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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 1321G CODEINE PHOSPHATE 15MG TAB (TEV/COL) CODEINE PHOSPHATE CODEINE PHOSPHATE 28'S A 5.03 0.18 TABLET 112 TAB TEV TEVA UK LTD. COL COLLINS LTD 280808 OPIATE AGONISTS 2022-04-01 2024-03-31 Oral 2 CENTRAL NERVOUS SYSTEM DRUGS
41 1321G CODEINE PHOSPHATE 15MG TAB (TEV) CODEINE PHOSPHATE CODEINE PHOSPHATE 28'S A 4.7 0.168 TAB 112 BOX TEV TEVA UK LTD. COL COLLINS LTD 280808 OPIATE AGONISTS 2024-04-01 2026-03-31 ORAL 2 OPIATE AGONISTS
42 1321J CODEINE PHOSPHATE 15MG TAB (CPP) CODEINE PHOSPHATE CODEINE PHOSPHATE 28'S A 4.00 0.14 TAB 112 BLIS CPP WOCKHARDT UK LTD COL AVENTA BARBADOS 280808 OPIATE AGONISTS 2026-04-01 ORAL 2 OPIATE AGONISTS
40 1322L CODEINE PHOSPHATE 30MG TAB (TEV/COL) CODEINE PHOSPHATE CODEINE PHOSPHATE 28'S A 6.85 0.24 TABLET 112 TAB TEV TEVA UK LTD. COL COLLINS LTD 280808 OPIATE AGONISTS 2022-04-01 2024-03-31 Oral 2 CENTRAL NERVOUS SYSTEM DRUGS
41 1322L CODEINE PHOSPHATE 30MG TAB (TEV) CODEINE PHOSPHATE CODEINE PHOSPHATE 28'S A 5.76 0.2058 TAB 112 BOX TEV TEVA UK LTD. COL COLLINS LTD 280808 OPIATE AGONISTS 2024-04-01 2026-03-31 ORAL 2 OPIATE AGONISTS
42 1322M CODEINE PHOSPHATE 30MG TAB (CPP) CODEINE PHOSPHATE CODEINE PHOSPHATE 28'S A 6.36 0.23 TAB 112 BLIS CPP WOCKHARDT UK LTD COL AVENTA BARBADOS 280808 OPIATE AGONISTS 2026-04-01 ORAL 2 OPIATE AGONISTS
41 1322R CODEINE PHOSPHATE 30MG TAB (CPP) CODEINE PHOSPHATE CODEINE PHOSPHATE 3X10 A 4.4 0.1468 TAB 112 BOX CPP WOCKHARDT UK LTD COL COLLINS LTD 280808 OPIATE AGONISTS 2024-04-01 2026-03-31 ORAL 2 OPIATE AGONISTS
40 13235 CODEINE PHOSPHATE 30MG/ML INJ (KWA/ATB) CODEINE PHOSPHATE CODEINE PHOSPHATE 10X1ML C 203.87 20.39 INJECTION 0 AMP KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 280808 OPIATE AGONISTS 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
41 13235 CODEINE PHOSPHATE 30MG/ML INJ (KWA) CODEINE PHOSPHATE CODEINE PHOSPHATE 10X1ML C 135.59 13.559 AMP 0 BOX KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 2808 ANALGESICS-ANTIPYRETICS 2024-04-01 2026-03-31 IV 0 ANALGESICS-ANTIPYRETICS
40 21912 GALCODEINE 3MG/ML SOLN (THR/SBI) CODEINE GALCODEINE 2 LITRES B 36.78 0.02 SOLUTION 0 ML THR THORNTON & ROSS LTD SBI MASSY DISTRIBUTION (BDOS) LTD 4808 ANTITUSSIVES 2022-04-01 2024-03-31 Oral 0 RESPIRATORY TRACT AGENTS
40 2191M CODEINE 3MG/ML LINC (CAR/COL) CODEINE CODEINE 2 LITRES B 59.80 0.03 SOLUTION 0 ML CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 4808 ANTITUSSIVES 2022-04-01 2024-03-31 Oral 0 RESPIRATORY TRACT AGENTS
41 2191M CODEINE 3MG/ML LINCT (CAR) (B) CODEINE CODEINE 2 LITRES B 59.8 0.0299 ML 200 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 4808 ANTITUSSIVES 2024-04-01 2026-03-31 ORAL 6 ANTITUSSIVES
42 2191M CODEINE 3MG/ML LINCT (CAR) CODEINE CODEINE 2 LITRES B 59.80 0.03 ML 200 BOTT CAR CARLISLE LABORATORIES LTD COL AVENTA BARBADOS 4808 ANTITUSSIVES 2026-04-01 ORAL 6 ANTITUSSIVES
40 22011 TUSCOSED EF SYR (CAR/COL) DIPHEN/COD.PHOS CODEINE|DIPHENHYDRAMINE TUSCOSED EF 2 LITRES B 75.00 0.04 SYRUP 0 ML CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 4808 ANTITUSSIVES 2022-04-01 2024-03-31 Oral 0 RESPIRATORY TRACT AGENTS
41 22011 TUSCOSED EF SYR (CAR) DIPHEN/COD. (C) CODEINE|DIPHENHYDRAMINE TUSCOSED EF 2 LITRES C 81.17 0.0406 ML 0 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 4808 ANTITUSSIVES 2024-04-01 2026-03-31 ORAL 0 ANTITUSSIVES
42 22011 TUSCOSED EF SYR (CAR) DIPHEN/COD.PHOS CODEINE|DIPHENHYDRAMINE TUSCOSED EF 2 LITRES B 81.17 0.04 ML 100 BOTT CAR CARLISLE LABORATORIES LTD COL AVENTA BARBADOS 4808 ANTITUSSIVES 2026-04-01 ORAL 0 ANTITUSSIVES
40 22014 TUSCOSED LINCTUS SYR (CAR/COL) DIPHEN/COD.PH CODEINE PHOSPHATE|DIPHENHYDRAMINE|EPHEDRINE HCL TUSCOSED LINCTUS 2 LITRES B 75.00 0.04 SYRUP 0 ML CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 4808 ANTITUSSIVES 2022-04-01 2024-03-31 Oral 0 RESPIRATORY TRACT AGENTS
41 22014 TUSCOSED 2MG/ML|2.8MG/ML|1MG/ LINCT (CAR) CODEINE PHOSPHATE| (B) CODEINE PHOSPHATE|DIPHENHYDRAMINE|EPHEDRINE HCL TUSCOSED 2 LITRES B 81.17 0.0406 ML 150 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 4808 ANTITUSSIVES 2024-04-01 2026-03-31 ORAL 0 ANTITUSSIVES
42 22014 TUSCOSED 2MG/ML|2.8MG/ML|1MG/ LINCT (CAR) CODEINE PHOSPHATE| CODEINE PHOSPHATE|DIPHENHYDRAMINE|EPHEDRINE HCL TUSCOSED 2 LITRES B 81.17 0.04 ML 150 BOTT CAR CARLISLE LABORATORIES LTD COL AVENTA BARBADOS 4808 ANTITUSSIVES 2026-04-01 ORAL 0 ANTITUSSIVES