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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 0012BA APO-CETIRIZINE 10MG TAB (APO/COL) CETIRIZINE APO-CETIRIZINE 100'S A 8.37 0.08 TABLET 14 TAB APO APOTEX INC. COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
42 0012BA APO-CETIRIZINE 10MG TAB (APO) CETIRIZINE APO-CETIRIZINE 100'S C 8.54 0.09 TAB 14 BOTT APO APOTEX INC. COL AVENTA BARBADOS 0408 SECOND GENERATION ANTIHISTAMINES 2026-04-01 ORAL 0 SECOND GENERATION ANTIHISTAMINES
40 0012ER GLENCET 5MG TAB (GLP/ALI) LEVOCETIRIZINE LEVOCETIRIZINE GLENCET 30'S C 6.80 0.23 TABLET 0 TAB GLP GLENMARK PHARMACEUTICALS LTD ALI ALL HEALTH INC 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2022-03-22 Delete from contract Oral 0 ANTIHISTAMINICS 2022-03-22
41 0012ES RHINIL SR 10MG TAB (ARP) CETIRIZINE CETIRIZINE RHINIL SR 100'S A 7.42 0.0742 TAB 14 BOX ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2024-04-01 2026-03-31 ORAL 0 SECOND GENERATION ANTIHISTAMINES
42 0012ES RHINIL SR 10MG TAB (ARP) CETIRIZINE CETIRIZINE RHINIL SR 100'S A 7.48 0.07 TAB 14 BLIS ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2026-04-01 ORAL 0 SECOND GENERATION ANTIHISTAMINES
40 0012FD GLENCET 5MG TAB (GLP/ATB) LEVOCETIRIZINE LEVOCETIRIZINE GLENCET 30'S C 6.80 0.23 TABLET 0 TAB GLP GLENMARK PHARMACEUTICALS LTD ATB ANSA TRADING BARBADOS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Change Local Agent Oral 0 ANTIHISTAMINICS 2022-03-22
41 0012FF APO-CETIRIZINE 10MG TAB (APO) CETIRIZINE APO-CETIRIZINE 100'S A 8.54 0.0854 TAB 14 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2024-04-01 2026-03-31 ORAL 0 SECOND GENERATION ANTIHISTAMINES
41 0012FN CETVAN 10MG TAB (TPP) CETIRIZINE CETIRIZINE CETVAN 10X10 A 5.44 0.0544 TAB 14 BOX TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2024-04-01 2026-03-31 ORAL 0 SECOND GENERATION ANTIHISTAMINES
42 0012FZ ALFREE 10MG TAB (STL) CETIRIZINE CETIRIZINE ALFREE 10X10 A 1.41 0.01 TAB 14 BLIS STL STALLION LABORATORIES SBI MASSY DISTRIBUTION (BDOS) LTD 0408 SECOND GENERATION ANTIHISTAMINES 2026-04-01 ORAL 0 SECOND GENERATION ANTIHISTAMINES
40 0012V CETIRIZINE 10MG TAB (HEA/RXP) CETIRIZINE CETIRIZINE 1X10 A 0.95 0.10 TABLET 14 TAB HEA HEALTH 2000 INC RXP RX PRO INC 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0012VB CETIRIZINE 10MG TAB (HEA/ATB) CETIRIZINE CETIRIZINE 1X10 A 0.95 0.095 TABLET IMMED HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 408 SECOND GENERATION ANTIHISTAMINES 2022-12-07 2024-03-31 Change Local Agent oral 0 SECOND GENERATION ANTIHISTAMINES 2022-11-25
40 0012Y ZYRTEC 10MG TAB (GSK/COL) CETIRIZINE CETIRIZINE ZYRTEC 20'S C 20.69 1.03 TABLET 0 TAB GSK GLAXOSMITHKLINE COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
41 0012Y ZYRTEC 10MG TAB (GSK) CETIRIZINE (C) CETIRIZINE ZYRTEC 20'S C 22.75 1.1376 TAB 14 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2024-04-01 2026-03-31 ORAL 0 SECOND GENERATION ANTIHISTAMINES
42 0012Y ZYRTEC 10MG TAB (GSK) CETIRIZINE CETIRIZINE ZYRTEC 20'S C 25.23 1.26 TAB 14 BLIS GSK GLAXOSMITHKLINE COL AVENTA BARBADOS 0408 SECOND GENERATION ANTIHISTAMINES 2026-04-01 Price Change ORAL 0 SECOND GENERATION ANTIHISTAMINES 2026-02-16
40 0013AF ZYRTEC 10MG/ML DROPS (GSK/COL) CETIRIZINE CETIRIZINE ZYRTEC 10ML C 11.85 11.85 DROPS 0 BOTT GSK GLAXOSMITHKLINE COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0013AZ LEVOCETIRIZINE 2.5MG/ML SYR (CIR/AHI) LEVOCETIRIZINE LEVOCETIRIZINE 60ML C 5.71 0.10 SYRUP 0 ML CIR CIRON PHARMA AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
42 0013BT CETIRIZINE 1MG/ML SOLN (HEA) CETIRIZINE CETIRIZINE 60ML A 2.83 0.05 ML 60 BOTT HEA HEALTH 2000 INC AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2026-04-01 Price Change ORAL 0 SECOND GENERATION ANTIHISTAMINES 2025-10-31
42 0013BX CETIRIZINE 1MG/ML SYR (HEA) CETIRIZINE CETIRIZINE 60ML A 2.83 0.05 ML 60 BOTT HEA HEALTH 2000 INC CWS CAPSULE WHOLESALE 0408 SECOND GENERATION ANTIHISTAMINES 2026-04-01 Add to Contract as Cat A ORAL 0 SECOND GENERATION ANTIHISTAMINES 2026-01-26
42 0013BZ CETIRIZINE 1MG/ML SYR (HEA) CETIRIZINE CETIRIZINE 60ML A 2.83 0.05 ML 60 HEA HEALTH 2000 INC STO BRYDEN STOKES LTD 0408 SECOND GENERATION ANTIHISTAMINES 2026-04-01 Add to Contract as Cat A ORAL 0 SECOND GENERATION ANTIHISTAMINES 2026-02-26
40 0013K CETIRIZINE 1MG/ML SYR (HEA/RXP) CETIRIZINE CETIRIZINE 60ML A 2.69 0.04 SYRUP 60 ML HEA HEALTH 2000 INC RXP RX PRO INC 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS