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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 0861N NORADRENALINE 1MG/ML INJ (FSB) NORADRENALINE NORADRENALINE 10X4ML BQ 9.89 0.99 AMPG 0 FSB FLAGSHIP BIOTECH STO BRYDEN STOKES LTD 121212 ALPHA & BETA ADRENERGIC AGONIST 2026-04-01 Add to Contract IV/IM 0 ALPHA & BETA ADRENERGIC AGONIST 2026-03-05
40 08821 VENTOLIN 0.4MG/ML SYR (GSK/COL) SALBUTAMOL SALBUTAMOL VENTOLIN 200ML C 8.10 0.04 SYRUP 0 ML GSK GLAXOSMITHKLINE COL COLLINS LTD B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2022-04-01 2024-03-31 Oral 0 RESPIRATORY TRACT AGENTS
40 08825 SALBUTAMOL 0.4MG/ML SYR (GPC/ATB) SALBUTAMOL SALBUTAMOL 120ML A 2.04 0.02 SYRUP 300 ML GPC NEW GUYANA PHARMACEUTICAL CORP. LTD ATB ANSA TRADING BARBADOS LTD B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2022-04-01 2024-03-31 Oral 6 RESPIRATORY TRACT AGENTS
41 08825 SALBUTAMOL 0.4MG/ML SYR (GPC) SALBUTAMOL SALBUTAMOL 120ML A 7.5 0.0625 ML 300 BOTT GPC NEW GUYANA PHARMACEUTICAL CORP. LTD ATB ANSA TRADING BARBADOS LTD B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2024-04-01 2026-03-31 ORAL 6 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRA
40 0883AM VENTOLIN 100MCG INHR (GSK/COL) SALBUTAMOL SALBUTAMOL VENTOLIN 200 DOSES A 5.87 5.87 INHALER 1 INHR GSK GLAXOSMITHKLINE COL COLLINS LTD B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2022-04-01 2024-03-31 ORAL INHALATION 6 RESPIRATORY TRACT AGENTS
41 0883AM VENTOLIN 100MCG INHR (GSK) SALBUTAMOL SALBUTAMOL VENTOLIN 200 DOSES A 6.2 6.1978 INHR 1 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2024-04-01 2026-03-31 ORAL INHALATION 6 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRA
42 0883AM VENTOLIN 100MCG INHR (GSK) SALBUTAMOL SALBUTAMOL VENTOLIN 200 DOSES A 6.52 6.52 INHR 1 BOX GSK GLAXOSMITHKLINE COL AVENTA BARBADOS B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2026-04-01 ORAL INHALATION 6 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRA
40 0884AJ ASTHALIN 5MG/ML RESP SOL (CIP/AHI) SALBUTAMOL SALBUTAMOL ASTHALIN 15ML A 2.91 2.91 RESPIRATORY 20 BOTT CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2022-04-01 2024-03-31 INHALATION 6 RESPIRATORY TRACT AGENTS
41 0884AJ ASTHALIN 5MG/ML RESP SOL (CIP) SALBUTAMOL SALBUTAMOL ASTHALIN 15ML A 1.96 1.9572 BOTT 20 BOTT CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2024-04-01 2026-03-31 INHALATION 6 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRA
42 0884AJ ASTHALIN 5MG/ML RESP SOL (CIP) SALBUTAMOL SALBUTAMOL ASTHALIN 15ML A 2.07 2.07 BOTT 20 BOTT CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2026-04-01 INHALATION 6 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRA
40 0884BD PULMICORT 0.25MG/ML RESP SOL (AZN/COL) BUDESO BUDESONIDE PULMICORT 20X2ML A 40.77 2.04 RESPIRATORY 20 AMP AZN ASTRAZENECA AB COL COLLINS LTD B 481008 CORTICOSTEROIDS (RESPIRATORY) 2022-04-13 2024-03-31 Add to Contract as Cat A ORAL INHALATION 6 RESPIRATORY TRACT AGENTS 2022-04-13
40 0884BE PULMICORT 0.5MG/ML RESP SOL (AZN/COL) BUDESON BUDESONIDE PULMICORT 20X2ML A 46.21 2.31 RESPIRATORY 20 AMP AZN ASTRAZENECA AB COL COLLINS LTD B 481008 CORTICOSTEROIDS (RESPIRATORY) 2022-04-13 2024-03-31 Add to Contract as Cat A ORAL INHALATION 6 RESPIRATORY TRACT AGENTS 2022-04-13
41 0884BE PULMICORT 0.5MG/ML RESP SOL (AZN) BUDESONIDE BUDESONIDE PULMICORT 20X2ML A 41.59 2.0795 AMPP 20 CAR AZN ASTRAZENECA AB COL COLLINS LTD B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2024-04-01 2026-03-31 ORAL INHALATION 6 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRA
42 0884BE PULMICORT 0.5MG/ML RESP SOL (AZN) BUDESONIDE BUDESONIDE PULMICORT 20X2ML A 54.37 2.72 AMPP 20 CAR AZN ASTRAZENECA AB COL AVENTA BARBADOS B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2026-04-01 ORAL INHALATION 6 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRA
40 0884BL IPRAVENT 0.25MG/ML RESP SOL (CIP/AHI) IPRATRO IPRATROPIUM BROMIDE IPRAVENT 20X2ML A 32.70 1.64 RESPIRATORY 1 AMP CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC B 481208 ANTICHOLINERGIC AGENTS (RESPIRATORY) 2022-04-01 2024-03-31 Nasal 6 RESPIRATORY TRACT AGENTS
40 0884BS SALBUTAMOL 5MG/ML RESP SOL (RYV/ATB) SALBUTAMOL SALBUTAMOL 15ML A 2.94 2.94 RESPIRATORY 20 BOTT RYV RYVIS PHARMA PVT. LTD ATB ANSA TRADING BARBADOS LTD B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2022-04-01 2024-03-31 Nasal 6 RESPIRATORY TRACT AGENTS
40 0884BT IPRAVENT 0.25MG/ML RESP SOL (CIP/AHI) IPRATRO IPRATROPIUM BROMIDE IPRAVENT 15ML A 1.82 1.82 RESPIRATORY 1 BOTT CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC B 481208 ANTICHOLINERGIC AGENTS (RESPIRATORY) 2022-04-01 2024-03-31 Nasal 6 RESPIRATORY TRACT AGENTS
41 0884BT IPRAVENT 0.25MG/ML RESP SOL (CIP) IPRATROPIUM IPRATROPIUM IPRAVENT 15ML A 6.5 6.4968 BOTT 1 BOTT CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC B 481208 ANTICHOLINERGIC AGENTS (RESPIRATORY) 2024-04-01 2026-03-31 NASAL 6 ANTICHOLINERGIC AGENTS (RESPIRATORY)
41 0884BU PMS-SALBUTAMOL 5MG/ML RESP SOL (PMS) SALBUTAMOL PMS-SALBUTAMOL 20X2.5ML A 20.66 1.033 AMPP 20 BOX PMS PHARMASCIENCE COL COLLINS LTD B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2024-04-01 2026-03-31 ORAL INHALATION 6 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRA
42 0884BU PMS-SALBUTAMOL 5MG/ML RESP SOL (PMS) SALBUTAMOL PMS-SALBUTAMOL 20X2.5ML A 19.71 0.99 AMPP 20 BOX PMS PHARMASCIENCE COL AVENTA BARBADOS B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2026-04-01 ORAL INHALATION 6 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRA