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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 0164AW AMPICILLIN 500MG INJ (MON) (BQ) AMPICILLIN AMPICILLIN 500MG VIAL BQ 1.85 1.8485 VIAL 28 VIAL MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 081216 PENICILLINS 2024-04-01 2026-03-31 IV 0 PENICILLINS
40 0164C AMPICILLIN 500MG INJ (RTM/PHA) AMPICILLIN AMPICILLIN 500MG VIAL C 1.82 1.82 INJECTION 0 VIAL RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 081216 PENICILLINS 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
41 0164C AMPICILLIN 500MG INJ (RTM) (BQ) AMPICILLIN AMPICILLIN 500MG VIAL BQ 2.36 2.3649 VIAL 28 VIAL RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 081216 PENICILLINS 2024-04-01 2026-03-31 IV 0 PENICILLINS
41 0182E PENICILLIN G BENZATHINE 2.4MU INJ (JOL) PENICILLIN G BENZATHINE PENICILLIN G BENZATHINE 20X4ML B 8.1 0.405 VIAL 0 BOX JOL JOLLY PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 081216 PENICILLINS 2024-04-01 2026-03-31 IM 0 PENICILLINS
40 0182F PENICILLIN G BENZATHINE 2.4MU INJ (CHC/ATB) PENICILLIN G BENZATHINE PENICILLIN G BENZATHINE 2.4MU VIAL B 10.33 10.33 INJECTION 0 VIAL CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD 081216 PENICILLINS 2022-04-01 2024-03-31 IM 6 ANTI-INFECTIVE AGENTS
40 01916 PENICILLIN G SODIUM 1MU INJ (RTM/PHA) PENICILLIN G SODIUM PENICILLIN G SODIUM 15ML B 12.07 12.07 INJECTION 0 VIAL RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 081216 PENICILLINS 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
41 01916 PENICILLIN G SODIUM 1MU INJ (RTM) (B) PENICILLIN G SODIUM PENICILLIN G SODIUM 15ML B 11.5 11.4985 VIAL 0 VIAL RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 081216 PENICILLINS 2024-04-01 2026-03-31 IV 0 PENICILLINS
40 01924 PENICILLIN G SODIUM 5MU INJ (RTM/PHA) PENICILLIN G SODIUM PENICILLIN G SODIUM 15ML B 12.07 12.07 INJECTION 0 VIAL RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 081216 PENICILLINS 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
41 0192A PENICILLIN G SODIUM 5MU INJ (JOL) (B) PENICILLIN G SODIUM PENICILLIN G SODIUM 3G VIAL B 7.48 7.4754 VIAL 0 VIAL JOL JOLLY PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 081216 PENICILLINS 2024-04-01 2026-03-31 INJECTION 0 PENICILLINS
42 0192A PENICILLIN G SODIUM 5MU INJ (JOL) PENICILLIN G SODIUM PENICILLIN G SODIUM 5G VIAL B 7.23 7.23 VIAL 0 VIAL JOL JOLLY PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 081216 PENICILLINS 2026-04-01 IM 0 PENICILLINS
40 02112 INVANZ 1G INJ (MSD/STO) ERTAPENEM ERTAPENEM INVANZ 10X1G C 924.23 92.42 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
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
41 0211AA EMSTAR 500MG INJ (EMC) MEROPENEM (C) MEROPENEM EMSTAR 500MG VIAL C 10.87 10.8733 VIAL 42 VIAL EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 08120708 CARBAPENEMS 2024-04-01 2026-03-31 IV 2 CARBAPENEMS
42 0211AA EMSTAR 500MG INJ (EMC) MEROPENEM MEROPENEM EMSTAR 500MG VIAL BQ 6.42 6.42 VIAL 42 VIAL EMC EMCURE PHARMACEUTICALS LTD COL AVENTA BARBADOS 08120708 CARBAPENEMS 2026-04-01 IV 0 CARBAPENEMS
42 0211AE MEROPENEM 500MG INJ (MON) MEROPENEM MEROPENEM 500MG VIAL BQ 4.92 4.92 VIAL 42 VIAL MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 08120708 CARBAPENEMS 2026-04-01 IV 0 CARBAPENEMS
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 MEROPENEM 500MG INJ (MON) (BQ) MEROPENEM MEROPENEM 10X500MG BQ 9.49 0.9487 VIAL 42 BOX MON MONTAGE PHARMACEUTICALS ALI ALL HEALTH INC 08120708 CARBAPENEMS 2024-04-01 2026-03-31 IV 2 CARBAPENEMS
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