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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
42 22715 EYEBET 0.1% EYE DR (INC) BETAMETHASONE BETAMETHASONE EYEBET 5ML A 22.37 22.37 BOTT 1 BOTT INC INCEPTA PHARMACEUTICALS LIMITED AHI ARMSTRONG HEALTHCARE INC 5208 EENT ANTI-INFLAMMATORY AGENTS 2026-04-01 OTIC/OPHTHALMIC 6 EENT ANTI-INFLAMMATORY AGENTS
40 22719 VISTA-METHASONE 0.1% EYE (MTP/COL) BETAMETHAS BETAMETHASONE VISTA-METHASONE 10ML A 5.30 5.30 EYE DROP 1 BOTT MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 5208 EENT ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 OPHTHALMIC 6 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 22719 VISTA-METHASONE 0.1% EYE DR (MTP) BETAMETHASONE BETAMETHASONE VISTA-METHASONE 10ML A 7.42 7.421 BOTT 1 BOTT MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 5208 EENT ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 OPHTHALMIC 6 EENT ANTI-INFLAMMATORY AGENTS
40 25713 BETHASONE 0.1% OINT (GPC/ATB) BETAMETHASONE BETAMETHASONE BETHASONE 15G A 1.41 1.41 OINT 2 TUBE GPC NEW GUYANA PHARMACEUTICAL CORP. LTD ATB ANSA TRADING BARBADOS LTD 8406 ANTI-INFLAMMATORY AGENTS, TOPICAL 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
40 25718 BETACORT 0.1% OINT (CAR/COL) BETAMETHASONE BETAMETHASONE BETACORT 15G C 4.62 4.62 OINT 0 TUBE CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 8406 ANTI-INFLAMMATORY AGENTS, TOPICAL 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
41 25718 BETACORT 0.1% OINT (CAR) BETAMETHASONE BETAMETHASONE BETACORT 15G A 4.62 4.6212 TUBE 2 BOX CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 8406 ANTI-INFLAMMATORY AGENTS, TOPICAL 2024-04-01 2026-03-31 TOPICAL 0 ANTI-INFLAMMATORY AGENTS, TOPICAL
42 25718 BETACORT 0.1% OINT (CAR) BETAMETHASONE BETAMETHASONE BETACORT 15G A 4.62 4.62 TUBE 2 BOX CAR CARLISLE LABORATORIES LTD COL AVENTA BARBADOS 8406 ANTI-INFLAMMATORY AGENTS, TOPICAL 2026-04-01 TOPICAL 0 ANTI-INFLAMMATORY AGENTS, TOPICAL
40 25737 BETACORT 0.1% CR (CAR/COL) BETAMETHASONE BETAMETHASONE BETACORT 15G A 4.62 4.62 CREAM 2 TUBE CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 8406 ANTI-INFLAMMATORY AGENTS, TOPICAL 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
41 25737 BETACORT 0.1% CR (CAR) BETAMETHASONE (C) BETAMETHASONE BETACORT 15G C 4.62 4.6212 TUBE 2 BOX CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 8406 ANTI-INFLAMMATORY AGENTS, TOPICAL 2024-04-01 2026-03-31 TOPICAL 0 ANTI-INFLAMMATORY AGENTS, TOPICAL
42 25737 BETACORT 0.1% CR (CAR) BETAMETHASONE BETAMETHASONE BETACORT 15G A 4.62 4.62 TUBE 2 BOX CAR CARLISLE LABORATORIES LTD COL AVENTA BARBADOS 8406 ANTI-INFLAMMATORY AGENTS, TOPICAL 2026-04-01 TOPICAL 0 ANTI-INFLAMMATORY AGENTS, TOPICAL
41 2573E BETAMETHASONE 0.1% CR (GPC) BETAMETHASONE BETAMETHASONE 15G A 2.34 2.3378 TUBE 2 BOX GPC NEW GUYANA PHARMACEUTICAL CORP. LTD ATB ANSA TRADING BARBADOS LTD 8406 ANTI-INFLAMMATORY AGENTS, TOPICAL 2024-04-01 2026-03-31 TOPICAL 0 ANTI-INFLAMMATORY AGENTS, TOPICAL
40 2573V BETNOVATE 0.1% CR (GSK/COL) BETAMETHASONE BETAMETHASONE BETNOVATE 30G C 14.57 14.57 CREAM 0 TUBE GSK GLAXOSMITHKLINE COL COLLINS LTD 8406 ANTI-INFLAMMATORY AGENTS, TOPICAL 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
41 2573V BETNOVATE 0.1% CR (GSK) BETAMETHASONE (C) BETAMETHASONE BETNOVATE 30G C 15.68 15.6847 TUBE 2 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD 8406 ANTI-INFLAMMATORY AGENTS, TOPICAL 2024-04-01 2026-03-31 TOPICAL 0 ANTI-INFLAMMATORY AGENTS, TOPICAL
42 2573V BETNOVATE 0.1% CR (GSK) BETAMETHASONE BETAMETHASONE BETNOVATE 30G C 16.47 16.47 TUBE 2 BOX GSK GLAXOSMITHKLINE COL AVENTA BARBADOS 8406 ANTI-INFLAMMATORY AGENTS, TOPICAL 2026-04-01 TOPICAL 0 ANTI-INFLAMMATORY AGENTS, TOPICAL
40 26517 BETAMETHASONE 0.5MG TAB (LAF/AHI) BETAMETHASONE BETAMETHASONE 100'S A 56.38 0.56 TABLET 240 TAB LAF LABORATORIOS ALFA AHI ARMSTRONG HEALTHCARE INC 6804 ADRENALS 2022-04-01 2024-03-31 Change Local Agent Oral 6 HORMONES AND SYNTHETIC SUBSTITUTES 2022-02-03
41 26517 BETAMETHASONE 0.5MG TAB (LAF) BETAMETHASONE BETAMETHASONE 100'S A 61.16 0.6116 TAB 240 BOX LAF LABORATORIOS ALFA AHI ARMSTRONG HEALTHCARE INC 6804 ADRENALS 2024-04-01 2026-03-31 ORAL 6 ADRENALS
42 26517 BETAMETHASONE 0.5MG TAB (LAF) BETAMETHASONE BETAMETHASONE 100'S A 47.03 0.47 TAB 240 BLIS LAF LABORATORIOS ALFA AHI ARMSTRONG HEALTHCARE INC 6804 ADRENALS 2026-04-01 ORAL 6 ADRENALS
40 4211W MICOSPEC BV 0.1% | 2% CR (CAR/COL) BETAMETHASONE | MICONAZOLE BETAMETHASONE|MICONAZOLE MICOSPEC BV 15G A 3.81 3.81 CREAM 2 TUBE CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 8410 ANTI-INFECTIVES & ANTI-INFLAMMATORIES 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
41 4211W MICOSPEC BV 0.1%|2% CR (CAR) BETAMETHASONE|MICONAZOLE BETAMETHASONE|MICONAZOLE MICOSPEC BV 15G A 4 3.9959 TUBE 2 BOX CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 8410 ANTI-INFECTIVES & ANTI-INFLAMMATORIES 2024-04-01 2026-03-31 TOPICAL 0 ANTI-INFECTIVES & ANTI-INFLAMMATORIES
42 4211W MICOSPEC BV 0.1%|2% CR (CAR) BETAMETHASONE|MICONAZOLE BETAMETHASONE|MICONAZOLE MICOSPEC BV 15G A 4.00 4.00 TUBE 2 BOX CAR CARLISLE LABORATORIES LTD COL AVENTA BARBADOS 8410 ANTI-INFECTIVES & ANTI-INFLAMMATORIES 2026-04-01 TOPICAL 0 ANTI-INFECTIVES & ANTI-INFLAMMATORIES