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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 5951D PREDNISOLONE 1% EYE DR (FSB) PREDNISOLONE PREDNISOLONE 5ML A 4 3.9959 BOTT 1 BOTT FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 5208 EENT ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 OPHTHALMIC 6 EENT ANTI-INFLAMMATORY AGENTS
42 5951F PREDPLUS 1% EYE DR (SYP) PREDNISOLONE PREDNISOLONE PREDPLUS 10ML A 1.98 1.98 BOTT 1 BOTT SYP SYAASH PHARMACEUTICALS PSB PHARMACEUTICAL SOLUTIONS BARBA 5208 EENT ANTI-INFLAMMATORY AGENTS 2026-04-01 OPHTHALMIC 6 EENT ANTI-INFLAMMATORY AGENTS
40 59532 MINIMS PREDNISOLONE 0.5% (CHA/STO) PREDNISOLONE MINIMS PREDNISOLONE 20X0.5ML B 94.71 4.74 EYE DROP 0 AMP CHA CHAUVIN PHARMACEUTICAL LTD STO BRYDEN STOKES LTD 5208 EENT ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 OPHTHALMIC 0 EYE, EAR, NOSE AND THROAT PREPARATIONS
40 59612 JANUMET 500MG | 50MG TAB (MSD/STO) METFORMIN | SITAGLIPTIN METFORMIN|SITAGLIPTIN JANUMET 56'S C 70.65 1.26 TABLET 0 TAB MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 59612 JANUMET 500MG|50MG TAB (MSD) METFORMIN|SITAGLIPTIN (C) METFORMIN|SITAGLIPTIN JANUMET 56'S C 70.65 1.2616 TAB 0 BOX MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2024-04-01 2026-03-31 ORAL 0 DIPEPTIDYL PEPTIDASE INHIBITORS
40 59613 GALVUSMET 500MG | 50MG TAB (NVS/COL) METFORMIN | VIDAGLIPTIN METFORMIN|VIDAGLIPTIN GALVUSMET 56'S B 32.62 0.58 TABLET 60 TAB NVS NOVARTIS CARIBE SA COL COLLINS LTD B 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2022-04-01 2024-03-31 Oral 6 HORMONES AND SYNTHETIC SUBSTITUTES
41 59613 GALVUSMET 500MG|50MG TAB (NVS) METFORMIN|VILDAGLIPTIN (B) METFORMIN|VILDAGLIPTIN GALVUSMET 56'S B 32.62 0.5825 TAB 60 BOX NVS NOVARTIS CARIBE SA COL COLLINS LTD 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2024-04-01 2026-03-31 ORAL 0 DIPEPTIDYL PEPTIDASE INHIBITORS
42 59613 GALVUSMET 500MG|50MG TAB (NVS) METFORMIN|VILDAGLIPTIN METFORMIN|VILDAGLIPTIN GALVUSMET 56'S C 27.18 0.49 TAB 60 BLIS NVS NOVARTIS CARIBE SA COL AVENTA BARBADOS 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2026-04-01 ORAL 0 DIPEPTIDYL PEPTIDASE INHIBITORS
40 59617 KOMBIGLYZE 1G | 2.5MG TAB (AZN/COL) METFORMIN | SAXAGLIPTIN METFORMIN|SAXAGLIPTIN KOMBIGLYZE 28'S C 51.65 1.84 TABLET 0 TAB AZN ASTRAZENECA AB COL COLLINS LTD 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
42 5961L METFOR SITA EZE 500MG|50MG TAB (INF) METFORMIN|SITAGLIPTIN METFORMIN|SITAGLIPTIN METFOR SITA EZE 10X10 C 15.66 0.16 TAB 0 BLIS INF INFOCUS REMEDIES PVT RXP RX PRO INC 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2026-04-01 ORAL 0 DIPEPTIDYL PEPTIDASE INHIBITORS
42 5961N VILDALION-M 500MG|50MG TAB (STL) METFORMIN|VILDAGLIPTIN METFORMIN|VILDAGLIPTIN VILDALION-M 60'S B 4.68 0.08 TAB 60 BLIS STL STALLION LABORATORIES SBI MASSY DISTRIBUTION (BDOS) LTD B 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2026-04-01 ORAL 6 DIPEPTIDYL PEPTIDASE INHIBITORS
40 59623 GALVUSMET 850MG | 50MG TAB (NVS/COL) METFORMIN | VIDAGLIPTIN METFORMIN|VIDAGLIPTIN GALVUSMET 56'S B 32.62 0.58 TABLET 60 TAB NVS NOVARTIS CARIBE SA COL COLLINS LTD B 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2022-04-01 2024-03-31 Oral 6 HORMONES AND SYNTHETIC SUBSTITUTES
41 59623 GALVUSMET 850MG|50MG TAB (NVS) METFORMIN|VILDAGLIPTIN (B) METFORMIN|VILDAGLIPTIN GALVUSMET 56'S B 32.62 0.5825 TAB 60 BOX NVS NOVARTIS CARIBE SA COL COLLINS LTD 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2024-04-01 2026-03-31 ORAL 0 DIPEPTIDYL PEPTIDASE INHIBITORS
42 59623 GALVUSMET 850MG|50MG TAB (NVS) METFORMIN|VILDAGLIPTIN METFORMIN|VILDAGLIPTIN GALVUSMET 56'S C 27.18 0.49 TAB 60 BLIS NVS NOVARTIS CARIBE SA COL AVENTA BARBADOS 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2026-04-01 ORAL 0 DIPEPTIDYL PEPTIDASE INHIBITORS
42 5962A TRAJENTAMET 2.5MG|850MG TAB (BOE) LINAGLIPTIN|METFORMIN LINAGLIPTIN|METFORMIN TRAJENTAMET 60'S C 114.66 1.91 TAB 0 BLIS BOE BOEHRINGER INGELHEIM STO BRYDEN STOKES LTD 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2026-04-01 ORAL 0 DIPEPTIDYL PEPTIDASE INHIBITORS
42 5962C METFORMIN|VILDAGLIPTIN 850MG|50MG TAB (CHC) METFORMIN|VILDAGLIPTIN METFORMIN|VILDAGLIPTIN 60'S B 21.31 0.36 TAB 60 CHC CARITAS HEALTHCARE PVT LTD STO BRYDEN STOKES LTD B 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2026-04-01 Add to Contract as Cat B ORAL 6 DIPEPTIDYL PEPTIDASE INHIBITORS 2026-03-05
40 59632 JANUMET 1G | 50MG TAB (MSD/STO) METFORMIN | SITAGLIPTIN METFORMIN|SITAGLIPTIN JANUMET 56'S C 70.65 1.26 TABLET 0 TAB MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 59632 JANUMET 1G|50MG TAB (MSD) METFORMIN|SITAGLIPTIN (C) METFORMIN XR|SITAGLIPTIN JANUMET XR 56'S C 70.65 1.2616 TAB 0 BOX MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2024-04-01 2026-03-31 ORAL 0 DIPEPTIDYL PEPTIDASE INHIBITORS
40 59633 GALVUSMET 1G | 50MG TAB (NVS/COL) METFORMIN | VIDAGLIPTIN METFORMIN|VIDAGLIPTIN GALVUSMET 56'S B 32.62 0.58 TABLET 60 TAB NVS NOVARTIS CARIBE SA COL COLLINS LTD B 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2022-04-01 2024-03-31 Oral 6 HORMONES AND SYNTHETIC SUBSTITUTES
41 59633 GALVUSMET 1G|50MG TAB (NVS) METFORMIN|VILDAGLIPTIN (B) METFORMIN|VILDAGLIPTIN GALVUSMET 56'S B 29.9 0.534 TAB 60 BOX NVS NOVARTIS CARIBE SA COL COLLINS LTD 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2024-04-01 2026-03-31 ORAL 0 DIPEPTIDYL PEPTIDASE INHIBITORS