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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 17231 CONCERTA 18MG ER TAB (JAC) METHYLP (C) METHYLPHENIDATE CONCERTA 30'S C 130.43 4.3477 TABER 42 BOTT JAC JANSSEN-CILAG STO BRYDEN STOKES LTD 2820 RESPIRATORY-CEREBRAL STIMULANTS 2024-08-01 2024-12-31 ORAL 6 RESPIRATORY-CEREBRAL STIMULANTS 2024-08-01
41 17231 CONCERTA 18MG ER TAB (JAC) METHYLPHENIDATE METHYLPHENIDATE CONCERTA 30'S A 130.43 4.3477 TABER 30 BOTT JAC JANSSEN-CILAG STO BRYDEN STOKES LTD 2820 RESPIRATORY-CEREBRAL STIMULANTS 2025-01-01 2025-01-31 ORAL 6 RESPIRATORY-CEREBRAL STIMULANTS 2024-12-31
42 17231 CONCERTA 18MG ER TAB (JAC) METHYLPHENIDATE METHYLPHENIDATE CONCERTA 30'S C 130.43 4.35 TABER 30 BOTT JAC JANSSEN-CILAG STO BRYDEN STOKES LTD 282032 RESPIRATORY-CNS STIMULANTS 2026-04-01 ORAL 6 RESPIRATORY-CNS STIMULANTS
40 17233 APO-METHYLPHENIDATE ER 18MG TAB (APO/COL) METHYLPHENIDATE APO-METHYLPHENIDATE ER 100'S A 244.65 2.45 TABLET 30 TAB APO APOTEX INC. COL COLLINS LTD 2820 RESPIRATORY-CEREBRAL STIMULANTS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
42 17233 APO-METHYLPHENIDATE 18MG ER TAB (APO) METHYLPHENIDATE APO-METHYLPHENIDATE 100'S A 249.54 2.50 TAB 30 BOTT APO APOTEX INC. COL AVENTA BARBADOS 282032 RESPIRATORY-CNS STIMULANTS 2026-04-01 ORAL 6 RESPIRATORY-CNS STIMULANTS
41 17235 APO-METHYLPHENIDATE ER 18MG ER TAB (APO) METHYLPHENIDATE APO-METHYLPHENIDATE 100'S A 249.54 2.4954 TABER 42 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 2820 RESPIRATORY-CEREBRAL STIMULANTS 2024-04-01 2026-03-31 ORAL 6 RESPIRATORY-CEREBRAL STIMULANTS
40 17241 CONCERTA 27MG TAB (JAC/STO) METHYLPHENIDATE METHYLPHENIDATE CONCERTA 30'S C 156.82 5.23 TABLET 0 TAB JAC JANSSEN-CILAG STO BRYDEN STOKES LTD 2820 RESPIRATORY-CEREBRAL STIMULANTS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
41 17241 CONCERTA 27MG ER TAB (JAC) METHYLP (C) METHYLPHENIDATE CONCERTA 30'S C 156.82 5.2273 TABER 42 BOTT JAC JANSSEN-CILAG STO BRYDEN STOKES LTD 2820 RESPIRATORY-CEREBRAL STIMULANTS 2024-04-01 2024-06-20 ORAL 6 RESPIRATORY-CEREBRAL STIMULANTS 2024-06-18
41 17241 CONCERTA 27MG ER TAB (JAC) METHYLPHENIDATE METHYLPHENIDATE CONCERTA 30'S A 156.82 5.2273 TABER 30 BOTT JAC JANSSEN-CILAG STO BRYDEN STOKES LTD 2820 RESPIRATORY-CEREBRAL STIMULANTS 2024-06-21 2024-07-31 ORAL 6 RESPIRATORY-CEREBRAL STIMULANTS 2024-06-18
41 17241 CONCERTA 27MG ER TAB (JAC) METHYLP (C) METHYLPHENIDATE CONCERTA 30'S C 156.82 5.2273 TABER 42 BOTT JAC JANSSEN-CILAG STO BRYDEN STOKES LTD 2820 RESPIRATORY-CEREBRAL STIMULANTS 2024-08-01 2024-12-31 ORAL 6 RESPIRATORY-CEREBRAL STIMULANTS 2024-08-01
41 17241 CONCERTA 27MG ER TAB (JAC) METHYLPHENIDATE METHYLPHENIDATE CONCERTA 30'S A 156.82 5.2273 TABER 30 BOTT JAC JANSSEN-CILAG STO BRYDEN STOKES LTD 2820 RESPIRATORY-CEREBRAL STIMULANTS 2025-01-01 2025-01-31 ORAL 6 RESPIRATORY-CEREBRAL STIMULANTS 2024-12-31
42 17241 CONCERTA 27MG ER TAB (JAC) METHYLPHENIDATE METHYLPHENIDATE CONCERTA 30'S C 156.82 5.23 TABER 30 BOTT JAC JANSSEN-CILAG STO BRYDEN STOKES LTD 282032 RESPIRATORY-CNS STIMULANTS 2026-04-01 ORAL 6 RESPIRATORY-CNS STIMULANTS
40 17244 APO-METHYLPHENIDATE ER 27MG TAB (APO/COL) METHYLPHENIDATE APO-METHYLPHENIDATE ER 100'S A 277.27 2.77 TABLET 30 TAB APO APOTEX INC. COL COLLINS LTD 2820 RESPIRATORY-CEREBRAL STIMULANTS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
42 17244 APO-METHYLPHENIDATE ER 27MG ER TAB (APO) METHYLPHENIDATE APO-METHYLPHENIDATE ER 100'S A 282.81 2.83 TAB 30 BOTT APO APOTEX INC. COL AVENTA BARBADOS 282032 RESPIRATORY-CNS STIMULANTS 2026-04-01 ORAL 6 RESPIRATORY-CNS STIMULANTS
41 17245 APO-METHYLPHENIDATE ER 27MG ER TAB (APO) METHYLPHENIDATE APO-METHYLPHENIDATE ER 100'S A 282.81 2.8281 TABER 42 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 2820 RESPIRATORY-CEREBRAL STIMULANTS 2024-04-01 2026-03-31 ORAL 6 RESPIRATORY-CEREBRAL STIMULANTS
40 17251 CONCERTA 36MG TAB (JAC/STO) METHYLPHENIDATE METHYLPHENIDATE CONCERTA 30'S C 191.07 6.37 TABLET 0 TAB JAC JANSSEN-CILAG STO BRYDEN STOKES LTD 2820 RESPIRATORY-CEREBRAL STIMULANTS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
41 17251 CONCERTA 36MG ER TAB (JAC) METHYLPHENIDATE (C) METHYLPHENIDATE CONCERTA 30'S C 191.07 6.369 TABER 42 BOTT JAC JANSSEN-CILAG STO BRYDEN STOKES LTD 2820 RESPIRATORY-CEREBRAL STIMULANTS 2024-04-01 2026-03-31 ORAL 6 RESPIRATORY-CEREBRAL STIMULANTS
42 17251 CONCERTA 36MG ER TAB (JAC) METHYLPHENIDATE METHYLPHENIDATE CONCERTA 30'S C 191.07 6.37 TABER 42 BOTT JAC JANSSEN-CILAG STO BRYDEN STOKES LTD 282032 RESPIRATORY-CNS STIMULANTS 2026-04-01 ORAL 6 RESPIRATORY-CNS STIMULANTS
40 17254 APO-METHYLPHENIDATE ER 36MG TAB (APO/COL) METHYLPHENIDATE APO-METHYLPHENIDATE ER 100'S A 380.57 3.81 TABLET 30 TAB APO APOTEX INC. COL COLLINS LTD 2820 RESPIRATORY-CEREBRAL STIMULANTS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
42 17254 APO-METHYLPHENIDATE ER 36MG ER TAB (APO) METHYLPHENIDATE APO-METHYLPHENIDATE ER 100'S A 388.18 3.88 TAB 42 BOTT APO APOTEX INC. COL AVENTA BARBADOS 282032 RESPIRATORY-CNS STIMULANTS 2026-04-01 ORAL 6 RESPIRATORY-CNS STIMULANTS