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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 0694A NEOSTIGMINE 2.5MG/ML INJ (MON/PHA) NEOSTIGMINE NEOSTIGMINE 5X5ML BQ $19.14 $3.83 INJECTION 0 AMP MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2022-04-01 2024-03-31 IV 0 AUTONOMIC DRUGS
40 0694C LASTIGMINE PLUS 2.5MG/ML INJ (LDP/AHI) NEOSTIGMINE LASTIGMINE PLUS 5X5ML BQ $26.10 $5.22 INJECTION 0 AMP LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2022-04-01 2022-09-30 IV 0 AUTONOMIC DRUGS 2022-03-29
40 07027 MESTINON 60MG TAB (VCL/COL) PYRIDOSTIGMINE PYRIDOSTIGMINE MESTINON 100'S C $217.47 $2.17 TABLET 0 TAB VCL VALEANT CANADA LTD COL COLLINS LTD 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2022-04-01 2024-03-31 Oral 0 AUTONOMIC DRUGS
40 0702C PYRIDOSTIGMINE 60MG TAB (SLS/AHI) PYRIDOSTIGMINE PYRIDOSTIGMINE 50'S A $31.10 $0.62 TABLET 180 TAB SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2022-04-01 2024-03-31 Oral 6 AUTONOMIC DRUGS
40 0711AF ATROPINE SULPHATE 0.5MG/ML IV/IM INJ (MON/PHA) ATROPINE SULPHATE ATROPINE SULPHATE 10X1ML B $6.36 $0.64 INJECTION 0 AMP MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 120808 ANTIMUSCARINICS/ANTISPASMODICS 2022-04-01 2024-03-31 IV/IM 0 AUTONOMIC DRUGS
40 07127 ATROPINE MINIMS 1% EYE DR (CAM/STO) ATROPINE SULPHATE ATROPINE SULPHATE ATROPINE MINIMS 20X0.5ML B $94.73 $4.74 EYE DROP 0 AMP CAM MORNINGSIDE PHARMACEUTICALS STO BRYDEN STOKES LTD 5224 EENT MYDRIATICS 2022-04-01 2024-03-31 OPHTHALMIC 0 EYE, EAR, NOSE AND THROAT PREPARATIONS
40 07141 ATROPINE SULPHATE 1% EYE DR (ASL/PHA) ATROPINE SULPHATE ATROPINE SULPHATE 10ML A $11.66 $11.66 EYE DROP 1 BOTT ASL ASHFORD LABORATORIES LTD PHA PHARMACY SALES CARIBBEAN 5224 EENT MYDRIATICS 2022-04-01 2024-03-31 OPHTHALMIC 0 EYE, EAR, NOSE AND THROAT PREPARATIONS
40 07211 CALCORT 6MG TAB (SFA/COL) DEFLAZACORT DEFLAZACORT CALCORT 10'S C $27.18 $2.72 TABLET 0 TAB SFA SANOFI AVENTIS COL COLLINS LTD 6804 ADRENALS 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 07219 FLACORT 6MG TAB (ARP/AHI) DEFLAZACORT DEFLAZACORT FLACORT 3X10 C $8.97 $0.30 TABLET 0 TAB ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 6804 ADRENALS 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 07221 CALCORT 30MG TAB (SFA/COL) DEFLAZACORT DEFLAZACORT CALCORT 10'S C $38.06 $3.81 TABLET 0 TAB SFA SANOFI AVENTIS COL COLLINS LTD 6804 ADRENALS 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 07229 AVEXA 30MG TAB (MBL/AHI) DEFLAZACORT DEFLAZACORT AVEXA 1X10 C $29.00 $2.90 TABLET 0 TAB MBL MEDICAMEN BIOTECH LTD AHI ARMSTRONG HEALTHCARE INC 6804 ADRENALS 2022-04-01 2024-03-31 Add to Contract as Cat C oral 0 HORMONES AND SYNTHETIC SUBSTITUTES 2022-03-10
40 07315 BENZHEXOL 2MG TAB (KWA/ATB) BENZHEXOL BENZHEXOL 10X10 A $48.93 $0.49 TABLET 180 TAB KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 283608 ANTICHOLINERGIC AGENTS (PARKINSONS) 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
40 0732A BENZHEXOL 5MG TAB (KWA/ATB) BENZHEXOL BENZHEXOL 10X10 A $114.17 $1.14 TABLET 90 TAB KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 283608 ANTICHOLINERGIC AGENTS (PARKINSONS) 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
40 07411 PMS-BENZTROPINE 2MG TAB (PMS/COL) BENZTROPINE PMS-BENZTROPINE 100'S A $9.51 $0.10 TABLET 90 TAB PMS PHARMASCIENCE COL COLLINS LTD 283608 ANTICHOLINERGIC AGENTS (PARKINSONS) 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
40 0741G BENZTROPINE 2MG TAB (KWA/ATB) BENZTROPINE BENZTROPINE 10X10 A $10.11 $0.10 TABLET 90 TAB KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 283608 ANTICHOLINERGIC AGENTS (PARKINSONS) 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
40 0741K BENCOGEN 2MG TAB (LDP/AHI) BENZTROPINE BENZTROPINE BENCOGEN 1000'S A $77.64 $0.08 TABLET 90 TAB LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 283608 ANTICHOLINERGIC AGENTS (PARKINSONS) 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
40 0742W BENZTROPINE 1MG/ML INJ (FSB/ATB) BENZTROPINE BENZTROPINE 10X2ML B $25.93 $2.59 INJECTION 0 AMP FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 283608 ANTICHOLINERGIC AGENTS (PARKINSONS) 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
40 0742X BENZTROPINE 1MG/ML INJ (CIR/AHI) BENZTROPINE BENZTROPINE 2ML B $5.11 $5.11 INJECTION 0 AMP CIR CIRON PHARMA AHI ARMSTRONG HEALTHCARE INC 283608 ANTICHOLINERGIC AGENTS (PARKINSONS) 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
40 07515 DIVIDOL 10MG TAB (REM/SBI) HYOSCINE BUTYLBROM HYOSCINE BUTYLBROMIDE DIVIDOL 100'S A $12.23 $0.12 TABLET 120 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 120808 ANTIMUSCARINICS/ANTISPASMODICS 2022-04-01 2024-03-31 Oral 0 AUTONOMIC DRUGS
40 0751J HYOSCINE BUTYLBROMIDE 10MG TAB (KWA/ATB) HYOSCINE BUTYLBROMIDE HYOSCINE BUTYLBROMIDE 10X10 A $20.80 $0.21 TABLET 120 TAB KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 120808 ANTIMUSCARINICS/ANTISPASMODICS 2022-04-01 2022-09-30 Oral 0 AUTONOMIC DRUGS 2022-03-30