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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 6711MK APO-LEVOFLOXACIN 750MG TAB (APO) LEVOFLOXACIN APO-LEVOFLOXACIN 30'S B 35.18 1.17 TAB 14 BOTT APO APOTEX INC. COL AVENTA BARBADOS 081218 QUINOLONES 2026-04-01 2028-03-31 ORAL 0 QUINOLONES
42 6711MS CIPROFLOXACIN 500MG TAB (HEA) CIPROFLOXACIN CIPROFLOXACIN 10X10 A 15.74 0.16 TAB 14 BLIS HEA HEALTH 2000 INC AHI ARMSTRONG HEALTHCARE INC 081218 QUINOLONES 2026-04-01 2028-03-31 ORAL 0 QUINOLONES 2025-10-31
42 6711NK CIPROFLOXACIN 500MG TAB (HEA) CIPROFLOXACIN CIPROFLOXACIN 10X10 A 15.74 0.16 TAB 14 BLIS HEA HEALTH 2000 INC CWS CAPSULE WHOLESALE 081218 QUINOLONES 2026-04-01 2028-03-31 ORAL 0 QUINOLONES 2026-01-26
42 6711NL CIPROFLOXACIN 500MG TAB (HEA) CIPROFLOXACIN CIPROFLOXACIN 10X10 A 15.74 0.16 TAB 14 HEA HEALTH 2000 INC STO BRYDEN STOKES LTD 081218 QUINOLONES 2026-04-01 2028-03-31 ORAL 0 QUINOLONES 2026-02-27
41 6711Q CIPROXINA 500MG TAB (BSP) CIPROFLOX (C) CIPROFLOXACIN CIPROXINA 30'S C 81.55 2.7183 TAB 14 BOX BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 081218 QUINOLONES 2024-04-01 2026-03-31 ORAL 0 QUINOLONES
42 6711Q CIPROXINA 500MG TAB (BSP) CIPROFLOX CIPROFLOXACIN CIPROXINA 30'S C 51.95 1.73 TAB 14 BLIS BSP BAYER SCHERING PHARMA AG. COL AVENTA BARBADOS 081218 QUINOLONES 2026-04-01 2028-03-31 ORAL 0 QUINOLONES
40 6711V TRIZOLIN 400MG TAB (REM/SBI) NORFLOXACIN NORFLOXACIN TRIZOLIN 2X7'S A 3.04 0.22 TABLET 14 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081218 QUINOLONES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 6711V TRIZOLIN 400MG TAB (REM) NORFLOXACIN NORFLOXACIN TRIZOLIN 2X7'S A 5.41 0.3864 TAB 14 BOX REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081218 QUINOLONES 2024-04-01 2026-03-31 ORAL 0 QUINOLONES
40 67123 CIPROXINA 200MG INJ (BSP/COL) CIPROFLOXACIN CIPROFLOXACIN CIPROXINA 100ML C 55.73 55.73 INJECTION 0 VIAL BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 081218 QUINOLONES 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
41 67123 CIPROXINA 200MG INJ (BSP) CIPROFLOXACIN (C) CIPROFLOXACIN CIPROXINA 100ML C 55.73 55.7256 VIAL 56 VIAL BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 081218 QUINOLONES 2024-04-01 2026-03-31 IV 0 QUINOLONES
42 67123 CIPROXINA 200MG INJ (BSP) CIPROFLOXACIN CIPROFLOXACIN CIPROXINA 100ML C 35.26 35.26 VIAL 56 VIAL BSP BAYER SCHERING PHARMA AG. COL AVENTA BARBADOS 081218 QUINOLONES 2026-04-01 2028-03-31 IV 0 QUINOLONES
41 67124 CIPROXINA 400MG INJ (BSP) CIPROFLOX (C) CIPROFLOXACIN CIPROXINA 200ML C 70.68 70.6764 VIAL 0 VIAL BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 081218 QUINOLONES 2024-04-01 2026-03-31 IV 0 QUINOLONES
42 67124 CIPROXINA 200MG INJ (BSP) CIPROFLOXACIN CIPROFLOXACIN CIPROXINA 200ML C 64.32 64.32 VIAL 56 VIAL BSP BAYER SCHERING PHARMA AG. COL AVENTA BARBADOS 081218 QUINOLONES 2026-04-01 2028-03-31 IV 0 QUINOLONES
40 67127 TAVANIC 500MG INJ (SFA/COL) LEVOFLOXACIN LEVOFLOXACIN TAVANIC 100ML C 23.11 23.11 INJECTION 0 VIAL SFA SANOFI AVENTIS COL COLLINS LTD 081218 QUINOLONES 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
40 6712BW LEVOFLOXACIN 500MG INJ (BAX/STO) LEVOFLOXACIN LEVOFLOXACIN 100ML BQ 12.07 12.07 INJECTION 0 VIAL BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 081218 QUINOLONES 2022-04-01 2024-03-31 IV 6 ANTI-INFECTIVE AGENTS
40 6712BX CIPLOXIN 200MG INJ (UNI/AHI) CIPROFLOXACIN CIPROFLOXACIN CIPLOXIN 100ML BQ 4.49 4.49 INJECTION 0 VIAL UNI UNIQUE PHARMACEUTICAL LABORATORIES AHI ARMSTRONG HEALTHCARE INC 081218 QUINOLONES 2022-04-01 2024-03-31 IV 6 ANTI-INFECTIVE AGENTS
41 6712BX CIPLOXIN 200MG INJ (UNI) CIPROFLOXA (BQ) CIPROFLOXACIN CIPLOXIN 100ML BQ 4.49 4.4852 VIAL 56 VIAL UNI UNIQUE PHARMACEUTICAL LABORATORIES AHI ARMSTRONG HEALTHCARE INC 081218 QUINOLONES 2024-04-01 2026-03-31 IV 0 QUINOLONES
42 6712BX CIPLOXIN 200MG INJ (UNI) CIPROFLOXA CIPROFLOXACIN CIPLOXIN 100ML B 4.49 4.49 VIAL 56 VIAL UNI UNIQUE PHARMACEUTICAL LABORATORIES AHI ARMSTRONG HEALTHCARE INC 081218 QUINOLONES 2026-04-01 2028-03-31 IV 0 QUINOLONES
40 6712C AVELOX 400MG INJ (BSP/COL) MOXIFLOXACIN MOXIFLOXACIN AVELOX 250ML C 50.70 50.70 INJECTION 0 VIAL BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 081218 QUINOLONES 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
41 6712C AVELOX 400MG INJ (BSP) MOXIFLOXACIN (C) MOXIFLOXACIN AVELOX 250ML C 50.7 50.6967 VIAL 0 VIAL BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 081218 QUINOLONES 2024-04-01 2026-03-31 IV 0 QUINOLONES