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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 13329 FENTANYL CITRATE 50MCG/ML INJ (MTP/COL) FENTANYL CITRATE FENTANYL CITRATE 10X10ML BQ 31.26 3.13 INJECTION 0 AMP MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 280808 OPIATE AGONISTS 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
41 13329 FENTANYL CITRATE 50MCG/ML INJ (MTP) (BQ) FENTANYL CITRATE FENTANYL CITRATE 10X10ML BQ 42.41 4.2406 AMP 0 BOX MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 280808 OPIATE AGONISTS 2024-04-01 2026-03-31 IV 0 OPIATE AGONISTS
42 1332F FENTANYL CITRATE 50MCG/ML INJ (MTP) FENTANYL CITRATE FENTANYL CITRATE 10X10ML BQ 50.23 5.02 AMPG 0 AMP MTP MARTINDALE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 280808 OPIATE AGONISTS 2026-04-01 IV 0 OPIATE AGONISTS
42 1332L VERFEN 50MCG/ML INJ (VEV) FENTANYL FENTANYL CITRATE VERFEN 5X10ML BQ 23.65 4.73 AMPG 0 BOX VEV VERVE HUMANCARE LABORATORIES AHI ARMSTRONG HEALTHCARE INC 280808 OPIATE AGONISTS 2026-04-01 IV 0 OPIATE AGONISTS
40 13511 BARALGIN 500MG TAB (SFA/COL) METAMIZOL METAMIZOL BARALGIN 50'S C 23.76 0.48 TABLET 0 TAB SFA SANOFI AVENTIS COL COLLINS LTD 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
40 1351C METAMIZOL 500MG TAB (HEA/RXP) METAMIZOL METAMIZOL 250'S A 17.53 0.07 TABLET 30 TAB HEA HEALTH 2000 INC RXP RX PRO INC 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
40 1351E METAMIZOL 500MG TAB (HEA/ATB) METAMIZOL METAMIZOL 250'S A 17.53 0.0701 TABLET IMMED HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2022-12-07 2024-03-31 Change Local Agent oral 0 ANALGESICS AND PYRETICS MISCELLANEOUS 2022-11-25
41 1351E METAMIZOL 500MG TAB (HEA) METAMIZOL METAMIZOL 250'S A 18.13 0.0725 TAB 30 JAR HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 0 ANALGESICS AND PYRETICS MISCELLANEOUS
41 1351F RESTRIVA 500MG TAB (TRO) METAMIZOL METAMIZOL RESTRIVA 150'S A 21.77 0.1451 TAB 30 BOX TRO TROIKAA AHI ARMSTRONG HEALTHCARE INC 2808 ANALGESICS-ANTIPYRETICS 2024-04-01 2026-03-31 ORAL 0 ANALGESICS-ANTIPYRETICS 2024-03-11
42 1351H METAMIZOLE 500MG TAB (HEA) METAMIZOL METAMIZOL 25X10 A 23.68 0.09 TAB 30 BOTT HEA HEALTH 2000 INC AHI ARMSTRONG HEALTHCARE INC 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2026-04-01 Price Change ORAL 0 ANALGESICS AND PYRETICS MISCELLANEOUS 2025-10-31
42 1351J METAMIZOL 500MG TAB (HEA) METAMIZOL METAMIZOL 25X10 A 23.68 0.09 TAB 30 BOTT HEA HEALTH 2000 INC CWS CAPSULE WHOLESALE 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2026-04-01 Add to Contract as Cat A ORAL 0 ANALGESICS AND PYRETICS MISCELLANEOUS 2026-01-26
42 1351K METAMIZOL 500MG TAB (HEA) METAMIZOL METAMIZOL 250'S A 23.68 0.09 TAB 30 HEA HEALTH 2000 INC STO BRYDEN STOKES LTD 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2026-04-01 Add to Contract as Cat A ORAL 0 ANALGESICS AND PYRETICS MISCELLANEOUS 2026-02-27
40 13522 BARALGIN M 500MG/ML DROPS (SFA/COL) METAMIZOL METAMIZOL BARALGIN M 10ML A 8.15 8.15 DROPS 1 BOTT SFA SANOFI AVENTIS COL COLLINS LTD 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
40 1353B METAMIZOL 500MG/ML INJ (MON/PHA) METAMIZOL METAMIZOL 10X2ML B 7.50 0.75 INJECTION 0 AMP MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
42 1353B METAMIZOL 500MG/ML INJ (MON) METAMIZOL METAMIZOL 10X2ML B 9.57 0.96 AMPG 0 BOX MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2026-04-01 IV 0 ANALGESICS AND PYRETICS MISCELLANEOUS
41 1353E METAMIZOL 500MG/ML INJ (FSB) (B) METAMIZOL METAMIZOL 10X2ML B 7.94 0.7938 AMP 0 BOX FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2024-04-01 2026-03-31 IV/IM 0 ANALGESICS AND PYRETICS MISCELLANEOUS
42 1353F METAMIZOL 500MG/ML INJ (FSB) METAMIZOL METAMIZOL 10X2ML B 7.86 0.79 AMPG 0 FSB FLAGSHIP BIOTECH STO BRYDEN STOKES LTD 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2026-04-01 Add to Contract as Cat B IV/IM 0 ANALGESICS AND PYRETICS MISCELLANEOUS 2026-03-05
40 13549 METAMIZOL 500MG/ML INJ (MON/PHA) METAMIZOL METAMIZOL 5X5ML B 6.63 1.33 INJECTION 0 AMP MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
41 13549 METAMIZOL 500MG/ML INJ (MON) METAMIZOL METAMIZOL 5X5ML B 8.32 1.6636 AMP 0 BOX MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2024-04-01 2026-03-31 IV 0 ANALGESICS AND PYRETICS MISCELLANEOUS
42 13549 METAMIZOL 500MG/ML INJ (MON) METAMIZOL METAMIZOL 5X5ML B 7.50 1.50 AMPG 0 BOX MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2026-04-01 IV 0 ANALGESICS AND PYRETICS MISCELLANEOUS