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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 0131BE SKAZI 40MG/ML SUSP (SKH/RXP) AZITHROMYCIN AZITHROMYCIN SKAZI 15ML A 4.89 0.33 SUSPENSION 30 ML SKH S. KANT HEALTHCARE LTD RXP RX PRO INC 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0131CW AZITHROMYCIN 40MG/ML SUSP (KWA/ATB) AZITHROMYCIN AZITHROMYCIN 15ML A 4.76 0.32 SUSPENSION 30 ML KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 08121292 OTHER MACROLIDES 2022-04-01 2022-09-30 Oral 0 ANTI-INFECTIVE AGENTS 2022-03-30
40 0131CX BINOZYT 40MG/ML SUSP (BCH/COL) AZITHROMYCIN AZITHROMYCIN BINOZYT 30ML C 20.12 0.67 SUSPENSION 0 ML BCH SANDOZ COL COLLINS LTD 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 0131CX BINOZYT 40MG/ML SUSP (BCH) AZITHROM (C) AZITHROMYCIN BINOZYT 30ML C 29.11 0.9704 ML 30 BOTT BCH SANDOZ COL COLLINS LTD 08121292 OTHER MACROLIDES 2024-04-01 2026-03-31 ORAL 0 OTHER MACROLIDES
42 0131CX BINOZYT 40MG/ML SUSP (BCH) AZITHROM AZITHROMYCIN BINOZYT 30ML C 29.11 0.97 ML 30 BOTT BCH SANDOZ COL AVENTA BARBADOS B 08121292 OTHER MACROLIDES 2026-04-01 ORAL 0 OTHER MACROLIDES
40 0131DH KLARICID 50MG/ML SUSP (ABB/PHA) CLARITHROMYCI CLARITHROMYCIN KLARICID 60ML C 15.79 0.26 SUSPENSION 0 ML ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0131DH KLARICID 50MG/ML SUSP (ABB/PHA) CLARITHROMYCI (C) CLARITHROMYCIN KLARICID 60ML C 15.79 0.2632 SUSPENSION ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 8121292 OTHER MACROLIDES 2022-04-01 2023-03-31 Delete from contract Oral 0 OTHER MACROLIDES 2023-03-02
40 0131DJ KLARICID 25MG/ML SUSP (ABB/PHA) CLARITHROMYCI CLARITHROMYCIN KLARICID 60ML C 11.50 0.19 SUSPENSION 0 ML ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0131DJ KLARICID 25MG/ML SUSP (ABB/PHA) CLARITHROMYCI (C) CLARITHROMYCIN KLARICID 60ML C 11.5 0.1917 SUSPENSION ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 8121292 OTHER MACROLIDES 2022-04-01 2023-03-31 Delete from contract Oral 0 OTHER MACROLIDES 2023-03-02
41 0131DN AZICURE 40MG/ML SUSP (MBL) AZITHROM AZITHROMYCIN AZICURE 30ML A 9.24 0.3081 ML 30 BOTT MBL MEDICAMEN BIOTECH LTD AHI ARMSTRONG HEALTHCARE INC 08121204 ERYTHROMYCINS 2024-04-01 2026-03-31 ORAL 0 ERYTHROMYCINS
40 0131DT SKAZI 40MG/ML SUSP (SKH) AZITHROMYCIN SKAZI 40MG /ML SUSP 15ML A $4.89 SUSPENSION 30 SKH S KANT HEALTHCARE ATB ANSA TRADING BARBADOS LIMITED 08121292 0 0000-00-00
41 0131DT SKAZI 40MG/ML SUSP (SKH) AZITHROMYCIN AZITHROMYCIN SKAZI 15ML A 4.95 0.3298 ML 30 BOX SKH S. KANT HEALTHCARE LTD ATB ANSA TRADING BARBADOS LTD B 08121292 OTHER MACROLIDES 2024-06-05 2026-03-31 ORAL 0 OTHER MACROLIDES 2024-06-05
41 0131DU KLARICID 50MG/ML SUSP (ABB) CLARITHROMYCIN (C) CLARITHROMYCIN KLARICID 60ML C 19 0.3167 ML 60 BOTT ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES 2024-04-01 2026-03-31 ORAL 0 OTHER MACROLIDES
42 0131DU KLARICID 50MG/ML SUSP (ABB) CLARITHROMYCIN CLARITHROMYCIN KLARICID 60ML C 16.31 0.27 ML 60 BOTT ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES 2026-04-01 ORAL 0 OTHER MACROLIDES
41 0131DV KLARICID 25MG/ML SUSP (ABB) CLARITHROMYCIN (C) CLARITHROMYCIN KLARICID 60ML C 14.22 0.2369 ML 100 BOTT ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES 2024-04-01 2026-03-31 ORAL 0 OTHER MACROLIDES
42 0131DV KLARICID 25MG/ML SUSP (ABB) CLARITHROMYCIN CLARITHROMYCIN KLARICID 60ML C 10.87 0.18 ML 100 BOTT ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES 2026-04-01 ORAL 0 OTHER MACROLIDES
40 0131U ZITHROMAX 40MG/ML SUSP (PFI/STO) AZITHROMYCIN AZITHROMYCIN ZITHROMAX 15ML C 29.66 1.98 SUSPENSION 0 ML PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 0131U ZITHROMAX 40MG/ML SUSP (PFI) AZITHRO (C) AZITHROMYCIN ZITHROMAX 15ML C 29.96 1.9971 ML 30 BOTT PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 08121292 OTHER MACROLIDES 2024-04-01 2026-03-31 ORAL 0 OTHER MACROLIDES
42 0131U ZITHROMAX 40MG/ML SUSP (PFI) AZITHR AZITHROMYCIN ZITHROMAX 15ML C 29.96 2.00 ML 30 BOTT PFI PFIZER CORPORATION STO BRYDEN STOKES LTD B 08121292 OTHER MACROLIDES 2026-04-01 ORAL 0 OTHER MACROLIDES
40 0141AH ZITHROMAX 500MG TAB (PFI/STO) AZITHROMYCIN AZITHROMYCIN ZITHROMAX 3'S C 53.01 17.67 TABLET 0 TAB PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS