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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 0131DJ KLARICID 25MG/ML SUSP (ABB/PHA) CLARITHROMYCI (C) CLARITHROMYCIN KLARICID 60ML C 11.5 0.1917 SUSPENSION 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
41 0131DN AZICURE 40MG/ML SUSP (MBL/AHI) AZITHROMYCIN AZITHROMYCIN AZICURE 30ML A 9.24 0.3081 SUSP 30 ML MBL MEDICAMEN BIOTECH LTD AHI ARMSTRONG HEALTHCARE INC 08121204 ERYTHROMYCINS ORAL 0 ANTI-INFECTIVE AGENTS
40 0131DT SKAZI 40MG/ML SUSP (SKH) AZITHROMYCIN SKAZI 40MG /ML SUSP 15ML A $4.89 SUSPENSION 30 SKH S KANT HEALTHCARE ATB ANSA TRADING BARBADOS LIMITED 08121292 0 0000-00-00
41 0131DU
41 0131DU KLARICID 50MG/ML SUSP (ABB/SBI) CLARITHROMYCIN CLARITHROMYCIN KLARICID 60ML C 19 0.3167 SUSP 60 ML ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES ORAL 0 ANTI-INFECTIVE AGENTS
41 0131DV
41 0131DV KLARICID 25MG/ML SUSP (ABB/SBI) CLARITHROMYCIN CLARITHROMYCIN KLARICID 60ML C 14.22 0.2369 SUSP 100 ML ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES ORAL 0 ANTI-INFECTIVE AGENTS
41 0131U
41 0131U ZITHROMAX 40MG/ML SUSP (PFI/STO) AZITHROMYCIN AZITHROMYCIN ZITHROMAX 15ML C 29.96 1.9971 SUSP 30 ML PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 08121292 OTHER MACROLIDES ORAL 0 ANTI-INFECTIVE AGENTS
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 0141AH
41 0141AH ZITHROMAX 500MG TAB (PFI/STO) AZITHROMYCIN AZITHROMYCIN ZITHROMAX 3'S C 53.52 17.8413 TAB 7 TAB PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 08121292 OTHER MACROLIDES ORAL 0 ANTI-INFECTIVE AGENTS
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 0141CL
41 0141CL CLAREM 500MG TAB (REM/SBI) CLARITHROMYCIN CLARITHROMYCIN CLAREM 2X7'S C 10.98 0.7844 TAB 14 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES ORAL 0 ANTI-INFECTIVE AGENTS
41 0141DA
41 0141DA BINOZYT 500MG TAB (BCH/COL) AZITHROMYCIN AZITHROMYCIN BINOZYT 3'S C 24.49 8.164 TAB 7 TAB BCH SANDOZ COL COLLINS LTD 08121292 OTHER MACROLIDES ORAL 0 ANTI-INFECTIVE AGENTS
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
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