|
|
|
40
|
B1536
|
XARELTO 20MG TAB (BSP/COL) RIVAROXABAN
|
RIVAROXABAN
|
XARELTO
|
14'S
|
C
|
84.97
|
6.07
|
TABLET
|
0
|
TAB
|
BSP
|
BAYER SCHERING PHARMA AG.
|
COL
|
COLLINS LTD
|
|
20120412
|
DIRECT THROMBIN INHIBITORS
|
2022-04-01
|
2024-03-31
|
|
Oral
|
0
|
BLOOD FORMATION, COAGULATION AND THROMBOSIS
|
|
|
|
|
41
|
B1536
|
XARELTO 20MG TAB (BSP) RIVAROXABAN (C)
|
RIVAROXABAN
|
XARELTO
|
14'S
|
C
|
84.97
|
6.0696
|
TAB
|
30
|
BOX
|
BSP
|
BAYER SCHERING PHARMA AG.
|
COL
|
COLLINS LTD
|
|
20120412
|
DIRECT THROMBIN INHIBITORS
|
2024-04-01
|
2026-03-31
|
|
ORAL
|
0
|
DIRECT THROMBIN INHIBITORS
|
|
|
|
|
40
|
B2212
|
APIDRA SOLOSTAR 100IU/ML INJ (SFA/COL) GLULIS
|
GLULISINE
|
APIDRA SOLOSTAR
|
3ML VIAL
|
A
|
19.71
|
19.71
|
INJECTION
|
4
|
VIAL
|
SFA
|
SANOFI AVENTIS
|
COL
|
COLLINS LTD
|
B
|
682008
|
INSULINS
|
2022-04-01
|
2024-03-31
|
|
SC
|
6
|
HORMONES AND SYNTHETIC SUBSTITUTES
|
|
|
|
|
41
|
B2212
|
APIDRA SOLOSTAR 100U/ML INJ (SFA) INSULIN GLULISINE
|
INSULIN GLULISINE
|
APIDRA SOLOSTAR
|
3ML VIAL
|
A
|
19.71
|
19.7078
|
VIAL
|
2
|
VIAL
|
SFA
|
SANOFI AVENTIS
|
COL
|
COLLINS LTD
|
B
|
682008
|
INSULINS
|
2024-04-01
|
2026-03-31
|
|
SC
|
6
|
INSULINS
|
|
|
|
|
40
|
B2213
|
APIDRA 100U/ML INJ (SFA/COL) GLULISINE
|
GLULISINE
|
APIDRA
|
10ML VIAL
|
A
|
54.37
|
54.37
|
INJECTION
|
5
|
VIAL
|
SFA
|
SANOFI AVENTIS
|
COL
|
COLLINS LTD
|
B
|
682008
|
INSULINS
|
2022-04-01
|
2024-03-31
|
|
SC
|
6
|
HORMONES AND SYNTHETIC SUBSTITUTES
|
|
|
|
|
41
|
B2213
|
APIDRA 100U/ML INJ (SFA) INSULIN GLULISINE
|
INSULIN GLULISINE
|
APIDRA
|
10ML VIAL
|
A
|
54.37
|
54.3665
|
VIAL
|
5
|
VIAL
|
SFA
|
SANOFI AVENTIS
|
COL
|
COLLINS LTD
|
B
|
682008
|
INSULINS
|
2024-04-01
|
2026-03-31
|
|
SC
|
6
|
INSULINS
|
|
|
|
|
40
|
B2214
|
NOVORAPID FLEXPENS 100U/ML (NOV/COL) ASPART
|
ASPART
|
NOVORAPID FLEXPENS
|
5X3ML
|
A
|
88.35
|
17.67
|
INJECTION
|
1
|
VIAL
|
NOV
|
NOVO NORDISK A/S
|
COL
|
COLLINS LTD
|
B
|
682008
|
INSULINS
|
2022-04-01
|
2024-03-31
|
|
SC
|
6
|
HORMONES AND SYNTHETIC SUBSTITUTES
|
|
|
|
|
41
|
B2214
|
NOVORAPID FLEXPENS 100U/ML INJ (NOV) INSULIN ASPART
|
INSULIN ASPART
|
NOVORAPID FLEXPENS
|
5X3ML
|
A
|
88.35
|
17.67
|
BOX
|
2
|
VIAL
|
NOV
|
NOVO NORDISK A/S
|
COL
|
COLLINS LTD
|
B
|
682008
|
INSULINS
|
2024-04-01
|
2026-03-31
|
|
SC
|
6
|
INSULINS
|
|
|
|
|
40
|
B2216
|
HUMALOG 100U/ML INJ (LIL/STO) LISPRO
|
LISPRO
|
HUMALOG
|
10ML VIAL
|
A
|
60.94
|
60.94
|
INJECTION
|
5
|
VIAL
|
LIL
|
ELI LILLY S.A.(PUERTO RICO BRA)
|
STO
|
BRYDEN STOKES LTD
|
B
|
682008
|
INSULINS
|
2022-04-01
|
2024-03-31
|
|
SC
|
6
|
HORMONES AND SYNTHETIC SUBSTITUTES
|
|
|
|
|
41
|
B2216
|
HUMALOG 100U/ML INJ (LIL) LISPRO
|
INSULIN LISPRO
|
HUMALOG
|
10ML VIAL
|
A
|
59.69
|
59.6944
|
VIAL
|
5
|
VIAL
|
LIL
|
ELI LILLY S.A.(PUERTO RICO BRA)
|
STO
|
BRYDEN STOKES LTD
|
B
|
682008
|
INSULINS
|
2024-04-01
|
2026-03-31
|
|
SC
|
6
|
INSULINS
|
|
|
|
|
40
|
B2217
|
HUMALOG DISP. PEN 100U/ML INJ (LIL/STO) LISPR
|
LISPRO
|
HUMALOG DISP. PEN
|
5X3ML
|
C
|
112.13
|
22.43
|
INJECTION
|
0
|
VIAL
|
LIL
|
ELI LILLY S.A.(PUERTO RICO BRA)
|
STO
|
BRYDEN STOKES LTD
|
B
|
682008
|
INSULINS
|
2022-04-01
|
2024-03-31
|
|
SC
|
0
|
HORMONES AND SYNTHETIC SUBSTITUTES
|
|
|
|
|
41
|
B2217
|
HUMALOG DISP. PEN 100U/ML INJ (LIL) LISP (C)
|
INSULIN LISPRO
|
HUMALOG DISP. PEN
|
5X3ML
|
C
|
122.79
|
24.5573
|
VIAL
|
5
|
BOX
|
LIL
|
ELI LILLY S.A.(PUERTO RICO BRA)
|
STO
|
BRYDEN STOKES LTD
|
B
|
682008
|
INSULINS
|
2024-04-01
|
2026-03-31
|
|
SC
|
6
|
INSULINS
|
|
|
|
|
40
|
B2218
|
HUMALOG CARTRIDGE INJ (LIL/STO) LISPRO
|
LISPRO
|
HUMALOG CARTRIDGE
|
5X3ML
|
C
|
100.55
|
20.11
|
INJECTION
|
0
|
VIAL
|
LIL
|
ELI LILLY S.A.(PUERTO RICO BRA)
|
STO
|
BRYDEN STOKES LTD
|
|
682008
|
INSULINS
|
2022-04-01
|
2024-03-31
|
|
SC
|
0
|
HORMONES AND SYNTHETIC SUBSTITUTES
|
|
|
|
|
41
|
B2218
|
HUMALOG CARTRIDGE 100U/ML INJ (LIL) INSULIN LISPRO (C)
|
INSULIN LISPRO
|
HUMALOG CARTRIDGE
|
5X3ML
|
C
|
105.28
|
21.0561
|
VIAL
|
5
|
BOX
|
LIL
|
ELI LILLY S.A.(PUERTO RICO BRA)
|
STO
|
BRYDEN STOKES LTD
|
|
682008
|
INSULINS
|
2024-04-01
|
2026-03-31
|
|
SC
|
6
|
INSULINS
|
|
|
|
|
40
|
B2221
|
HUMULIN-R 100U/ML INJ (LIL/STO) INSULIN RAPID
|
INSULIN RAPID
|
HUMULIN-R
|
10ML VIAL
|
A
|
14.92
|
14.92
|
INJECTION
|
5
|
VIAL
|
LIL
|
ELI LILLY S.A.(PUERTO RICO BRA)
|
STO
|
BRYDEN STOKES LTD
|
B
|
682008
|
INSULINS
|
2022-04-01
|
2024-03-31
|
|
SC
|
6
|
HORMONES AND SYNTHETIC SUBSTITUTES
|
|
|
|
|
41
|
B2221
|
HUMULIN-R 100U/ML INJ (LIL) INSULIN SHORT ACTING
|
INSULIN REGULAR
|
HUMULIN-R
|
10ML VIAL
|
A
|
20.36
|
20.3602
|
VIAL
|
5
|
VIAL
|
LIL
|
ELI LILLY S.A.(PUERTO RICO BRA)
|
STO
|
BRYDEN STOKES LTD
|
B
|
682008
|
INSULINS
|
2024-04-01
|
2026-03-31
|
|
SC
|
6
|
INSULINS
|
|
|
|
|
40
|
B2222
|
HUMULIN-R CARTRIDGE INJ (LIL/STO) INSULIN RA
|
INSULIN RAPID
|
HUMULIN-R CARTRIDGE
|
5X3ML
|
C
|
43.30
|
8.66
|
INJECTION
|
|
VIAL
|
LIL
|
ELI LILLY S.A.(PUERTO RICO BRA)
|
STO
|
BRYDEN STOKES LTD
|
|
682008
|
INSULINS
|
2022-07-11
|
2024-03-31
|
Add to Contract as Cat C
|
SC
|
|
HORMONES AND SYNTHETIC SUBSTITUTES
|
2022-07-11
|
|
|
|
41
|
B2222
|
HUMULIN-R CARTRIDGE 100U/ML INJ (LIL) INSULIN SHORT ACTING (C)
|
INSULIN REGULAR
|
HUMULIN-R CARTRIDGE
|
5X3ML
|
C
|
54.56
|
10.9114
|
VIAL
|
5
|
BOX
|
LIL
|
ELI LILLY S.A.(PUERTO RICO BRA)
|
STO
|
BRYDEN STOKES LTD
|
|
682008
|
INSULINS
|
2024-04-01
|
2026-03-31
|
|
SC
|
6
|
INSULINS
|
|
|
|
|
40
|
B2223
|
NOVOLIN-R 100U/ML INJ (NOV/COL) INSULIN RAPID
|
INSULIN RAPID
|
NOVOLIN-R
|
10ML VIAL
|
A
|
11.96
|
11.96
|
INJECTION
|
5
|
VIAL
|
NOV
|
NOVO NORDISK A/S
|
COL
|
COLLINS LTD
|
B
|
682008
|
INSULINS
|
2022-04-01
|
2024-03-31
|
|
SC
|
6
|
HORMONES AND SYNTHETIC SUBSTITUTES
|
|
|
|
|
41
|
B2223
|
NOVOLIN-R 100U/ML INJ (NOV) INSULIN SHORT ACTING
|
INSULIN REGULAR
|
NOVOLIN-R
|
10ML VIAL
|
A
|
11.96
|
11.9606
|
VIAL
|
5
|
VIAL
|
NOV
|
NOVO NORDISK A/S
|
COL
|
COLLINS LTD
|
B
|
682008
|
INSULINS
|
2024-04-01
|
2026-03-31
|
|
SC
|
6
|
INSULINS
|
2024-04-01
|
