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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 1131FZ XTOR 10MG TAB (IPC) ATORVASTATIN ATORVASTATIN XTOR 100'S A 3.97 0.0397 TAB 30 BOX IPC IPCA Laboratories Ltd. ATB ANSA TRADING BARBADOS LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
41 1131GT ATORVASTATIN 10MG TAB (INP) ATORVASTATIN ATORVASTATIN 1000'S A 35.96 0.036 TAB 30 BOTT INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 240608 HMG-CoA REDUCTASE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
42 1131GW STALIP 10MG TAB (STL) ATORVASTATIN ATORVASTATIN STALIP 30'S A 0.71 0.02 TAB 30 BLIS STL STALLION LABORATORIES SBI MASSY DISTRIBUTION (BDOS) LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2026-04-01 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
42 1131GX LIPITOR 10MG TAB (PFI) ATORVASTATI (C) ATORVASTATIN LIPITOR 3X10 C 33.49 1.12 TAB 30 BLIS PFI PFIZER CORPORATION COL AVENTA BARBADOS 240608 HMG-CoA REDUCTASE INHIBITORS 2026-04-01 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
42 1131HA ROSELLION 5MG TAB (STL) ROSUVASTATIN ROSUVASTATIN ROSELLION 3X10 A 0.98 0.03 TAB 30 BLIS STL STALLION LABORATORIES SBI MASSY DISTRIBUTION (BDOS) LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2026-04-01 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
42 1131HN ROVISTA 5MG TAB (GET) ROSUVASTATIN ROSUVASTATIN ROVISTA 30'S A 1.93 0.06 TAB 30 BLIS GET GETZ PHARMA (PVT) LIMITED AHI ARMSTRONG HEALTHCARE INC 240608 HMG-CoA REDUCTASE INHIBITORS 2026-04-01 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
42 1131HS FLAGTOR 10MG TAB (FSB) ATORVASTATIN ATORVASTATIN FLAGTOR 10X10 A 1.03 0.01 TAB 30 FSB FLAGSHIP BIOTECH STO BRYDEN STOKES LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2026-04-01 Add to Contract as Cat A ORAL 6 HMG-CoA REDUCTASE INHIBITORS 2026-03-05
42 1131HT ATOREM 10MG TAB (MSN) ATORVASTATIN ATORVASTATIN ATOREM 3X10 A 1.06 0.04 TAB 30 MSN MSN LABS STO BRYDEN STOKES LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2026-04-01 Add to Contract as Cat A ORAL 6 HMG-CoA REDUCTASE INHIBITORS 2026-03-23
40 1132BE ATORVASTATIN 20MG TAB (CPP/COL) ATORVASTATIN ATORVASTATIN 28'S A 1.50 0.05 TABLET 30 TAB CPP WOCKHARDT UK LTD COL COLLINS LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
40 1132DV LIPITOR 20MG TAB (PFI/STO) ATORVASTATIN ATORVASTATIN LIPITOR 30'S C 36.21 1.21 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 1132DV LIPITOR 20MG TAB (PFI) ATORVASTATIN (C) ATORVASTATIN LIPITOR 30'S C 36.53 1.2178 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 1132DW LIPITOR 20MG TAB (PFI/SBI) ATORVASTATIN ATORVASTATIN LIPITOR 30'S C 36.21 1.21 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 1132DW LIPITOR 20MG TAB (PFI) ATORVASTATIN (C) ATORVASTATIN LIPITOR 30'S C 36.53 1.2178 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 1132EM ATOREC 20MG TAB (EMC/COL) ATORVASTATIN ATORVASTATIN ATOREC 30'S C 3.81 0.13 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
40 1132ER CRESTOR 10MG TAB (AZN/COL) ROSUVASTATIN ROSUVASTATIN CRESTOR 30'S C 29.55 0.99 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 1132ER CRESTOR 10MG TAB (AZN) ROSUVASTATIN (C) ROSUVASTATIN CRESTOR 30'S C 29.55 0.9849 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 1132ER CRESTOR 10MG TAB (AZN) ROSUVASTATI (C) ROSUVASTATIN CRESTOR 30'S C 29.55 0.99 TAB 30 BLIS AZN ASTRAZENECA AB COL AVENTA BARBADOS 240608 HMG-CoA REDUCTASE INHIBITORS 2026-04-01 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
41 1132ET ATORSTAN 20MG TAB (REM) ATORVASTATI ATORVASTATIN ATORSTAN 3x10 A 2.07 0.0689 TAB 30 BOX REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2024-04-01 2024-05-06 ORAL 6 HMG-CoA REDUCTASE INHIBITORS 2024-03-25
41 1132ET ATORSTAN 20MG TAB (REM) ATORVASTATI ATORVASTATIN ATORSTAN 3x10 A 5.66 0.1887 TAB 30 BOX REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2024-08-07 2024-09-30 ORAL 6 HMG-CoA REDUCTASE INHIBITORS 2024-08-07
40 1132FV CONSIVAS 10MG TAB (EMC/COL) ROSUVASTATIN ROSUVASTATIN CONSIVAS 100'S A 13.05 0.13 TABLET 30 TAB EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS