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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 72416 MANGANESE 0.1 MG/ML INJ (KWA) MANGANESE MANGANESE 10ML BQ 73.2045 73.2045 VIAL 0 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 4012 REPLACEMENT THERAPY 2024-04-01 2026-03-31 IV 0 REPLACEMENT THERAPY
40 72517 COPPER 0.4 MG/ML INJ (KWA/ATB) COPPER COPPER 10ML BQ 38.06 38.06 INJECTION 0 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 4012 REPLACEMENT THERAPY 2022-04-01 2024-03-31 IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE
40 72712 CHROMIUM 4 MCG/ML INJ (KWA/ATB) CHROMIUM CHROMIUM 10ML BQ 212.03 212.03 INJECTION 0 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 4012 REPLACEMENT THERAPY 2022-04-01 2024-03-31 IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE
41 72712 CHROMIUM 4 MCG/ML INJ (KWA) CHROMIUM CHROMIUM 10ML BQ 180.2249 180.2249 VIAL 30 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 4012 REPLACEMENT THERAPY 2024-04-01 2026-03-31 IV 6 REPLACEMENT THERAPY
42 72713 CHROMIUM 4MCG/ML INJ (KWA) CHROMIUM CHROMIUM 10ML BQ 459.75 459.75 VIAL 0 KWA KWALITY PHARMACEUTICALS STO BRYDEN STOKES LTD 4012 REPLACEMENT THERAPY 2026-04-01 2028-03-31 IV 0 REPLACEMENT THERAPY 2026-03-02
40 72811 TOPAMAX 25MG TAB (JAC/STO) TOPIRAMATE TOPIRAMATE TOPAMAX 20'S C 18.19 0.91 TABLET 0 TAB JAC JANSSEN-CILAG STO BRYDEN STOKES LTD 281292 ANTICONVULSANTS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
41 72811 TOPAMAX 25MG TAB (JAC) TOPIRAMATE (C) TOPIRAMATE TOPAMAX 20'S C 18.19 0.9093 TAB 60 BOX JAC JANSSEN-CILAG STO BRYDEN STOKES LTD 281292 ANTICONVULSANTS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANTICONVULSANTS MISCELLANEOUS
42 72811 TOPAMAX 25MG TAB (JAC) TOPIRAMATE TOPIRAMATE TOPAMAX 20'S C 18.19 0.91 TAB 60 BLIS JAC JANSSEN-CILAG STO BRYDEN STOKES LTD 281292 ANTICONVULSANTS MISCELLANEOUS 2026-04-01 2028-03-31 ORAL 6 ANTICONVULSANTS MISCELLANEOUS
40 72812 APO-TOPIRAMATE 25MG TAB (APO/COL) TOPIRAMATE APO-TOPIRAMATE 100'S BP 9.24 0.09 TABLET 0 TAB APO APOTEX INC. COL COLLINS LTD 281292 ANTICONVULSANTS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
42 72812 APO-TOPIRAMATE 25MG TAB (APO) TOPIRAMATE APO-TOPIRAMATE 100'S B 7.67 0.08 TAB 60 BOTT APO APOTEX INC. COL AVENTA BARBADOS 281292 ANTICONVULSANTS MISCELLANEOUS 2026-04-01 2028-03-31 ORAL 6 ANTICONVULSANTS MISCELLANEOUS
40 7281K NEUROTOPREL 25MG TAB (ABB/PHA) TOPIRAMATE TOPIRAMATE NEUROTOPREL 30'S C 20.12 0.67 TABLET 0 TAB ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 281292 ANTICONVULSANTS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
40 7281K NEUROTOPREL 25MG TAB (ABB/PHA) TOPIRAMATE (C) TOPIRAMATE NEUROTOPREL 30'S C 20.12 0.6707 TABLET IMMED ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 281292 ANTICONVULSANTS MISCELLANEOUS 2022-04-01 2023-03-31 Delete from contract Oral 0 ANTICONVULSANTS MISCELLANEOUS 2023-03-02
41 7281L TOPIRAMATE 25MG TAB (CAM) (BP) TOPIRAMATE TOPIRAMATE 60'S BP 4.97 0.0829 TAB 60 BOTT CAM MORNINGSIDE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 281292 ANTICONVULSANTS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANTICONVULSANTS MISCELLANEOUS
40 72831 TOPAMAX 100MG TAB (JAC/STO) TOPIRAMATE TOPIRAMATE TOPAMAX 20'S C 58.55 2.93 TABLET 0 TAB JAC JANSSEN-CILAG STO BRYDEN STOKES LTD 281292 ANTICONVULSANTS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
41 72831 TOPAMAX 100MG TAB (JAC) TOPIRAMATE (C) TOPIRAMATE TOPAMAX 20'S C 58.55 2.9276 TAB 120 BOX JAC JANSSEN-CILAG STO BRYDEN STOKES LTD 281292 ANTICONVULSANTS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANTICONVULSANTS MISCELLANEOUS
42 72831 TOPAMAX 100MG TAB (JAC) TOPIRAMATE TOPIRAMATE TOPAMAX 20'S C 58.55 2.93 TAB 120 BLIS JAC JANSSEN-CILAG STO BRYDEN STOKES LTD 281292 ANTICONVULSANTS MISCELLANEOUS 2026-04-01 2028-03-31 ORAL 6 ANTICONVULSANTS MISCELLANEOUS
40 72833 APO-TOPIRAMATE 100MG TAB (APO/COL) TOPIRAMATE APO-TOPIRAMATE 100'S BP 16.66 0.17 TABLET 0 TAB APO APOTEX INC. COL COLLINS LTD 281292 ANTICONVULSANTS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
42 72833 APO-TOPIRAMATE 100MG TAB (APO) TOPIRAMATE APO-TOPIRAMATE 100'S BP 16.99 0.17 TAB 120 BOTT APO APOTEX INC. COL AVENTA BARBADOS 281292 ANTICONVULSANTS MISCELLANEOUS 2026-04-01 2028-03-31 ORAL 0 ANTICONVULSANTS MISCELLANEOUS
41 7283G TOPIRAMATE 100MG TAB (CIP) (BP) TOPIRAMATE TOPIRAMATE 60'S BP 9.49 0.1581 TAB 120 BOX CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 281292 ANTICONVULSANTS MISCELLANEOUS 2024-04-01 2025-03-10 ORAL 6 ANTICONVULSANTS MISCELLANEOUS 2025-01-27
40 7283Q NEUROTOPREL 100MG TAB (ABB/PHA) TOPIRAMATE TOPIRAMATE NEUROTOPREL 30'S C 73.12 2.44 TABLET 0 TAB ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 281292 ANTICONVULSANTS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS