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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 31715 HUMIRA AC PEN 40MG INJ (ABB/PHA) ADALIMUMAB ADALIMUMAB HUMIRA AC PEN 2X40MG C 2,144.38 2,144.38 INJECTION 0 PFS ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
41 31715 HUMIRA AC PEN 40MG INJ (ABB) ADALIMUMAB (C) ADALIMUMAB HUMIRA AC PEN 2X40MG C 2141.9 1070.9517 PFS 0 BOX ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 9236 DISEASE MODIFYING ANTIRHEUMATIC AGENTS 2024-04-01 2026-03-31 IV 0 DISEASE MODIFYING ANTIRHEUMATIC AGENTS
42 31715 HUMIRA AC PEN 40MG INJ (ABB) ADALIMUMAB ADALIMUMAB HUMIRA AC PEN 2X40MG BQ 1,766.91 883.46 PFS 0 BOX ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 9236 DISEASE MODIFYING ANTIRHEUMATIC AGENTS 2026-04-01 2028-03-31 IV 0 DISEASE MODIFYING ANTIRHEUMATIC AGENTS
41 31716 HYRIMOZ 40MG INJ (BCH) ADALIMUMAB (C) ADALIMUMAB HYRIMOZ 2X40MG C 1202.04 601.0214 BOX 0 PFS BCH SANDOZ COL COLLINS LTD 9236 DISEASE MODIFYING ANTIRHEUMATIC AGENTS 2024-04-01 2026-03-31 IV 0 DISEASE MODIFYING ANTIRHEUMATIC AGENTS
42 31716 HYRIMOZ 40MG INJ (BCH) ADALIMUMAB ADALIMUMAB HYRIMOZ 2X40MG BQ 1,202.04 601.02 PFS 0 PFS BCH SANDOZ COL AVENTA BARBADOS 9236 DISEASE MODIFYING ANTIRHEUMATIC AGENTS 2026-04-01 2028-03-31 IV 0 DISEASE MODIFYING ANTIRHEUMATIC AGENTS
40 31717 ADALIREL 40MG INJ (RLS/AHI) ADALIMUMAB ADALIMUMAB ADALIREL 0.8ML SYRN C 875.30 875.30 INJECTION 0 PFS RLS RELIANCE LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
41 3171B ERELZI 50MG INJ SOLN (BCH) ETANERCEPT (C) ETANERCEPT ERELZI 4X50MG C 1596.83 399.2063 BOX 1 PFS BCH SANDOZ COL COLLINS LTD 9236 DISEASE MODIFYING ANTIRHEUMATIC AGENTS 2024-04-01 2026-03-31 SC 6 DISEASE MODIFYING ANTIRHEUMATIC AGENTS
42 3171B ERELZI 50MG/ML SOLN FOR INJ (BCH) (C) ETANERCEPT ERELZI 4X50MG C 1,596.83 399.21 PFS 0 PFS BCH SANDOZ COL AVENTA BARBADOS 9236 DISEASE MODIFYING ANTIRHEUMATIC AGENTS 2026-04-01 2028-03-31 SC 0 DISEASE MODIFYING ANTIRHEUMATIC AGENTS
40 31819 BENZYLBENZOATE 25% EMULSION (GPC/ATB) BENZYLBENZOATE BENZYLBENZOATE 120ML A 4.00 0.03 EMULSION 100 ML GPC NEW GUYANA PHARMACEUTICAL CORP. LTD ATB ANSA TRADING BARBADOS LTD 840412 SCABICIDES AND PEDICULICIDES 2022-04-01 2024-03-31 TOPICAL 6 SKIN-MUCOUS MEMBRANE PREPARATIONS
41 31819 BENZYLBENZOATE 25% EMULSION (GPC) BENZYLBENZOATE BENZYLBENZOATE 120ML A 8.97 0.0748 ML 100 BOTT GPC NEW GUYANA PHARMACEUTICAL CORP. LTD ATB ANSA TRADING BARBADOS LTD 840412 SCABICIDES AND PEDICULICIDES 2024-04-01 2026-03-31 TOPICAL 6 SCABICIDES AND PEDICULICIDES
40 3181D BENZYLBENZOATE 25% EMUL (PDN/PHA) BENZYLBENZOATE BENZYLBENZOATE 1 LITRE A 21.72 0.02 EMULSION 100 ML PDN PHARMA DANICA A/S PHA PHARMACY SALES CARIBBEAN 840412 SCABICIDES AND PEDICULICIDES 2022-04-01 2024-03-31 TOPICAL 6 SKIN-MUCOUS MEMBRANE PREPARATIONS
40 3203F HEXITANE 5% SOLN (GNT/AHI) CHLORHEXIDINE CHLORHEXIDINE HEXITANE 4 LITRES B 49.39 12.35 SOLUTION 0 BOTT GNT GENETHICS LTD AHI ARMSTRONG HEALTHCARE INC 840492 ANTI-INFECTIVES TOPICAL MISCELLANEOUS 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
42 3261AB POVIDONE IODINE 1% SOLN (FSB) POVIDONE IODINE POVIDONE IODINE 1 LITRE B 17.37 0.02 ML 500 FSB FLAGSHIP BIOTECH STO BRYDEN STOKES LTD 840492 ANTI-INFECTIVES TOPICAL MISCELLANEOUS 2026-04-01 2028-03-31 TOPICAL 6 ANTI-INFECTIVES TOPICAL MISCELLANEOUS 2026-03-05
40 3261B VIDENE ANTISEPTIC 1% SOLN (ECO/COL) POVIDONE POVIDONE IODINE VIDENE ANTISEPTIC 500ML B 13.59 0.03 SOLUTION 0 ML ECO ECOLAB LTD COL COLLINS LTD 840492 ANTI-INFECTIVES TOPICAL MISCELLANEOUS 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
40 3261S POVIDONE IODINE 1% SOLN (RIM/PHA) POVIDONE IODINE POVIDONE IODINE 16OZ B 20.26 0.0422 SOLUTION RIM RIMA PHARMACEUTICAL LTD PHA PHARMACY SALES CARIBBEAN 840492 ANTI-INFECTIVES TOPICAL MISCELLANEOUS 2023-03-20 2024-03-31 Add to Contract as Cat B TOPICAL ANTI-INFECTIVES TOPICAL MISCELLANEOUS 2023-02-20
40 3261U POVIDONE IODINE 1% SOLN (RYV/ATB) POVIDONE IODINE POVIDONE IODINE 500ML B 8.70 0.02 SOLUTION 0 ML RYV RYVIS PHARMA PVT. LTD ATB ANSA TRADING BARBADOS LTD 840492 ANTI-INFECTIVES TOPICAL MISCELLANEOUS 2022-04-01 2022-07-12 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
40 3261U POVIDONE IODINE 1% SOLN (RYV/ATB) POVIDONE IODINE POVIDONE IODINE 500ML B 11.00 0.02 SOLUTION 0 ML RYV RYVIS PHARMA PVT. LTD ATB ANSA TRADING BARBADOS LTD 840492 ANTI-INFECTIVES TOPICAL MISCELLANEOUS 2022-07-13 2024-03-31 Price Change TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS 2022-07-12
41 3261U POVIDONE IODINE 1% SOLN (RYV) (B) POVIDONE IODINE POVIDONE IODINE 500ML B 13.51 0.027 ML 500 BOTT RYV RYVIS PHARMA PVT. LTD ATB ANSA TRADING BARBADOS LTD 840492 ANTI-INFECTIVES TOPICAL MISCELLANEOUS 2024-04-01 2024-06-18 TOPICAL 6 ANTI-INFECTIVES TOPICAL MISCELLANEOUS 2024-06-18
41 3261U POVIDONE IODINE 1% SOLN (RYV) (B) POVIDONE IODINE POVIDONE IODINE 500ML B 10.98 0.022 ML 500 BOTT RYV RYVIS PHARMA PVT. LTD ATB ANSA TRADING BARBADOS LTD 840492 ANTI-INFECTIVES TOPICAL MISCELLANEOUS 2024-06-19 2026-03-31 TOPICAL 6 ANTI-INFECTIVES TOPICAL MISCELLANEOUS 2024-06-19
41 3261W POVIDONE IODINE 1% SOLN (CAR) POVIDONE IODINE (C) POVIDONE IODINE POVIDONE IODINE 500ML C 21.58 0.0432 ML 500 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 840492 ANTI-INFECTIVES TOPICAL MISCELLANEOUS 2024-04-01 2026-03-31 TOPICAL 6 ANTI-INFECTIVES TOPICAL MISCELLANEOUS