Displaying 1 - 8 of 8
  • 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 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
42 7621S DIANE 35 2MG|35MCG TAB (BSP) CYPROTERONE|ETHINYL ESTRADIOL CYPROTERONE|ETHINYL ESTRADIOL DIANE 35 21'S C 13.62 13.62 PACK 0 BOX BSP BAYER SCHERING PHARMA AG. COL AVENTA BARBADOS 6812 CONTRACEPTIVES 2026-04-01 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
42 7621T DIANE 35 2MG|35MCG TAB (BSP) CYPROTERONE|ETHINYL ESTRADIOL CYPROTERONE|ETHINYL ESTRADIOL DIANE 35 21'S C 14.95 14.95 PACK 0 BOX BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 6812 CONTRACEPTIVES 2026-04-01 ORAL 0 CONTRACEPTIVES