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Contract Number Brand Code Brand Name Active Ingredient Trade Name Package Size Formulary Category Pkg Price Unit Price Unit Description Max. Reimbursable Quantity / Month Package Description Manufacturer Code Manufacturer Name Agent Code Agent Name Benefit Therapeutic Code Therapeutic Desc Drug Contract Start Date Drug Contract End Date Status Description Default Route Max Repeats Therapeutic Head Amend Date
40 0011M HISTAL 4MG TAB (CAR/COL) CHLORPHENIRAMINE CHLORPHENIRAMINE HISTAL 1000'S A $29.06 $0.03 TABLET 84 TAB CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 0404 FIRST GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0012AB ALLEGRA 120MG TAB (SFA/COL) FEXOFENADINE FEXOFENADINE ALLEGRA 10'S C $9.51 $0.95 TABLET 0 TAB SFA SANOFI AVENTIS COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0012AB ALLEGRA 120MG TAB (SFA/COL) FEXOFENADIN (C) FEXOFENADINE ALLEGRA 10'S C $16.31 $1.63 TABLET IMMED SFA SANOFI AVENTIS COL COLLINS LTD 408 SECOND GENERATION ANTIHISTAMINES 2022-12-10 2024-03-31 Price Change Oral 0 SECOND GENERATION ANTIHISTAMINES 2022-12-09
40 0012AN MEQUILAN 5MG TAB (CAR/COL) MEQUITAZINE MEQUITAZINE MEQUILAN 112'S A $42.41 $0.38 TABLET 28 TAB CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0012AQ ALLEGRA 180MG TAB (SFA/COL) FEXOFENADINE FEXOFENADINE ALLEGRA 10'S C $10.19 $1.02 TABLET 0 TAB SFA SANOFI AVENTIS COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0012AQ ALLEGRA 180MG TAB (SFA/COL) FEXOFENADIN (C) FEXOFENADINE ALLEGRA 10'S C $24.19 $2.42 TABLET IMMED SFA SANOFI AVENTIS COL COLLINS LTD 408 SECOND GENERATION ANTIHISTAMINES 2022-12-10 2024-03-31 Price Change Oral 0 SECOND GENERATION ANTIHISTAMINES 2022-12-09
40 0012BA APO-CETIRIZINE 10MG TAB (APO/COL) CETIRIZINE APO-CETIRIZINE 100'S A $8.37 $0.08 TABLET 14 TAB APO APOTEX INC. COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0012BB APO-LORATADINE 10MG TAB (APO/COL) LORATADINE APO-LORATADINE 100'S A $8.56 $0.09 TABLET 14 TAB APO APOTEX INC. COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0012BK REMIDINE 10MG TAB (REM/SBI) LORATADINE LORATADINE REMIDINE 2x10 A $1.74 $0.09 TABLET 14 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0012EA DESLORA-DENK 5MG TAB (EDK/COL) DESLORATADINE DESLORATADINE DESLORA-DENK 10'S C $3.13 $0.31 TABLET 0 TAB EDK DENK PHARMA GMBH & CO. KG. COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0012EJ LORATADINE 10MG TAB (KWA/ATB) LORATADINE LORATADINE 10X10 A $5.25 $0.05 TABLET 14 TAB KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0012ER GLENCET 5MG TAB (GLP/ALI) LEVOCETIRIZINE LEVOCETIRIZINE GLENCET 30'S C $6.80 $0.23 TABLET 0 TAB GLP GLENMARK PHARMACEUTICALS LTD ALI ALL HEALTH INC 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2022-03-22 Delete from contract Oral 0 ANTIHISTAMINICS 2022-03-22
40 0012EX CLARITYNE 10MG TAB (BSP/COL) LORATADINE LORATADINE CLARITYNE 30'S C $9.51 $0.32 TABLET 0 TAB BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0012EY AERIUS 5MG TAB (MSD/STO) DESLORATADINE DESLORATADINE AERIUS 30'S C $24.95 $0.83 TABLET 0 TAB MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0012FA LORATADINE 10MG TAB (AUR/AHI) LORATADINE LORATADINE 100'S A $8.26 $0.08 TABLET 14 TAB AUR AUROCHEM LABORATORIES AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0012FD GLENCET 5MG TAB (GLP/ATB) LEVOCETIRIZINE LEVOCETIRIZINE GLENCET 30'S C $6.80 $0.23 TABLET 0 TAB GLP GLENMARK PHARMACEUTICALS LTD ATB ANSA TRADING BARBADOS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Change Local Agent Oral 0 ANTIHISTAMINICS 2022-03-22
40 0012V CETIRIZINE 10MG TAB (HEA/RXP) CETIRIZINE CETIRIZINE 1X10 A $0.95 $0.10 TABLET 14 TAB HEA HEALTH 2000 INC RXP RX PRO INC 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0012VB CETIRIZINE 10MG TAB (HEA/ATB) CETIRIZINE CETIRIZINE 1X10 A $0.95 $0.10 TABLET IMMED HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 408 SECOND GENERATION ANTIHISTAMINES 2022-12-07 2024-03-31 Change Local Agent oral 0 SECOND GENERATION ANTIHISTAMINES 2022-11-25
40 0012Y ZYRTEC 10MG TAB (GSK/COL) CETIRIZINE CETIRIZINE ZYRTEC 20'S C $20.69 $1.03 TABLET 0 TAB GSK GLAXOSMITHKLINE COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0013AF ZYRTEC 10MG/ML DROPS (GSK/COL) CETIRIZINE CETIRIZINE ZYRTEC 10ML C $11.85 $11.85 DROPS 0 BOTT GSK GLAXOSMITHKLINE COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS