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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 5511AE SURE COMFORT 31GX5/16'' (ALM/PHA) INSULIN S INSULIN SYRINGE SURE COMFORT 31GX5|16'' 100'S A 22.83 0.23 10 EACH ALM ALLISON MEDICAL PHA PHARMACY SALES CARIBBEAN B 682008 INSULINS 2022-04-01 2024-03-31 IV 6 HORMONES AND SYNTHETIC SUBSTITUTES
41 5511AE SURE COMFORT 31GX5/16'' (ALM) INSULIN INSULIN SYRINGE SURE COMFORT 31GX5|16'' 100'S A 23.65 0.2365 EACH 10 BOX ALM ALLISON MEDICAL PHA PHARMACY SALES CARIBBEAN B 682008 INSULINS 2024-04-01 2026-03-31 IV 6 INSULINS
42 5511AE SURE COMFORT 31GX5/16'' (ALM) INSULIN INSULIN SYRINGE SURE COMFORT 31GX5|16'' 100'S A 19.60 0.20 EACH 10 BOX ALM ALLISON MEDICAL PHA PHARMACY SALES CARIBBEAN B 682008 INSULINS 2026-04-01 2028-03-31 IV 6 INSULINS
40 5511AS NOVOFINE 32G (NOV/COL) PEN NEEDLES PEN NEEDLES NOVOFINE 32G 100'S C 44.53 0.45 0 EACH NOV NOVO NORDISK A/S COL COLLINS LTD 682008 INSULINS 2022-04-01 2024-03-31 IV 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 5511AS NOVOFINE 32G (NOV) PEN NEEDLES (C) PEN NEEDLES NOVOFINE 32G 100'S C 44.53 0.4453 EACH 0 BOX NOV NOVO NORDISK A/S COL COLLINS LTD 682008 INSULINS 2024-04-01 2026-03-31 IV 0 INSULINS
42 5511AS NOVOFINE 32G (NOV) PEN NEEDLES PEN NEEDLES NOVOFINE 32G 100'S C 44.53 0.45 EACH 0 BOX NOV NOVO NORDISK A/S COL AVENTA BARBADOS 682008 INSULINS 2026-04-01 2028-03-31 IV 0 INSULINS
40 5511AV FORSURE INSULIN SYRINGES 31GX1\2" (CSC/PHA) INSULIN SYRINGE FORSURE INSULIN SYRINGES 31GX1\2" 100X1ML A 21.50 0.22 10 EACH CSC FORSURE MEDICAL PHA PHARMACY SALES CARIBBEAN B 682008 INSULINS 2022-04-01 2022-07-27 Delete from contract 6 HORMONES AND SYNTHETIC SUBSTITUTES 2022-06-15
41 5511AV FORSURE INSULIN SYRINGES 31GX1\2" (CSC INSULIN SYRINGE FORSURE INSULIN SYRINGES 31GX1\2" 100X1ML A 18.29 0.1829 EACH 10 BOX CSC FORSURE MEDICAL PHA PHARMACY SALES CARIBBEAN B 682008 INSULINS 2024-04-01 2026-03-31 6 INSULINS
42 5511AX ACCU-FINE 32G (PRI) PEN NEEDLES PEN NEEDLES ACCU-FINE 100'S B 26.34 0.26 EACH 10 BOX PRI PRODUCTOS ROCHE INTERAMERICANA SA STO BRYDEN STOKES LTD 682008 INSULINS 2026-04-01 2028-03-31 0 INSULINS
40 5521BA AAP-MINOCYCLINE 100MG CAP (APO/COL) MINOCYCLINE AAP-MINOCYCLINE 100'S A 83.94 0.84 CAPSULE 15 CAP APO APOTEX INC. COL COLLINS LTD 081224 TETRACYCLINES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
42 5521BA AAP-MINOCYCLINE 100MG CAP (APO) MINOCYCLINE AAP-MINOCYCLINE 100'S A 84.00 0.84 CAP 15 BOTT APO APOTEX INC. COL AVENTA BARBADOS 081224 TETRACYCLINES 2026-04-01 2028-03-31 ORAL 0 TETRACYCLINES
40 5521BV DOXYCYCLINE 100MG TAB (GPC/ATB) DOXYCYCLINE DOXYCYCLINE 100'S A 6.52 0.07 TABLET 14 TAB GPC NEW GUYANA PHARMACEUTICAL CORP. LTD ATB ANSA TRADING BARBADOS LTD 081224 TETRACYCLINES 2022-04-01 2022-09-30 Oral 0 ANTI-INFECTIVE AGENTS 2022-03-30
40 5521CJ DOXYCYCLINE 100MG TAB (FSB/ATB) DOXYCYCLINE DOXYCYCLINE 3X10 A 2.85 0.10 TABLET 14 TAB FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 081224 TETRACYCLINES 2022-04-01 2024-03-31 Add to Contract as Cat A Oral 0 ANTI-INFECTIVE AGENTS 2021-12-03
41 5521CK APO-DOXY 100MG TAB (APO) DOXYCYCLINE APO-DOXY 100'S A 12.37 0.1237 TAB 14 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 081224 TETRACYCLINES 2024-04-01 2026-03-31 ORAL 0 TETRACYCLINES
41 5521CL AAP-MINOCYCLINE 100MG TAB (APO) MINOCYCLINE AAP-MINOCYCLINE 100'S A 84 0.84 TAB 15 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 081224 TETRACYCLINES 2024-04-01 2026-03-31 ORAL 0 TETRACYCLINES
42 5521E APO-DOXY 100MG CAP (APO) DOXYCYCLINE APO-DOXY 100'S A 12.37 0.12 CAP 14 BOTT APO APOTEX INC. COL AVENTA BARBADOS 081224 TETRACYCLINES 2026-04-01 2028-03-31 ORAL 0 TETRACYCLINES
40 5521ZC AAP-MINOCYCLINE 50MG CAP (APO/COL) MINOCYCLINE AAP-MINOCYCLINE 100'S A 45.61 0.46 CAPSULE 14 CAP APO APOTEX INC. COL COLLINS LTD 081224 TETRACYCLINES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
42 5521ZC AAP-MINOCYCLINE 50MG CAP (APO) MINOCYCLINE AAP-MINOCYCLINE 100'S A 46.89 0.47 CAP 14 BOTT APO APOTEX INC. COL AVENTA BARBADOS 081224 TETRACYCLINES 2026-04-01 2028-03-31 ORAL 0 TETRACYCLINES
40 5521ZU REMYCIN 100MG TAB (REM/SBI) DOXYCYCLINE DOXYCYCLINE REMYCIN 10X10 C 13.78 0.14 TABLET 0 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081224 TETRACYCLINES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 5521ZU REMYCIN 100MG TAB (REM) DOXYCYCLINE DOXYCYCLINE REMYCIN 10X10 A 12.94 0.1294 TAB 14 BOX REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081224 TETRACYCLINES 2024-04-01 2026-03-31 ORAL 0 TETRACYCLINES