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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 1133FV LIPITAS 40MG TAB (INP/AHI) ATORVASTATIN ATORVASTATIN LIPITAS 30'S A 5.41 0.1803 TABLET IMMED 30 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
41 1133GJ RSTAT 20MG TAB (TPP) ROSUVASTATIN ROSUVASTATIN RSTAT 10X10 A 12.72 0.1272 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
41 1133GL ASTAT 40MG TAB (TPP) ATORVASTATIN ATORVASTATIN ASTAT 10X10 A 7.07 0.0707 TAB 60 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
42 1133GW LIPITOR 40MG TAB (PFI) ATORVASTATI (C) ATORVASTATIN LIPITOR 30'S C 38.06 1.27 TAB 60 BLIS PFI PFIZER CORPORATION COL AVENTA BARBADOS 240608 HMG-CoA REDUCTASE INHIBITORS 2026-04-01 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
42 1133HB ATRONIM 40MG TAB (ANC) ATORVASTATIN ATORVASTATIN ATRONIM 3X10 A 1.90 0.06 TAB 60 BLIS ANC AEONIM HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2026-04-01 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
42 1133HM ROSELLION 20MG TAB (STL) ROSUVASTATIN ROSUVASTATIN ROSELLION 3X10 A 1.44 0.05 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 1133HV ATORVASTATIN 40MG TAB (FSB) ATORVASTATIN ATORVASTATIN 10X10 A 5.52 0.06 TAB 60 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
40 11346 LIPITOR 80MG TAB (PFI/STO) ATORVASTATIN ATORVASTATIN LIPITOR 14'S C 51.29 3.66 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 11346 LIPITOR 80MG TAB (PFI) ATORVASTATIN (C) ATORVASTATIN LIPITOR 14'S C 51.76 3.6969 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 11348 LIPITOR 80MG TAB (PFI/SBI) ATORVASTATIN ATORVASTATIN LIPITOR 14'S C 51.29 3.66 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 11348 LIPITOR 80MG TAB (PFI) ATORVASTATIN (C) ATORVASTATIN LIPITOR 14'S C 51.76 3.6969 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 1134AD ROSUVASTATIN 40MG TAB (FSB/ATB) ROSUVASTATIN ROSUVASTATIN 20'S A 3.78 0.19 TABLET 30 TAB FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2024-03-31 Add to Contract as Cat A Oral 6 CARDIOVASCULAR DRUGS 2022-06-02
40 1134AG APO-ATORVASTATIN 80MG TAB (APO/COL) ATORVASTATIN APO-ATORVASTATIN 100'S C 27.62 0.28 TABLET 0 TAB APO APOTEX INC. COL COLLINS LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 CARDIOVASCULAR DRUGS
40 1134AM ROSUVASTATIN 40MG TAB (MCP/AHI) ROSUVASTATIN ROSUVASTATIN 3X10 A 6.93 0.23 TABLET 30 TAB MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2023-06-18 Oral 6 CARDIOVASCULAR DRUGS
40 1134AM ROSUVASTATIN 40MG TAB (MCP ROSUVASTATIN ROSUVASTATIN 40MG TAB 30'S A $5.54 $0.1846 TABLET 30 TABS MCP MACLEODS PHARMACUETICAL LTD AHI ARMSTRONG HEALTHCARE INC 240608 HMG-CoA REDUCTASE INHIBITORS 2023-06-19 2024-03-31 ORAL 6 ANTILIPEMIC AGENTS 2023-06-09
41 1134AT ATORVASTATIN 80MG TAB (MSN) ATORVASTATIN ATORVASTATIN 30'S A 5.76 0.1921 TAB 30 BOX 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
41 1134AU LDNIL 40MG TAB (MSN) ROSUVASTATIN ROSUVASTATIN LDNIL 30'S A 6.31 0.2102 TAB 30 BOX 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
41 1134AX RSTAT 40MG TAB (TPP) ROSUVASTATIN ROSUVASTATIN RSTAT 10X10 A 19.95 0.1995 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
40 1134B APO-ROSUVASTATIN 40MG TAB (APO/COL) ROSUVASTATIN APO-ROSUVASTATIN 30'S A 7.96 0.27 TABLET 30 TAB APO APOTEX INC. COL COLLINS LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
42 1134BA ROSUVASTATIN 40MG TAB (GLP) ROSUVASTATIN ROSUVASTATIN 90'S A 14.27 0.16 TAB 30 BLIS GLP GLENMARK PHARMACEUTICALS LTD STO BRYDEN STOKES LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2026-04-01 ORAL 6 HMG-CoA REDUCTASE INHIBITORS