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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 2711ZV APO-PREDNISONE 5MG TAB (APO/COL) PREDNISOLONE APO-PREDNISONE 1000'S A 40.77 0.04 TABLET 90 TAB APO APOTEX INC. COL COLLINS LTD 6804 ADRENALS 2022-04-01 2024-03-31 Oral 6 HORMONES AND SYNTHETIC SUBSTITUTES
40 27124 PRED CORT DS 2MG/ML SOLN (CAR/COL) PREDNISOLO PREDNISOLONE PRED CORT DS 125ML A 19.84 0.16 SOLUTION 125 ML CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 6804 ADRENALS 2022-04-01 2024-03-31 Oral 6 HORMONES AND SYNTHETIC SUBSTITUTES
41 27124 PRED CORT DS 2MG/ML SOLN (CAR) PREDNISOL PREDNISOLONE PRED CORT DS 125ML A 22.29 0.1783 ML 125 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 6804 ADRENALS 2024-04-01 2026-03-31 ORAL 6 ADRENALS
42 27124 PRED CORT DS 2MG/ML SOLN (CAR) PREDNISOL PREDNISOLONE PRED CORT DS 125ML A 22.29 0.18 ML 125 BOTT CAR CARLISLE LABORATORIES LTD COL AVENTA BARBADOS 6804 ADRENALS 2026-04-01 2028-03-31 ORAL 6 ADRENALS
42 2712V PREDEZE SYRUP 2MG/ML SUSP (INF) PREDNISOLONE PREDNISOLONE PREDEZE SYRUP 100ML A 11.15 0.11 ML 100 BOTT INF INFOCUS REMEDIES PVT RXP RX PRO INC 6804 ADRENALS 2026-04-01 2028-03-31 ORAL 6 ADRENALS
40 27133 COROTROPE 20MG TAB (REM/SBI) PREDNISOLONE PREDNISOLONE COROTROPE 10x10 A 18.32 0.18 TABLET 90 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 6804 ADRENALS 2022-04-01 2024-03-31 Oral 6 HORMONES AND SYNTHETIC SUBSTITUTES
41 27133 COROTROPE 20MG TAB (REM) PREDNISOLONE PREDNISOLONE COROTROPE 10x10 A 16.77 0.1677 TAB 90 BOX REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 6804 ADRENALS 2024-04-01 2026-03-31 ORAL 6 ADRENALS
42 27133 COROTROPE 20MG TAB (REM) PREDNISOLONE PREDNISOLONE COROTROPE 10x10 A 14.95 0.15 TAB 90 BLIS REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 6804 ADRENALS 2026-04-01 2028-03-31 ORAL 6 ADRENALS
40 2713E PREDNISOLONE 20MG TAB (MBL/AHI) PREDNISOLONE PREDNISOLONE 100'S A 17.29 0.1729 TABLET IMMED 90 MBL MEDICAMEN BIOTECH LTD AHI ARMSTRONG HEALTHCARE INC 6804 ADRENALS 2023-03-20 2024-03-31 Add to Contract as Cat A Oral 6 ADRENALS 2023-01-20
41 2713F PREDNISOLONE 20MG TAB (FSB) PREDNISOLONE PREDNISOLONE 10X10 A 12.94 0.1294 TAB 90 BOTT FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 6804 ADRENALS 2024-04-01 2026-03-31 ORAL 6 ADRENALS
41 2713N CORTISOL 20MG TAB (ARP) PREDNISOLONE PREDNISOLONE CORTISOL 100'S A 8.21 0.0821 TAB 90 BOX ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 6804 ADRENALS 2024-04-01 2024-09-30 ORAL 6 ADRENALS 2024-08-19
41 2713R PREDNISOLONE 20MG TAB (ARP) PREDNISOLONE PREDNISOLONE 50'S A 4.1 0.082 TAB 90 BOX ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 6804 ADRENALS 2024-10-01 2026-03-31 ORAL 6 ADRENALS 2024-08-20
40 2721C TRIAM-DENK 40MG/ML INJ (EDK/COL) TRIAMCINOLON TRIAMCINOLONE TRIAM-DENK 10X1ML B 27.86 2.79 INJECTION 0 VIAL EDK DENK PHARMA GMBH & CO. KG. COL COLLINS LTD 6804 ADRENALS 2022-04-01 2024-03-31 IV 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 2721C TRIAM-DENK 40MG/ML INJ (EDK) TRIAMCINOLO (B) TRIAMCINOLONE TRIAM-DENK 10X1ML B 30.88 3.088 VIAL 4 BOX EDK DENK PHARMA GMBH & CO. KG. COL COLLINS LTD 6804 ADRENALS 2024-04-01 2026-03-31 IV 6 ADRENALS
42 2721C TRIAM-DENK 40MG/ML INJ (EDK) TRIAMCINOLO TRIAMCINOLONE TRIAM-DENK 10X1ML B 32.62 3.26 VIAL 4 VIAL EDK DENK PHARMA GMBH & CO. KG. COL AVENTA BARBADOS 6804 ADRENALS 2026-04-01 2028-03-31 IV 6 ADRENALS
40 2721N TRIAMCINOLONE 40MG/ML INJ (CIR/AHI) TRIAMCINOLONE TRIAMCINOLONE 1ML VIAL B 2.99 2.99 INJECTION 0 VIAL CIR CIRON PHARMA AHI ARMSTRONG HEALTHCARE INC 6804 ADRENALS 2022-04-01 2024-03-31 IV 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 2721N TRIAMCINOLONE 40MG/ML INJ (CIR) (B) TRIAMCINOLONE TRIAMCINOLONE 1ML VIAL B 3.29 3.2892 VIAL 4 VIAL CIR CIRON PHARMA AHI ARMSTRONG HEALTHCARE INC 6804 ADRENALS 2024-04-01 2026-03-31 IV 6 ADRENALS
42 2721U TRIAM-DENK 40MG/ML INJ (EDK) TRIAMCINOLONE TRIAMCINOLONE TRIAM-DENK 5ML B 32.62 32.62 VIAL 4 AMP EDK DENK PHARMA GMBH & CO. KG. SBI MASSY DISTRIBUTION (BDOS) LTD 6804 ADRENALS 2026-04-01 2028-03-31 INJECTION 6 ADRENALS
41 27856 OESTROGENS CONJUGATED 0.3MG TAB (KW OESTROGENS CONJUGATED OESTROGENS CONJUGATED 100'S A 105.36 1.0536 TAB 28 BOX KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 681604 ESTROGENS 2024-04-01 2026-03-31 ORAL 6 ESTROGENS
40 2791D OVESTIN 1MG VAG CR (ASP/STO) ESTRIOL ESTRIOL OVESTIN 15G A 41.59 41.59 VAGINAL CREA 1 TUBE ASP ASTRAPIN, PHARMA GMBH & CO. HG STO BRYDEN STOKES LTD 681604 ESTROGENS 2022-04-01 2024-03-31 Add to Contract as Cat A Vaginal 6 HORMONES AND SYNTHETIC SUBSTITUTES 2021-12-06