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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
40 05616 CHLORAMBUCIL 2MG TAB (KWA/ATB) CHLORAMBUCIL CHLORAMBUCIL 3X10 A 176.69 5.89 TABLET 240 TAB KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD B 1000 ANTINEOPLASTICS 2022-05-27 2024-03-31 Package Size Change Oral 6 ANTINEOPLASTICS 2022-05-27
42 05618 CHLORAMBUCIL 2MG TAB (FSB) CHLORAMBUCIL CHLORAMBUCIL 25'S A 407.75 16.31 TAB 240 BOTT FSB FLAGSHIP BIOTECH AHI ARMSTRONG HEALTHCARE INC B 1000 ANTINEOPLASTICS 2026-04-01 ORAL 6 ANTINEOPLASTICS
40 05743 ENDOXAN 50MG TAB (BAX/STO) CYCLOPHOSPHAMIDE CYCLOPHOSPHAMIDE ENDOXAN 50'S B 0.95 0.02 TABLET 0 TAB BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 0 ANTINEOPLASTICS
41 05743 ENDOXAN 50MG TAB (BAX) CYCLOPHOSPHAMIDE CYCLOPHOSPHAMIDE ENDOXAN 50'S A 1.33 0.0266 TAB 240 BOX BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD B 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 6 ANTINEOPLASTICS
42 05743 ENDOXAN 50MG TAB (BAX) CYCLOPHOSPHA CYCLOPHOSPHAMIDE ENDOXAN 50'S BQ 3.62 0.07 TAB 240 BLIS BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD B 1000 ANTINEOPLASTICS 2026-04-01 ORAL 0 ANTINEOPLASTICS
40 05752 ENDOXAN 1G INJ (ASM/COL) CYCLOPHOSPHAMIDE CYCLOPHOSPHAMIDE ENDOXAN 1G VIAL BQ 38.06 38.06 INJECTION 0 VIAL ASM ASTA MEDICA AG COL COLLINS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 05756 ENDOXAN 1G INJ (BAX/STO) CYCLOPHOSPHAMIDE CYCLOPHOSPHAMIDE ENDOXAN 1G VIAL BQ 15.96 15.96 INJECTION 0 VIAL BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
41 05756 ENDOXAN 1G INJ (BAX) CYCLOPHOSPHAMIDE (BQ) CYCLOPHOSPHAMIDE ENDOXAN 1G VIAL BQ 17.34 17.3429 VIAL 30 VIAL BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 IV 6 ANTINEOPLASTICS
42 05756 ENDOXAN 1G INJ (BAX) CYCLOPHOSPHAMIDE CYCLOPHOSPHAMIDE ENDOXAN 1G VIAL BQ 22.40 22.40 VIAL 30 VIAL BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 1000 ANTINEOPLASTICS 2026-04-01 IV 0 ANTINEOPLASTICS
41 0575F CYCLOPHOSPHAMIDE 1G INJ (KWA) (BQ) CYCLOPHOSPHAMIDE CYCLOPHOSPHAMIDE 1G VIAL BQ 10.41 10.4112 VIAL 30 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 IV 6 ANTINEOPLASTICS
41 05814 CYTARABINE 100MG INJ (ZUV) (BQ) CYTARABINE CYTARABINE 100MG VIAL BQ 7.48 7.4754 VIAL 100 VIAL ZUV ZUVIUS PHA PHARMACY SALES CARIBBEAN 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 INJ 6 ANTINEOPLASTICS
42 05814 CYTARABINE 100MG INJ (ZUV) CYTARABINE CYTARABINE 100MG VIAL BQ 11.12 11.12 VIAL 100 VIAL ZUV ZUVIUS PHA PHARMACY SALES CARIBBEAN 1000 ANTINEOPLASTICS 2026-04-01 INJ 0 ANTINEOPLASTICS
41 0581D CYTARABINE 100MG INJ (KWA) (BQ) CYTARABINE CYTARABINE 100MG VIAL BQ 5.55 5.5454 VIAL 100 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 IV 6 ANTINEOPLASTICS
40 0582B CYTARABINE 1G INJ (INP/AHI) CYTARABINE CYTARABINE 1G VIAL BQ 38.46 38.46 INJECTION 0 VIAL INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 0582D ONCOTAR 1G INJ (UBI/RXP) CYTARABINE CYTARABINE ONCOTAR 1G VIAL BQ 31.26 31.26 INJECTION 0 VIAL UBI UNITED BIOTECH (P) LIMITED RXP RX PRO INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
41 0582E CYTRAZ 1G INJ (ZUV) CYTARABINE (BQ) CYTARABINE CYTRAZ 1G VIAL BQ 20.69 20.6864 VIAL 0 VIAL ZUV ZUVIUS PHA PHARMACY SALES CARIBBEAN 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 IV 0 ANTINEOPLASTICS
42 0582E CYTRAZ 100MG INJ (ZUV) CYTARABINE CYTARABINE CYTRAZ 1G VIAL BQ 16.80 16.80 VIAL 0 VIAL ZUV ZUVIUS PHA PHARMACY SALES CARIBBEAN 1000 ANTINEOPLASTICS 2026-04-01 IV 0 ANTINEOPLASTICS
40 06032 FLUOROURACIL 50MG/ML INJ (EBA/COL) FLUOROURACIL FLUOROURACIL 10ML BQ 26.48 26.48 INJECTION 0 VIAL EBA EBEW ARZNEIMITTLE GES.MBH COL COLLINS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
41 0603B FLUOROURACIL 50MG/ML INJ (DIL) (BQ) FLUOROURACIL FLUOROURACIL 10X10ML BQ 126.97 12.6973 VIAL 0 BOX DIL FRESENIUS KABI AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 IV 0 ANTINEOPLASTICS
41 0603D FLUOROURACIL 50MG/ML INJ (SLS (BQ) FLUOROURACIL FLUOROURACIL 10ML BQ 18.67 18.6749 VIAL 0 VIAL SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 IV 0 ANTINEOPLASTICS