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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 0131AF CLARITHROMYCIN MK 50MG/ML SUSP (BON/COL) CLARITHROMYCIN CLARITHROMYCIN MK 60ML A 14.27 0.24 SUSPENSION 60 ML BON CORPORACION BONIMA COL COLLINS LTD 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0131AH CLARITHROMYCIN MK 25MG/ML SUSP (BON/COL) CLARITHROMYCIN CLARITHROMYCIN MK 60ML A 9.38 0.16 SUSPENSION 100 ML BON CORPORACION BONIMA COL COLLINS LTD 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0131DH KLARICID 50MG/ML SUSP (ABB/PHA) CLARITHROMYCI CLARITHROMYCIN KLARICID 60ML C 15.79 0.26 SUSPENSION 0 ML ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0131DH KLARICID 50MG/ML SUSP (ABB/PHA) CLARITHROMYCI (C) CLARITHROMYCIN KLARICID 60ML C 15.79 0.2632 SUSPENSION ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 8121292 OTHER MACROLIDES 2022-04-01 2023-03-31 Delete from contract Oral 0 OTHER MACROLIDES 2023-03-02
40 0131DJ KLARICID 25MG/ML SUSP (ABB/PHA) CLARITHROMYCI CLARITHROMYCIN KLARICID 60ML C 11.50 0.19 SUSPENSION 0 ML ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0131DJ KLARICID 25MG/ML SUSP (ABB/PHA) CLARITHROMYCI (C) CLARITHROMYCIN KLARICID 60ML C 11.5 0.1917 SUSPENSION ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 8121292 OTHER MACROLIDES 2022-04-01 2023-03-31 Delete from contract Oral 0 OTHER MACROLIDES 2023-03-02
41 0131DU KLARICID 50MG/ML SUSP (ABB) CLARITHROMYCIN (C) CLARITHROMYCIN KLARICID 60ML C 19 0.3167 ML 60 BOTT ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES 2024-04-01 2026-03-31 ORAL 0 OTHER MACROLIDES
42 0131DU KLARICID 50MG/ML SUSP (ABB) CLARITHROMYCIN CLARITHROMYCIN KLARICID 60ML C 16.31 0.27 ML 60 BOTT ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES 2026-04-01 ORAL 0 OTHER MACROLIDES
41 0131DV KLARICID 25MG/ML SUSP (ABB) CLARITHROMYCIN (C) CLARITHROMYCIN KLARICID 60ML C 14.22 0.2369 ML 100 BOTT ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES 2024-04-01 2026-03-31 ORAL 0 OTHER MACROLIDES
42 0131DV KLARICID 25MG/ML SUSP (ABB) CLARITHROMYCIN CLARITHROMYCIN KLARICID 60ML C 10.87 0.18 ML 100 BOTT ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES 2026-04-01 ORAL 0 OTHER MACROLIDES
41 0141CL CLAREM 500MG TAB (REM) CLARITHROMYCIN (C) CLARITHROMYCIN CLAREM 2X7'S C 10.98 0.7844 TAB 14 BOTT REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES 2024-04-01 2026-03-31 ORAL 0 OTHER MACROLIDES
40 0141FU KLARICID XL 500MG TAB (ABB/PHA) CLARITHROMYCI CLARITHROMYCIN KLARICID XL 10'S C 16.66 1.67 TABLET 0 TAB ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0141FU KLARICID XL 500MG TAB (ABB/PHA) CLARITHROMYCI (C) CLARITHROMYCIN KLARICID XL 10'S C 16.66 1.666 TABLET IMMED ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 8121292 OTHER MACROLIDES 2022-04-01 2023-03-31 Delete from contract Oral 0 OTHER MACROLIDES 2023-03-02
40 0141FV KLARICID 500MG TAB (ABB/PHA) CLARITHROMYCIN CLARITHROMYCIN KLARICID 10'S C 16.72 1.67 TABLET 0 TAB ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Price Change Oral 0 ANTI-INFECTIVE AGENTS 2022-05-05
41 0141HC APO-CLARITHROMYCIN 500MG TAB (APO) CLARITHROMYCIN APO-CLARITHROMYCIN 100'S A 77.83 0.7783 TAB 14 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 08121292 OTHER MACROLIDES 2024-04-01 2026-03-31 ORAL 0 OTHER MACROLIDES
41 0141HD APO-CLARITHROMYCIN 250MG TAB (APO) CLARITHROMYCIN APO-CLARITHROMYCIN 100'S A 36.04 0.3604 TAB 14 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 08121292 OTHER MACROLIDES 2024-04-01 2026-03-31 ORAL 0 OTHER MACROLIDES
41 0141HG KLARICID 500MG TAB (ABB) CLARITHROMYCIN (C) CLARITHROMYCIN KLARICID 10'S C 11.96 1.1961 TAB 14 BOX ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES 2024-04-01 2026-03-31 ORAL 0 OTHER MACROLIDES
42 0141HG KLARICID 500MG TAB (ABB) CLARITHROMYCIN CLARITHROMYCIN KLARICID 10'S C 12.23 1.22 TAB 14 BLIS ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES 2026-04-01 ORAL 0 OTHER MACROLIDES
41 0141HH KLARICID XL 500MG ER TAB (ABB) CLARITHROMYCIN (C) CLARITHROMYCIN KLARICID XL 10'S C 17.34 1.7343 TABER 0 BOX ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES 2024-04-01 2026-03-31 ORAL 0 OTHER MACROLIDES
42 0141HH KLARICID XL 500MG ER TAB (ABB) CLARITHROMYCIN CLARITHROMYCIN KLARICID XL 10'S C 15.77 1.58 TABER 0 BLIS ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES 2026-04-01 ORAL 0 OTHER MACROLIDES