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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 59633 GALVUSMET 1G|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 59637 KOMBIGLYZE 1G | 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
41 59637 KOMBIGLYZE 1G|5MG TAB (AZN) METFORMIN|SAXAGLIPTIN (C) METFORMIN|SAXAGLIPTIN KOMBIGLYZE 28'S C 54.23 1.9368 TAB 0 BOX AZN ASTRAZENECA AB COL COLLINS LTD 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2024-04-01 2026-03-31 ORAL 0 DIPEPTIDYL PEPTIDASE INHIBITORS
42 59637 KOMBIGLYZE 1G|5MG TAB (AZN) METFORMIN|SAXAGLIPTIN METFORMIN|SAXAGLIPTIN KOMBIGLYZE 28'S C 56.95 2.03 TAB 0 BLIS AZN ASTRAZENECA AB COL AVENTA BARBADOS 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2026-04-01 ORAL 0 DIPEPTIDYL PEPTIDASE INHIBITORS
40 59639 JANUMET XR 1G | 50MG TAB (MSD/STO) METFORMIN XR | SITAGLIPTIN METFORMIN XR|SITAGLIPTIN JANUMET XR 60'S C 93.89 1.56 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
40 5963C JANUMET XR 1G | 100MG TAB (MSD/STO) METFORMIN XR | SITAGLIPTIN METFORMIN XR|SITAGLIPTIN JANUMET XR 30'S C 93.89 3.13 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 5963E JANUMET 1G|100MG XR TAB (MSD) METFORMIN XR|SITAGLIPTIN (C) METFORMIN XR|SITAGLIPTIN JANUMET 28'S C 93.89 3.3532 TABXR 0 BOTT 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
41 5963N JANUMET 1G|50MG XR TAB (MSD) METFORMIN XR|SITAGLIPTIN (C) METFORMIN XR|SITAGLIPTIN JANUMET 56'S C 93.89 1.6766 TABXR 0 BOTT 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
42 5963Q TRAJENTAMET 2.5MG|1000MG 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 5963S METFOR SITA EZE 1G|50MG TAB (INF) METFORMIN|SITAGLIPTIN METFORMIN|SITAGLIPTIN METFOR SITA EZE 10X10 C 18.29 0.18 TAB 0 BLIS INF INFOCUS REMEDIES PVT RXP RX PRO INC 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2026-04-01 ORAL 0 DIPEPTIDYL PEPTIDASE INHIBITORS
42 5963U VILDALION-M 1G|50MG TAB (STL) METFORMIN|VILDAGLIPTIN METFORMIN|VILDAGLIPTIN VILDALION-M 60'S B 5.74 0.10 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 60013 FERASIRO 125MG TAB (MSN/ATB) DEFERASIROX FERASIRO 28'S C 200.07 7.15 TABLET 0 TAB MSN MSN LABS ATB ANSA TRADING BARBADOS LTD 6400 HEAVY METAL ANTAGONISTS 2022-04-01 2024-03-31 Oral 0 HEAVY METAL ANTAGONISTS
41 60014 APO-DEFERASIROX 125MG TAB (APO) (C) DEFERASIROX DEFERASIROX 28'S C 109.33 3.9047 TAB 0 BOX APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 6400 HEAVY METAL ANTAGONISTS 2024-04-01 2026-03-31 ORAL 0 HEAVY METAL ANTAGONISTS
42 60022 DESIROX 250MG TAB (CIP) DEFERASIRO (C) DEFERASIROX DESIROX 30'S C 52.95 1.77 TAB 0 BLIS CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 6400 HEAVY METAL ANTAGONISTS 2026-04-01 ORAL 0 HEAVY METAL ANTAGONISTS
40 60025 FERASIRO 250MG TAB (MSN/ATB) DEFERASIROX FERASIRO 28'S C 400.41 14.30 TABLET 0 TAB MSN MSN LABS ATB ANSA TRADING BARBADOS LTD 6400 HEAVY METAL ANTAGONISTS 2022-04-01 2024-03-31 Oral 0 HEAVY METAL ANTAGONISTS
41 60027 APO-DEFERASIROX 250MG TAB (APO) DEFERASIROX APO-DEFERASIROX 30'S C 218.8 7.2933 TAB 0 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 6400 HEAVY METAL ANTAGONISTS 2024-04-01 2026-03-31 ORAL 0 HEAVY METAL ANTAGONISTS
42 60032 DEFERASIROX 500MG TAB (CIP) (C) DEFERASIROX DEFERASIROX 30'S C 89.24 2.97 TAB 0 BLIS CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 6400 HEAVY METAL ANTAGONISTS 2026-04-01 ORAL 0 HEAVY METAL ANTAGONISTS
40 60035 FERASIRO 500MG TAB (MSN/ATB) DEFERASIROX FERASIRO 28'S C 801.09 28.61 TABLET 0 TAB MSN MSN LABS ATB ANSA TRADING BARBADOS LTD 6400 HEAVY METAL ANTAGONISTS 2022-04-01 2024-03-31 Oral 0 HEAVY METAL ANTAGONISTS
41 60036 APO-DEFERASIROX 500MG TAB (APO) (C) DEFERASIROX DEFERASIROX 30'S C 437.73 14.5911 TAB 0 BOX APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 6400 HEAVY METAL ANTAGONISTS 2024-04-01 2026-03-31 ORAL 0 HEAVY METAL ANTAGONISTS
40 6031P GYNOLAX 50MG TAB (ABB/PHA) CLOMIPHENE CLOMIPHENE GYNOLAX 10'S C 5.74 0.57 TABLET 0 TAB ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 681612 ESTROGEN AGONIST-ANTAGONIST 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES