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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 0012EP CLARITINE 10MG TAB (BSP/AHI) LORATADINE LORATADINE CLARITINE 30'S C 13.21 0.4404 TAB 14 TAB BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES ORAL 0 ANTIHISTAMINICS
40 0012ER GLENCET 5MG TAB (GLP/ALI) LEVOCETIRIZINE LEVOCETIRIZINE GLENCET 30'S C 6.80 0.23 TABLET 0 TAB GLP GLENMARK PHARMACEUTICALS LTD ALI ALL HEALTH INC 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2022-03-22 Delete from contract Oral 0 ANTIHISTAMINICS 2022-03-22
41 0012ES RHINIL SR 10MG TAB (ARP/AHI) CETIRIZINE CETIRIZINE RHINIL SR 100'S A 7.42 0.0742 TAB 14 TAB ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES ORAL 0 ANTIHISTAMINICS
41 0012EX
41 0012EX CLARTYNE 10MG TAB (BSP/COL) LORATADINE LORATADINE CLARTYNE 30'S C 31.8 1.0601 TAB 14 TAB BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES ORAL 0 ANTIHISTAMINICS
40 0012EX CLARITYNE 10MG TAB (BSP/COL) LORATADINE LORATADINE CLARITYNE 30'S C 9.51 0.32 TABLET 0 TAB BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
41 0012EY
41 0012EY AERIUS 5MG TAB (MSD/STO) DESLORATADINE DESLORATADINE AERIUS 30'S C 25.2 0.84 TAB 0 TAB MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 0408 SECOND GENERATION ANTIHISTAMINES ORAL 0 ANTIHISTAMINICS
40 0012EY AERIUS 5MG TAB (MSD/STO) DESLORATADINE DESLORATADINE AERIUS 30'S C 24.95 0.83 TABLET 0 TAB MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0012FA LORATADINE 10MG TAB (AUR/AHI) LORATADINE LORATADINE 100'S A 8.26 0.08 TABLET 14 TAB AUR AUROCHEM LABORATORIES AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0012FD GLENCET 5MG TAB (GLP/ATB) LEVOCETIRIZINE LEVOCETIRIZINE GLENCET 30'S C 6.80 0.23 TABLET 0 TAB GLP GLENMARK PHARMACEUTICALS LTD ATB ANSA TRADING BARBADOS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Change Local Agent Oral 0 ANTIHISTAMINICS 2022-03-22
41 0012FF APO-CETIRIZINE 10MG TAB (APO/ATB) CETIRIZINE APO-CETIRIZINE 100'S A 8.54 0.0854 TAB 14 TAB APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 0408 SECOND GENERATION ANTIHISTAMINES ORAL 0 ANTIHISTAMINICS
41 0012FH
41 0012FH CLARTYNE 10MG TAB (BSP/COL) LORATADINE LORATADINE CLARTYNE 10'S C 13.21 1.3211 TAB 14 TAB BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES ORAL 0 ANTIHISTAMINICS
41 0012FN CETVAN 10MG TAB (TPP/AHI) CETIRIZINE CETIRIZINE CETVAN 10X10 A 5.44 0.0544 TAB 14 TAB TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES ORAL 0 ANTIHISTAMINICS
41 0012FP LORATADINE 10MG TAB (MCP/AHI) LORATADINE LORATADINE 10X10 A 6.9 0.069 TAB 14 TAB MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES OTIC 0 ANTIHISTAMINICS
41 0012FQ LORDINE 10MG TAB (TPP/AHI) LORATADINE LORATADINE LORDINE 10X10 A 5.33 0.0533 TAB 14 TAB TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES ORAL 0 ANTIHISTAMINICS
41 0012FR
41 0012FR AXOFEN 120MG TAB (ARP/AHI) FEXOFENADINE FEXOFENADINE AXOFEN 30'S C 23.27 0.7756 TAB 0 TAB ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES ORAL 0 ANTIHISTAMINICS
40 0012V CETIRIZINE 10MG TAB (HEA/RXP) CETIRIZINE CETIRIZINE 1X10 A 0.95 0.10 TABLET 14 TAB HEA HEALTH 2000 INC RXP RX PRO INC 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS