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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 02112 INVANZ 1G INJ (MSD/STO) ERTAPENEM ERTAPENEM INVANZ 10X1G C 924.23 92.42 INJECTION 0 VIAL MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 08120708 CARBAPENEMS 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
40 0211AK ERTAPENEM 1G INJ (SLS/AHI) ERTAPENEM ERTAPENEM 1G VIAL BQ 22.02 22.02 INJECTION 0 VIAL SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 08120708 CARBAPENEMS 2022-04-01 2024-03-31 IV 6 ANTI-INFECTIVE AGENTS
40 0211T INVANZ 1G INJ (MSD/STO) ERTAPENEM ERTAPENEM INVANZ 1G VIAL C 92.42 92.42 INJECTION 0 VIAL MSD MERK SHARP & DOHME STO BRYDEN STOKES 08120708 CARBAPENEMS 2023-02-22 2024-03-31 PACKAGE SIZE CHANGE IV 2023-02-22
40 0211T INVANZ 1G INJ (MSD/STO) ERTAPENEM (C) ERTAPENEM INVANZ 1GM C 92.42 92.42 INJECTION MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 8120708 CARBAPENEMS 2023-03-20 2024-03-31 Add to Contract as Cat C IV/IM/SC CARBAPENEMS 2023-02-22
41 0211T INVANZ 1G INJ (MSD) ERTAPENEM (BQ) ERTAPENEM INVANZ 1GM BQ 82.66 82.66 VIAL 28 VIAL MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 08120708 CARBAPENEMS 2024-04-01 2026-03-31 IV/IM/SC 1 CARBAPENEMS
42 0212BU GERTA 1G INJ (ZYD) ERTAPENEM ERTAPENEM GERTA 1G VIAL BQ 100.36 100.36 VIAL 0 VIAL ZYD ZYDUS AHI ARMSTRONG HEALTHCARE INC 08120708 CARBAPENEMS 2026-04-01 IV 0 CARBAPENEMS
42 0212BY ERTAPENEM 1G INJ (BCH) ERTAPENEM ERTAPENEM 1G VIAL BQ 123.36 123.36 VIAL 0 VIAL BCH SANDOZ COL AVENTA BARBADOS 08120708 CARBAPENEMS 2026-04-01 IV 0 CARBAPENEMS