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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 2141AK SPIRONOLACTONE 25MG TAB (KWA/ATB) SPIRONOLACTONE SPIRONOLACTONE 10X10 A 7.45 0.07 TABLET 120 TAB KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 243220 ALDOSTERONE RECEPTOR ANTAGONIST 2022-04-01 2022-09-30 Oral 6 CARDIOVASCULAR DRUGS 2022-03-30
40 2141X SPIROLON 25MG TAB (REM/SBI) SPIRONOLACTONE SPIRONOLACTONE SPIROLON 1000'S A 79.43 0.08 TABLET 120 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 243220 ALDOSTERONE RECEPTOR ANTAGONIST 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
41 2141X SPIROLON 25MG TAB (REM) SPIRONOLACTONE SPIRONOLACTONE SPIROLON 1000'S A 74.86 0.0749 TAB 120 BOX REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 243220 ALDOSTERONE RECEPTOR ANTAGONIST 2024-04-01 2026-03-31 ORAL 6 ALDOSTERONE RECEPTOR ANTAGONIST 2023-10-27
42 2141X SPIROLON 25MG TAB (REM) SPIRONOLACTONE SPIRONOLACTONE SPIROLON 1000'S A 75.57 0.08 TAB 120 BLIS REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 243220 ALDOSTERONE RECEPTOR ANTAGONIST 2026-04-01 2028-03-31 ORAL 6 ALDOSTERONE RECEPTOR ANTAGONIST
40 21423 SPIROLON 100MG TAB (REM/SBI) SPIRONOLACTONE SPIRONOLACTONE SPIROLON 10x10 A 26.69 0.27 TABLET 120 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 243220 ALDOSTERONE RECEPTOR ANTAGONIST 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
41 21423 SPIROLON 100MG TAB (REM) SPIRONOLACTONE SPIRONOLACTONE SPIROLON 10x10 A 24.6 0.246 TAB 120 BOX REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 243220 ALDOSTERONE RECEPTOR ANTAGONIST 2024-04-01 2026-03-31 ORAL 6 ALDOSTERONE RECEPTOR ANTAGONIST
42 21423 SPIROLON 100MG TAB (REM) SPIRONOLACTONE SPIRONOLACTONE SPIROLON 10x10 A 38.19 0.38 TAB 120 BLIS REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 243220 ALDOSTERONE RECEPTOR ANTAGONIST 2026-04-01 2028-03-31 ORAL 6 ALDOSTERONE RECEPTOR ANTAGONIST
40 2142N ALDACTONE 100MG TAB (PFI/STO) SPIRONOLACTONE SPIRONOLACTONE ALDACTONE 10'S C 19.08 1.91 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 2142N ALDACTONE 100MG TAB (PFI) SPIRONOLACTONE (C) SPIRONOLACTONE ALDACTONE 10'S C 17.81 1.7805 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
40 21431 INSPRA 50MG TAB (PFI/STO) EPLERENONE EPLERENONE INSPRA 30'S B 97.91 3.26 TABLET 60 TAB PFI PFIZER CORPORATION STO BRYDEN STOKES LTD B 243220 ALDOSTERONE RECEPTOR ANTAGONIST 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
41 21431 INSPRA 50MG TAB (PFI) EPLERENONE (C) EPLERENONE INSPRA 30'S C 100.47 3.349 TAB 60 BOX PFI PFIZER CORPORATION STO BRYDEN STOKES LTD B 243220 ALDOSTERONE RECEPTOR ANTAGONIST 2024-04-01 2026-03-31 ORAL 6 ALDOSTERONE RECEPTOR ANTAGONIST
40 21432 INSPRA 25MG TAB (PFI/STO) EPLERENONE EPLERENONE INSPRA 30'S B 88.70 2.96 TABLET 60 TAB PFI PFIZER CORPORATION STO BRYDEN STOKES LTD B 243220 ALDOSTERONE RECEPTOR ANTAGONIST 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
41 21432 INSPRA 25MG TAB (PFI) EPLERENONE (C) EPLERENONE INSPRA 30'S C 91.31 3.0436 TAB 60 BOX PFI PFIZER CORPORATION STO BRYDEN STOKES LTD B 243220 ALDOSTERONE RECEPTOR ANTAGONIST 2024-04-01 2026-03-31 ORAL 6 ALDOSTERONE RECEPTOR ANTAGONIST
41 21433 INSPRA 50MG TAB (PFI) EPLERENONE (C) EPLERENONE INSPRA 30'S C 100.47 3.349 TAB 60 BOX PFI PFIZER CORPORATION SBI MASSY DISTRIBUTION (BDOS) LTD B 243220 ALDOSTERONE RECEPTOR ANTAGONIST 2024-04-01 2026-03-31 ORAL 6 ALDOSTERONE RECEPTOR ANTAGONIST
41 21434 INSPRA 25MG TAB (PFI) EPLERENONE (C) EPLERENONE EPNONE 30'S C 91.31 3.0436 TAB 60 BOX PFI PFIZER CORPORATION SBI MASSY DISTRIBUTION (BDOS) LTD B 243220 ALDOSTERONE RECEPTOR ANTAGONIST 2024-04-01 2026-03-31 ORAL 6 ALDOSTERONE RECEPTOR ANTAGONIST
41 21435 EPNONE 50MG TAB (MSN) EPLERENONE (B) EPLERENONE EPNONE 30'S B 21.39 0.7131 TAB 60 BOX MSN MSN LABS ATB ANSA TRADING BARBADOS LTD B 243220 ALDOSTERONE RECEPTOR ANTAGONIST 2024-04-01 2026-03-31 ORAL 6 ALDOSTERONE RECEPTOR ANTAGONIST
41 21436 EPNONE 25MG TAB (MSN) EPLERENONE (B) EPLERENONE EPNONE 30'S B 12.64 0.4213 TAB 60 BOX MSN MSN LABS ATB ANSA TRADING BARBADOS LTD B 243220 ALDOSTERONE RECEPTOR ANTAGONIST 2024-04-01 2026-03-31 ORAL 6 ALDOSTERONE RECEPTOR ANTAGONIST
42 21437 EPLETUS 25MG TAB (JLP) EPLERENONE EPLERENONE EPLETUS 10X10 BQ 39.42 0.39 TAB 60 BLIS JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC B 243220 ALDOSTERONE RECEPTOR ANTAGONIST 2026-04-01 2028-03-31 ORAL 0 ALDOSTERONE RECEPTOR ANTAGONIST
40 21617 HYALASE 1500IU INJ (CPP/COL) HYALURONIDASE HYALURONIDASE HYALASE 1500IU BQ 42.95 42.95 INJECTION 0 AMP CPP WOCKHARDT UK LTD COL COLLINS LTD 4400 ENZYMES 2022-04-01 2024-03-31 IV 0 ENZYMES
40 2161D HYALURONIDASE 1500IU INJ (SLS/AHI) HYALURONIDASE HYALURONIDASE 10X10ML BQ 111.94 11.19 INJECTION 0 AMP SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 4400 ENZYMES 2022-04-01 2024-03-31 IV 0 ENZYMES