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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
41 HYDROCORTISONE SODIUM SUCCINATE 100MG VIAL 2691AA HYDROCORTISONE SOD SUCC AHI ARMSTRONG HEALTHCARE INC CIR CIRON PHARMA 100MG VIAL 2.31 2.3106 2024-04-01 2026-03-31 B
41 HYDROCORTISONE SODIUM SUCCINATE 100MG VIAL 2691AC HYDROCORTISONE SOD SUCC ATB ANSA TRADING BARBADOS LTD KWA KWALITY PHARMACEUTICALS 100MG VIAL 2.09 2.0931 2024-04-01 2026-03-31 B
42 HYDROCORTISONE SODIUM SUCCINATE 100MG VIAL 2691AU HYDROCORTISONE SOD SUCC STO BRYDEN STOKES LTD FSB FLAGSHIP BIOTECH 100MG VIAL 0.71 0.71 2026-04-01 B
42 HYDROCORTISONE SODIUM SUCCINATE 100MG VIAL 2691AT LEECORT AHI ARMSTRONG HEALTHCARE INC JLP JOHN LEE PHARMACEUTICALS 25X5ML 21.75 0.87 2026-04-01 B
41 HYDROCORTISONE SODIUM SUCCINATE 250MG VIAL 2692D HYDROCORTISONE SOD SUCC PHA PHARMACY SALES CARIBBEAN MON MONTAGE PHARMACEUTICALS 250MG VIAL 3.43 3.4251 2024-04-01 2026-03-31 B
42 HYDROCORTISONE SODIUM SUCCINATE 250MG VIAL 2692D HYDROCORTISONE SOD SUCC PHA PHARMACY SALES CARIBBEAN MON MONTAGE PHARMACEUTICALS 250MG VIAL 2.85 2.85 2026-04-01 B
40 HYDROCORTISONE SODIUM SUCCINATE 500MG INJECTION 26935 HYDROCORTISONE SOD SUCC AHI ARMSTRONG HEALTHCARE INC CIR CIRON PHARMA 50X500MG 268.95 5.38 2022-04-01 2024-03-31 B
41 HYDROCORTISONE SODIUM SUCCINATE 500MG VIAL 26937 HYDROCORTISONE SOD SUCC PHA PHARMACY SALES CARIBBEAN MON MONTAGE PHARMACEUTICALS 500MG VIAL 4.57 4.5668 2024-04-01 2026-03-31 B
42 HYDROCORTISONE SODIUM SUCCINATE 500MG VIAL 26937 HYDROCORTISONE SOD SUCC PHA PHARMACY SALES CARIBBEAN MON MONTAGE PHARMACEUTICALS 500MG VIAL 3.89 3.89 2026-04-01 B
41 HYDROGEN PEROXIDE 6% ML 5051M HYDROGEN AHI ARMSTRONG HEALTHCARE INC LDP LABDHI PHARMA 250ML 4.87 0.0195 2024-04-01 2026-03-31 B
42 HYDROGEN PEROXIDE 6% ML 5051M HYDROGEN AHI ARMSTRONG HEALTHCARE INC LDP LABDHI PHARMA 250ML 5.46 0.02 2026-04-01 B
40 HYDROGEN PEROXIDE 6% SOLUTION 50512 HYDROGEN PEROXIDE ATB ANSA TRADING BARBADOS LTD FED FEDERATED PHARMACEUTICAL CO. LT 150ML 2.58 0.02 2022-05-11 2024-03-31 B
40 HYDROGEN PEROXIDE 6% SOLUTION 50514 HYDROGEN PEROXIDE RXP RX PRO INC FED FEDERATED PHARMACEUTICAL CO. LT 150ML 2.58 0.02 2022-04-01 2022-05-11 B
40 HYDROGEN PEROXIDE 6% SOLUTION 5051H HYDROGEN PEROXIDE SBI MASSY DISTRIBUTION (BDOS) LTD THR THORNTON & ROSS LTD 200ML 1.85 0.01 2022-04-01 2024-03-31 B
42 HYDROXYCOBALAMINE 1MG/ML AMPG 4811D HYDROXYCOBALAMINE PHA PHARMACY SALES CARIBBEAN RTM PANPHARMA GMBH 10X1ML 13.86 1.39 2026-04-01 B
42 HYDROXYCOBALAMINE 1MG/ML AMPG 4811Q HYDROXYCOBALAMINE STO BRYDEN STOKES LTD FSB FLAGSHIP BIOTECH 10X1ML 16.72 1.67 2026-04-01 B
41 HYDROXYCOBALAMINE 1MG/ML AMPP 4811M HYDROXYCOBALAMINE ATB ANSA TRADING BARBADOS LTD KWA KWALITY PHARMACEUTICALS 10X1ML 67.9309 6.7931 2024-04-01 2026-03-31 B
40 HYDROXYCOBALAMINE 1MG/ML INJECTION 4811D HYDROXYCOBALAMINE PHA PHARMACY SALES CARIBBEAN RTM PANPHARMA GMBH 10X1ML 14.90 1.49 2022-04-01 2024-03-31 B
41 HYOSCINE BUTYLBROMIDE 20MG/ML AMP 0752F BUTYLSCOPOLAMINE PHA PHARMACY SALES CARIBBEAN RTM PANPHARMA GMBH 10X1ML 19.33 1.9327 2024-04-01 2026-03-31 B
41 HYOSCINE BUTYLBROMIDE 20MG/ML AMP 0752M HYOSCINE BUTYLBROMIDE ATB ANSA TRADING BARBADOS LTD FSB FLAGSHIP BIOTECH 10X1ML 10.66 1.0656 2024-04-01 2026-03-31 B