General’s Department, Canberra

Determination — Price determinations and special patient contributions
(PB 118 of 2008)

Commencement [see Note 1]

1. This instrument commences on 1 December 2008.

Repeal

2. Instrument number PB 77 of 2008 is repealed.

Definition

3. In this Determination “authority prescription” means a prescription which directs the supply of a pharmaceutical benefit and is a prescription authorised by, or taken to have been authorised by, the Chief Executive Officer of Medicare Australia in accordance with paragraph 12 of the determination made for the purposes of subsection 85A(2) of the Act.

Determined price

4. For subsection 85B(2), the amount that is taken to be the appropriate maximum price for sales to approved pharmacists of a brand of a pharmaceutical item in Schedule 1 for the quantity or number of units mentioned for the brand is the price for that brand specified in the column headed “Determined price”.

Claimed price

5. For subsection 85B(3), the amount that is taken to be the price claimed by the responsible person as the responsible person’s price for sales to approved pharmacists of a brand of a pharmaceutical item in Schedule 1 for the quantity or number of units mentioned for the brand is the price specified in the column headed “Claimed price”.

Circumstances

6. For the purposes of subsection 85B(5), the circumstances in which the Commonwealth is to pay the special patient contribution for brands of pharmaceutical items mentioned in Schedule 2 are that the brand has been supplied on an authority prescription.

<table cellspacing="0" cellpadding="0" style="width:700.2pt; margin-right:auto; margin-left:auto; margin-bottom:0pt; border-collapse:collapse"><thead><tr><td colspan="8" style="width:689.4pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; page-break-inside:avoid"><span>SCHEDULE 1</span></p></td></tr><tr><td colspan="2" style="width:97.45pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p class="tableheader" style="margin-top:0pt; margin-bottom:0pt; text-align:center"><span>Listed Drug</span></p></td><td style="width:159.85pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p class="tableheader" style="margin-top:0pt; margin-bottom:0pt; text-align:center"><span>Form (strength, type, size, etc)</span></p></td><td style="width:88.3pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p class="tableheader" style="margin-top:0pt; margin-bottom:0pt; text-align:center"><span>Manner of Administration</span></p></td><td style="width:63.55pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p class="tableheader" style="margin-top:0pt; margin-bottom:0pt; text-align:center"><span>Brand</span></p></td><td style="width:69.75pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p class="tableheader" style="margin-top:1pt; margin-bottom:0pt; text-align:center"><span>Relevant quantity or number of units</span></p></td><td style="width:75.95pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p class="tableheader" style="margin-top:0pt; margin-bottom:0pt; text-align:center; page-break-after:avoid"><span>Determined Price</span></p><p class="tableheader" style="margin-top:0pt; margin-bottom:0pt; text-align:center"><span>$</span></p></td><td style="width:69.75pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p class="tableheader" style="margin-top:0pt; margin-bottom:0pt; text-align:center; page-break-after:avoid"><span>Claimed Price</span></p><p class="tableheader" style="margin-top:0pt; margin-bottom:0pt; text-align:center"><span>$</span></p></td></tr></thead><tbody><tr style="height:4pt"><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Aciclovir</span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Tablet 200</span><span> </span><span>mg</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Zovirax 200</span><span> </span><span>mg</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>25</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>28.69</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>30.66</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span></span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span></span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Zovirax 200</span><span> </span><span>mg</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>90</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>104.98</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>107.90</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span></span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Tablet 800</span><span> </span><span>mg</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Zovirax 800</span><span> </span><span>mg</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>35</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>127.18</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>128.60</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span></span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span></span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Zovirax 800</span><span> </span><span>mg</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>120</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>421.91</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>427.10</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Alendronic Acid</span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Tablet 70</span><span> </span><span>mg (as alendronate sodium)</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Fosamax Once Weekly</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>4</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>35.65</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>37.04</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Allopurinol</span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Tablet 100</span><span> </span><span>mg</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Zyloprim</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>200</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>5.89</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>8.04</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span></span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Tablet 300</span><span> </span><span>mg</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Zyloprim</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>60</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>3.48</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>5.83</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Alprazolam</span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Tablet 250</span><span> </span><span>micrograms</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Xanax</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>50</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>2.72</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>3.63</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span></span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Tablet 500</span><span> </span><span>micrograms</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Xanax</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>50</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>4.40</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>5.37</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span></span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Tablet 1</span><span> </span><span>mg</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Xanax</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>50</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>7.66</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>8.81</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span></span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Tablet 2</span><span> </span><span>mg</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Xanax Tri-Score</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>50</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>11.86</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>13.25</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Amlodipine</span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Tablet 5</span><span> </span><span>mg (as besylate)</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Norvasc</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>30</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>8.92</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>12.32</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span></span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Tablet 10</span><span> </span><span>mg (as besylate)</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Norvasc</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>30</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>15.63</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>20.57</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Amoxycillin</span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Tablet 1</span><span> </span><span>g (as trihydrate)</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Maxamox</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>14</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>3.80</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>4.82</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span></span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Capsule 250</span><span> </span><span>mg (as trihydrate)</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Amoxil</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>20</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>1.85</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>2.54</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span></span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Capsule 500</span><span> </span><span>mg (as trihydrate)</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Amoxil</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>20</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>3.68</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>4.37</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span></span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Powder for paediatric oral drops 100</span><span> </span><span>mg (as trihydrate) per mL, 20</span><span> </span><span>mL</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Amoxil</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>1</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>3.68</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>4.21</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span></span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Powder for oral suspension 125</span><span> </span><span>mg (as trihydrate) per 5</span><span> </span><span>mL, 100</span><span> </span><span>mL</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Amoxil</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>1</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>1.65</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>2.48</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span></span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Powder for oral suspension 250</span><span> </span><span>mg (as trihydrate) per 5</span><span> </span><span>mL, 100</span><span> </span><span>mL</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Amoxil Forte</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>1</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>2.38</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>3.07</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Amoxycillin with Clavulanic Acid</span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Tablet containing 500</span><span> </span><span>mg amoxycillin (as trihydrate) with 125</span><span> </span><span>mg clavulanic acid (as potassium clavulanate)</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Augmentin Duo</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>10</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>4.99</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>6.34</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span></span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Tablet containing 875</span><span> </span><span>mg amoxycillin (as trihydrate) with 125</span><span> </span><span>mg clavulanic acid (as potassium clavulanate)</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Augmentin Duo forte</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>10</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>7.11</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>8.89</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span></span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Powder for oral suspension containing 125</span><span> </span><span>mg amoxycillin (as trihydrate) with 31.25</span><span> </span><span>mg clavulanic acid (as potassium clavulanate) per 5</span><span> </span><span>mL, 75</span><span> </span><span>mL</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Augmentin</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>1</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>3.07</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>4.38</span></p></td></tr><tr><td style="width:96.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span></span></p></td><td colspan="2" style="width:160.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Powder for oral suspension containing 400</span><span> </span><span>mg amoxycillin (as trihydrate) with 57</span><span> </span><span>mg clavulanic acid (as potassium clavulanate) per 5</span><span> </span><span>mL, 60</span><span> </span><span>mL</span></p></td><td style="width:88.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Oral</span></p></td><td style="width:63.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>Augmentin Duo 400</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody" style="text-align:center"><span>1</span></p></td><td style="width:75.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>4.38</span></p></td><td style="width:69.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="tablebody"><span>5.72</span></p></td></tr></tbody><tbody><tr style="height:0pt"><td style="width:107.5pt"></td><td style="width:0.75pt"></td><td style="width:170.65pt"></td><td style="width:99.1pt"></td><td style="width:74.35pt"></td><td style="width:80.55pt"></td><td style="width:86.75pt"></td><td style="width:80.55pt"></td></tr></tbody></table>