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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 01027 NYSTATIN 100,000U/ML SUSP (HEA/RXP) NYSTATIN NYSTATIN 60ML A 5.71 0.10 SUSPENSION 180 ML HEA HEALTH 2000 INC RXP RX PRO INC 081428 POLYENES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 0102T PMS-NYSTATIN 100,000U/ML SUSP (PMS/COL) NYSTATIN PMS-NYSTATIN 100ML A 8.15 0.0816 SUSP 180 ML PMS PHARMASCIENCE COL COLLINS LTD 081428 POLYENES ORAL 0 ANTI-INFECTIVE AGENTS
40 0102T PMS-NYSTATIN 100,000U/ML SUSP (PMS/COL) NYSTATIN PMS-NYSTATIN 100ML A 6.80 0.07 SUSPENSION 180 ML PMS PHARMASCIENCE COL COLLINS LTD 081428 POLYENES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 0102V NYSTATIN 100,000U/ML SUSP (HEA/ATB) NYSTATIN NYSTATIN 60ML A 5.76 0.096 SUSP 180 ML HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 081428 POLYENES ORAL 0 ANTI-INFECTIVE AGENTS
40 0102V NYSTATIN 100,000U/ML SUSP (HEA/ATB) NYSTATIN NYSTATIN 60ML A 5.71 0.0952 SUSPENSION HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 81428 POLYENES 2022-12-07 2024-03-31 Change Local Agent ORAL 0 POLYENES 2022-11-25
40 0111D CEFUROXIME 500MG CAP (KWA/ATB) CEFUROXIME CEFUROXIME 100'S BQ 66.95 0.67 CAPSULE 0 CAP KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 08120608 SECOND GEN CEPHALOSPORINS 2022-04-01 2024-03-31 Oral 6 ANTI-INFECTIVE AGENTS
40 0111DL CEFADROXIL 500MG CAP (KWA/ATB) CEFADROXIL CEFADROXIL 10X10 A 23.11 0.23 CAPSULE 28 CAP KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 08120604 FIRST GEN CEPHALOSPORINS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 0111FA ADORA 500MG CAP (INC/AHI) CEFADROXIL CEFADROXIL ADORA 20'S A 8.07 0.4037 CAP 28 CAP INC INCEPTA PHARMACEUTICALS LIMITED AHI ARMSTRONG HEALTHCARE INC 08120604 FIRST GEN CEPHALOSPORINS ORAL 0 ANTI-INFECTIVE AGENTS
41 0111FB BACTERAM 500MG TAB (MBL/AHI) CEFADROXIL CEFADROXIL BACTERAM 12'S A 5.11 0.4259 TAB 28 TAB MBL MEDICAMEN BIOTECH LTD AHI ARMSTRONG HEALTHCARE INC 08120604 FIRST GEN CEPHALOSPORINS ORAL 0 ANTI-INFECTIVE AGENTS
41 0111FD
41 0111FD ZINNAT 500MG TAB (BCH/COL) CEFUROXIME CEFUROXIME ZINNAT 50'S BQ 64.91 1.2982 TAB 20 TAB BCH SANDOZ COL COLLINS LTD 08120608 SECOND GEN CEPHALOSPORINS Add to Contract as Cat B ORAL 0 ANTI-INFECTIVE AGENTS
41 0111FE ZINNAT 500 MG TAB (SAN/COL) CEFUROXIME CEFUROXIME ZINNAT 10 's BQ 12.98 1.298 TAB 20 TAB COL COLLINS LTD. 08120608 SECOND GEN CEPHALOSPORINS ORAL ANTI-INFECTIVE AGENTS 2024-09-10
40 0111S ZINNAT 500MG TAB (GSK/COL) CEFUROXIME CEFUROXIME ZINNAT 50'S C 145.62 2.91 TABLET 0 TAB GSK GLAXOSMITHKLINE COL COLLINS LTD 08120608 SECOND GEN CEPHALOSPORINS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0112BB CEFADROXIL MK 50MG/ML SUSP (BON/COL) CEFADROX CEFADROXIL CEFADROXIL MK 60ML A 8.54 0.14 SUSPENSION 120 ML BON CORPORACION BONIMA COL COLLINS LTD 08120604 FIRST GEN CEPHALOSPORINS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0112CH ZINNAT 50MG/ML SUSP (GSK/COL) CEFUROXIME CEFUROXIME ZINNAT 70ML C 25.66 0.26 SUSPENSION 0 ML GSK GLAXOSMITHKLINE COL COLLINS LTD 08120608 SECOND GEN CEPHALOSPORINS 2022-04-01 2024-03-31 Package Size Change Oral 0 ANTI-INFECTIVE AGENTS 2022-03-21
41 0112CK CEFADROXIL 50MG/ML SUSP (MBL/AHI) CEFADROXIL CEFADROXIL 60ML A 7.96 0.1327 SUSP 120 ML MBL MEDICAMEN BIOTECH LTD AHI ARMSTRONG HEALTHCARE INC 08120604 FIRST GEN CEPHALOSPORINS ORAL 0 ANTI-INFECTIVE AGENTS
41 0112CM
41 0112CM ZINNAT 25MG/ML SUSP (BCH/COL) CEFUROXIME CEFUROXIME ZINNAT 100ML BQ 25.66 0.2566 SUSP 21 ML BCH SANDOZ COL COLLINS LTD 08120608 SECOND GEN CEPHALOSPORINS Add to Contract as Cat B ORAL 0 ANTI-INFECTIVE AGENTS
41 0112CN
41 0112CN ZINNAT 50MG/ML SUSP (BCH/COL) CEFUROXIME CEFUROXIME ZINNAT 100ML BQ 22.67 0.2267 SUSP 60 ML BCH SANDOZ COL COLLINS LTD 08120608 SECOND GEN CEPHALOSPORINS Add to Contract as Cat B ORAL 0 ANTI-INFECTIVE AGENTS