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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 20743 APO-ATOMOXETINE 40MG CAP (APO/COL) ATOMOXETINE APO-ATOMOXETINE 30'S C 78.83 2.63 CAPSULE 0 CAP APO APOTEX INC. COL COLLINS LTD 2892 CENTRAL NERVOUS SYSTEM AGENTS, MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
40 20821 BEZIDE HS 2.5MG TAB (CAR/COL) BENDROFLUAZIDE BENDROFLUAZIDE BEZIDE HS 500'S A 16.31 0.03 TABLET 30 TAB CAR CARLISLE LABORATORIES LTD COL COLLINS LTD B 402820 THIAZIDE DIURETICS 2022-04-01 2024-03-31 Oral 6 ELECTROLYTIC, CALORIC, AND WATER BALANCE
41 20821 BEZIDE HS 2.5MG TAB (CAR) BENDROFLUAZIDE BENDROFLUAZIDE BEZIDE HS 500'S A 16.31 0.0326 TAB 30 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD B 402820 THIAZIDE DIURETICS 2024-04-01 2026-03-31 ORAL 6 THIAZIDE DIURETICS
42 20821 BEZIDE HS 2.5MG TAB (CAR) BENDROFLUAZIDE BENDROFLUAZIDE BEZIDE HS 500'S A 17.67 0.04 TAB 30 BOTT CAR CARLISLE LABORATORIES LTD COL AVENTA BARBADOS B 402820 THIAZIDE DIURETICS 2026-04-01 2028-03-31 ORAL 6 THIAZIDE DIURETICS
41 20918 CHLORTHALIDONE 50MG TAB (FSB) CHLORTHALIDONE CHLORTHALIDONE 500'S A 27.24 0.0545 TAB 30 BOX FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD B 402824 THIAZIDE LIKE DIURETICS 2024-04-01 2026-03-31 ORAL 6 THIAZIDE LIKE DIURETICS
42 20919 AAP-CHLORTHALIDONE 50MG TAB (APO) CHLORTHALIDONE AAP-CHLORTHALIDONE 100'S A 10.87 0.11 TAB 30 BOTT APO APOTEX INC. COL AVENTA BARBADOS B 402824 THIAZIDE LIKE DIURETICS 2026-04-01 2028-03-31 ORAL 6 THIAZIDE LIKE DIURETICS
40 2091B CARLIDONE 50MG TAB (CAR/COL) CHLORTHALIDONE CHLORTHALIDONE CARLIDONE 125's A 15.60 0.12 TABLET 30 TAB CAR CARLISLE LABORATORIES LTD COL COLLINS LTD B 402824 THIAZIDE LIKE DIURETICS 2022-05-05 2024-03-31 Add to Contract as Cat A Oral 6 ELECTROLYTIC, CALORIC, AND WATER BALANCE 2022-05-05
41 2091B CARLIDONE 50MG TAB (CAR) CHLORTHALIDONE CHLORTHALIDONE CARLIDONE 125's A 15.88 0.127 TAB 30 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD B 402824 THIAZIDE LIKE DIURETICS 2024-04-01 2026-03-31 ORAL 6 THIAZIDE LIKE DIURETICS
42 2091B CARLIDONE 50MG TAB (CAR) CHLORTHALIDONE CHLORTHALIDONE CARLIDONE 125's A 12.78 0.10 TAB 30 BOTT CAR CARLISLE LABORATORIES LTD COL AVENTA BARBADOS B 402824 THIAZIDE LIKE DIURETICS 2026-04-01 2028-03-31 ORAL 6 THIAZIDE LIKE DIURETICS
40 2091C CARLIDONE 50MG TAB (CAR/COL) CHLORTHALIDONE CHLORTHALIDONE CARLIDONE 500'S A 59.99 0.12 TABLET 30 TAB CAR CARLISLE LABORATORIES LTD COL COLLINS LTD B 402824 THIAZIDE LIKE DIURETICS 2022-04-01 2024-03-31 Oral 6 ELECTROLYTIC, CALORIC, AND WATER BALANCE
40 2091D CHLORTHALIDONE 50MG TAB (CHC/ATB) CHLORTHALIDONE CHLORTHALIDONE 500'S A 61.90 0.12 TABLET 30 TAB CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD B 402824 THIAZIDE LIKE DIURETICS 2022-04-01 2024-03-31 Oral 6 ELECTROLYTIC, CALORIC, AND WATER BALANCE
41 2091E DIUDONE 50MG TAB (HEA) CHLORTHALIDONE CHLORTHALIDONE DIUDONE 10X10 A 10.25 0.1025 TAB 30 BOX HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD B 402824 THIAZIDE LIKE DIURETICS 2024-04-01 2026-03-31 ORAL 6 THIAZIDE LIKE DIURETICS
40 20923 CHLORTHALIDONE 25MG TAB (KWA/ATB) CHLORTHALIDONE CHLORTHALIDONE 10X10 A 19.74 0.20 TABLET 60 TAB KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD B 402824 THIAZIDE LIKE DIURETICS 2022-04-01 2024-03-31 Oral 6 ELECTROLYTIC, CALORIC, AND WATER BALANCE
40 20926 CARLIDONE 25MG TAB (CAR/COL) CHLORTHALIDONE CHLORTHALIDONE CARLIDONE 125's A 15.60 0.12 TABLET 60 TAB CAR CARLISLE LABORATORIES LTD COL COLLINS LTD B 402824 THIAZIDE LIKE DIURETICS 2022-04-01 2024-03-31 Package Size Change Oral 6 ELECTROLYTIC, CALORIC, AND WATER BALANCE 2022-05-05
41 20926 CARLIDONE 25MG TAB (CAR) CHLORTHALIDONE CHLORTHALIDONE CARLIDONE 125'S A 15.6 0.1248 TAB 60 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD B 402824 THIAZIDE LIKE DIURETICS 2024-04-01 2026-03-31 ORAL 6 THIAZIDE LIKE DIURETICS
42 20926 CARLIDONE 25MG TAB (CAR) CHLORTHALIDONE CHLORTHALIDONE CARLIDONE 125'S A 10.60 0.08 TAB 60 BOTT CAR CARLISLE LABORATORIES LTD COL AVENTA BARBADOS B 402824 THIAZIDE LIKE DIURETICS 2026-04-01 2028-03-31 ORAL 6 THIAZIDE LIKE DIURETICS
40 20927 CARLIDONE 25MG TAB (CAR/COL) CHLORTHALIDONE CHLORTHALIDONE CARLIDONE 750'S A 89.98 0.12 TABLET 60 TAB CAR CARLISLE LABORATORIES LTD COL COLLINS LTD B 402824 THIAZIDE LIKE DIURETICS 2022-04-01 2024-03-31 Oral 6 ELECTROLYTIC, CALORIC, AND WATER BALANCE
41 2092B DIUDONE 25MG TAB (HEA) CHLORTHALIDONE CHLORTHALIDONE DIUDONE 10X10 A 8.48 0.0848 TAB 60 BOX HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD B 402824 THIAZIDE LIKE DIURETICS 2024-04-01 2026-03-31 ORAL 6 THIAZIDE LIKE DIURETICS
40 20931 CHLORTHALIDONE 12.5MG TAB (MBL/AHI) CHLORTHALIDONE CHLORTHALIDONE 30'S A 5.46 0.18 TABLET 30 TAB MBL MEDICAMEN BIOTECH LTD AHI ARMSTRONG HEALTHCARE INC B 402824 THIAZIDE LIKE DIURETICS 2022-04-01 2024-03-31 Oral 6 ELECTROLYTIC, CALORIC, AND WATER BALANCE
41 20933 DICHLOR 12.5MG TAB (IPC) CHLORTHALI CHLORTHALIDONE DICHLOR 3X10 A 4.35 0.145 TAB 30 BOTT IPC IPCA Laboratories Ltd. ATB ANSA TRADING BARBADOS LTD B 402824 THIAZIDE LIKE DIURETICS 2024-04-01 2026-03-31 ORAL 6 THIAZIDE LIKE DIURETICS