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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 7581N APO-PIOGLITAZONE 15MG TAB (APO) (C) PIOGLITAZONE APO-PIOGLITAZONE 100'S C 41.59 0.4159 TAB 0 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 682028 THIAZOLIDINEDIONES 2024-04-01 2026-03-31 ORAL 0 THIAZOLIDINEDIONES
40 7582A APO-PIOGLITAZONE 30MG TAB (APO/COL) PIOGLITAZONE APO-PIOGLITAZONE 100'S C 40.77 0.41 TABLET 0 TAB APO APOTEX INC. COL COLLINS LTD 682028 THIAZOLIDINEDIONES 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 7582M ACCORD PIOGLITAZONE 30 MG TAB (INP/AAL) PIOGL PIOGLITAZONE ACCORD PIOGLITAZONE 28'S C 12.12 0.43 TABLET 0 TAB INP INTAS PHARMACEUTICALS LTD AAL A. A. LAQUIS LTD 682028 THIAZOLIDINEDIONES 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 7582N APO-PIOGLITAZONE 30MG TAB (APO) (C) PIOGLITAZONE APO-PIOGLITAZONE 100'S C 41.59 0.4159 TAB 0 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 682028 THIAZOLIDINEDIONES 2024-04-01 2026-03-31 ORAL 0 THIAZOLIDINEDIONES
41 7583B APO-PIOGLITAZONE 45MG TAB (APO) (C) PIOGLITAZONE APO-PIOGLITAZONE 100'S C 22.92 0.2292 TAB 0 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 682028 THIAZOLIDINEDIONES 2024-04-01 2026-03-31 ORAL 0 THIAZOLIDINEDIONES
40 76121 MIRENA 52MG IUD (BSP/AHI) LEVONORGESTREL LEVONORGESTREL MIRENA 1'S C 271.83 271.83 INTRAUTERINE 0 EACH BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 6812 CONTRACEPTIVES 2022-04-01 2024-03-31 VAGINAL 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 76121 MIRENA 52MG IUD (BSP) LEVONORGESTREL (C) LEVONORGESTREL MIRENA 1'S C 271.83 271.8324 EACH 0 BOX BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 6812 CONTRACEPTIVES 2024-04-01 2026-03-31 VAGINAL 0 CONTRACEPTIVES
42 76121 MIRENA 52MG IUD (BSP) LEVONORGESTREL LEVONORGESTREL MIRENA 1'S B 163.10 163.10 PACK 0 BOX BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 6812 CONTRACEPTIVES 2026-04-01 2028-03-31 VAGINAL 0 CONTRACEPTIVES
40 76122 MIRENA 52MG IUD (BSP/COL) LEVONORGESTREL LEVONORGESTREL MIRENA 1'S C 271.83 271.83 INTRAUTERINE 0 EACH BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 6812 CONTRACEPTIVES 2022-04-01 2024-03-31 VAGINAL 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 76122 MIRENA 52MG IUD (BSP) LEVONORGESTREL (C) LEVONORGESTREL MIRENA 1'S C 271.83 271.8324 EACH 0 BOX BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 6812 CONTRACEPTIVES 2024-04-01 2026-03-31 VAGINAL 0 CONTRACEPTIVES
42 76122 MIRENA 52MG IUD (BSP) LEVONORGESTREL LEVONORGESTREL MIRENA 1'S B 148.42 148.42 PACK 0 BOX BSP BAYER SCHERING PHARMA AG. COL AVENTA BARBADOS 6812 CONTRACEPTIVES 2026-04-01 2028-03-31 VAGINAL 0 CONTRACEPTIVES
40 76124 JAYDESS 13.5MG IUD (BSP/COL) LEVONORGESTREL LEVONORGESTREL JAYDESS 1'S C 258.24 258.24 INTRAUTERINE 0 EACH BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 6812 CONTRACEPTIVES 2022-04-01 2024-03-31 VAGINAL 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 76124 JAYDESS 13.5MG IUD (BSP) LEVONORGESTREL (C) LEVONORGESTREL JAYDESS 1'S C 258.24 258.2408 EACH 0 BOX BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 6812 CONTRACEPTIVES 2024-04-01 2026-03-31 VAGINAL 0 CONTRACEPTIVES
40 76125 JAYDESS 13.5MG IUD (BSP/AHI) LEVONORGESTREL LEVONORGESTREL JAYDESS 1'S C 258.24 258.24 INTRAUTERINE 0 EACH BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 6812 CONTRACEPTIVES 2022-04-01 2024-03-31 VAGINAL 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 76125 JAYDESS 13.5MG IUD (BSP) LEVONORGES (C) LEVONORGESTREL JAYDESS 1'S C 258.24 258.2408 EACH 0 BOX BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 6812 CONTRACEPTIVES 2024-04-01 2026-03-31 VAGINAL 0 CONTRACEPTIVES
40 76219 FEMIANE 20MCG | 75MCG TAB (BSP/AHI) ETHINYLESTRADIOL | GESTODENE ETHINYL ESTRADIOL|GESTODENE FEMIANE 21'S C 14.41 14.41 TABLET 0 PACK BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 6812 CONTRACEPTIVES 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 7621AC YAZ 3MG | 0.02MG TAB (BSP/AHI) DROSPIRENONE | ETHINYLESTRADIOL DROSPIRENONE|ETHINYL ESTRADIOL YAZ 28'S C 19.03 19.03 TABLET 0 PACK BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 6812 CONTRACEPTIVES 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 7621AE YAZ 3MG | 0.02MG TAB (BSP/COL) DROSPIRENONE | ETHINYL ESTRADIOL DROSPIRENONE|ETHINYL ESTRADIOL YAZ 28'S C 19.03 19.03 TABLET 0 PACK BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 6812 CONTRACEPTIVES 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 7621AE YAZ 3MG|0.02MG TAB (BSP) DROSPIRENONE|ETHINYL ESTRADIOL (C) DROSPIRENONE|ETHINYL ESTRADIOL YAZ 28'S C 19.03 19.0283 PACK 0 BOX BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 6812 CONTRACEPTIVES 2024-04-01 2026-03-31 ORAL 0 CONTRACEPTIVES
42 7621AE YAZ 3MG|0.02MG TAB (BSP) DROSPIRENONE|ETHINYL ESTRADIOL DROSPIRENONE|ETHINYL ESTRADIOL YAZ 28'S C 17.32 17.32 PACK 0 BOX BSP BAYER SCHERING PHARMA AG. COL AVENTA BARBADOS 6812 CONTRACEPTIVES 2026-04-01 2028-03-31 ORAL 0 CONTRACEPTIVES