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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
42 DOLUTEGRAVIR 50MG TAB B0517 TIVICAY COL AVENTA BARBADOS GSK GLAXOSMITHKLINE 30'S 821.23 27.37 2026-04-01 C
41 DONEPEZIL 10MG TAB 44642 ARICEPT STO BRYDEN STOKES LTD PFI PFIZER CORPORATION 28'S 128.55 4.5911 2024-04-01 2026-03-31 C
42 DONEPEZIL 10MG TAB 44642 ARICEPT STO BRYDEN STOKES LTD PFI PFIZER CORPORATION 28'S 128.55 4.59 2026-04-01 C
41 DONEPEZIL 10MG TABDISP 4464E YASNAL Q AHI ARMSTRONG HEALTHCARE INC KRK KRKA 28'S 47.57 1.699 2024-04-01 2026-03-31 C
42 DONEPEZIL 10MG TABDISP 4464E YASNAL Q AHI ARMSTRONG HEALTHCARE INC KRK KRKA 28'S 47.57 1.70 2026-04-01 C
40 DONEPEZIL 10MG TABLET 44642 ARICEPT STO BRYDEN STOKES LTD PFI PFIZER CORPORATION 28'S 144.45 5.16 2022-04-01 2024-03-31 C
40 DONEPEZIL 10MG TABLET 4464E YASNAL Q DISP AHI ARMSTRONG HEALTHCARE INC KRK KRKA 28'S 47.57 1.70 2022-04-01 C
41 DONEPEZIL 5MG TAB 44634 ARICEPT STO BRYDEN STOKES LTD PFI PFIZER CORPORATION 28'S 117.38 4.192 2024-04-01 2026-03-31 C
42 DONEPEZIL 5MG TAB 44634 ARICEPT STO BRYDEN STOKES LTD PFI PFIZER CORPORATION 28'S 117.38 4.19 2026-04-01 C
41 DONEPEZIL 5MG TAB 4463F YASNAL Q AHI ARMSTRONG HEALTHCARE INC KRK KRKA 28'S 30.09 1.0747 2024-04-01 2026-03-31 C
42 DONEPEZIL 5MG TAB 4463F YASNAL Q AHI ARMSTRONG HEALTHCARE INC KRK KRKA 28'S 30.09 1.07 2026-04-01 C
40 DONEPEZIL 5MG TABLET 44634 ARICEPT STO BRYDEN STOKES LTD PFI PFIZER CORPORATION 28'S 131.89 4.71 2022-04-01 2024-03-31 C
40 DONEPEZIL 5MG TABLET 4463F YASNAL Q AHI ARMSTRONG HEALTHCARE INC KRK KRKA 28'S 30.09 1.07 2022-04-01 2022-06-16 C
41 DORZOLAMIDE 2% BOTT A3714 GLAUCOTENSIL D COL COLLINS LTD LPO LABORATORIOS POEN S.A. 5ML 16.45 16.4459 2024-04-01 2026-03-31 C
40 DORZOLAMIDE 2% EYE DROP A3711 TRUSOPT STO BRYDEN STOKES LTD MSD MERCK SHARP & DOHME (I.A.) CORP 5ML 28.54 28.54 2022-04-01 2024-03-31 C
40 DORZOLAMIDE 2% EYE DROP A3711 TRUSOPT STO BRYDEN STOKES LTD MSD MERCK SHARP & DOHME (I.A.) CORP 5ML 28.54 28.54 2022-04-01 2022-12-31 C
40 DORZOLAMIDE 2% EYE DROP A3711 TRUSOPT STO BRYDEN STOKES LTD MSD MERCK SHARP & DOHME (I.A.) CORP 5ML 28.54 28.54 2022-04-04 2022-12-31 C
40 DORZOLAMIDE|TIMOLOL 2%|0.5% EYE DROP 12011 COSOPT STO BRYDEN STOKES LTD MSD MERCK SHARP & DOHME (I.A.) CORP 5ML 24.76 24.76 2022-04-01 2024-03-31 C
40 DORZOLAMIDE|TIMOLOL 2%|0.5% EYE DROP 12011 COSOPT STO BRYDEN STOKES LTD MSD MERCK SHARP & DOHME (I.A.) CORP 5ML 24.76 24.76 2022-04-01 2022-12-31 C
40 DOXYCYCLINE 100MG TABLET 5521ZU REMYCIN SBI MASSY DISTRIBUTION (BDOS) LTD REM REMEDICA LTD 10X10 13.78 0.14 2022-04-01 2024-03-31 C