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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 1011BF HEPAQUINT 5000U/ML INJ (JLP) HEPARIN HEPARIN HEPAQUINT 10X5ML B 92.97 9.30 VIAL 6 VIAL JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 20120416 HEPARINS 2026-04-01 IV 6 HEPARINS
41 1011H HEPARIN 5000U/ML INJ (GLN) (B) HEPARIN HEPARIN 25X5ML B 252.29 10.0915 VIAL 0 BOX GLN GLAND AHI ARMSTRONG HEALTHCARE INC 20120416 HEPARINS 2024-04-01 2026-03-31 IV 0 HEPARINS
40 1011J HEPARIN 5000U/ML INJ (RTM/PHA) HEPARIN HEPARIN 5ML VIAL B 12.23 12.23 INJECTION 0 VIAL RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 20120416 HEPARINS 2022-04-01 2024-03-31 IV 0 BLOOD FORMATION, COAGULATION AND THROMBOSIS
41 1011J HEPARIN 5000U/ML INJ (RTM) (B) HEPARIN HEPARIN 5ML VIAL B 15.39 15.3857 VIAL 0 VIAL RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 20120416 HEPARINS 2024-04-01 2026-03-31 IV 0 HEPARINS
42 10311 APO-WARFARIN 4MG TAB (APO) WARFARIN APO-WARFARIN 100'S A 38.82 0.39 TAB 60 BOTT APO APOTEX INC. COL AVENTA BARBADOS 20120408 COUMARIN DERIVATIVES 2026-04-01 ORAL 6 COUMARIN DERIVATIVES
40 10313 APO-WARFARIN 4MG TAB (APO/COL) WARFARIN APO-WARFARIN 100'S A 38.06 0.38 TABLET 60 TAB APO APOTEX INC. COL COLLINS LTD 20120408 COUMARIN DERIVATIVES 2022-04-01 2024-03-31 Oral 6 BLOOD FORMATION, COAGULATION AND THROMBOSIS
41 1031J APO-WARFARIN 4MG TAB (APO) WARFARIN APO-WARFARIN 100'S A 38.82 0.3882 TAB 60 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 20120408 COUMARIN DERIVATIVES 2024-04-01 2026-03-31 ORAL 6 COUMARIN DERIVATIVES
41 1032AB APO-WARFARIN 5MG TAB (APO) WARFARIN APO-WARFARIN 100'S A 43.82 0.4382 TAB 60 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 20120408 COUMARIN DERIVATIVES 2024-04-01 2026-03-31 ORAL 6 COUMARIN DERIVATIVES
40 1032Q APO-WARFARIN 5MG TAB (APO/COL) WARFARIN APO-WARFARIN 100'S A 42.95 0.43 TABLET 60 TAB APO APOTEX INC. COL COLLINS LTD 20120408 COUMARIN DERIVATIVES 2022-04-01 2024-03-31 Oral 6 BLOOD FORMATION, COAGULATION AND THROMBOSIS
42 1032Q APO-WARFARIN 5MG TAB (APO) WARFARIN APO-WARFARIN 100'S A 43.82 0.44 TAB 60 BOTT APO APOTEX INC. COL AVENTA BARBADOS 20120408 COUMARIN DERIVATIVES 2026-04-01 ORAL 6 COUMARIN DERIVATIVES
40 10333 APO-WARFARIN 3MG TAB (APO/COL) WARFARIN APO-WARFARIN 100'S A 34.25 0.34 TABLET 60 TAB APO APOTEX INC. COL COLLINS LTD 20120408 COUMARIN DERIVATIVES 2022-04-01 2024-03-31 Oral 6 BLOOD FORMATION, COAGULATION AND THROMBOSIS
42 10333 APO-WARFARIN 3MG TAB (APO) WARFARIN APO-WARFARIN 100'S A 34.93 0.35 TAB 60 BOTT APO APOTEX INC. COL AVENTA BARBADOS 20120408 COUMARIN DERIVATIVES 2026-04-01 ORAL 6 COUMARIN DERIVATIVES
41 1033R APO-WARFARIN 3MG TAB (APO) WARFARIN APO-WARFARIN 100'S A 34.93 0.3493 TAB 60 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 20120408 COUMARIN DERIVATIVES 2024-04-01 2026-03-31 ORAL 6 COUMARIN DERIVATIVES
40 10349 APO-WARFARIN 2MG TAB (APO/COL) WARFARIN APO-WARFARIN 100'S A 12.78 0.13 TABLET 60 TAB APO APOTEX INC. COL COLLINS LTD 20120408 COUMARIN DERIVATIVES 2022-04-01 2024-03-31 Oral 6 BLOOD FORMATION, COAGULATION AND THROMBOSIS
42 10349 APO-WARFARIN 2MG TAB (APO) WARFARIN APO-WARFARIN 100'S A 13.02 0.13 TAB 60 BOTT APO APOTEX INC. COL AVENTA BARBADOS 20120408 COUMARIN DERIVATIVES 2026-04-01 ORAL 6 COUMARIN DERIVATIVES
41 1034K APO-WARFARIN 2MG TAB (APO) WARFARIN APO-WARFARIN 100'S A 13.02 0.1302 TAB 60 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 20120408 COUMARIN DERIVATIVES 2024-04-01 2026-03-31 ORAL 6 COUMARIN DERIVATIVES
40 10357 APO-WARFARIN 1MG TAB (APO/COL) WARFARIN APO-WARFARIN 100'S A 12.23 0.12 TABLET 60 TAB APO APOTEX INC. COL COLLINS LTD 20120408 COUMARIN DERIVATIVES 2022-04-01 2024-03-31 Oral 6 BLOOD FORMATION, COAGULATION AND THROMBOSIS
42 10357 APO-WARFARIN 1MG TAB (APO) WARFARIN APO-WARFARIN 100'S A 12.48 0.12 TAB 60 BOTT APO APOTEX INC. COL AVENTA BARBADOS 20120408 COUMARIN DERIVATIVES 2026-04-01 ORAL 6 COUMARIN DERIVATIVES
41 1035S APO-WARFARIN 1MG TAB (APO) WARFARIN APO-WARFARIN 100'S A 12.48 0.1248 TAB 60 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 20120408 COUMARIN DERIVATIVES 2024-04-01 2026-03-31 ORAL 6 COUMARIN DERIVATIVES
40 10415 PROTAMINE SULPHATE 10MG/ML INJ (SLS/AHI) PROTAMINE SULPHATE PROTAMINE SULPHATE 25X5ML B 235.27 9.41 INJECTION 0 AMP SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 202808 ANTIHEPARIN 2022-04-01 2024-03-31 IV 0 BLOOD FORMATION, COAGULATION AND THROMBOSIS