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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 0131DV KLARICID 25MG/ML SUSP (ABB) CLARITHROMYCIN (C) CLARITHROMYCIN KLARICID 60ML C 14.22 0.2369 ML 100 BOTT ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES 2024-04-01 2026-03-31 ORAL 0 OTHER MACROLIDES
40 0131U ZITHROMAX 40MG/ML SUSP (PFI/STO) AZITHROMYCIN AZITHROMYCIN ZITHROMAX 15ML C 29.66 1.98 SUSPENSION 0 ML PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 0131U ZITHROMAX 40MG/ML SUSP (PFI) AZITHRO (C) AZITHROMYCIN ZITHROMAX 15ML C 29.96 1.9971 ML 30 BOTT PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 08121292 OTHER MACROLIDES 2024-04-01 2026-03-31 ORAL 0 OTHER MACROLIDES
40 0141AH ZITHROMAX 500MG TAB (PFI/STO) AZITHROMYCIN AZITHROMYCIN ZITHROMAX 3'S C 53.01 17.67 TABLET 0 TAB PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 0141AH ZITHROMAX 500MG TAB (PFI) AZITHROMY (C) AZITHROMYCIN ZITHROMAX 3'S C 53.52 17.8413 TAB 7 BOX PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 08121292 OTHER MACROLIDES 2024-04-01 2026-03-31 ORAL 0 OTHER MACROLIDES
41 0141CL CLAREM 500MG TAB (REM) CLARITHROMYCIN (C) CLARITHROMYCIN CLAREM 2X7'S C 10.98 0.7844 TAB 14 BOTT REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES 2024-04-01 2026-03-31 ORAL 0 OTHER MACROLIDES
40 0141DA BINOZYT 500MG TAB (BCH/COL) AZITHROMYCIN AZITHROMYCIN BINOZYT 3'S C 8.64 2.88 TABLET 0 TAB BCH SANDOZ COL COLLINS LTD 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 0141DA BINOZYT 500MG TAB (BCH) AZITHROMYCIN (C) AZITHROMYCIN BINOZYT 3'S C 24.49 8.164 TAB 7 BOX BCH SANDOZ COL COLLINS LTD 08121292 OTHER MACROLIDES 2024-04-01 2026-03-31 ORAL 0 OTHER MACROLIDES
40 0141FU KLARICID XL 500MG TAB (ABB/PHA) CLARITHROMYCI CLARITHROMYCIN KLARICID XL 10'S C 16.66 1.67 TABLET 0 TAB ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0141FU KLARICID XL 500MG TAB (ABB/PHA) CLARITHROMYCI (C) CLARITHROMYCIN KLARICID XL 10'S C 16.66 1.666 TABLET IMMED ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 8121292 OTHER MACROLIDES 2022-04-01 2023-03-31 Delete from contract Oral 0 OTHER MACROLIDES 2023-03-02
40 0141FV KLARICID 500MG TAB (ABB/PHA) CLARITHROMYCIN CLARITHROMYCIN KLARICID 10'S C 16.72 1.67 TABLET 0 TAB ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Price Change Oral 0 ANTI-INFECTIVE AGENTS 2022-05-05
40 0141GA BINOZYT 500MG TAB (BCH/COL) AZITHROMYCIN AZITHROMYCIN BINOZYT 12'S C 31.48 2.62 TABLET 0 TAB BCH SANDOZ COL COLLINS LTD 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0141GB EZECURE 500MG TAB (EMC/COL) AZITHROMYCIN AZITHROMYCIN EZECURE 3'S A 1.39 0.46 TABLET 7 TAB EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0141GC AAP-ERYTHROMYCIN 250MG TAB (APO/COL) ERYTHROMYCIN BASE ERYTHROMYCIN BASE AAP-ERYTHROMYCIN 100'S A 33.60 0.34 TABLET 56 TAB APO APOTEX INC. COL COLLINS LTD 08121204 ERYTHROMYCINS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 0141GH ERYTHROMYCIN 250MG TAB (MBL) ERYTHROMYCIN BASE ERYTHROMYCIN 100'S A 32.54 0.3254 TAB 56 BOX MBL MEDICAMEN BIOTECH LTD AHI ARMSTRONG HEALTHCARE INC 08121292 OTHER MACROLIDES 2024-04-01 2026-03-31 ORAL 0 OTHER MACROLIDES
40 0141GX AZITHROMYCIN 500MG TAB (FSB/ATB) AZITHROMYCIN AZITHROMYCIN 30'S A 13.65 0.46 TABLET 7 TAB FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Add to Contract as Cat A oral 0 ANTI-INFECTIVE AGENTS 2022-03-21
40 0141GZ AZITHROMYCIN 500MG TAB (FSB/ATB) AZITHROMYCIN AZITHROMYCIN 100'S A 43.68 0.44 TABLET 7 TAB FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 08121292 OTHER MACROLIDES 2022-04-19 2024-03-31 Add to Contract as Cat A oral 0 ANTI-INFECTIVE AGENTS 2022-04-19
40 0141HA EZECURE 500MG TAB (EMC/COL) AZITHROMYCIN AZITHROMYCIN EZECURE 60'S A 27.80 0.46 TABLET 7 TAB EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 08121292 OTHER MACROLIDES 2022-08-10 2024-03-31 Package Size Change oral 0 ANTI-INFECTIVE AGENTS 2022-08-10
41 0141HC APO-CLARITHROMYCIN 500MG TAB (APO) CLARITHROMYCIN APO-CLARITHROMYCIN 100'S A 77.83 0.7783 TAB 14 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 08121292 OTHER MACROLIDES 2024-04-01 2026-03-31 ORAL 0 OTHER MACROLIDES
41 0141HD APO-CLARITHROMYCIN 250MG TAB (APO) CLARITHROMYCIN APO-CLARITHROMYCIN 100'S A 36.04 0.3604 TAB 14 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 08121292 OTHER MACROLIDES 2024-04-01 2026-03-31 ORAL 0 OTHER MACROLIDES