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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
40 1131CZ LIPITOR 10MG TAB (PFI/STO) ATORVASTATIN ATORVASTATIN LIPITOR 30'S C 33.19 1.11 TABLET 0 TAB PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 CARDIOVASCULAR DRUGS
41 1131CZ LIPITOR 10MG TAB (PFI) ATORVASTATIN (C) ATORVASTATIN LIPITOR 30'S C 33.49 1.1163 TAB 30 BOX PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
40 1131DA LIPITOR 10MG TAB (PFI/SBI) ATORVASTATIN ATORVASTATIN LIPITOR 30'S C 33.19 1.11 TABLET 0 TAB PFI PFIZER CORPORATION SBI MASSY DISTRIBUTION (BDOS) LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 CARDIOVASCULAR DRUGS
41 1131DA LIPITOR 10MG TAB (PFI) ATORVASTATIN (C) ATORVASTATIN LIPITOR 30'S C 33.49 1.1163 TAB 30 BOX PFI PFIZER CORPORATION SBI MASSY DISTRIBUTION (BDOS) LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
40 1131DQ ATOREC 10MG TAB (EMC/COL) ATORVASTATIN ATORVASTATIN ATOREC 30'S C 3.26 0.11 TABLET 0 TAB EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 CARDIOVASCULAR DRUGS
42 1131DQ ATOREC 10MG TAB (EMC) ATORVASTATIN (C) ATORVASTATIN ATOREC 30'S C 3.53 0.12 TAB 30 BLIS EMC EMCURE PHARMACEUTICALS LTD COL AVENTA BARBADOS 240608 HMG-CoA REDUCTASE INHIBITORS 2026-04-01 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
40 1131DV CRESTOR 5MG TAB (AZN/COL) ROSUVASTATIN ROSUVASTATIN CRESTOR 30'S C 29.00 0.97 TABLET 0 TAB AZN ASTRAZENECA AB COL COLLINS LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 CARDIOVASCULAR DRUGS
41 1131DV CRESTOR 5MG TAB (AZN) ROSUVASTATIN (C) ROSUVASTATIN CRESTOR 30'S C 29 0.9668 TAB 30 BOX AZN ASTRAZENECA AB COL COLLINS LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
42 1131DV CRESTOR 5MG TAB (AZN) ROSUVASTATIN (C) ROSUVASTATIN CRESTOR 30'S C 29.00 0.97 TAB 30 BLIS AZN ASTRAZENECA AB COL AVENTA BARBADOS 240608 HMG-CoA REDUCTASE INHIBITORS 2026-04-01 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
41 1131DW ATORSTAN 10MG TAB (REM) ATORVASTATI ATORVASTATIN ATORSTAN 3x10 A 1.6 0.0535 TAB 30 BOX REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2024-04-01 2024-06-30 ORAL 6 HMG-CoA REDUCTASE INHIBITORS 2024-03-25
41 1131DW ATORSTAN 10MG TAB (REM) ATORVASTATI ATORVASTATIN ATORSTAN 3x10 A 4.78 0.1593 TAB 30 BOX REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2024-08-07 2024-09-18 ORAL 6 HMG-CoA REDUCTASE INHIBITORS 2024-08-07
42 1131DW ATORSTAN 10MG TAB (REM) ATORVASTAT (C) ATORVASTATIN ATORSTAN 3x10 C 3.15 0.11 TAB 30 BLIS REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2026-04-01 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
40 1131EP ROSUVASTATIN 5MG TAB (MSN/AHI) ROSUVASTATIN ROSUVASTATIN 30'S A 2.47 0.08 TABLET 30 TAB MSN MSN LABS AHI ARMSTRONG HEALTHCARE INC 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2022-09-30 Oral 6 CARDIOVASCULAR DRUGS 2022-03-29
41 1131FA ATOREM 10MG TAB (MSN) ATORVASTATIN ATORVASTATIN ATOREM 3X10 A 1.2 0.0399 TAB 30 BOTT MSN MSN LABS ATB ANSA TRADING BARBADOS LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
40 1131FD ROSUVASTATIN 5MG TAB (MCP/AHI) ROSUVASTATIN ROSUVASTATIN 3X10 A 2.01 0.07 TABLET 30 TAB MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
41 1131FD ROSUVASTATIN 5MG TAB (MCP) ROSUVASTATIN ROSUVASTATIN 3X10 A 2.17 0.0725 TAB 30 BOX MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 240608 HMG-CoA REDUCTASE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
40 1131FK ATORVASTATIN 10MG TAB (UME/AHI) ATORVASTATIN ATORVASTATIN 3X10 A 1.44 0.05 TABLET 30 TAB UME UMEDICA AHI ARMSTRONG HEALTHCARE INC 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
41 1131FN ATORVASTATIN 10MG TAB (TPP) ATORVASTATIN ATORVASTATIN 10X10 A 3.86 0.0386 TAB 30 BOX TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 240608 HMG-CoA REDUCTASE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 HMG-CoA REDUCTASE INHIBITORS 2023-10-27
42 1131FN ATORVASTATIN 10MG TAB (TPP) ATORVASTATIN ATORVASTATIN 10X10 A 3.89 0.04 TAB 30 BLIS TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 240608 HMG-CoA REDUCTASE INHIBITORS 2026-04-01 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
40 1131FW LIPITAS 10MG TAB (INP/AHI) ATORVASTATIN ATORVASTATIN LIPITAS 30'S A 3.56 0.1187 TABLET IMMED INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 240608 HMG-CoA REDUCTASE INHIBITORS 2023-03-20 2024-03-31 Add to Contract as Cat A Oral 6 HMG-CoA REDUCTASE INHIBITORS 2023-01-04