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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 7111AD CISPLATIN 1MG/ML INJ (FSB) CISPLATIN CISPLATIN 50MG VIAL BQ 13.89 13.89 VIAL 50 FSB FLAGSHIP BIOTECH STO BRYDEN STOKES LTD 1000 ANTINEOPLASTICS 2026-04-01 2028-03-31 IV 0 ANTINEOPLASTICS 2026-03-05
42 7111F CISPLATIN 1MG/ML INJ (ZUV) CISPLATIN CISPLATIN 50ML VIAL BQ 14.22 14.22 VIAL 50 VIAL ZUV ZUVIUS PHA PHARMACY SALES CARIBBEAN 1000 ANTINEOPLASTICS 2026-04-01 2028-03-31 INJ 0 ANTINEOPLASTICS
40 7111G CISPA 1MG/ML INJ (INP/AHI) CISPLATIN CISPLATIN CISPA 50ML VIAL BQ 19.06 19.06 INJECTION 0 VIAL INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 7111R CISPLATIN 1MG/ML INJ (DIL/AHI) CISPLATIN CISPLATIN 50ML BQ 18.02 18.02 INJECTION 0 VIAL DIL FRESENIUS KABI AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
41 7111S CISPLATIN 1MG/ML INJ (FSB) (BQ) CISPLATIN CISPLATIN 50ML VIAL BQ 15.01 15.0051 VIAL 50 VIAL FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 IV 0 ANTINEOPLASTICS
41 7111W CISPLATIN 1MG/ML INJ (KWA) (BQ) CISPLATIN CISPLATIN 50ML BQ 16.34 16.3371 VIAL 50 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 IV 0 ANTINEOPLASTICS
41 71123 CISPLATIN 1MG/ML INJ (KWA) (BQ) CISPLATIN CISPLATIN 100ML BQ 27.59 27.591 VIAL 0 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD B 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 IV 0 ANTINEOPLASTICS
41 71124 CISPLATIN 1MG/ML INJ (VEN) (BQ) CISPLATIN CISPLATIN 100ML BQ 29.19 29.1948 VIAL 0 VIAL VEN VENUS REMEDIES LIMITED AHI ARMSTRONG HEALTHCARE INC B 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 IV 0 ANTINEOPLASTICS
42 71125 CISPA 1MG/ML INJ (INP) CISPLATIN CISPLATIN CISPA 100ML BQ 220.46 220.46 VIAL 0 VIAL INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC B 1000 ANTINEOPLASTICS 2026-04-01 2028-03-31 IV 0 ANTINEOPLASTICS
40 71214 FLUMAZENIL 0.1MG/ML INJ (DIL/AHI) FLUMAZENIL FLUMAZENIL 10X5ML B 180.66 18.07 INJECTION 0 VIAL DIL FRESENIUS KABI AHI ARMSTRONG HEALTHCARE INC 2892 CENTRAL NERVOUS SYSTEM AGENTS, MISCELLANEOUS 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
41 7121C FLUMAZENIL 0.1MG/ML INJ (LDP) FLUMAZENIL FLUMAZENIL 10X5ML B 156.98 15.6983 VIAL 0 BOX LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 2892 CENTRAL NERVOUS SYSTEM AGENTS, MISCELLANEOUS 2024-04-01 2026-03-31 IV 0 CENTRAL NERVOUS SYSTEM AGENTS, MISCELLANEOU
42 7121F FLUMAZENIL 0.1MG/ML INJ (FSB) FLUMAZENIL FLUMAZENIL 5ML PFS BQ 125.40 125.40 PFS 0 FSB FLAGSHIP BIOTECH STO BRYDEN STOKES LTD 2892 CENTRAL NERVOUS SYSTEM AGENTS, MISCELLANEOUS 2026-04-01 2028-03-31 IV 0 CENTRAL NERVOUS SYSTEM AGENTS, MISCELLANEOU 2026-03-05
42 7121G FLUMAZENIL 0.1MG/ML INJ (ROL) FLUMAZENIL FLUMAZENIL 10X5ML BQ 2,651.18 265.12 VIAL 0 VIAL ROL ROXANE LABORATORIES INC. AHI ARMSTRONG HEALTHCARE INC 2892 CENTRAL NERVOUS SYSTEM AGENTS, MISCELLANEOUS 2026-04-02 2028-03-31 IV 0 CENTRAL NERVOUS SYSTEM AGENTS, MISCELLANEOU 2026-04-02
40 71318 ACCORD REPAGLINIDE 0.5MG TAB (INP/AAL) REPAGL REPAGLINIDE ACCORD REPAGLINIDE 30'S C 58.36 1.95 TABLET 0 TAB INP INTAS PHARMACEUTICALS LTD AAL A. A. LAQUIS LTD 682016 MEGLITINIDES 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 71328 ACCORD REPAGLINIDE 1MG TAB (INP/AAL) REPAGLIN REPAGLINIDE ACCORD REPAGLINIDE 30'S C 87.56 2.92 TABLET 0 TAB INP INTAS PHARMACEUTICALS LTD AAL A. A. LAQUIS LTD 682016 MEGLITINIDES 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 71331 NOVONORM 2MG TAB (NOV/COL) REPAGLINIDE REPAGLINIDE NOVONORM 30'S C 27.18 0.91 TABLET 0 TAB NOV NOVO NORDISK A/S COL COLLINS LTD 682016 MEGLITINIDES 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 71331 NOVONORM 2MG TAB (NOV) REPAGLINIDE REPAGLINIDE NOVONORM 30'S C 27.18 0.9061 TAB 0 BOX NOV NOVO NORDISK A/S COL COLLINS LTD 682016 MEGLITINIDES 2024-04-01 2026-03-31 ORAL 0 MEGLITINIDES
40 7133A REPAGLINIDE 1MG TAB (INP/AHI) REPAGLINIDE REPAGLINIDE 90'S C 24.46 0.27 TABLET 0 TAB INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 682016 MEGLITINIDES 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 7151AM CASODEX 150MG TAB (AZN/COL) BICALUTAMIDE BICALUTAMIDE CASODEX 28'S C 654.87 23.39 TABLET 0 TAB AZN ASTRAZENECA AB COL COLLINS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 0 ANTINEOPLASTICS
41 7151AM CASODEX 150MG TAB (AZN) BICALUTAMID (C) BICALUTAMIDE CASODEX 28'S C 654.87 23.3883 TAB 0 BOX AZN ASTRAZENECA AB COL COLLINS LTD 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 0 ANTINEOPLASTICS