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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 5171AK ZENTEL 400MG TAB (GSK) ALBENDAZOLE ALBENDAZOLE ZENTEL 1'S A 4.62 4.62 TAB 3 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD 0808 ANTHELMINTICS 2024-04-01 2026-03-31 ORAL 1 ANTHELMINTICS 2024-03-12
42 5171AK ZENTEL 400MG TAB (GSK) ALBENDAZOLE (C) ALBENDAZOLE ZENTEL 1'S C 5.22 5.22 TAB 3 BLIS GSK GLAXOSMITHKLINE COL AVENTA BARBADOS 0808 ANTHELMINTICS 2026-04-01 2028-03-31 ORAL 1 ANTHELMINTICS 2026-02-16
42 5171AL ALBENDAZOLE 400MG TAB (INP) ALBENDAZOLE ALBENDAZOLE 2'S A 0.27 0.14 TAB 3 BLIS INP INTAS PHARMACEUTICALS LTD PHA PHARMACY SALES CARIBBEAN 0808 ANTHELMINTICS 2026-04-01 2028-03-31 ORAL 1 ANTHELMINTICS
40 51725 ALBENDAZOLE 40MG/ML SUSP (CIP/AHI) ALBENDAZOLE ALBENDAZOLE 10ML A 1.36 0.14 SUSPENSION 30 ML CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 0808 ANTHELMINTICS 2022-04-01 2024-03-31 Oral 1 ANTI-INFECTIVE AGENTS
41 51725 ALBENDAZOLE 40MG/ML SUSP (CIP) ALBENDAZOLE BENDEX 10ML A 1.5 0.1495 ML 30 BOTT CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 0808 ANTHELMINTICS 2024-04-01 2026-03-31 ORAL 1 ANTHELMINTICS
41 5172AH ALZOLE 40MG/ML SUSP (TPP) ALBENDAZOLE ALBENDAZOLE ALZOLE 10ML A 1.36 0.1359 ML 30 BOTT TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 0808 ANTHELMINTICS 2024-04-01 2026-03-31 ORAL 1 ANTHELMINTICS
42 5172AK ALBENDAZOLE 40MG/ML SUSP (INP) ALBENDAZOLE ALBENDAZOLE 10ML A 0.41 0.04 ML 30 BOTT INP INTAS PHARMACEUTICALS LTD PHA PHARMACY SALES CARIBBEAN 0808 ANTHELMINTICS 2026-04-01 2028-03-31 ORAL 1 ANTHELMINTICS
42 5172AN WORMIZLE 40MG/ML SUSP (HEA) ALBEND (C) ALBENDAZOLE WORMIZLE 10ML C 1.47 0.15 ML 30 BOTT HEA HEALTH 2000 INC AHI ARMSTRONG HEALTHCARE INC 0808 ANTHELMINTICS 2026-04-01 2028-03-31 ORAL 1 ANTHELMINTICS 2025-10-31
42 5172AP LEEBEN 40MG/ML SUSP (JLP) ALBENDAZOLE ALBENDAZOLE LEEBEN 10ML A 0.71 0.07 ML 30 BOTT JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 0808 ANTHELMINTICS 2026-04-01 2028-03-31 ORAL 1 ANTHELMINTICS
42 5172AQ WORMIZOLE 40MG/ML SUSP (HEA) ALBEN (C) ALBENDAZOLE WORMIZOLE 10ML C 1.47 0.15 ML 30 BOTT HEA HEALTH 2000 INC CWS CAPSULE WHOLESALE 0808 ANTHELMINTICS 2026-04-01 2028-03-31 ORAL 1 ANTHELMINTICS 2026-01-26
42 5172AR WORMIZOLE 40MG/ML SUSP (HEA) ALBEN (C) ALBENDAZOLE WORMIZOLE 10ML C 1.47 0.15 ML 30 HEA HEALTH 2000 INC STO BRYDEN STOKES LTD 0808 ANTHELMINTICS 2026-04-01 2028-03-31 ORAL 1 ANTHELMINTICS 2026-02-27
40 5172B ZENTEL 40MG/ML SUSP (GSK/COL) ALBENDAZOLE ALBENDAZOLE ZENTEL 10ML C 4.19 0.42 SUSPENSION 0 ML GSK GLAXOSMITHKLINE COL COLLINS LTD 0808 ANTHELMINTICS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 5172B ZENTEL 40MG/ML SUSP (GSK) ALBENDAZOLE (C) ALBENDAZOLE ZENTEL 10ML C 4.62 0.4621 ML 30 BOTT GSK GLAXOSMITHKLINE COL COLLINS LTD 0808 ANTHELMINTICS 2024-04-01 2026-03-31 ORAL 1 ANTHELMINTICS
42 5172B ZENTEL 40MG/ML SUSP (GSK) ALBENDAZ (C) ALBENDAZOLE ZENTEL 10ML C 5.22 0.52 ML 30 BOTT GSK GLAXOSMITHKLINE COL AVENTA BARBADOS 0808 ANTHELMINTICS 2026-04-01 2028-03-31 ORAL 1 ANTHELMINTICS 2026-02-16
40 5172G WORMIZOLE 40MG/ML SUSP (HEA/RXP) ALBENDAZOLE ALBENDAZOLE WORMIZOLE 10ML A 1.36 0.14 SUSPENSION 30 ML HEA HEALTH 2000 INC RXP RX PRO INC 0808 ANTHELMINTICS 2022-04-01 2024-03-31 Oral 1 ANTI-INFECTIVE AGENTS
40 5172T LEVAM 8MG/ML SYR (FED/ATB) LEVAMISOLE LEVAM 30ML C 3.15 0.11 SYRUP 0 ML FED FEDERATED PHARMACEUTICAL CO. LT ATB ANSA TRADING BARBADOS LTD 0808 ANTHELMINTICS 2022-04-01 2022-05-11 Delete from contract Oral 0 ANTI-INFECTIVE AGENTS 2022-05-11
40 5172T LEVAM 8MG/ML SYR (FED/ATB) LEVAMISOLE LEVAM 30ML C 3.15 0.11 SYRUP 0 ML FED FEDERATED PHARMACEUTICAL CO. LT ATB ANSA TRADING BARBADOS LTD 0808 ANTHELMINTICS 2022-05-11 2024-03-31 Change Local Agent Oral 0 ANTI-INFECTIVE AGENTS 2022-05-11
41 5172T LEVAM 8MG/ML SYR (FED) (C) LEVAMISOLE LEVAM 30ML C 4.62 0.154 ML 0 BOTT FED FEDERATED PHARMACEUTICAL CO. LT ATB ANSA TRADING BARBADOS LTD 9244 IMMUNOSUPPRESSIVE AGENTS 2024-04-01 2026-03-31 ORAL 0 IMMUNOSUPPRESSIVE AGENTS
40 5172U WORMIZOLE 40MG/ML SUSP (HEA/ATB) ALBENDAZOLE ALBENDAZOLE WORMIZOLE 10ML A 1.36 0.136 SUSPENSION HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 808 ANTHELMINTICS 2022-12-07 2024-03-31 Change Local Agent ORAL 1 ANTHELMINTICS 2022-11-25
41 5172U WORMIZOLE 40MG/ML SUSP (HEA) ALBENDAZOLE ALBENDAZOLE WORMIZOLE 10ML A 1.55 0.1549 ML 30 BOTT HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 0808 ANTHELMINTICS 2024-04-01 2026-03-31 ORAL 1 ANTHELMINTICS