Displaying 1 - 15 of 15
  • Print
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 4621BC XANAX 0.5MG TAB (PFI/SBI) ALPRAZOLAM ALPRAZOLAM XANAX 100'S C 47.49 0.47 TABLET 0 TAB PFI PFIZER CORPORATION SBI MASSY DISTRIBUTION (BDOS) LTD 282408 BENZODIAZEPINES (SEDATIVES) 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
41 4621BC XANAX 0.5MG TAB (PFI) ALPRAZOLAM (C) ALPRAZOLAM XANAX 100'S C 48.36 0.4836 TAB 30 BOX PFI PFIZER CORPORATION SBI MASSY DISTRIBUTION (BDOS) LTD 282408 BENZODIAZEPINES (SEDATIVES) 2024-04-01 2026-03-31 ORAL 6 BENZODIAZEPINES (SEDATIVES)
42 4621CQ XANAX 0.5MG TAB (PFI) ALPRAZOLAM (C) ALPRAZOLAM XANAX 10X10 C 48.36 0.48 TAB 30 BLIS PFI PFIZER CORPORATION COL AVENTA BARBADOS 282408 BENZODIAZEPINES (SEDATIVES) 2026-04-01 ORAL 6 BENZODIAZEPINES (SEDATIVES)
40 4621L XANAX 0.5MG TAB (PFI/STO) ALPRAZOLAM ALPRAZOLAM XANAX 100'S C 47.49 0.47 TABLET 0 TAB PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 282408 BENZODIAZEPINES (SEDATIVES) 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
41 4621L XANAX 0.5MG TAB (PFI) ALPRAZOLAM (C) ALPRAZOLAM XANAX 100'S C 48.36 0.4836 TAB 30 BOX PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 282408 BENZODIAZEPINES (SEDATIVES) 2024-04-01 2026-03-31 ORAL 6 BENZODIAZEPINES (SEDATIVES)
40 4621R APO-ALPRAZ 0.5MG TAB (APO/COL) ALPRAZOLAM APO-ALPRAZ 1000'S A 36.97 0.04 TABLET 30 TAB APO APOTEX INC. COL COLLINS LTD 282408 BENZODIAZEPINES (SEDATIVES) 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
42 4621R APO-ALPRAZ 0.5MG TAB (APO) ALPRAZOLAM APO-ALPRAZ 1000'S A 51.29 0.05 TAB 30 BOTT APO APOTEX INC. COL AVENTA BARBADOS 282408 BENZODIAZEPINES (SEDATIVES) 2026-04-01 ORAL 6 BENZODIAZEPINES (SEDATIVES)
41 4621V APO-ALPRAZ 0.5MG TAB (APO) ALPRAZOLAM APO-ALPRAZ 1000'S A 37.7 0.0377 TAB 30 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 282408 BENZODIAZEPINES (SEDATIVES) 2024-04-01 2026-03-31 ORAL 6 BENZODIAZEPINES (SEDATIVES)
40 46241 APO-ALPRAZ 0.25MG TAB (APO/COL) ALPRAZOLAM APO-ALPRAZ 100'S A 4.76 0.05 TABLET 30 TAB APO APOTEX INC. COL COLLINS LTD 282408 BENZODIAZEPINES (SEDATIVES) 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
42 46241 APO-ALPRAZ 0.25MG TAB (APO) ALPRAZO ALPRAZOLAM APO-ALPRAZ 100'S A 4.87 0.05 TAB 30 BOTT APO APOTEX INC. COL AVENTA BARBADOS 282408 BENZODIAZEPINES (SEDATIVES) 2026-04-01 ORAL 6 BENZODIAZEPINES (SEDATIVES)
41 4624D APO-ALPRAZ 0.25MG TAB (APO) ALPRAZOLAM APO-ALPRAZ 100'S A 4.87 0.0487 TAB 30 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 282408 BENZODIAZEPINES (SEDATIVES) 2024-04-01 2026-03-31 ORAL 6 BENZODIAZEPINES (SEDATIVES)
42 4624E ALPRAZOLAM 0.25MG TAB (FSB) ALPRAZOLAM ALPRAZOLAM 100'S A 4.59 0.05 TAB 30 FSB FLAGSHIP BIOTECH STO BRYDEN STOKES LTD 282408 BENZODIAZEPINES (SEDATIVES) 2026-04-01 Add to Contract as Cat A ORAL 6 BENZODIAZEPINES (SEDATIVES) 2026-03-05
40 46251 APO-ALPRAZ 1MG TAB (APO/COL) ALPRAZOLAM APO-ALPRAZ 100'S A 8.15 0.08 TABLET 30 TAB APO APOTEX INC. COL COLLINS LTD 282408 BENZODIAZEPINES (SEDATIVES) 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
42 46251 APO-ALPRAZ 1MG TAB (APO) ALPRAZOLAM ALPRAZOLAM APO-ALPRAZ 100'S A 8.32 0.08 TAB 30 BOTT APO APOTEX INC. COL AVENTA BARBADOS 282408 BENZODIAZEPINES (SEDATIVES) 2026-04-01 ORAL 6 BENZODIAZEPINES (SEDATIVES)
41 4625D APO-ALPRAZ 1MG TAB (APO) ALPRAZOLAM ALPRAZOLAM APO-ALPRAZ 100'S A 8.32 0.0832 TAB 30 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 282408 BENZODIAZEPINES (SEDATIVES) 2024-04-01 2026-03-31 ORAL 6 BENZODIAZEPINES (SEDATIVES)