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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 1532AX AMIROL 25MG TAB (REM) AMITRIPTYLINE AMITRIPTYLINE AMIROL 10X10 A 6.66 0.07 TAB 240 BLIS REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 28160428 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE INHIBITORS 2026-04-01 2028-03-31 ORAL 6 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE
41 1532E APO-AMITRIPTYLINE 25MG TAB (APO) AMITRIPTYLINE AMITRIPTYLINE 1000'S A 44.09 0.0441 TAB 240 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 28160428 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE
40 1532ZC APO-AMITRIPTYLINE 25MG TAB (APO/COL) AMITRIPTYLINE APO-AMITRIPTYLINE 1000'S A 43.22 0.04 TABLET 240 TAB APO APOTEX INC. COL COLLINS LTD 28160428 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE INHIBITORS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
41 15412 AAP-IMIPRAMINE 10MG TAB (APO) IMIPRAMINE AAP-IMIPRAMINE 100'S A 14.35 0.1435 TAB 240 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 28160428 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE
40 15414 AAP-IMIPRAMINE 10MG TAB (APO/COL) IMIPRAMINE AAP-IMIPRAMINE 100'S A 14.08 0.14 TABLET 240 TAB APO APOTEX INC. COL COLLINS LTD 28160428 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE INHIBITORS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
42 15414 AAP-IMIPRAMINE 10MG TAB (APO) IMIPRAMINE AAP-IMIPRAMINE 100'S A 14.35 0.14 TAB 240 BOTT APO APOTEX INC. COL AVENTA BARBADOS 28160428 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE INHIBITORS 2026-04-01 ORAL 6 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE
40 15426 AAP-IMIPRAMINE 25MG TAB (APO/COL) IMIPRAMINE AAP-IMIPRAMINE 100'S C 18.87 0.19 TABLET 0 TAB APO APOTEX INC. COL COLLINS LTD 28160428 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE INHIBITORS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
42 15426 AAP-IMIPRAMINE 25MG TAB (APO) IMIPRAMINE AAP-IMIPRAMINE 100'S A 19.25 0.19 TAB 240 BOTT APO APOTEX INC. COL AVENTA BARBADOS 28160428 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE INHIBITORS 2026-04-01 ORAL 6 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE
40 1542A DIAMIN 25MG TAB (RLS/AHI) IMIPRAMINE IMIPRAMINE DIAMIN 200'S A 18.87 0.09 TABLET 240 TAB RLS RELIANCE LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 28160428 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE INHIBITORS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
41 1542B AAP-IMIPRAMINE 25MG TAB (APO) IMIPRAMINE AAP-IMIPRAMINE 100'S A 19.25 0.1925 TAB 240 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 28160428 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE
40 15826 CHLORDIAZEPOXIDE 10MG CAP (KWA/ATB) CHLORDIAZEPOXIDE CHLORDIAZEPOXIDE 10X10 A 195.72 1.96 CAPSULE 90 CAP KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 28160824 PHENOTHIAZINES 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
40 1591AJ CHLORPROMAZINE 25MG TAB (REM/SBI) CHLORPROMAZINE CHLORPROMAZINE 10x10 A 6.22 0.06 TABLET 90 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 28160824 PHENOTHIAZINES 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
41 1591AJ CHLORPROMAZINE 25MG TAB (REM) CHLORPROMAZINE CHLORPROMAZINE 10x10 A 6.22 0.0622 TAB 90 BOX REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 28160824 PHENOTHIAZINES 2024-04-01 2026-03-31 ORAL 6 PHENOTHIAZINES
42 1591AJ CHLORPROMAZINE 25MG TAB (REM) CHLORPROMAZINE CHLORPROMAZINE 10x10 A 6.12 0.06 TAB 90 BLIS REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 28160824 PHENOTHIAZINES 2026-04-01 ORAL 6 PHENOTHIAZINES
40 15927 CHLORPROMAZINE 50MG TAB (FSB/ATB) CHLORPROMAZINE CHLORPROMAZINE 10X10 A 8.43 0.08 TABLET 90 TAB FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 28160824 PHENOTHIAZINES 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
41 15929 CHLORPROMAZINE 50MG TAB (TOR) CHLORPROMAZINE CHLORPROMAZINE 500'S A 264.2755 0.5286 TAB 90 BOTT TOR TORRENT PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 28160824 PHENOTHIAZINES 2024-04-01 2026-03-31 ORAL 6 PHENOTHIAZINES
40 15936 CHLORPROMAZINE 100MG TAB (REM/SBI) CHLORPROMAZINE CHLORPROMAZINE 10x10 A 11.50 0.12 TABLET 90 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 28160824 PHENOTHIAZINES 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
41 15936 CHLORPROMAZINE 100MG TAB (REM) CHLORPROMAZINE CHLORPROMAZINE 10x10 A 11.5 0.115 TAB 90 BOX REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 28160824 PHENOTHIAZINES 2024-04-01 2026-03-31 ORAL 6 PHENOTHIAZINES
42 15936 CHLORPROMAZINE 100MG TAB (REM) CHLORPROMAZINE CHLORPROMAZINE 10x10 A 11.42 0.11 TAB 90 BLIS REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 28160824 PHENOTHIAZINES 2026-04-01 ORAL 6 PHENOTHIAZINES
40 1601AL ACCORD DIAZEPAM 2MG TAB (INP/AAL) DIAZEPAM DIAZEPAM ACCORD DIAZEPAM 30'S A 2.34 0.08 TABLET 120 TAB INP INTAS PHARMACEUTICALS LTD AAL A. A. LAQUIS LTD 282408 BENZODIAZEPINES (SEDATIVES) 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS