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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 13028 ASPIRIN DISPERSIBLE 300MG TAB (ACD/AHI) ASPIRIN ASPIRIN DISPERSIBLE 32'S A 8.15 0.25 TABLET 30 TAB ACD ACCORD AHI ARMSTRONG HEALTHCARE INC 28080424 SALICYLATES 2022-04-01 2024-03-31 Add to Contract as Cat A Oral 6 CENTRAL NERVOUS SYSTEM DRUGS 2022-03-11
41 1303D ASPIRIN 325MG TAB (QUC) ASPIRIN ASPIRIN 300'S A 16.99 0.0566 TAB 240 BOX QUC QUALITY CHOICE RXP RX PRO INC 28080424 SALICYLATES 2024-04-01 2026-03-31 ORAL 6 SALICYLATES
42 1303D ASPIRIN 325MG TAB (QUC) ASPIRIN ASPIRIN EC 300'S A 16.99 0.06 TAB 240 BLIS QUC QUALITY CHOICE RXP RX PRO INC 28080424 SALICYLATES 2026-04-01 ORAL 6 SALICYLATES
40 1303E BAYER ASPIRIN MR 325MG CAPLET (BSP/COL) ASPIR ASPIRIN BAYER ASPIRIN MR 100'S A 18.48 0.18 CAPLET 240 CPL BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 28080424 SALICYLATES 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
41 1306AJ ASPIRIN GR 75MG TAB (CPP) ASPIRIN ASPIRIN GR 14x4 A 2.12 0.0379 TAB 60 BOX CPP WOCKHARDT UK LTD COL COLLINS LTD 28080424 SALICYLATES 2024-04-01 2026-03-31 ORAL 6 SALICYLATES
40 1306AS ASPIRIN E.C. 81MG TAB (REL/PHA) ASPIRIN ASPIRIN E.C. 1000'S A 25.50 0.03 TABLET 60 TAB REL RELIABLE-1 PHA PHARMACY SALES CARIBBEAN 28080424 SALICYLATES 2022-04-01 2022-07-18 Price Change Oral 6 CENTRAL NERVOUS SYSTEM DRUGS 2021-11-10
40 1306AS ASPIRIN E.C. 81MG TAB (REL/PHA) ASPIRIN ASPIRIN E.C. 1000'S A 20.97 0.02 TABLET 60 TAB REL RELIABLE-1 PHA PHARMACY SALES CARIBBEAN 28080424 SALICYLATES 2022-07-19 2024-03-31 Price Change Oral 6 CENTRAL NERVOUS SYSTEM DRUGS 2022-07-18
41 1306AS ASPIRIN E.C. 81MG TAB (REL) ASPIRIN ASPIRIN E.C. 1000'S A 24.36 0.0244 TAB 60 BOX REL RELIABLE-1 PHA PHARMACY SALES CARIBBEAN 28080424 SALICYLATES 2024-04-01 2026-03-31 ORAL 6 SALICYLATES
41 1306BA CARDIOASPIRIN E.C. 81MG TAB (BSP) A (C) ASPIRIN CARDIOASPIRIN E.C. 30'S C 7.34 0.2446 TAB 60 BOTT BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 28080424 SALICYLATES 2024-04-01 2026-03-31 ORAL 6 SALICYLATES
42 1306BA CARDIOASPIRIN E.C. 81MG TAB (BSP) (C) ASPIRIN CARDIOASPIRIN E.C. 30'S C 5.79 0.19 TAB 60 BOTT BSP BAYER SCHERING PHARMA AG. COL AVENTA BARBADOS 28080424 SALICYLATES 2026-04-01 ORAL 6 SALICYLATES
40 1306BF CARDIOASPIRIN 81MG TAB (BSP/AHI) ASPIRIN CARDIOASPIRIN 30'S C 8.15 0.2717 TABLET IMMED CONT BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 28080424 SALICYLATES 2023-02-23 2024-03-31 Add to Contract as Cat A Oral 6 SALICYLATES 2023-02-23
41 1306BF CARDIOASPIRIN 81MG TAB (BSP) (C) ASPIRIN CARDIOASPIRIN 30'S C 7.34 0.2446 TAB 60 BOTT BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 28080424 SALICYLATES 2024-04-01 2026-03-31 ORAL 6 SALICYLATES
42 1306BF CARDIOASPIRIN 81MG TAB (BSP) (C) ASPIRIN CARDIOASPIRIN 30'S C 7.07 0.24 TAB 60 BOTT BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 28080424 SALICYLATES 2026-04-01 Add to Contract as Cat C ORAL 6 SALICYLATES 2026-02-11
41 1306BH ASPIRIN 81MG TAB (GPC) ASPIRIN ASPIRIN 1000'S A 18.92 0.0189 TAB 60 BOTT GPC NEW GUYANA PHARMACEUTICAL CORP. LTD ATB ANSA TRADING BARBADOS LTD 28080424 SALICYLATES 2024-04-01 2026-03-31 ORAL 6 SALICYLATES
42 1306BN ASPIRAD 81MG TAB (STL) ASPIRIN ASPIRIN ASPIRAD 10X10 A 2.42 0.02 TAB 60 BLIS STL STALLION LABORATORIES SBI MASSY DISTRIBUTION (BDOS) LTD 28080424 SALICYLATES 2026-04-01 ORAL 6 SALICYLATES
42 1306BR ASPIRIN 81MG TAB (HEA) ASPIRIN ASPIRIN EC 100X10 A 33.63 0.03 TAB 60 BLIS HEA HEALTH 2000 INC AHI ARMSTRONG HEALTHCARE INC 28080424 SALICYLATES 2026-04-01 Price Change ORAL 6 SALICYLATES 2025-10-31
42 1306BT ASPIRIN 81MG TAB (HEA) ASPIRIN ASPIRIN 1000'S A 33.63 0.03 TAB 60 BLIS HEA HEALTH 2000 INC CWS CAPSULE WHOLESALE 28080424 SALICYLATES 2026-04-01 Add to Contract as Cat A ORAL 6 SALICYLATES 2026-01-26
42 1306BU ASPIRIN EC 81MG TAB (HEA) ASPIRIN ASPIRIN EC 100X10 A 33.63 0.03 TAB 60 HEA HEALTH 2000 INC STO BRYDEN STOKES LTD 28080424 SALICYLATES 2026-04-01 Add to Contract as Cat A ORAL 6 SALICYLATES 2026-02-27
41 53013 ASPIRIN|DIPYRIDAMOLE 25MG|200MG ER (C) ASPIRIN|DIPYRIDAMOLE ASPIRIN|DIPYRIDAMOLE 60'S C 103.2963 1.7216 CAPER 0 BOX GLP GLENMARK PHARMACEUTICALS LTD CWS CAPSULE WHOLESALE 2412 VASODILATING AGENTS 2024-04-01 2026-03-31 ORAL 0 VASODILATING AGENTS