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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 0603D FLUOROURACIL 50MG/ML INJ (SLS FLUOROURACIL FLUOROURACIL 10ML BQ 3.43 3.43 VIAL 0 VIAL SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2026-04-01 IV 0 ANTINEOPLASTICS
42 0603N FLURACIL 50MG/ML INJ (ZYD) FLUOROURACIL FLUOROURACIL FLURACIL 10ML BQ 6.85 6.85 VIAL 0 VIAL ZYD ZYDUS AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2026-04-01 IV 0 ANTINEOPLASTICS
40 0611B MELPHALAN 2MG TAB (TPP/AHI) MELPHALAN MELPHALAN 50'S A 75.05 1.50 TABLET 63 TAB TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
42 0611B MELPHALAN 2MG TAB (TPP) MELPHALAN MELPHALAN 50'S B 79.40 1.59 TAB 63 BLIS TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC B 1000 ANTINEOPLASTICS 2026-04-01 ORAL 6 ANTINEOPLASTICS
41 0611C MELPHALAN 2MG TAB (KWA) MELPHALAN MELPHALAN 50'S A 83.18 1.6636 TAB 63 BOX KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD B 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 6 ANTINEOPLASTICS
40 0621B MERCAPTOPURINE 50MG TAB (SLS/AHI) MERCAPTOPURINE MERCAPTOPURINE 30'S A 45.64 1.52 TABLET 60 TAB SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
41 0621B MERCAPTOPURINE 50MG TAB (SLS) MERCAPTOPURINE MERCAPTOPURINE 30'S A 45.64 1.5214 TAB 60 BOX SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC B 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 6 ANTINEOPLASTICS
42 0621B MERCAPTOPURINE 50MG TAB (SLS) MERCAPTOPURINE MERCAPTOPURINE 30'S A 45.64 1.52 TAB 60 BLIS SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC B 1000 ANTINEOPLASTICS 2026-04-01 ORAL 6 ANTINEOPLASTICS
40 0621C PURINETHOL 50MG TAB (ASG/STO) MERCAPTOPURINE MERCAPTOPURINE PURINETHOL 25'S A 104.38 4.18 TABLET 60 TAB ASG ASPEN OSD (GLOBAL) STO BRYDEN STOKES LTD B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
41 0621C PURINETHOL 50MG TAB (ASG) MERCAPTOP (C) MERCAPTOPURINE PURINETHOL 25'S C 107.51 4.3004 TAB 60 BOX ASG ASPEN OSD (GLOBAL) STO BRYDEN STOKES LTD B 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 6 ANTINEOPLASTICS
42 0621C PURINETHOL 50MG TAB (ASG) MERCAPTOP MERCAPTOPURINE PURINETHOL 25'S C 114.79 4.59 TAB 60 BLIS ASG ASPEN OSD (GLOBAL) STO BRYDEN STOKES LTD B 1000 ANTINEOPLASTICS 2026-04-01 ORAL 6 ANTINEOPLASTICS
40 06319 METHOTREXATE 2.5MG TAB (REM/SBI) METHOTREXATE METHOTREXATE 10X10 A 14.79 0.15 TABLET 32 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
42 06319 METHOTREXATE 2.5MG TAB (REM) METHOTREXATE METHOTREXATE 10X10 A 13.32 0.13 TAB 32 BLIS REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD B 1000 ANTINEOPLASTICS 2026-04-01 ORAL 6 ANTINEOPLASTICS
40 0631AD METHOTREXATE 2.5MG TAB (INP/AHI) METHOTREXATE METHOTREXATE 100'S A 12.72 0.13 TABLET 32 TAB INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
41 0631AG ZUVITREX 2.5MG TAB (ZUV) METHOTREXATE METHOTREXATE ZUVITREX 100'S A 13.32 0.1332 TAB 32 BOX ZUV ZUVIUS PHA PHARMACY SALES CARIBBEAN B 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 6 ANTINEOPLASTICS
41 0631D METHOTREXATE 2.5MG TAB (REM) METHOTREXATE METHOTREXATE 100'S A 14.79 0.1479 TAB 32 BOTT REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD B 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 6 ANTINEOPLASTICS
40 0631Y METHOTREXATE 2.5MG TAB (FSB/ATB) METHOTREXATE METHOTREXATE 100'S A 7.48 0.07 TABLET 32 TAB FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD B 1000 ANTINEOPLASTICS 2022-04-01 2022-09-30 Oral 6 ANTINEOPLASTICS 2022-03-30
42 0633AB BIOTREXATE 25MG/ML INJ (ZYD) METHOTREXATE METHOTREXATE BIOTREXATE 2ML VIAL B 7.58 7.58 VIAL 5 VIAL ZYD ZYDUS AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2026-04-01 IV/IM 6 ANTINEOPLASTICS
42 0633AD LEETREXATE 25MG/ML INJ (JLP) METHOTREXATE METHOTREXATE LEETREXATE 2ML VIAL B 4.62 4.62 VIAL 5 VIAL JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2026-04-01 IV/IM 6 ANTINEOPLASTICS
40 0633V METHACOR 25MG/ML INJ (INP/AHI) METHOTREXATE METHOTREXATE METHACOR 2ML VIAL B 8.70 8.70 INJECTION 0 VIAL INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS