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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 20934 CHLORTHALIDONE 12.5MG TAB (KWA) CHLORTHALIDONE CHLORTHALIDONE 100'S A 18.02 0.1802 TAB 30 BOTT KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD B 402824 THIAZIDE LIKE DIURETICS 2024-04-01 2026-03-31 ORAL 6 THIAZIDE LIKE DIURETICS
41 20935 CARLIDONE 12.5MG TAB (CAR) CHLORTHALIDONE CHLORTHALIDONE CARLIDONE 125'S A 10.2 0.0816 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 2024-03-20
42 20935 CARLIDONE 12.5MG TAB (CAR) CHLORTHALIDONE CHLORTHALIDONE CARLIDONE 125'S A 10.19 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
42 20937 THALIDON 12.5MG TAB (JLP) CHLORTHALIDONE CHLORTHALIDONE THALIDON 10X10 A 6.80 0.07 TAB 60 BLIS JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC B 402824 THIAZIDE LIKE DIURETICS 2026-04-01 2028-03-31 ORAL 6 THIAZIDE LIKE DIURETICS
40 2131B LASIX 40MG TAB (SFA/COL) FRUSEMIDE FRUSEMIDE LASIX 250'S A 24.46 0.10 TABLET 180 TAB SFA SANOFI AVENTIS COL COLLINS LTD B 402808 LOOP DIURETICS 2022-04-01 2024-03-31 Oral 6 ELECTROLYTIC, CALORIC, AND WATER BALANCE
41 2131B LASIX 40MG TAB (SFA) FRUSEMIDE FRUSEMIDE LASIX 250'S A 51.65 0.2066 TAB 180 BOX SFA SANOFI AVENTIS COL COLLINS LTD B 402808 LOOP DIURETICS 2024-04-01 2026-03-31 ORAL 6 LOOP DIURETICS
42 2131B LASIX 40MG TAB (SFA) FRUSEMIDE FRUSEMIDE LASIX 250'S A 51.65 0.21 TAB 180 BLIS SFA SANOFI COL AVENTA BARBADOS B 402808 LOOP DIURETICS 2026-04-01 2028-03-31 ORAL 6 LOOP DIURETICS
41 2131BJ APO-FUROSEMIDE 40MG TAB (APO) FRUSEMIDE APO-FUROSEMIDE 1000'S A 77.64 0.0776 TAB 180 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD B 402808 LOOP DIURETICS 2024-04-01 2026-03-31 ORAL 6 LOOP DIURETICS
40 2131ZD APO-FUROSEMIDE 40MG TAB (APO/COL) FRUSEMIDE APO-FUROSEMIDE 1000'S A 76.11 0.08 TABLET 180 TAB APO APOTEX INC. COL COLLINS LTD B 402808 LOOP DIURETICS 2022-04-01 2024-03-31 Oral 6 ELECTROLYTIC, CALORIC, AND WATER BALANCE
42 2131ZD APO-FUROSEMIDE 40MG TAB (APO) FRUSEMIDE APO-FUROSEMIDE 1000'S A 77.64 0.08 TAB 180 BOTT APO APOTEX INC. COL AVENTA BARBADOS B 402808 LOOP DIURETICS 2026-04-01 2028-03-31 ORAL 6 LOOP DIURETICS
40 21322 LASIX 10MG/ML INJ (SFA/COL) FRUSEMIDE FRUSEMIDE LASIX 5X2ML C 5.98 1.20 INJECTION 0 VIAL SFA SANOFI AVENTIS COL COLLINS LTD 402808 LOOP DIURETICS 2022-04-01 2024-03-31 IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE
41 21322 LASIX 10MG/ML INJ (SFA) FRUSEMIDE (C) FRUSEMIDE LASIX 5X2ML C 13.59 2.7183 VIAL 0 BOX SFA SANOFI AVENTIS COL COLLINS LTD 402808 LOOP DIURETICS 2024-04-01 2026-03-31 IV 0 LOOP DIURETICS
42 21322 LASIX 10MG/ML INJ (SFA) FRUSEMIDE FRUSEMIDE LASIX 5X2ML B 27.18 5.44 VIAL 0 VIAL SFA SANOFI COL AVENTA BARBADOS 402808 LOOP DIURETICS 2026-04-01 2028-03-31 IV 0 LOOP DIURETICS
40 2132AA FRUSEMIDE 10MG/ML INJ (RTM/PHA) FRUSEMIDE FRUSEMIDE 10X2ML B 10.06 1.01 INJECTION 0 AMP RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 402808 LOOP DIURETICS 2022-04-01 2024-03-31 IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE
41 2132BG FRUSEMIDE 10MG/ML INJ (CHC) (B) FRUSEMIDE FRUSEMIDE 10X2ML B 7.07 0.7068 AMP 0 BOX CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD 402808 LOOP DIURETICS 2024-04-01 2026-03-31 IV 0 LOOP DIURETICS
41 2132BH FRUSEMIDE 10MG/ML INJ (FSB) (B) FRUSEMIDE FRUSEMIDE 50X2ML B 16.36 0.3273 AMP 0 BOX FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 402808 LOOP DIURETICS 2024-04-01 2026-03-31 IV 0 LOOP DIURETICS
42 2132BN FUROSEMIDE 10MG/ML AMP GLASS (BAX) FRUSEMIDE FRUSEMIDE FUROSEMIDE 10X2ML B 4.59 0.46 VIAL 0 VIAL BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4028 DIURETICS 2026-04-01 2028-03-31 IV 0 DIURETICS
42 2132BP LASIFRU 10MG/ML INJ (JLP) FRUSEMIDE FRUSEMIDE LASIFRU 50X2ML B 21.75 0.44 AMPG 0 AMP JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 4028 DIURETICS 2026-04-01 2028-03-31 IV/IM 0 DIURETICS
40 21411 ALDACTONE 25MG TAB (PFI/STO) SPIRONOLACTONE SPIRONOLACTONE ALDACTONE 100'S C 58.82 0.59 TABLET 0 TAB PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 243220 ALDOSTERONE RECEPTOR ANTAGONIST 2022-04-01 2024-03-31 Oral 0 CARDIOVASCULAR DRUGS
41 21411 ALDACTONE 25MG TAB (PFI) SPIRONOLACTONE (C) SPIRONOLACTONE ALDACTONE 100'S C 53.52 0.5352 TAB 120 BOX PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 243220 ALDOSTERONE RECEPTOR ANTAGONIST 2024-04-01 2026-03-31 ORAL 6 ALDOSTERONE RECEPTOR ANTAGONIST