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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 A5015 DIOVAN 160MG TAB (NVS) VALSARTAN VALSARTAN DIOVAN 14'S A 9.08 0.6486 TAB 30 NVS NOVARTIS CARIBE SA COL COLLINS LTD B 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2024-09-06 2026-03-31 ORAL 6 ANGIOTENSIN II RECEPTOR ANTAGONIST 2024-09-06
40 A501BE NUSAR 50MG TAB (EMC/COL) LOSARTAN LOSARTAN NUSAR 3X10 A 2.72 0.09 TABLET 30 TAB EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD B 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
40 A501BH LOSARTAN 50MG TAB (HEA/RXP) LOSARTAN LOSARTAN 30'S A 2.15 0.07 TABLET 30 TAB HEA HEALTH 2000 INC RXP RX PRO INC B 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
42 A501BR LOSARTAN 50MG TAB (HEA) LOSARTAN LOSARTAN 30'S A 2.23 0.07 TAB 30 HEA HEALTH 2000 INC STO BRYDEN STOKES LTD B 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2026-04-01 2028-03-31 ORAL 6 ANGIOTENSIN II RECEPTOR ANTAGONIST 2026-02-26
40 A501EK LOSARTAN 50MG TAB (HEA/ATB) LOSARTAN LOSARTAN 30'S A 2.15 0.0717 TABLET IMMED HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD B 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2022-12-07 2024-03-31 Change Local Agent oral 6 ANGIOTENSIN II RECEPTOR ANTAGONIST 2022-11-25
40 A501F DIOVAN 80MG TAB (NVS/COL) VALSARTAN VALSARTAN DIOVAN 14'S A 9.08 0.65 TABLET 30 TAB NVS NOVARTIS CARIBE SA COL COLLINS LTD B 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
41 A501F DIOVAN 80MG TAB (NVS) VALSARTAN VALSARTAN DIOVAN 14'S A 9.08 0.6485 TAB 30 BOX NVS NOVARTIS CARIBE SA COL COLLINS LTD B 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2024-04-01 2026-03-31 ORAL 6 ANGIOTENSIN II RECEPTOR ANTAGONIST
42 A501F DIOVAN 80MG TAB (NVS) VALSARTAN VALSARTAN DIOVAN 14'S A 9.08 0.65 TAB 30 BLIS NVS NOVARTIS CARIBE SA COL AVENTA BARBADOS B 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2026-04-01 2028-03-31 ORAL 6 ANGIOTENSIN II RECEPTOR ANTAGONIST
40 A501G DIOVAN 160 MG (NVS/COL) VALSARTAN DIOVAN 14'S A 9.08 0.648 TABLET 30 TAB NVS NOVARTIS CARIBE SA COL COLLINS LTD. B 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2024-03-31 ORAL 6 CARDIOVASCULAR DRUG 2023-08-17
41 A501HA LOSARTAN 50MG TAB (FSB) LOSARTAN LOSARTAN 100'S A 6.66 0.0666 TAB 30 BOX FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD B 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2024-04-01 2026-03-31 ORAL 6 ANGIOTENSIN II RECEPTOR ANTAGONIST
40 A501HK COZAAR 50MG TAB (MSD/STO) LOSARTAN LOSARTAN COZAAR 15'S C 13.32 0.89 TABLET 0 TAB MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD B 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2022-04-01 2024-03-31 Oral 0 CARDIOVASCULAR DRUGS
41 A501HK COZAAR 50MG TAB (MSD) LOSARTAN (C) LOSARTAN COZAAR 15'S C 13.43 0.8952 TAB 30 BOX MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD B 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2024-04-01 2026-03-31 ORAL 6 ANGIOTENSIN II RECEPTOR ANTAGONIST
42 A501HK COZAAR 50MG TAB (MSD) LOSARTAN LOSARTAN COZAAR 15'S C 13.43 0.90 TAB 30 BLIS MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD B 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2026-04-01 2028-03-31 ORAL 6 ANGIOTENSIN II RECEPTOR ANTAGONIST
41 A501HZ PRESARTAN 50MG TAB (IPC) LOSARTAN LOSARTAN PRESARTAN 100'S A 4.19 0.0419 TAB 30 BOX IPC IPCA Laboratories Ltd. ATB ANSA TRADING BARBADOS LTD B 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2024-04-01 2026-03-31 ORAL 6 ANGIOTENSIN II RECEPTOR ANTAGONIST
42 A501JU LOSARTAN 50MG TAB (HEA) LOSARTAN LOSARTAN 3X10 A 2.23 0.07 TAB 30 BLIS HEA HEALTH 2000 INC AHI ARMSTRONG HEALTHCARE INC B 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2026-04-01 2028-03-31 ORAL 6 ANGIOTENSIN II RECEPTOR ANTAGONIST 2025-10-31
42 A501KB LOSARTAN 50MG TAB (HEA) LOSARTAN LOSARTAN 3X10 A 2.23 0.07 TAB 30 BLIS HEA HEALTH 2000 INC CWS CAPSULE WHOLESALE B 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2026-04-01 2028-03-31 ORAL 6 ANGIOTENSIN II RECEPTOR ANTAGONIST 2026-01-26
40 A5022 COZAAR 100MG TAB (MSD/STO) LOSARTAN LOSARTAN COZAAR 15'S C 18.29 1.22 TABLET 0 TAB MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD B 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2022-04-01 2024-03-31 Oral 0 CARDIOVASCULAR DRUGS
41 A5022 COZAAR 100MG TAB (MSD) LOSARTAN (C) LOSARTAN COZAAR 15'S C 18.48 1.2323 TAB 30 BOX MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD B 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2024-04-01 2026-03-31 ORAL 6 ANGIOTENSIN II RECEPTOR ANTAGONIST
42 A5022 COZAAR 100MG TAB (MSD) LOSARTAN LOSARTAN COZAAR 15'S C 18.48 1.23 TAB 30 BLIS MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD B 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2026-04-01 2028-03-31 ORAL 6 ANGIOTENSIN II RECEPTOR ANTAGONIST
40 A5026 DIOVAN 320MG (NVS/COL) VALSARTAN DIOVAN 14 B 9.74 0.695 30 TABS NOVARTIS PHARMACEUTICALS UK LTD. COL COLLINS LTD. B 2024-03-31 6 2023-08-17