Displaying 1 - 8 of 8
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 3621B APO-LEVOCARB 10MG | 100MG TAB (APO/COL) CARBIDOPA|LEVODOPA APO-LEVOCARB 100'S A 17.26 0.17 TABLET 240 TAB APO APOTEX INC. COL COLLINS LTD 283616 DOPAMINE PRECURSORS 2022-04-01 2024-03-31 Add to Contract as Cat A Oral 6 CENTRAL NERVOUS SYSTEM DRUGS 2022-04-01
42 3621B APO-LEVOCARB 10MG|100MG TAB (APO) CARBIDOPA|LEVODOPA APO-LEVOCARB 100'S A 22.53 0.23 TAB 240 BOTT APO APOTEX INC. COL AVENTA BARBADOS 283616 DOPAMINE PRECURSORS 2026-04-01 ORAL 6 DOPAMINE PRECURSORS
41 3621G APO-LEVOCARB 10MG|100MG TAB (APO) CARBIDOPA|LEVODOPA APO-CARBIDOPA|LEVODOPA 100'S A 22.53 0.2253 TAB 240 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 283616 DOPAMINE PRECURSORS 2024-04-01 2026-03-31 ORAL 6 DOPAMINE PRECURSORS
41 36222 SINEMET 25MG|250MG TAB (MSD) CARBIDOPA|L (C) CARBIDOPA|LEVODOPA SINEMET 100'S C 79.97 0.7997 TAB 240 BOTT MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 283616 DOPAMINE PRECURSORS 2024-04-01 2026-03-31 ORAL 6 DOPAMINE PRECURSORS
40 36227 APO-LEVOCARB 25MG | 250MG TAB (APO/COL) CARBIDOPA|LEVODOPA APO-LEVOCARB 100'S A 27.18 0.27 TABLET 240 TAB APO APOTEX INC. COL COLLINS LTD 283616 DOPAMINE PRECURSORS 2022-04-01 2024-03-31 Add to Contract as Cat A Oral 6 CENTRAL NERVOUS SYSTEM DRUGS 2022-04-01
41 3622K CREDANIL 25MG|250MG TAB (REM) CARBIDOPA| CARBIDOPA|LEVODOPA CREDANIL 50'S A 11.34 0.2267 TAB 240 BOX REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 283616 DOPAMINE PRECURSORS 2024-04-01 2026-03-31 ORAL 6 DOPAMINE PRECURSORS
42 3622K CREDANIL 25MG|250MG TAB (REM) CARBIDOPA|LEVODOPA CARBIDOPA|LEVODOPA CREDANIL 50'S A 11.42 0.23 TAB 240 BLIS REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 283616 DOPAMINE PRECURSORS 2026-04-01 ORAL 6 DOPAMINE PRECURSORS
41 3622R APO-LEVOCARB 25MG|250MG TAB (APO) CARBIDOPA|LEVODOPA APO-CARBIDOPA|LEVODOPA 100'S A 25.61 0.2561 TAB 240 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 283616 DOPAMINE PRECURSORS 2024-04-01 2026-03-31 ORAL 6 DOPAMINE PRECURSORS