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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 6691AF BILIVE 1MG E/2MG D TAB (ABB/PHA) ESTRADIOL/DR DROSPIRENONE|ETHINYL ESTRADIOL BILIVE 30'S C 29.98 1.00 TABLET 0 TAB ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 6812 CONTRACEPTIVES 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 6691AF BILIVE 1MG E/2MG D TAB (ABB/PHA) ESTRADIOL/DR (C) DROSPIRENONE|ETHINYL ESTRADIOL BILIVE 30'S C 29.98 0.9993 TABLET IMMED ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 681604 ESTROGENS 2022-04-01 2023-04-13 Delete from contract Oral 0 ESTROGENS 2023-03-02
40 7621AC YAZ 3MG | 0.02MG TAB (BSP/AHI) DROSPIRENONE | ETHINYLESTRADIOL DROSPIRENONE|ETHINYL ESTRADIOL YAZ 28'S C 19.03 19.03 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
40 7621AE YAZ 3MG | 0.02MG TAB (BSP/COL) DROSPIRENONE | ETHINYL ESTRADIOL DROSPIRENONE|ETHINYL ESTRADIOL YAZ 28'S C 19.03 19.03 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 7621AE YAZ 3MG|0.02MG TAB (BSP) DROSPIRENONE|ETHINYL ESTRADIOL (C) DROSPIRENONE|ETHINYL ESTRADIOL YAZ 28'S C 19.03 19.0283 PACK 0 BOX BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 6812 CONTRACEPTIVES 2024-04-01 2026-03-31 ORAL 0 CONTRACEPTIVES
42 7621AE YAZ 3MG|0.02MG TAB (BSP) DROSPIRENONE|ETHINYL ESTRADIOL DROSPIRENONE|ETHINYL ESTRADIOL YAZ 28'S C 17.32 17.32 PACK 0 BOX BSP BAYER SCHERING PHARMA AG. COL AVENTA BARBADOS 6812 CONTRACEPTIVES 2026-04-01 ORAL 0 CONTRACEPTIVES
41 7621AN YAZ 3MG|0.02MG TAB (BSP) DROSPIRENONE|ETHINYL ESTRADIOL (C) DROSPIRENONE|ETHINYL ESTRADIOL YAZ 28'S C 19.03 19.0283 PACK 0 BOTT BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 6812 CONTRACEPTIVES 2024-04-01 2026-03-31 ORAL 0 CONTRACEPTIVES
42 7621AN YAZ 3MG|0.02MG TAB (BSP) DROSPIRENONE|ETHINYL ESTRADIOL DROSPIRENONE|ETHINYL ESTRADIOL YAZ 28'S C 19.03 19.03 PACK 0 BLIS BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 6812 CONTRACEPTIVES 2026-04-01 ORAL 0 CONTRACEPTIVES
40 7621BD MIA 3MG | 0.03MG TAB (ABB/PHA) DROSPIRENONE | ETHINYL ESTRADIOL DROSPIRENONE|ETHINYL ESTRADIOL MIA 28'S C 21.34 21.34 TABLET 0 PACK ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 6812 CONTRACEPTIVES 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 7621BD MIA 3MG D/0.03MG EE TAB (ABB/PHA) DROSP/EE (C) DROSPIRENONE|ETHINYL ESTRADIOL MIA 28'S C 21.34 21.34 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 7621BE MIA 3MG | 0.02MG TAB (ABB/PHA) DROSPIRENONE | ETHINYL ESTRADIOL DROSPIRENONE|ETHINYL ESTRADIOL MIA 28'S C 19.52 19.52 TABLET 0 PACK ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 6812 CONTRACEPTIVES 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 7621BE MIA 3MG D/0.02MG EE TAB (ABB/PHA) DROSP/EE (C) DROSPIRENONE|ETHINYL ESTRADIOL MIA 28'S C 19.52 19.52 TABLET IMMED ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 6812 CONTRACEPTIVES 2022-04-01 2023-03-31 Delete from contract Oral 0 CONTRACEPTIVES 2023-03-07
41 7621BP APO-DROSPIRENONE|ETHINYL ESTRADIOL 3MG TAB (APO) (C) DROSPIRENONE|ETHINYL ESTRADIOL APO-DROSPIRENONE|ETHINYL ESTRADIOL 28'S C 9.7 9.7044 PACK 0 BOX APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 6812 CONTRACEPTIVES 2024-04-01 2026-03-31 ORAL 0 CONTRACEPTIVES
41 7621BX APO-DROSPIRENONE|ETHINYL ESTRADIOL 3MG|0.03MG TAB (APO) (C) DROSPIRENONE|ETHINYL ESTRADIOL APO-DROSPIRENONE|ETHINYL ESTRADIOL 21'S C 9.7 9.7044 PACK 0 BOX APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 6812 CONTRACEPTIVES 2024-04-01 2026-03-31 ORAL 0 CONTRACEPTIVES
42 7621BZ MYA 3MG|0.02MG TAB (APO) DROSPIRENONE|ETHINYL ESTRADIOL DROSPIRENONE|ETHINYL ESTRADIOL MYA 28'S C 9.70 9.70 PACK 0 BOX APO APOTEX INC. COL AVENTA BARBADOS 6812 CONTRACEPTIVES 2026-04-01 ORAL 0 CONTRACEPTIVES
42 7621CC MIA 3MG|0.02MG TAB (ABB) DROSPIRENONE|ETHINYL ESTRADIOL DROSPIRENONE|ETHINYL ESTRADIOL MIA 28'S C 17.40 17.40 PACK 0 BLIS ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 6812 CONTRACEPTIVES 2026-04-01 ORAL 0 CONTRACEPTIVES
40 7621W YASMIN 3MG | 0.03MG TAB (BSP/COL) DROSPIRENONE | ETHINYL ESTRADIOL DROSPIRENONE|ETHINYL ESTRADIOL YASMIN 21'S C 18.76 18.76 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 7621W YASMIN 3MG|0.03MG TAB (BSP) DROSPIRENONE|ETHINYL ESTRADIOL (C) DROSPIRENONE|ETHINYL ESTRADIOL YASMIN 21'S C 18.76 18.7564 PACK 0 BOX BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 6812 CONTRACEPTIVES 2024-04-01 2026-03-31 ORAL 0 CONTRACEPTIVES
42 7621W YASMIN 3MG|0.03MG TAB (BSP) DROSPIRENONE|ETHINYL ESTRADIOL DROSPIRENONE|ETHINYL ESTRADIOL YASMIN 21'S C 17.07 17.07 PACK 0 BOX BSP BAYER SCHERING PHARMA AG. COL AVENTA BARBADOS 6812 CONTRACEPTIVES 2026-04-01 ORAL 0 CONTRACEPTIVES
40 7621X YASMIN 3MG | 0.03MG TAB (BSP/AHI) DROSPIRENONE | ETHINYL ESTRADIOL DROSPIRENONE|ETHINYL ESTRADIOL YASMIN 21'S C 18.76 18.76 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