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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 A7318 ELEVE 0.1% EYE DR (ASL) OLOPATADINE OLOPATADINE ELEVE 5ML A 7.64 7.64 BOTT 1 BOTT ASL ASHFORD LABORATORIES LTD PHA PHARMACY SALES CARIBBEAN 5202 ANTIALLERGIC AGENTS 2026-04-01 2028-03-31 OPHTHALMIC 6 ANTIALLERGIC AGENTS
40 A7319 OLPADIN 0.1% EYE DR (ARP/AHI) OLOPATADINE OLOPATADINE OLPADIN 5ML A 6.06 6.06 EYE DROP 1 BOTT ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 5202 ANTIALLERGIC AGENTS 2022-04-01 2024-03-31 OPHTHALMIC 6 EYE, EAR, NOSE AND THROAT PREPARATIONS
40 A731C PATANOL 0.1% EYE DR (NVS/COL) OLOPATADINE OLOPATADINE PATANOL 5ML C 26.67 26.67 EYE DROP 0 BOTT NVS NOVARTIS CARIBE SA COL COLLINS LTD 5202 ANTIALLERGIC AGENTS 2022-04-01 2024-03-31 OPHTHALMIC 0 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 A731C PATANOL 0.1% EYE DR (NVS) OLOPATADI (C) OLOPATADINE PATANOL 5ML C 26.67 26.6668 BOTT 1 BOTT NVS NOVARTIS CARIBE SA COL COLLINS LTD 5202 ANTIALLERGIC AGENTS 2024-04-01 2026-03-31 OPHTHALMIC 6 ANTIALLERGIC AGENTS
42 A731C PATANOL 0.1% EYE DR (NVS) OLOPATADI OLOPATADINE PATANOL 5ML C 26.50 26.50 BOTT 1 BOTT NVS NOVARTIS CARIBE SA COL AVENTA BARBADOS 5202 ANTIALLERGIC AGENTS 2026-04-01 2028-03-31 OPHTHALMIC 6 ANTIALLERGIC AGENTS
42 A731E OLOPLUS 0.1% EYE DR (SHC) OLOPATADINE OLOPATADINE OLOPLUS 5ML A 5.65 5.65 BOTT 1 BOTT SHC SION HEALTHCARE PSB PHARMACEUTICAL SOLUTIONS BARBA 5202 ANTIALLERGIC AGENTS 2026-04-01 2028-03-31 OPHTHALMIC 6 ANTIALLERGIC AGENTS
41 A731F LOPADIN 0.1% EYE DR (INC) OLOPATADINE OLOPATADINE LOPADIN 5ML A 5.71 5.7085 BOTT 1 BOTT INC INCEPTA PHARMACEUTICALS LIMITED AHI ARMSTRONG HEALTHCARE INC 5202 ANTIALLERGIC AGENTS 2024-04-01 2026-03-31 OPHTHALMIC 6 ANTIALLERGIC AGENTS
42 A731F LOPADIN 0.1% EYE DR (INC) OLOPATADINE OLOPATADINE LOPADIN 5ML A 5.71 5.71 BOTT 1 BOTT INC INCEPTA PHARMACEUTICALS LIMITED AHI ARMSTRONG HEALTHCARE INC 5202 ANTIALLERGIC AGENTS 2026-04-01 2028-03-31 OPHTHALMIC 6 ANTIALLERGIC AGENTS
41 A731G OLOPATADINE 0.1% EYE DR (FSB) OLOPATADINE OLOPATADINE 5ML A 5.76 5.7628 BOTT 1 BOTT FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 5202 ANTIALLERGIC AGENTS 2024-04-01 2026-03-31 OPHTHALMIC 6 ANTIALLERGIC AGENTS
40 A7328 KUARA 0.2% EYE DR (LPO/COL) OLOPATADINE OLOPATADINE KUARA 3ML A 8.15 8.15 EYE DROP 1 BOTT LPO LABORATORIOS POEN S.A. COL COLLINS LTD 5202 ANTIALLERGIC AGENTS 2022-04-01 2024-03-31 OPHTHALMIC 6 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 A7328 KUARA 0.2% EYE DR (LPO) OLOPATADINE OLOPATADINE KUARA 3ML A 8.15 8.15 BOTT 1 BOTT LPO LABORATORIOS POEN S.A. COL COLLINS LTD 5202 ANTIALLERGIC AGENTS 2024-04-01 2025-01-30 OPHTHALMIC 6 ANTIALLERGIC AGENTS 2024-12-19
40 A732B OLOPATADINE 0.2% EYE DR (CIR/AHI) OLOPATADINE OLOPATADINE 5ML A 9.27 9.27 EYE DROP 1 BOTT CIR CIRON PHARMA AHI ARMSTRONG HEALTHCARE INC 5202 ANTIALLERGIC AGENTS 2022-04-01 2024-03-31 OPHTHALMIC 6 EYE, EAR, NOSE AND THROAT PREPARATIONS
40 A732H PATADAY 0.2% EYE DR (NVS/COL) OLOPATADINE OLOPATADINE PATADAY 2.5ML C 25.36 25.36 EYE DROP 0 BOTT NVS NOVARTIS CARIBE SA COL COLLINS LTD 5202 ANTIALLERGIC AGENTS 2022-04-01 2024-03-31 OPHTHALMIC 0 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 A732H PATADAY 0.2% EYE DR (NVS) OLOPATADI (C) OLOPATADINE PATADAY 2.5ML C 25.36 25.362 BOTT 1 BOTT NVS NOVARTIS CARIBE SA COL COLLINS LTD 5202 ANTIALLERGIC AGENTS 2024-04-01 2026-03-31 OPHTHALMIC 6 ANTIALLERGIC AGENTS
42 A732H PATADAY 0.2% EYE DR (NVS) OLOPATADI OLOPATADINE PATADAY 2.5ML C 25.36 25.36 BOTT 1 BOTT NVS NOVARTIS CARIBE SA COL AVENTA BARBADOS 5202 ANTIALLERGIC AGENTS 2026-04-01 2028-03-31 OPHTHALMIC 6 ANTIALLERGIC AGENTS
42 A732J OLOPLUS OD 0.2% EYE DR (SHC) OLOPATADINE OLOPATADINE OLOPLUS OD 3ML B 8.21 8.21 BOTT 1 BOTT SHC SION HEALTHCARE PSB PHARMACEUTICAL SOLUTIONS BARBA 5202 ANTIALLERGIC AGENTS 2026-04-01 2028-03-31 OPHTHALMIC 6 ANTIALLERGIC AGENTS
42 A732K LOPADIN 0.2% EYE DR (INC) OLOPATADINE OLOPATADINE LOPADIN 5ML A 3.53 3.53 BOTT 1 BOTT INC INCEPTA PHARMACEUTICALS LIMITED AHI ARMSTRONG HEALTHCARE INC 5202 ANTIALLERGIC AGENTS 2026-04-01 2028-03-31 OPHTHALMIC 6 ANTIALLERGIC AGENTS
41 A732L OLOPATADINE 0.2% EYE DR (FSB) OLOPATADINE OLOPATADINE 2.5ML A 7.58 7.5841 BOTT 1 BOTT FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 5202 ANTIALLERGIC AGENTS 2024-04-01 2026-03-31 OPHTHALMIC 6 ANTIALLERGIC AGENTS
40 A741L AAP-MEFLOQUINE 250MG TAB (APO/COL) MEFLOQUINE MEFLOQUINE AAP-MEFLOQUINE 8'S A 15.39 1.92 TABLET 8 TAB APO APOTEX INC. COL COLLINS LTD 083008 ANTIMALARIALS 2022-04-01 2024-03-31 Oral 6 ANTI-INFECTIVE AGENTS
42 A741L AAP-MEFLOQUINE 250MG TAB (APO) MEFL MEFLOQUINE AAP-MEFLOQUINE 8'S A 15.68 1.96 TAB 8 BOTT APO APOTEX INC. COL AVENTA BARBADOS 083008 ANTIMALARIALS 2026-04-01 2028-03-31 ORAL 6 ANTIMALARIALS