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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 2331J PILOCARPINE 2% EYE DR (MTP) PILOCARPINE PILOCARPINE 10ML A 13.08 13.0751 BOTT 1 BOTT MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD B 524020 EENT MIOTICS 2024-04-01 2026-03-31 OPHTHALMIC 6 EENT MIOTICS
42 23325 PILOCARPINE EYE DR (MTP) PILOCARPINE PILOCARPINE 10ML C 41.86 41.86 BOTT 1 BOTT MTP MARTINDALE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC B 524020 EENT MIOTICS 2026-04-01 2028-03-31 OPHTHALMIC 6 EENT MIOTICS
40 2332H PILOCARPINE 4% EYE DR (MTP/COL) PILOCARPINE PILOCARPINE 10ML C 16.74 16.74 EYE DROP 0 BOTT MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 524020 EENT MIOTICS 2022-04-01 2024-03-31 Price Change OPHTHALMIC 0 EYE, EAR, NOSE AND THROAT PREPARATIONS 2022-03-18
41 2332H PILOCARPINE 4% EYE DR (MTP) (C) PILOCARPINE PILOCARPINE 10ML C 14.49 14.4887 BOTT 1 BOTT MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD B 524020 EENT MIOTICS 2024-04-01 2025-01-28 OPHTHALMIC 6 EENT MIOTICS
41 2332H PILOCARPINE 4% EYE DR (MTP) (C) PILOCARPINE PILOCARPINE 10ML C 21.56 21.56 BOTT 1 BOTT MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD B 524020 EENT MIOTICS 2024-04-11 2026-03-31 OPHTHALMIC 6 EENT MIOTICS 2024-04-10
40 23361 PILOCARPINE MINIMS 2% EYE DR (CAM/STO) PILOCARPINE PILOCARPINE MINIMS 20X0.5ML B 94.73 4.74 EYE DROP 0 AMP CAM MORNINGSIDE PHARMACEUTICALS STO BRYDEN STOKES LTD 524020 EENT MIOTICS 2022-04-01 2024-03-31 Ophthalmic 6 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 23362 PILOCARPINE MINIMS 2% EYE DR (CAM) (B) PILOCARPINE PILOCARPINE MINIMS 20X0.5ML B 96.61 4.8305 AMPP 0 BOTT CAM MORNINGSIDE PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 524020 EENT MIOTICS 2024-04-01 2026-03-31 OPHTHALMIC 0 EENT MIOTICS
40 23414 MATROPIN 2% EYE DR (ARP/AHI) HOMATROPINE HOMATROPINE MATROPIN 10ML A 14.11 14.11 EYE DROP 1 BOTT ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 5224 EENT MYDRIATICS 2022-04-01 2024-03-31 OPHTHALMIC 0 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 23415 HOMACID 2% EYE DR (SHC) HOMATROPINE HOMATROPINE HOMACID 5ML A 1.22 1.2232 BOTT 1 BOTT SHC SION HEALTHCARE PSB PHARMACEUTICAL SOLUTIONS BARBA 5224 EENT MYDRIATICS 2024-04-01 2026-03-31 OPHTHALMIC 0 EENT MYDRIATICS
42 23415 HOMACID 2% EYE DR (SHC) HOMATROPINE HOMATROPINE HOMACID 5ML B 2.07 2.07 BOTT 1 BOTT SHC SION HEALTHCARE PSB PHARMACEUTICAL SOLUTIONS BARBA 5224 EENT MYDRIATICS 2026-04-01 2028-03-31 OPHTHALMIC 0 EENT MYDRIATICS
40 23516 PHENYLEPHRINE MINIMS 10% EYE DR (CAM/STO) PHENYLEPHRINE PHENYLEPHRINE MINIMS 20X0.5ML B 94.73 4.74 EYE DROP 0 AMP CAM MORNINGSIDE PHARMACEUTICALS STO BRYDEN STOKES LTD 5224 EENT MYDRIATICS 2022-04-01 2024-03-31 OPHTHALMIC 6 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 23518 PHENYLEPHRINE MINIMS 10% EYE DR (CAM) (BQ) PHENYLEPHRINE PHENYLEPHRINE MINIMS 20X0.5ML BQ 82.53 4.1264 AMPP 0 BOTT CAM MORNINGSIDE PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 5224 EENT MYDRIATICS 2024-04-01 2026-03-31 OPHTHALMIC 0 EENT MYDRIATICS
40 23539 PHENYLEPHRINE 10MG/ML INJ (SLS/AHI) PHENYLEPHRINE PHENYLEPHRINE 1ML AMP B 22.07 22.07 INJECTION 0 VIAL SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 121204 ALPHA ADRENERGIC AGONIST 2022-04-01 2022-09-30 IV 0 AUTONOMIC DRUGS 2022-03-29
40 2353D PHRINTEC 10MG/ML IV/IM INJ (UBI/RXP) PHENYLEP PHENYLEPHRINE PHRINTEC 1ML VIAL B 10.60 10.60 INJECTION 0 VIAL UBI UNITED BIOTECH (P) LIMITED RXP RX PRO INC 121204 ALPHA ADRENERGIC AGONIST 2022-04-01 2024-03-31 IV/IM 0 AUTONOMIC DRUGS
41 2353F PHENYLEPHRINE 10MG/ML INJ (OMG) (BQ) PHENYLEPHRINE PHENYLEPHRINE 10X1ML BQ 66.33 6.6327 VIAL 0 BOX OMG OMEGA COL COLLINS LTD 121204 ALPHA ADRENERGIC AGONIST 2024-04-01 2026-03-31 IV/IM/SC 0 ALPHA ADRENERGIC AGONIST
42 2353G PHENYLEPHRINE 10MG/ML INJ (MTP) PHENYLEPHRINE PHENYLEPHRINE 10X1ML B 114.74 11.47 VIAL 0 VIAL MTP MARTINDALE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 121204 ALPHA ADRENERGIC AGONIST 2026-04-01 2028-03-31 IV 0 ALPHA ADRENERGIC AGONIST
40 23541 PHENYLEPHRINE MINIMS 2.5% EYE DR (CAM/STO) PHENYLEPHRINE PHENYLEPHRINE MINIMS 20X0.5ML B 94.73 4.74 EYE DROP 0 AMP CAM MORNINGSIDE PHARMACEUTICALS STO BRYDEN STOKES LTD 5224 EENT MYDRIATICS 2022-04-01 2024-03-31 OPHTHALMIC 6 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 23548 PHENYLEPHRINE MINIMS 2.5% EYE DR (CAM) (BQ) PHENYLEPHRINE PHENYLEPHRINE MINIMS 20X0.5ML BQ 82.53 4.1264 AMPP 0 BOTT CAM MORNINGSIDE PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 5224 EENT MYDRIATICS 2024-04-01 2026-03-31 OPHTHALMIC 0 EENT MYDRIATICS
41 23611 TROPICAMIDE MINIMS 1% EYE DR (CAM) (B) TROPICAMIDE TROPICAMIDE MINIMS 20X0.5ML B 82.53 4.1264 BOX 20 AMPP CAM MORNINGSIDE PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 5224 EENT MYDRIATICS 2024-04-01 2026-03-31 OPHTHALMIC 0 EENT MYDRIATICS
40 23613 TROPICAMIDE MINIMS 1% EYE DR (CAM/STO) TROPICAMIDE TROPICAMIDE MINIMS 20X0.5ML B 94.73 4.74 EYE DROP 0 AMP CAM MORNINGSIDE PHARMACEUTICALS STO BRYDEN STOKES LTD 5224 EENT MYDRIATICS 2022-04-01 2024-03-31 OPHTHALMIC 6 EYE, EAR, NOSE AND THROAT PREPARATIONS