Displaying 1 - 20 of 20
  • Print
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 61312 ANDROCUR 50MG TAB (BSP/AHI) CYPROTERONE CYPROTERONE ANDROCUR 50'S C 85.63 1.71 TABLET 0 TAB BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 0 ANTINEOPLASTICS
41 61312 ANDROCUR 50MG TAB (BSP) CYPROTERONE (C) CYPROTERONE ANDROCUR 50'S C 85.63 1.7125 TAB 180 BOX BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC B 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 6 ANTINEOPLASTICS
40 6131F ANDROCUR 50MG TAB (BSP/COL) CYPROTERONE CYPROTERONE ANDROCUR 50'S C 85.63 1.71 TABLET 0 TAB BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 0 ANTINEOPLASTICS
41 6131F ANDROCUR 50MG TAB (BSP) CYPROTERONE (C) CYPROTERONE ANDROCUR 50'S C 85.63 1.7125 TAB 180 BOX BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD B 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 6 ANTINEOPLASTICS
41 6131R AAP-CYPROTERONE 50MG TAB (APO) CYPROTERONE AAP-CYPROTERONE 50MG 100'S A $53.71 $0.5371 TABLET 180 TAB APO APOTEX COL COLLINS LTD B 1000 ANTINEOPLASTICS ORAL 6 ANTINEOPLASTICS
40 6131R AAP-CYPROTERONE 50MG TAB (APO/COL) CYPROTERON CYPROTERONE AAP-CYPROTERONE 100'S A 52.68 0.53 TABLET 180 TAB APO APOTEX INC. COL COLLINS LTD B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
41 6131U AAP-CYPROTERONE 50MG TAB (APO) CYPR CYPROTERONE AAP-CYPROTERONE 100'S A 53.71 0.5371 TAB 180 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD B 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 6 ANTINEOPLASTICS
40 61321 ANDROCUR 100MG TAB (BSP/AHI) CYPROTERONE CYPROTERONE ANDROCUR 30'S A 62.52 2.08 TABLET 90 TAB BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
41 61321 ANDROCUR 100MG TAB (BSP) CYPROTERONE CYPROTERONE ANDROCUR 30'S A 62.52 2.084 TAB 90 BOX BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC B 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 6 ANTINEOPLASTICS
40 61324 ANDROCUR 100MG TAB (BSP/COL) CYPROTERONE CYPROTERONE ANDROCUR 30'S A 62.52 2.08 TABLET 90 TAB BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
41 61324 ANDROCUR 100MG TAB (BSP) CYPROTERONE CYPROTERONE ANDROCUR 30'S A 62.52 2.084 TAB 90 BOX BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD B 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 6 ANTINEOPLASTICS
41 6132D CYPROTERONE 100MG TAB (KWA) CYPROTERONE CYPROTERONE 30'S A 49.91 1.6636 TAB 90 BOTT KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD B 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 6 ANTINEOPLASTICS
40 6132E CYPROTERONE 100MG TAB (LDP/AHI) CYPROTERONE CYPROTERONE 30'S A 44.85 1.50 TABLET 90 TAB LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC B 1000 ANTINEOPLASTICS 2022-04-01 2022-09-30 Oral 6 ANTINEOPLASTICS 2022-03-29
41 6132E CYPROTERONE 100MG TAB (LDP) CYPROTERONE CYPROTERONE 30'S A 38.98 1.2994 TAB 90 BOX LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC B 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 6 ANTINEOPLASTICS
40 7621BC DIXI 35 2MG | 35MCG TAB (ABB/PHA) CYPROTERONE | ETHINYL ESTRADIOL CYPROTERONE|ETHINYL ESTRADIOL DIXI 35 21'S C 12.07 0.57 TABLET 0 TAB ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 6812 CONTRACEPTIVES 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 7621BC DIXI 35 2MG C/35MCG E TAB (ABB/PHA) CYPROTERO (C) CYPROTERONE|ETHINYL ESTRADIOL DIXI 35 21'S C 12.07 0.5748 TABLET IMMED ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 6812 CONTRACEPTIVES 2022-04-01 2023-03-31 Delete from contract Oral 0 CONTRACEPTIVES 2023-03-02
40 7621S DIANE 35 2MG | 35MCG TAB (BSP/COL) CYPROTERONE | ETHINYL ESTRADIOL CYPROTERONE|ETHINYL ESTRADIOL DIANE 35 21'S C 14.95 14.95 TABLET 0 PACK BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 6812 CONTRACEPTIVES 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 7621S DIANE 35 2MG|35MCG TAB (BSP) CYPROTERONE|ETHINYL ESTRADIOL (C) CYPROTERONE|ETHINYL ESTRADIOL DIANE 35 21'S C 14.95 14.9508 PACK 0 BOX BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 6812 CONTRACEPTIVES 2024-04-01 2026-03-31 ORAL 0 CONTRACEPTIVES
40 7621T DIANE 35 2MG | 35MCG TAB (BSP/AHI) CYPROTERONE | ETHINYL ESTRADIOL CYPROTERONE|ETHINYL ESTRADIOL DIANE 35 21'S C 14.95 14.95 TABLET 0 PACK BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 6812 CONTRACEPTIVES 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 7621T DIANE 35 2MG|35MCG TAB (BSP) CYPROTERONE|ETHINYL ESTRADIOL (C) CYPROTERONE|ETHINYL ESTRADIOL DIANE 35 21'S C 14.95 14.9508 PACK 0 BOX BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 6812 CONTRACEPTIVES 2024-04-01 2026-03-31 ORAL 0 CONTRACEPTIVES