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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 0013PF LORATADINE 1MG/ML SYR (HEA/ATB) LORATADINE LORATADINE 100ML A 3.18 0.0318 SYR 120 ML HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 0408 SECOND GENERATION ANTIHISTAMINES 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 0013T
41 0013T ZYRTEC 1MG/ML SYR (GSK/COL) CETIRIZINE CETIRIZINE ZYRTEC 60ML C 12.31 0.2052 SYR 60 ML GSK GLAXOSMITHKLINE COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES ORAL 0 ANTIHISTAMINICS
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
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
41 0014M
41 0014M CHLORPHENIRAMINE 10MG/ML IV/IM INJ (FSB/ATB) CHLORPHENIRAMINE CHLORPHENIRAMINE 10X1ML B 3.83 0.3833 INJ 30 AMP FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 0404 FIRST GENERATION ANTIHISTAMINES IV/IM 6 ANTIHISTAMINICS
40 0014M CHLORPHENIRAMINE 10MG/ML IV/IM INJ (FSB/ATB) CHLORPHENIRAMINE CHLORPHENIRAMINE 10X1ML B 4.49 0.45 INJECTION 0 AMP FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 0404 FIRST GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 IV/IM 0 ANTIHISTAMINICS
40 0051F CAPECITABINE 150MG TAB (INP/AHI) CAPECITABINE CAPECITABINE 6X10 BQ 194.20 3.24 TABLET 0 TAB INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
41 0051J
41 0051J CAPECITABINE 150MG TAB (WAT/AHI) CAPECITABINE CAPECITABINE 60'S BQ 175.3319 2.9222 TAB 230 TAB WAT WATSON (ACTAVIS) PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS ORAL 6 ANTINEOPLASTICS
40 00521 XELODA 500MG TAB (ROC/AHI) CAPECITABINE CAPECITABINE XELODA 120'S C 326.20 2.72 TABLET 0 TAB ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 0 ANTINEOPLASTICS
41 00527
41 00527 KAPETRAL 500MG TAB (REM/SBI) CAPECITABINE CAPECITABINE KAPETRAL 120'S BQ 83.62 0.6968 TAB 60 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 1000 ANTINEOPLASTICS ORAL 6 ANTINEOPLASTICS
40 00527 KAPETRAL 500MG TAB (REM/SBI) CAPECITABINE CAPECITABINE KAPETRAL 120'S BQ 103.41 0.86 TABLET 0 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
41 0052AH
41 0052HF CAPETAZ 500MG TAB (ZUV/PHA) CAPECITABINE CAPECITABINE CAPETAZ 30'S BQ 31.57 1.0523 TAB 60 TAB ZUV ZUVIUS PHA PHARMACY SALES CARIBBEAN 1000 ANTINEOPLASTICS Add to Contract as Cat B ORAL 6 ANTINEOPLASTICS
40 0071G APO-ZOLPIDEM 5MG TAB (APO/COL) ZOLPIDEM APO-ZOLPIDEM 30'S C 17.81 0.59 TABLET 0 TAB APO APOTEX INC. COL COLLINS LTD 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS