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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 5811LP AMLODIPINE 10MG TAB (HEA) AMLODIPINE AMLODIPINE 10X10 A 2.66 0.03 TAB 30 BLIS HEA HEALTH 2000 INC AHI ARMSTRONG HEALTHCARE INC B 242808 DIHYDROPYRIDINES 2026-04-01 Price Change ORAL 6 DIHYDROPYRIDINES 2025-10-31
42 5811LX AMLODIPINE 10MG TAB (HEA) AMLODIPINE AMLODIPINE 10X10 A 2.66 0.03 TAB 30 HEA HEALTH 2000 INC STO BRYDEN STOKES LTD B 242808 DIHYDROPYRIDINES 2026-04-01 Add to Contract as Cat A ORAL 6 DIHYDROPYRIDINES 2026-02-27
40 5811U CAVERIL 80MG TAB (REM/SBI) VERAPAMIL VERAPAMIL CAVERIL 2X10 A 2.31 0.12 TABLET 90 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD B 242892 CCBs, MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
40 5811ZB APO-VERAP 80MG TAB (APO/COL) VERAPAMIL APO-VERAP 100'S A 13.16 0.13 TABLET 90 TAB APO APOTEX INC. COL COLLINS LTD B 242892 CCBs, MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
41 5811ZD AAP-DILTIAZ 60MG TAB (APO) DILTIAZEM DILTIAZEM AAP-DILTIAZ 60MG TAB 100'S 11.09 0.1109 TAB 120 BOTT APO APOTEX COL COLLINS LTD B 242892 CCBs, MISCELLANEOUS ORAL 6 CCBs, MISCELLANEOUS
40 5811ZD AAP-DILTIAZ 60MG TAB (APO/COL) DILTIAZEM DILTIAZEM AAP-DILTIAZ 100'S A 10.87 0.11 TABLET 90 TAB APO APOTEX INC. COL COLLINS LTD B 242892 CCBs, MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
42 5811ZD AAP-DILTIAZ 60MG TAB (APO) DILTIAZEM DILTIAZEM AAP-DILTIAZ 100'S A 11.09 0.11 TAB 90 BOTT APO APOTEX INC. COL AVENTA BARBADOS B 242892 CCBs, MISCELLANEOUS 2026-04-01 ORAL 6 CCBs, MISCELLANEOUS
40 5812P VERAPAMIL 2.5MG/ML INJ (SLS/AHI) VERAPAMIL VERAPAMIL 10X2ML BQ 65.24 6.52 INJECTION 0 AMP SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 242892 CCBs, MISCELLANEOUS 2022-04-01 2024-03-31 IV 0 CARDIOVASCULAR DRUGS 2021-12-17
41 5812P VERAPAMIL 2.5MG/ML INJ (SLS) (BQ) VERAPAMIL VERAPAMIL 10X2ML BQ 39.85 3.9851 AMP 30 BOX SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 242892 CCBs, MISCELLANEOUS 2024-04-01 2026-03-31 IV 0 CCBs, MISCELLANEOUS
40 5812W VERAPAMIL 2.5MG/ML INJ (LAF/AHI) VERAPAMIL VERAPAMIL 100X2ML BQ 317.99 INJECTION 0 INJ LAF LABORATORIOS ALFA AHI ARMSTRONG HEALTHCARE INC 242892 CCBs, MISCELLANEOUS 2022-04-01 2024-03-31 Change Local Agent Oral 0 CARDIOVASCULAR DRUGS 2022-02-03
41 5812W VERAPAMIL 2.5MG/ML INJ (LAF) (BQ) VERAPAMIL VERAPAMIL 100X2ML BQ 366.97 3.6697 AMP 30 BOX LAF LABORATORIOS ALFA AHI ARMSTRONG HEALTHCARE INC 242892 CCBs, MISCELLANEOUS 2024-04-01 2026-03-31 IV 0 CCBs, MISCELLANEOUS
42 5812W VERAPAMIL 2.5MG/ML INJ (LAF) VERAPAMIL VERAPAMIL 100X2ML BQ 277.27 2.77 AMPG 30 VIAL LAF LABORATORIOS ALFA AHI ARMSTRONG HEALTHCARE INC 242892 CCBs, MISCELLANEOUS 2026-04-01 IV 0 CCBs, MISCELLANEOUS
41 58137 NIFELAT 20MG SR TAB (REM) NIFEDIPINE NIFEDIPINE NIFELAT 10X10 A 3.04 0.0304 TABSR 180 BOTT REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD B 242808 DIHYDROPYRIDINES 2024-04-01 2026-03-31 ORAL 6 DIHYDROPYRIDINES
40 5813AQ APO-DILTIAZ CD 120MG CAP (APO/COL) DILTIAZEM APO-DILTIAZ CD 100'S A 16.58 0.17 CAPSULE 60 CAP APO APOTEX INC. COL COLLINS LTD B 242892 CCBs, MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
42 5813AQ APO-DILTIAZ 120MG CD CAP (APO) DILTIAZEM APO-DILTIAZ 100'S A 16.91 0.17 CAP 60 BOTT APO APOTEX INC. COL AVENTA BARBADOS B 242892 CCBs, MISCELLANEOUS 2026-04-01 ORAL 6 CCBs, MISCELLANEOUS
40 5813AR APO-DILTIAZ CD 180MG CAP (APO/COL) DILTIAZEM APO-DILTIAZ CD 100'S A 23.11 0.23 CAPSULE 60 CAP APO APOTEX INC. COL COLLINS LTD B 242892 CCBs, MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
42 5813AR APO-DILTIAZ 180MG CD CAP (APO) DILTIAZEM APO-DILTIAZ 100'S A 23.57 0.24 CAP 60 BOTT APO APOTEX INC. COL AVENTA BARBADOS B 242892 CCBs, MISCELLANEOUS 2026-04-01 ORAL 6 CCBs, MISCELLANEOUS
40 5813AS APO-DILTIAZ CD 240MG CAP (APO/COL) DILTIAZEM APO-DILTIAZ CD 100'S A 29.36 0.29 CAPSULE 60 CAP APO APOTEX INC. COL COLLINS LTD B 242892 CCBs, MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
42 5813AS APO-DILTIAZ 240MG CD CAP (APO) DILTIAZEM APO-DILTIAZ 100'S A 29.96 0.30 CAP 60 BOTT APO APOTEX INC. COL AVENTA BARBADOS B 242892 CCBs, MISCELLANEOUS 2026-04-01 ORAL 6 CCBs, MISCELLANEOUS
40 5813BH ISOPTIN SR 240MG TAB (ABB/PHA) VERAPAMIL VERAPAMIL ISOPTIN SR 20'S C 19.30 0.97 TABLET 0 TAB ABB ABBOTT PHA PHARMACY SALES CARIBBEAN B 242892 CCBs, MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 CARDIOVASCULAR DRUGS