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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 17256 APO-METHYLPHENIDATE 36MG ER TAB (APO) METHYLPHENIDATE APO-METHYLPHENIDATE 100'S A 388.18 3.8818 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 17261 CONCERTA 54MG TAB (JAC/STO) METHYLPHENIDATE METHYLPHENIDATE CONCERTA 30'S C 200.56 6.69 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 17261 CONCERTA 54MG ER TAB (JAC) METHYLPHENIDATE (C) METHYLPHENIDATE CONCERTA 30'S C 200.56 6.6853 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 17261 CONCERTA 54MG ER TAB (JAC) METHYLPHENIDATE METHYLPHENIDATE CONCERTA 30'S C 200.56 6.69 TABER 42 BOTT JAC JANSSEN-CILAG STO BRYDEN STOKES LTD 282032 RESPIRATORY-CNS STIMULANTS 2026-04-01 ORAL 6 RESPIRATORY-CNS STIMULANTS
40 17265 APO-METHYLPHENIDATE ER 54MG TAB (APO/COL) METHYLPHENIDATE APO-METHYLPHENIDATE ER 100'S A 407.75 4.08 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 17265 APO-METHYLPHENIDATE ER 54MG ER TAB (APO) METHYLPHENIDATE APO-METHYLPHENIDATE ER 100'S A 415.90 4.16 TAB 42 BOTT APO APOTEX INC. COL AVENTA BARBADOS 282032 RESPIRATORY-CNS STIMULANTS 2026-04-01 ORAL 6 RESPIRATORY-CNS STIMULANTS
41 17266 APO-METHYLPHENIDATE 54MG ER TAB (APO) METHYLPHENIDATE APO-METHYLPHENIDATE 100'S A 415.9 4.159 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 17283 APO-METHYLPHENIDATE SR 20MG TAB (APO/COL) METHYLPHENIDATE APO-METHYLPHENIDATE SR 100'S A 29.90 0.30 TABLET 60 TAB APO APOTEX INC. COL COLLINS LTD 2820 RESPIRATORY-CEREBRAL STIMULANTS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
42 17283 APO-METHYLPHENIDATE 20MG SR TAB (APO) METHYLPHENIDATE APO-METHYLPHENIDATE 100'S A 30.50 0.31 TAB 84 BOTT APO APOTEX INC. COL AVENTA BARBADOS 282032 RESPIRATORY-CNS STIMULANTS 2026-04-01 ORAL 6 RESPIRATORY-CNS STIMULANTS
42 17287 PMS-METHYLPHENIDATE 20MG CR CAP (PMS) METHYLPHENIDATE PMS-METHYLPHENIDATE 100'S C 149.51 1.50 TAB 0 BOTT PMS PHARMASCIENCE COL AVENTA BARBADOS 282032 RESPIRATORY-CNS STIMULANTS 2026-04-01 ORAL 0 RESPIRATORY-CNS STIMULANTS
41 1728E APO-METHYLPHENIDATE 20MG SR TAB (APO) METHYLPHENIDATE APO-METHYLPHENIDATE 100'S A 30.5 0.305 TABSR 84 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 2820 RESPIRATORY-CEREBRAL STIMULANTS 2024-04-01 2026-03-31 ORAL 6 RESPIRATORY-CEREBRAL STIMULANTS
41 17635 PROMETHAZINE 25MG/ML INJ (STP) (B) PROMETHAZINE PROMETHAZINE 100X2ML B 217.47 2.1747 AMP 30 BOX STP STEROP LABORATORIES COL COLLINS LTD 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2024-04-01 2026-03-31 INJ 0 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCEL
42 17635 PROMETHAZINE 25MG/ML INJ (STP) PROMETHAZINE PROMETHAZINE 100X2ML B 217.47 2.17 AMPG 30 BOX STP STEROP LABORATORIES COL AVENTA BARBADOS 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2026-04-01 IM 0 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCEL
40 17639 PROMETHAZINE 25MG/ML INJ (KWA/ATB) PROMETHAZINE PROMETHAZINE 5X2ML B 57.08 11.42 INJECTION 0 AMP KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2022-04-01 2024-03-31 IM 0 CENTRAL NERVOUS SYSTEM DRUGS
40 1763L PROMETHAZINE 25MG/ML INJ (ROL/AHI) PROMETHAZINE PROMETHAZINE 25X1ML B 204.04 8.16 INJECTION 0 AMP ROL ROXANE LABORATORIES INC. AHI ARMSTRONG HEALTHCARE INC 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2022-04-01 2022-09-30 IV 0 CENTRAL NERVOUS SYSTEM DRUGS 2022-03-29
40 1791D POLYBAR ACB 100% (EZM/COL) BARIUM SULPHATE BARIUM SULPHATE POLYBAR ACB 24X397G BQ 1,250.43 52.10 SUSPENSION 0 KIT EZM E-Z-EM INC. COL COLLINS LTD 3668 ROENTGENOGRAPHY 2022-04-01 2024-03-31 Oral 0 DIAGNOSTIC AGENTS
41 1791D POLYBAR ACB 100% (EZM) BARIUM SULPHATE BARIUM SULPHATE POLYBAR ACB 24X397G BQ 1375.47 57.3113 KIT 50 BOX EZM E-Z-EM INC. COL COLLINS LTD 3668 ROENTGENOGRAPHY 2024-04-01 2026-03-31 ORAL 0 ROENTGENOGRAPHY
42 1791D POLYBAR ACB 100% (EZM) BARIUM SULPHATE BARIUM SULPHATE POLYBAR ACB 24X397G BQ 1,443.43 60.14 KIT 50 BOX EZM E-Z-EM INC. COL AVENTA BARBADOS 3668 ROENTGENOGRAPHY 2026-04-01 ORAL 0 ROENTGENOGRAPHY
40 1794C E-Z-HD 250% SUSP (EZM/COL) BARIUM SULPHATE BARIUM SULPHATE E-Z-HD 24X340G BQ 1,147.13 47.80 SUSPENSION 0 CUP EZM E-Z-EM INC. COL COLLINS LTD 3668 ROENTGENOGRAPHY 2022-04-01 2024-03-31 Oral 0 DIAGNOSTIC AGENTS
41 1794C E-Z-HD 250% SUSP (EZM) BARIUM SULPHATE BARIUM SULPHATE E-Z-HD 24X340G BQ 1261.3 52.5543 CUP 0 BOX EZM E-Z-EM INC. COL COLLINS LTD 3668 ROENTGENOGRAPHY 2024-04-01 2026-03-31 ORAL 0 ROENTGENOGRAPHY