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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
42 4092K GLYCEROL 2G SUPPOS (MTP) GLYCERINE GLYCERINE GLYCEROL 12'S A 8.62 0.72 SUPP 12 BLIS MTP MARTINDALE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 5612 CATHARTICS AND LAXATIVES 2026-04-01 2028-03-31 RECTAL 0 CATHARTICS AND LAXATIVES
40 41011 ZOMETA 4MG INJ (NVS/COL) ZOLENDRONIC ACID ZOLENDRONIC ACID ZOMETA 4MG VIAL C 842.68 842.68 INJECTION 0 VIAL NVS NOVARTIS CARIBE SA COL COLLINS LTD 9224 BONE RESORPTION INHIBITORS 2022-04-01 2024-03-31 IV 0 UNCLASSIFIED THERAPEUTIC AGENTS
41 41011 ZOMETA 4MG INJ (NVS) ZOLENDRONIC ACID (C) ZOLENDRONIC ACID ZOMETA 4MG VIAL C 706.76 706.7642 VIAL 2 VIAL NVS NOVARTIS CARIBE SA COL COLLINS LTD 9224 BONE RESORPTION INHIBITORS 2024-04-01 2026-03-31 IV 6 BONE RESORPTION INHIBITORS
42 41011 ZOMETA 4MG INJ (NVS) ZOLENDRONIC ACID ZOLENDRONIC ACID ZOMETA 4MG VIAL C 706.76 706.76 VIAL 2 VIAL NVS NOVARTIS CARIBE SA COL AVENTA BARBADOS 9224 BONE RESORPTION INHIBITORS 2026-04-01 2028-03-31 IV 6 BONE RESORPTION INHIBITORS
41 41016 ZOLENDRONIC ACID 4MG INJ (ZUV) (BQ) ZOLENDRONIC ACID ZOLENDRONIC ACID 4MG VIAL BQ 13.59 13.5916 VIAL 2 VIAL ZUV ZUVIUS PHA PHARMACY SALES CARIBBEAN 9224 BONE RESORPTION INHIBITORS 2024-04-01 2026-03-31 INJ 6 BONE RESORPTION INHIBITORS
42 41016 ZOLENDRONIC ACID 4MG INJ (ZUV) ZOLENDRONIC ACID ZOLENDRONIC ACID 4MG VIAL BQ 8.54 8.54 VIAL 2 VIAL ZUV ZUVIUS PHA PHARMACY SALES CARIBBEAN 9224 BONE RESORPTION INHIBITORS 2026-04-01 2028-03-31 INJ 0 BONE RESORPTION INHIBITORS
40 4101A ZOLENDRONIC ACID 4MG INJ (SLS/AHI) ZOLENDRONIC ACID ZOLENDRONIC ACID 4MG VIAL BQ 38.95 38.95 INJECTION 0 VIAL SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 9224 BONE RESORPTION INHIBITORS 2022-04-01 2022-09-30 IV 0 UNCLASSIFIED THERAPEUTIC AGENTS 2022-03-29
41 4101A ZOLENDRONIC ACID 4MG INJ (SLS) (BQ) ZOLENDRONIC ACID ZOLENDRONIC ACID 4MG VIAL BQ 30.42 30.418 VIAL 2 VIAL SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 9224 BONE RESORPTION INHIBITORS 2024-04-01 2024-05-27 IV 6 BONE RESORPTION INHIBITORS 2024-04-15
40 4101E ZOLASTA 4MG INJ (INP/AHI) ZOLENDRONIC ACID ZOLENDRONIC ACID ZOLASTA 5ML BQ 35.07 35.07 INJECTION 0 VIAL INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 9224 BONE RESORPTION INHIBITORS 2022-04-01 2024-03-31 IV 0 UNCLASSIFIED THERAPEUTIC AGENTS
42 4101Q ZOLOSTEO 4MG INJ (JLP) ZOLENDRONIC ACID ZOLENDRONIC ACID ZOLOSTEO 12X4MG BQ 108.73 9.06 VIAL 2 VIAL JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 9224 BONE RESORPTION INHIBITORS 2026-04-01 2028-03-31 IV 0 BONE RESORPTION INHIBITORS
40 4121B METHYLPREDNISOLONE SODIUM SUCCINATE 500MG INJ (KWA/ATB) METHYLPREDNISOLONE SODIUM SUCCINATE METHYLPREDNISOLONE SODIUM SUCCINATE 500MG VIAL B 15.36 15.36 INJECTION 0 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 6804 ADRENALS 2022-04-01 2022-09-30 IV 0 HORMONES AND SYNTHETIC SUBSTITUTES 2022-03-30
41 4121B METHYLPRED. SOD. SUCC. 500MG INJ (KWA) METHYLPREDNISOLONE SO (BQ) METHYLPREDNISOLONE SODIUM SUCCINATE METHYLPRED. SOD. SUCC. 500MG VIAL BQ 9.7 9.7044 VIAL 0 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 6804 ADRENALS 2024-04-01 2026-03-31 IV 0 ADRENALS
40 4121D METHYLPREDNISOLONE SODIUM SUCCINATE 500MG INJ (MON/PHA) METHYLPREDNISOLONE SODIUM SUCCINATE METHYLPREDNISOLONE SODIUM SUCCINATE 10ML VIAL B 10.55 10.55 INJECTION 0 VIAL MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 6804 ADRENALS 2022-04-01 2024-03-31 IV 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 4121G METHYLPRED. SOD. SUCC. 500MG INJ (FSB) METHYLPREDNISOLONE SO (BQ) METHYLPREDNISOLONE SODIUM SUCCINATE METHYLPRED. SOD. SUCC. 500MG VIAL BQ 9.43 9.4326 VIAL 0 VIAL FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 6804 ADRENALS 2024-04-01 2026-03-31 IV/IM 0 ADRENALS
42 4121J METHYLPRED. SOD. SUCC. 50MG/ML INJ (BAX) METHYLPREDNISOLONE METHYLPREDNISOLONE SODIUM SUCCINATE METHYLPRED. SOD. SUCC. 10X10ML BQ 68.42 6.84 VIAL 0 VIAL BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 6804 ADRENALS 2026-04-01 2028-03-31 IV/IM 0 ADRENALS
41 4141AF NAPROXEN 500MG TAB (CPP) NAPROXEN NAPROXEN 28'S A 4.19 0.1495 TAB 28 BOX CPP WOCKHARDT UK LTD COL COLLINS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
42 4141DQ APO-NAPROXEN 500MG TAB (APO) NAPROXEN APO-NAPROXEN 100'S C 38.98 0.39 TAB 28 BOTT APO APOTEX INC. COL AVENTA BARBADOS 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2026-04-01 2028-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
40 4141FX PONSTAN FORTE 500MG TAB (PFI/STO) MEFENAMIC A MEFENAMIC ACID PONSTAN FORTE 50'S C 15.14 0.30 TABLET 0 TAB PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
41 4141FX PONSTAN FORTE 500MG TAB (PFI) MEFEN (C) MEFENAMIC ACID PONSTAN FORTE 50'S C 15.28 0.3055 TAB 0 BOX PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 0 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
42 4141FX PONSTAN FORTE 500MG TAB (PFI) MEFEN MEFENAMIC ACID PONSTAN FORTE 50'S C 15.28 0.31 TAB 0 BLIS PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2026-04-01 2028-03-31 ORAL 0 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS