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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 5641BT C TRI 1G IV/IM INJ (EMC) CEFTRIAXONE CEFTRIAXONE C TRI 1G VIAL B 4.89 4.89 VIAL 28 VIAL EMC EMCURE PHARMACEUTICALS LTD COL AVENTA BARBADOS 08120612 THIRD GEN CEPHALOSPORINS 2026-04-01 2028-03-31 IV/IM 0 THIRD GEN CEPHALOSPORINS
40 5641EC CEFTRIAXONE 1G IV/IM INJ (KWA/ATB) CEFTRIAXONE CEFTRIAXONE 1G VIAL B 2.12 2.12 INJECTION 0 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 08120612 THIRD GEN CEPHALOSPORINS 2022-04-01 2022-09-30 IV/IM 0 ANTI-INFECTIVE AGENTS 2022-03-30
41 5641EC CEFTRIAXONE 1G IV/IM INJ (KWA) (B) CEFTRIAXONE CEFTRIAXONE 1G VIAL B 1.63 1.631 VIAL 28 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 08120612 THIRD GEN CEPHALOSPORINS 2024-04-01 2026-03-31 IV/IM 0 THIRD GEN CEPHALOSPORINS
40 5641EW CEFTRIAXONE 1G IV/IM INJ (CHC/ATB) CEFTRIAXONE CEFTRIAXONE 1G VIAL B 1.11 1.11 INJECTION 0 VIAL CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD 08120612 THIRD GEN CEPHALOSPORINS 2022-04-01 2024-03-31 IV/IM 6 ANTI-INFECTIVE AGENTS
40 5641EX LACEFT 1G IV/IM INJ (LDP/AHI) CEFTRIAXONE CEFTRIAXONE LACEFT 10X1G B 17.23 1.72 INJECTION 0 VIAL LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 08120612 THIRD GEN CEPHALOSPORINS 2022-04-01 2024-03-31 IV/IM 6 ANTI-INFECTIVE AGENTS
40 5641EY CEFUROXIME 1.5G IV/IM INJ (LDP/AHI) CEFUROXIME CEFUROXIME 10X1.5G B 17.61 1.76 INJECTION 0 VIAL LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 08120608 SECOND GEN CEPHALOSPORINS 2022-04-01 2024-03-31 IV/IM 6 ANTI-INFECTIVE AGENTS
41 5641FJ CEFTRIAXONE 1G IV/IM INJ (MCP) (B) CEFTRIAXONE CEFTRIAXONE 1G VIAL B 1.3 1.3048 VIAL 28 VIAL MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 08120612 THIRD GEN CEPHALOSPORINS 2024-04-01 2024-12-27 IV/IM 0 THIRD GEN CEPHALOSPORINS
41 5641FJ CEFTRIAXONE 1G IV/IM INJ (MCP) (B) CEFTRIAXONE CEFTRIAXONE 1G VIAL B 1.48 1.48 VIAL 28 VIAL MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 08120612 THIRD GEN CEPHALOSPORINS 2024-12-28 2026-03-31 IV/IM 0 THIRD GEN CEPHALOSPORINS 2024-12-27
41 5641FP ZINACEF 1.5G INJ (BCH) CEFUROXIME CEFUROXIME ZINACEF 1.5G VIAL BQ 17.67 17.67 VIAL 10 VIAL BCH SANDOZ COL COLLINS LTD 08120608 SECOND GEN CEPHALOSPORINS 2024-04-01 2026-03-31 IV 0 SECOND GEN CEPHALOSPORINS 2023-08-10
42 5641FP ZINACEF 1.5G INJ (BCH) CEFUROXIME CEFUROXIME ZINACEF 1.5G VIAL B 17.67 17.67 VIAL 10 VIAL BCH SANDOZ COL AVENTA BARBADOS 08120608 SECOND GEN CEPHALOSPORINS 2026-04-01 2028-03-31 IV 0 SECOND GEN CEPHALOSPORINS
42 5641FW LEEONE 1G IV/IM INJ (JLP) CEFTRIAXONE CEFTRIAXONE LEEONE 25X1G B 25.14 1.01 VIAL 28 VIAL JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 08120608 SECOND GEN CEPHALOSPORINS 2026-04-01 2028-03-31 IV/IM 0 SECOND GEN CEPHALOSPORINS
42 5641FX SEFTAQUICK 1G INJ (JLP) CEFTAZIDIME CEFTAZIDIME SEFTAQUICK 20X1G B 43.49 2.17 VIAL 28 VIAL JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 08120608 SECOND GEN CEPHALOSPORINS 2026-04-01 2028-03-31 IV/IM 0 SECOND GEN CEPHALOSPORINS
40 5641N ZINACEF 1.5G INJ (GSK/COL) CEFUROXIME CEFUROXIME ZINACEF 1.5G VIAL C 18.38 18.38 INJECTION 0 VIAL GSK GLAXOSMITHKLINE COL COLLINS LTD 08120608 SECOND GEN CEPHALOSPORINS 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
41 5641RV CEFTAZIDIME 1G INJ (SLS) (B) CEFTAZIDIME CEFTAZIDIME 1G VIAL B 5.36 5.3551 VIAL 28 VIAL SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 08120612 THIRD GEN CEPHALOSPORINS 2024-04-01 2026-03-31 IV 0 THIRD GEN CEPHALOSPORINS
40 5642BM ZINACEF 750MG INJ (GSK/COL) CEFUROXIME CEFUROXIME ZINACEF 750MG VIAL C 11.15 11.15 INJECTION 0 VIAL GSK GLAXOSMITHKLINE COL COLLINS LTD 08120608 SECOND GEN CEPHALOSPORINS 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
42 5642BX AXIM 750MG INJ (ARP) CEFUROXIME CEFUROXIME AXIM 750MG VIAL BQ 12.56 12.56 VIAL 10 VIAL ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 08120612 THIRD GEN CEPHALOSPORINS 2026-04-01 2028-03-31 IV 0 THIRD GEN CEPHALOSPORINS
40 5642CC CEFUROXIME 750MG IV/IM INJ (LDP/AHI) CEFUROXIME CEFUROXIME 10X750MG BQ 9.13 0.91 INJECTION 0 VIAL LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 08120608 SECOND GEN CEPHALOSPORINS 2022-04-01 2024-03-31 IV/IM 6 ANTI-INFECTIVE AGENTS
40 5642CE CEFTRIAXONE 500MG IV/IM INJ (MON/PHA) CEFTRIAXONE CEFTRIAXONE 500MG VIAL B 1.96 1.96 INJECTION 0 VIAL MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 08120612 THIRD GEN CEPHALOSPORINS 2022-04-01 2024-03-31 IV/IM 6 ANTI-INFECTIVE AGENTS
42 5642CF CEFTRIAXONE 500MG IV INJ (LAF) CEFTRIAXONE CEFTRIAXONE 50X500MG B 79.78 1.60 VIAL 28 VIAL LAF LABORATORIOS ALFA AHI ARMSTRONG HEALTHCARE INC 08120612 THIRD GEN CEPHALOSPORINS 2026-04-01 2028-03-31 IV 0 THIRD GEN CEPHALOSPORINS
41 5642CJ ZINACEF 750MG INJ (BCH) CEFUROXIME CEFUROXIME ZINACEF 750MG VIAL BQ 10.74 10.74 VIAL 10 VIAL BCH SANDOZ COL COLLINS LTD 08120608 SECOND GEN CEPHALOSPORINS 2024-04-01 2026-03-31 IV 0 SECOND GEN CEPHALOSPORINS 2023-08-10