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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 0013BX CETIRIZINE 1MG/ML SYR (HEA) CETIRIZINE CETIRIZINE 60ML A 2.83 0.05 ML 60 BOTT HEA HEALTH 2000 INC CWS CAPSULE WHOLESALE 0408 SECOND GENERATION ANTIHISTAMINES 2026-04-01 Add to Contract as Cat A ORAL 0 SECOND GENERATION ANTIHISTAMINES 2026-01-26
42 0013BY LORATADINE 1MG/ML SYR (HEA) LORATADINE LORATADINE 100ML A 3.10 0.03 ML 120 BOTT HEA HEALTH 2000 INC CWS CAPSULE WHOLESALE 0408 SECOND GENERATION ANTIHISTAMINES 2026-04-01 Add to Contract as Cat A ORAL 0 SECOND GENERATION ANTIHISTAMINES 2026-01-26
42 0013BZ CETIRIZINE 1MG/ML SYR (HEA) CETIRIZINE CETIRIZINE 60ML A 2.83 0.05 ML 60 HEA HEALTH 2000 INC STO BRYDEN STOKES LTD 0408 SECOND GENERATION ANTIHISTAMINES 2026-04-01 Add to Contract as Cat A ORAL 0 SECOND GENERATION ANTIHISTAMINES 2026-02-26
42 0013CA LORATADINE 1MG/ML SYR (HEA) LORATADINE LORATADINE 100ML A 3.10 0.03 ML 120 HEA HEALTH 2000 INC STO BRYDEN STOKES LTD 0408 SECOND GENERATION ANTIHISTAMINES 2026-04-01 Add to Contract as Cat A ORAL 0 SECOND GENERATION ANTIHISTAMINES 2026-02-26
40 0013E HISTAL 0.4MG/ML ELIX (CAR/COL) CHLORPHENIRAMI CHLORPHENIRAMINE HISTAL 2 LITRES A 34.79 0.02 SYRUP 100 ML CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 0404 FIRST GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
41 0013E HISTAL 0.4MG/ML ELIX (CAR) CHLORPHENIRAM CHLORPHENIRAMINE HISTAL 2 LITRES A 46.16 0.0231 ML 100 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 0404 FIRST GENERATION ANTIHISTAMINES 2024-04-01 2026-03-31 ORAL 0 FIRST GENERATION ANTIHISTAMINES
42 0013E HISTAL 0.4MG/ML ELIX (CAR) CHLORPHENIRAM CHLORPHENIRAMINE HISTAL 2 LITRES A 46.16 0.02 ML 100 BOTT CAR CARLISLE LABORATORIES LTD COL AVENTA BARBADOS 0404 FIRST GENERATION ANTIHISTAMINES 2026-04-01 ORAL 0 FIRST GENERATION ANTIHISTAMINES
40 0013G ALLEGRA 6MG/ML SUSP (SFA/COL) FEXOFENADINE FEXOFENADINE ALLEGRA 150ML C 13.59 0.09 SUSPENSION 0 ML SFA SANOFI AVENTIS COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0013G ALLEGRA 6MG/ML SUSP (SFA/COL) FEXOFENAD (C) FEXOFENADINE ALLEGRA 150ML C 29.36 0.1957 SUSPENSION SFA SANOFI AVENTIS COL COLLINS LTD 408 SECOND GENERATION ANTIHISTAMINES 2022-12-10 2024-03-31 Price Change Oral 0 SECOND GENERATION ANTIHISTAMINES 2022-12-09
40 0013K CETIRIZINE 1MG/ML SYR (HEA/RXP) CETIRIZINE CETIRIZINE 60ML A 2.69 0.04 SYRUP 60 ML HEA HEALTH 2000 INC RXP RX PRO INC 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0013KA CETIRIZINE 1MG/ML SYR (HEA/ATB) CETIRIZINE CETIRIZINE 60ML A 2.69 0.0448 SYRUP HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 408 SECOND GENERATION ANTIHISTAMINES 2022-12-07 2024-03-31 Change Local Agent oral 0 SECOND GENERATION ANTIHISTAMINES 2022-11-25
41 0013KA CETIRIZINE 1MG/ML SYR (HEA) CETIRIZINE CETIRIZINE 60ML A 2.91 0.0485 ML 60 BOTT HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2024-04-01 2026-03-31 ORAL 0 SECOND GENERATION ANTIHISTAMINES
40 0013P LORATADINE 1MG/ML SYRUP (HEA/RXP) LORATADINE LORATADINE 100ML A 3.13 0.03 SYRUP 120 ML HEA HEALTH 2000 INC RXP RX PRO INC 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0013PF LORATADINE 1MG/ML SYRUP (HEA/ATB) LORATADINE LORATADINE 100 ML A 3.13 0.0313 SYRUP HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 408 SECOND GENERATION ANTIHISTAMINES 2022-12-07 2024-03-31 Change Local Agent ORAL 0 SECOND GENERATION ANTIHISTAMINES 2022-11-25
41 0013PF LORATADINE 1MG/ML SYR (HEA) LORATADINE LORATADINE 100ML A 3.18 0.0318 ML 120 BOTT HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2024-04-01 2026-03-31 ORAL 0 SECOND GENERATION ANTIHISTAMINES
40 0013T ZYRTEC 1MG/ML SYR (GSK/COL) CETIRIZINE CETIRIZINE ZYRTEC 60ML C 11.20 0.19 SYRUP 0 ML GSK GLAXOSMITHKLINE COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
41 0013T ZYRTEC 1MG/ML SYR (GSK) CETIRIZINE (C) CETIRIZINE ZYRTEC 60ML C 12.31 0.2052 ML 60 BOTT GSK GLAXOSMITHKLINE COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2024-04-01 2026-03-31 ORAL 0 SECOND GENERATION ANTIHISTAMINES
42 0013T ZYRTEC 1MG/ML SYR (GSK) CETIRIZINE CETIRIZINE ZYRTEC 60ML C 13.67 0.23 ML 60 BOTT GSK GLAXOSMITHKLINE COL AVENTA BARBADOS 0408 SECOND GENERATION ANTIHISTAMINES 2026-04-01 Price Change ORAL 0 SECOND GENERATION ANTIHISTAMINES 2026-02-16
40 00147 CHLORPHENIRAMINE 5MG/ML IV/IM INJ (STP/COL) CHLORPHENIRAMINE CHLORPHENIRAMINE 100X2ML B 173.97 1.74 INJECTION 0 AMP STP STEROP LABORATORIES COL COLLINS LTD 0404 FIRST GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 IV/IM 0 ANTIHISTAMINICS
40 0014K CHLORPHENIRAMINE 10MG/ML IV/IM INJ (MON/PHA) CHLORPHENIRAMINE CHLORPHENIRAMINE 10X1ML B 6.96 0.70 INJECTION 0 AMP MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 0404 FIRST GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 IV/IM 0 ANTIHISTAMINICS