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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 1133CP LIPITOR 40MG TAB (PFI/STO) ATORVASTATIN ATORVASTATIN LIPITOR 30'S C 37.73 1.26 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 1133CP LIPITOR 40MG TAB (PFI) ATORVASTATIN (C) ATORVASTATIN LIPITOR 30'S C 38.06 1.2686 TAB 60 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 1133CQ LIPITOR 40MG TAB (PFI/SBI) ATORVASTATIN ATORVASTATIN LIPITOR 30'S C 37.73 1.26 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 1133CQ LIPITOR 40MG TAB (PFI) ATORVASTATIN (C) ATORVASTATIN LIPITOR 30'S C 38.06 1.2686 TAB 60 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 1133DC ATORVASTATIN 40MG TAB (FSB/ATB) ATORVASTATIN ATORVASTATIN 10X10 A 10.75 0.11 TABLET 60 TAB FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2023-03-31 Oral 6 CARDIOVASCULAR DRUGS 2022-03-30
41 1133DC ATORVASTATIN 40MG TAB (FSB) ATORVASTATIN ATORVASTATIN 10X10 A 6.47 0.0647 TAB 60 BOX FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
40 1133DF CRESTOR 20MG TAB (AZN/COL) ROSUVASTATIN ROSUVASTATIN CRESTOR 30'S C 38.79 1.29 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 1133DF CRESTOR 20MG TAB (AZN) ROSUVASTATIN (C) ROSUVASTATIN CRESTOR 30'S C 38.79 1.293 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 1133DF CRESTOR 20MG TAB (AZN) ROSUVASTATIN ROSUVASTATIN CRESTOR 30'S C 38.79 1.29 TAB 30 BLIS AZN ASTRAZENECA AB COL AVENTA BARBADOS 240608 HMG-CoA REDUCTASE INHIBITORS 2026-04-01 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
41 1133DJ ATORSTAN 40MG TAB (REM) ATORVASTATI ATORVASTATIN ATORSTAN 3x10 A 3.02 0.1006 TAB 60 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 1133DJ ATORSTAN 40MG TAB (REM) ATORVASTATI ATORVASTATIN ATORSTAN 3x10 A 8.95 0.2983 TAB 60 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 1133EG CONSIVAS 20MG TAB (EMC/COL) ROSUVASTATIN ROSUVASTATIN CONSIVAS 100'S A 14.87 0.15 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
40 1133EH ROSUVASTATIN 20MG TAB (MSN/AHI) ROSUVASTATIN ROSUVASTATIN 30'S A 5.16 0.17 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
40 1133EV ATORVASTATIN 40MG TAB (RYV/ALW) ATORVASTATIN ATORVASTATIN 30'S A 2.12 0.07 TABLET 60 TAB RYV RYVIS PHARMA PVT. LTD ALW ALTIMAR WHOLESALERS INC 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
41 1133FB LDNIL 20MG TAB (MSN) ROSUVASTATIN ROSUVASTATIN LDNIL 30'S A 3.86 0.1287 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 1133FE ROSUVASTATIN 20MG TAB (MCP/AHI) ROSUVASTATIN ROSUVASTATIN 3X10 A 4.00 0.13 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 1133FE ROSUVASTATIN 20MG TAB (MCP) ROSUVASTATIN ROSUVASTATIN 3X10 A 4.54 0.1513 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
42 1133FE ROSUVASTATIN 20MG TAB (MCP) ROSUVASTATIN ROSUVASTATIN 3X10 A 2.94 0.10 TAB 30 BLIS MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 240608 HMG-CoA REDUCTASE INHIBITORS 2026-04-01 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
40 1133FP ATORVASTATIN 40MG TAB (UME/AHI) ATORVASTATIN ATORVASTATIN 3X10 A 2.53 0.08 TABLET 60 TAB UME UMEDICA AHI ARMSTRONG HEALTHCARE INC 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
41 1133FS ATORVASTATIN 40MG TAB (CIR) ATORVASTATIN ATORVASTATIN 30'S A 2.01 0.0671 TAB 60 BOTT CIR CIRON PHARMA AHI ARMSTRONG HEALTHCARE INC 240608 HMG-CoA REDUCTASE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 HMG-CoA REDUCTASE INHIBITORS