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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 30016 BUPIVACAINE 0.25% INJ (KWA/ATB) BUPIVACAINE BUPIVACAINE 10ML BQ 6.12 6.12 INJECTION 0 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 7200 LOCAL ANESTHETICS 2022-04-01 2024-03-31 IV 0 LOCAL ANESTHETICS
41 30016 BUPIVACAINE 0.25% INJ (KWA) BUPIVACAINE BUPIVACAINE 10ML BQ 5.36 5.3551 VIAL 2 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 7200 LOCAL ANESTHETICS 2024-04-01 2026-03-31 IV 0 LOCAL ANESTHETICS
40 3002X LABUPI 0.25% INJ (LDP/AHI) BUPIVACAINE BUPIVACAINE LABUPI 20ML BQ 15.22 15.22 INJECTION 0 VIAL LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 7200 LOCAL ANESTHETICS 2022-04-01 2024-03-31 IV 0 LOCAL ANESTHETICS
40 3002Y BUPIVACAINE 0.25% INJ (KWA/ATB) BUPIVACAINE BUPIVACAINE 20ML BQ 8.56 8.56 INJECTION 0 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 7200 LOCAL ANESTHETICS 2022-04-01 2024-03-31 Add to Contract as Cat B IV 0 LOCAL ANESTHETICS 2021-07-20
41 3002Y BUPIVACAINE 0.25% INJ (KWA) BUPIVACAINE BUPIVACAINE 20ML BQ 15.9566 15.9566 VIAL 2 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 7200 LOCAL ANESTHETICS 2024-04-01 2026-03-31 IV 0 LOCAL ANESTHETICS
42 3002Z BUPIVACAINE 0.25% INJ (BAX) BUPIVACAINE BUPIVACAINE 5X20ML BQ 17.72 3.54 AMPG 2 BOX BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 7200 LOCAL ANESTHETICS 2026-04-01 IV 0 LOCAL ANESTHETICS
42 30034 BUPIVACAINE SPINAL HEAVY 0.5% INJ (RTM) BUPIVACAINE BUPIVACAINE SPINAL HEAVY 10X4ML BQ 28.27 2.83 VIAL 2 VIAL RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 7200 LOCAL ANESTHETICS 2026-04-01 IV 0 LOCAL ANESTHETICS
40 3003G BUPIVACINE SPINAL HEAVY 0.5% INJ (BAX/STO) BU BUPIVACAINE BUPIVACINE SPINAL HEAVY 5X4ML BQ 20.12 4.02 INJECTION 0 AMP BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 7200 LOCAL ANESTHETICS 2022-04-01 2024-03-31 IV 0 LOCAL ANESTHETICS
41 3003L BUPIVACAINE HEAVY 0.5% INJ (FSB) (BQ) BUPIVACAINE BUPIVACAINE HEAVY 5X4ML BQ 9.84 1.9681 AMP 2 BOX FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 7200 LOCAL ANESTHETICS 2024-04-01 2026-03-31 IV 0 LOCAL ANESTHETICS
42 3003N BUPIVACAINE HEAVY 0.5% INJ (FSB) BUPIVACAINE BUPIVACAINE HEAVY 5X4ML BQ 9.19 1.84 AMPG 2 FSB FLAGSHIP BIOTECH STO BRYDEN STOKES LTD 7200 LOCAL ANESTHETICS 2026-04-01 Add to Contract IV 0 LOCAL ANESTHETICS 2026-03-05
40 3004F LABUPI 0.5% INJ (LDP/AHI) BUPIVACAINE BUPIVACAINE LABUPI 10ML BQ 6.36 6.36 INJECTION 0 VIAL LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 7200 LOCAL ANESTHETICS 2022-04-01 2024-03-31 IV 0 LOCAL ANESTHETICS
41 3004H BUPIVACAINE 0.5% INJ (FSB) BUPIVACAINE BUPIVACAINE 20ML BQ 7.53 7.5298 VIAL 2 VIAL FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 7200 LOCAL ANESTHETICS 2024-04-01 2026-03-31 IV 0 LOCAL ANESTHETICS
42 3004K BUPIVACAINE 0.5% INJ (BRA) BUPIVACAINE BUPIVACAINE 20ML BQ 3.21 3.21 VIAL 2 BOTT BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL AVENTA BARBADOS 7200 LOCAL ANESTHETICS 2026-04-01 IV 0 LOCAL ANESTHETICS