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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 0211AA EMSTAR 500MG INJ (EMC/COL) MEROPENEM MEROPENEM EMSTAR 500MG VIAL BQ 9.51 9.51 INJECTION 0 VIAL EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 08120708 CARBAPENEMS 2022-04-01 2024-03-31 IV 6 ANTI-INFECTIVE AGENTS
40 0211AG MERREM 500MG INJ (PFI/STO) MEROPENEM MEROPENEM MERREM 10X500MG C 561.20 56.12 INJECTION 0 VIAL PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 08120708 CARBAPENEMS 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
40 0211AK ERTAPENEM 1G INJ (SLS/AHI) ERTAPENEM ERTAPENEM 1G VIAL BQ 22.02 22.02 INJECTION 0 VIAL SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 08120708 CARBAPENEMS 2022-04-01 2024-03-31 IV 6 ANTI-INFECTIVE AGENTS
41 0211AT
41 0211AT MEROPENEM 500MG INJ (MON/ALI) MEROPENEM MEROPENEM 10X500MG BQ 9.49 0.9487 INJ 42 VIAL MON MONTAGE PHARMACEUTICALS ALI ALL HEALTH INC 08120708 CARBAPENEMS IV 2 ANTI-INFECTIVE AGENTS
41 0211T
41 0211T INVANZ 1G INJ (MSD/STO) ERTAPENEM ERTAPENEM INVANZ 1GM BQ 82.66 82.66 INJ 28 VIAL MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 08120708 CARBAPENEMS IV/IM/SC 1 ANTI-INFECTIVE AGENTS
40 0211T INVANZ 1G INJ (MSD/STO) ERTAPENEM ERTAPENEM INVANZ 1G VIAL C 92.42 92.42 INJECTION 0 VIAL MSD MERK SHARP & DOHME STO BRYDEN STOKES 08120708 CARBAPENEMS 2023-02-22 2024-03-31 PACKAGE SIZE CHANGE IV 2023-02-22
40 0211T INVANZ 1G INJ (MSD/STO) ERTAPENEM (C) ERTAPENEM INVANZ 1GM C 92.42 92.42 INJECTION MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 8120708 CARBAPENEMS 2023-03-20 2024-03-31 Add to Contract as Cat C IV/IM/SC CARBAPENEMS 2023-02-22
40 0211Y MEROPENEM 500MG INJ (ABB/PHA) MEROPENEM MEROPENEM 500MG VIAL BQ 11.50 11.50 INJECTION 0 VIAL ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 08120708 CARBAPENEMS 2022-04-01 2024-03-31 IV 6 ANTI-INFECTIVE AGENTS
40 0211Y MEROPENEM 500MG INJ (ABB/PHA) (BQ) MEROPENEM MEROPENEM 500MG VIAL BQ 11.5 11.5 INJECTION ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 8120708 CARBAPENEMS 2022-04-01 2023-03-31 Delete from contract IV 6 CARBAPENEMS 2023-03-02
40 02128 PRIMAXIN 500MG INJ (MSD/STO) IMIPENEM/CILASTA CILASTATIN|IMIPENEM PRIMAXIN 25X500MG BQ 665.99 26.64 INJECTION 0 VIAL MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 08120708 CARBAPENEMS 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
41 0212AR
41 0212AR IMIPENEM|CILASTATIN 500MG|500MG INJ (SLS/AHI) CILASTATIN|IMIPENEM CILASTATIN|IMIPENEM IMIPENEM|CILASTATIN 500MG VIAL BQ 27.56 27.5638 INJ 0 VIAL SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 08120708 CARBAPENEMS IV 0 ANTI-INFECTIVE AGENTS
41 0212AV
41 0212AV EMSTAR 1G INJ (EMC/COL) MEROPENEM MEROPENEM EMSTAR 1G VIAL C 12.23 12.2325 INJ 42 VIAL EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 08120708 CARBAPENEMS IV 2 ANTI-INFECTIVE AGENTS
40 0212AV EMSTAR 1G INJ (EMC/COL) MEROPENEM MEROPENEM EMSTAR 1G VIAL BQ 10.87 10.87 INJECTION 0 VIAL EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 08120708 CARBAPENEMS 2022-04-01 2024-03-31 IV 6 ANTI-INFECTIVE AGENTS
41 0212BE
41 0212BE MERREM 1G INJ (PFI/STO) MEROPENEM MEROPENEM MERREM 10X1G C 879.6 87.9595 INJ 42 VIAL PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 08120708 CARBAPENEMS IV 2 ANTI-INFECTIVE AGENTS
40 0212BE MERREM 1G INJ (PFI/STO) MEROPENEM MEROPENEM MERREM 10X1G C 968.73 96.87 INJECTION 0 VIAL PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 08120708 CARBAPENEMS 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS