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Contract Number Format Brand Code Trade Name LAgent Code LAgent Name Manufacturer Code Manufacturer Name Package Size Package Price Unit Price Contract Start Date Contract End Date Formulary Category
40 ACELLULAR PERTUSSIS|DIPHTHERIA TOXOID|TETANUS TOXOID 8MCG|2.5LF|5LF INJECTION 37318 BOOSTRIX PFS COL COLLINS LTD GSK GLAXOSMITHKLINE 1 DOSE 55.45 55.45 2022-04-01 2024-03-31 B
41 ACELLULAR PERTUSSIS|DIPHTHERIA TOXOID|TETANUS TOXOID 8MCG|2.5LF|5LF VIAL 37318 BOOSTRIX PFS COL COLLINS LTD GSK GLAXOSMITHKLINE 1 DOSE 58.77 58.7702 2024-04-01 2026-03-31 B
42 ACELLULAR PERTUSSIS|DIPHTHERIA TOXOID|TETANUS TOXOID 8MCG|2.5LF|5LF VIAL 37318 BOOSTRIX PFS COL AVENTA BARBADOS GSK GLAXOSMITHKLINE 1 DOSE 59.01 59.01 2026-04-01 B
40 ACELLULAR PERTUSSIS|DIPHTHERIA|TETANUS TOXOID 2.5MCG|2IU|20IU INJECTION 37314 ADACEL TDaP COL COLLINS LTD AVP SANOFI PASTEUR 1 DOSE 41.59 41.59 2022-04-01 2024-03-31 B
41 ACELLULAR PERTUSSIS|DIPHTHERIA|TETANUS TOXOID 2.5MCG|2IU|20IU VIAL 37314 ADACEL TDaP COL COLLINS LTD AVP SANOFI PASTEUR 1 DOSE 39.14 39.1439 2024-04-01 2024-10-21 B
41 ACYCLOVIR 40MG/ML ML 5697E ACYCLOVIR AHI ARMSTRONG HEALTHCARE INC WAT WATSON (ACTAVIS) PHARMACEUTICALS 473ML 593.85 1.2555 2024-04-01 2026-03-31 B
40 ACYCLOVIR 40MG/ML SUSPENSION 56975 ZOVIRAX COL COLLINS LTD GSK GLAXOSMITHKLINE 125ML 77.55 0.62 2022-04-01 2024-03-31 B
42 ACYCLOVIR 800MG TAB 5698M ACYCLOVIR AHI ARMSTRONG HEALTHCARE INC HEA HEALTH 2000 INC 1X10 6.85 0.69 2026-03-30 B
42 ACYCLOVIR 800MG TAB 5698R ACYCLOVIR CWS CAPSULE WHOLESALE HEA HEALTH 2000 INC 1X10 6.85 0.69 2026-04-01 B
42 ACYCLOVIR 800MG TAB 5698AA ACYCLOVIR STO BRYDEN STOKES LTD HEA HEALTH 2000 INC 1X10 6.85 0.69 2026-04-01 B
40 ADMIN SET SET 43684 INTRAFIX PRIME LINE COMFORT PV COL COLLINS LTD BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE SET 1.88 1.88 2022-04-01 2024-03-31 B
41 ADMIN SET SET 43684 INTRAFIX PRIME LINE COMFORT PV COL COLLINS LTD BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE SET 2.15 2.1475 2024-04-01 2026-03-31 B
40 ADMIN SET SET 43683 VENTED PACLITAXEL (2C7557) STO BRYDEN STOKES LTD BAX BAXTER EXPORT CORP. SET 11.55 11.55 2022-04-01 2024-03-31 B
41 ADMIN SET SET 43683 VENTED PACLITAXEL (2C7557) STO BRYDEN STOKES LTD BAX BAXTER EXPORT CORP. SET 18.51 18.5118 2024-04-01 2026-03-31 B
40 ADMIN SET ADULT SET 4361AA BURETROL SOLUTION STO BRYDEN STOKES LTD BAX BAXTER EXPORT CORP. SET 2.58 2.58 2022-04-01 2024-03-31 B
41 ADMIN SET ADULT SET 4361AA BURETROL SOLUTION STO BRYDEN STOKES LTD BAX BAXTER EXPORT CORP. SET 3.53 3.5338 2024-04-01 2026-03-31 B
42 ADMIN SET ADULT SET 4361AA BURETROL SOLUTION STO BRYDEN STOKES LTD BAX BAXTER EXPORT CORP. SET 7.23 7.23 2026-04-01 B
40 ADMIN SET ADULT SET 43616 INTRAFIX PRIMELINE (4062181|46 COL COLLINS LTD BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE SET 1.25 1.25 2022-04-01 2024-03-31 B
41 ADMIN SET ADULT SET 43616 INTRAFIX PRIMELINE (4062181|46 COL COLLINS LTD BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE SET 1.82 1.8213 2024-04-01 2026-03-31 B
42 ADMIN SET ADULT SET 43616 INTRAFIX PRIMELINE (4062181|46 COL AVENTA BARBADOS BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE SET 1.69 1.69 2026-04-01 B