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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
41 4141QH ADVIL 200MG CAPLET (GSK) IBUPROFEN (C) IBUPROFEN ADVIL 24'S C 7.8 0.3251 CPL 0 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 0 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
40 4141QM ADVIL LIQUI-GELS 200MG CAP (GSK/COL) IBUPROFEN IBUPROFEN ADVIL LIQUI-GELS 40'S C 12.91 0.32 CAPSULE 0 CAP GSK GLAXOSMITHKLINE COL COLLINS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
41 4141QM ADVIL LIQUI-GELS 200MG CAP (GSK) IBUPROFEN (C) IBUPROFEN ADVIL LIQUI-GELS 40'S C 13.54 0.3384 CAP 0 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 0 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
40 4141QN ADVIL LIQUI-GELS 200MG CAP (GSK/COL) IBUPROFEN IBUPROFEN ADVIL LIQUI-GELS 20'S C 7.09 0.35 CAPSULE 0 CAP GSK GLAXOSMITHKLINE COL COLLINS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
41 4141QN ADVIL LIQUI-GELS 200MG CAP (GSK) IBUPROFEN (C) IBUPROFEN ADVIL LIQUI-GELS 20'S C 7.48 0.3738 CAP 0 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 0 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
42 4141QN ADVIL LIQUI-GELS 200MG CAP (GSK) IBUPROFEN IBUPROFEN ADVIL LIQUI-GELS 20'S C 7.83 0.39 CAP 0 BLIS GSK GLAXOSMITHKLINE COL AVENTA BARBADOS 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2026-04-01 2028-03-31 ORAL 0 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
40 4141QS ADVIL PM 200MG CAPLET (GSK/COL) IBUPROFEN IBUPROFEN ADVIL PM 20'S C 10.03 0.50 CAPLET 0 CPL GSK GLAXOSMITHKLINE COL COLLINS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
41 4141QS ADVIL PM 200MG CAPLET (GSK) IBUPROFEN (C) IBUPROFEN ADVIL PM 20'S C 10.52 0.526 CPL 0 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 0 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
42 4141QS ADVIL PM 200MG CAPLET (GSK) IBUPROFEN IBUPROFEN ADVIL PM 20'S C 11.04 0.55 CPL 0 BOX GSK GLAXOSMITHKLINE COL AVENTA BARBADOS 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2026-04-01 2028-03-31 ORAL 0 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
40 4141QU ALEVE 220MG TAB (BSP/COL) NAPROXEN NAPROXEN ALEVE 36'S C 6.80 0.19 TABLET 0 TAB BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
41 4141QU ALEVE 220MG TAB (BSP) NAPROXEN (C) NAPROXEN ALEVE 36'S C 6.55 0.182 TAB 0 BOX BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 0 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
42 4141QU ALEVE 220MG TAB (BSP) NAPROXEN NAPROXEN ALEVE 36'S C 8.02 0.22 TAB 0 BLIS BSP BAYER SCHERING PHARMA AG. COL AVENTA BARBADOS 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2026-04-01 2028-03-31 ORAL 0 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
41 4141RE DICLOFENAC 50MG TAB (HEA) DICLOFENAC SODIUM DICLOFENAC 10X10 A 2.69 0.0269 TAB 42 BOX HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
41 4141RJ APO-NAPROXEN 500MG TAB (APO) NAPROXEN APO-NAPROXEN 100'S A 18.62 0.1862 TAB 28 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
41 4141RM APO-DICLOFENAC SODIUM 25MG TAB (APO) DICLOFENAC SODIUM APO-DICLOFENAC SODIUM 100'S A 10.79 0.1079 TAB 100 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
41 4141RN INDOMETHACIN 25MG CAP (GPC) (BQ) INDOMETHACIN INDOMETHACIN 1000'S BQ 84.1 0.0841 CAP 0 BOTT GPC NEW GUYANA PHARMACEUTICAL CORP. LTD ATB ANSA TRADING BARBADOS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 0 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
41 4141RP APO-NAPROXEN 250MG TAB (APO) NAPROXEN NAPROXEN 100'S A 10.82 0.1082 TAB 28 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
41 4141SA ALEVE 220MG CAPLET (BSP) NAPROXEN (C) NAPROXEN ALEVE 36'S C 6.55 0.182 CPL 0 BOTT BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 0 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
41 4141SD IBUVAN 400MG TAB (TPP) IBUPROFEN IBUPROFEN IBUVAN 10X10 A 8.02 0.0802 TAB 120 BOX TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
41 4141SF IBUPROFEN 200MG TAB (MCP) IBUPROFEN IBUPROFEN 10X10 A 7.8 0.078 TAB 120 BOX MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS