Drugs available on Contract

Displaying 1 - 13 of 13

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	Therapeutic Code	Therapeutic Desc	Drug Contract Start Date	Drug Contract End Date	Status Description	Default Route	Max Repeats	Therapeutic Head	Amend Date
40	7621AW	ALYSENA 30MCG \| 150MCG TAB (APO/COL) ETHINYLESTRADIOL \| LEVONORGESTREL	ETHINYL ESTRADIOL\|LEVONORGESTREL	ALYSENA	21'S	C	13.59	13.59	TABLET	0	PACK	APO	APOTEX INC.	COL	COLLINS LTD	6812	CONTRACEPTIVES	2022-04-01	2024-03-31		Oral	0	HORMONES AND SYNTHETIC SUBSTITUTES
40	7621AX	ALYSENA 30MCG \| 150MCG TAB (APO/COL) ETHINYLESTRADIOL \| LEVONORGESTRE	ETHINYL ESTRADIOL\|LEVONORGESTREL	ALYSENA	28'S	C	13.59	13.59	TABLET	0	PACK	APO	APOTEX INC.	COL	COLLINS LTD	6812	CONTRACEPTIVES	2022-04-01	2024-03-31		Oral	0	HORMONES AND SYNTHETIC SUBSTITUTES
40	7621BF	PRIMAFEN 30MCG \| 150MCG TAB (ABB/PHA) ETHINYLESTRADIOL \| LEVONORGESTRE	ETHINYL ESTRADIOL\|LEVONORGESTREL	PRIMAFEN	21'S	C	4.57	4.57	TABLET	0	PACK	ABB	ABBOTT	PHA	PHARMACY SALES CARIBBEAN	6812	CONTRACEPTIVES	2022-04-01	2024-03-31		Oral	0	HORMONES AND SYNTHETIC SUBSTITUTES
40	7621BF	PRIMAFEN 30MCG\|150MCG TAB (ABB/PHA) ETHINYLESTRADIOL\|LEVONORGESTRE (C)	ETHINYL ESTRADIOL\|LEVONORGESTREL	PRIMAFEN	21'S	C	4.57	4.57	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
41	7621BM	MINIGYNON 30MCG\|50MCG TAB (BSP) ETHINYL ESTRADIOL\|LEVONORGES (C)	ETHINYL ESTRADIOL\|LEVONORGESTREL	MINIGYNON	21'S	C	2.72	0.1294	TAB	0	BOX	BSP	BAYER SCHERING PHARMA AG.	COL	COLLINS LTD	6812	CONTRACEPTIVES	2024-04-01	2026-03-31		ORAL	0	CONTRACEPTIVES
41	7621BN	ETHINYL ESTRADIOL\|LEVONORGESTREL 30MCG\|150MCG TAB (APO) (C)	ETHINYL ESTRADIOL\|LEVONORGESTREL	ETHINYL ESTRADIOL\|LEVONORGESTREL	28'S	C	4.57	0.1631	TAB	0	BOX	APO	APOTEX INC.	ATB	ANSA TRADING BARBADOS LTD	6812	CONTRACEPTIVES	2024-04-01	2026-03-31		ORAL	0	CONTRACEPTIVES
41	7621BU	MINIGYNON 30MCG\|50MCG TAB (BSP) ETHINYL ESTRADIOL\|LEVONORGES (C)	ETHINYL ESTRADIOL\|LEVONORGESTREL	MINIGYNON	21'S	C	2.72	2.7183	PACK	0	BOX	BSP	BAYER SCHERING PHARMA AG.	AHI	ARMSTRONG HEALTHCARE INC	6812	CONTRACEPTIVES	2024-04-01	2026-03-31		ORAL	0	CONTRACEPTIVES
40	7621Y	MICROGYNON-30 30MCG \| 150MCG TAB (BSP/AHI) ETHI	ETHINYL ESTRADIOL\|LEVONORGESTREL	MICROGYNON-30	21'S	B	4.49	4.49	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	7621Y	MICROGYNON-30 30MCG\|150MCG TAB (BSP) ETH (B)	ETHINYL ESTRADIOL\|LEVONORGESTREL	MICROGYNON-30	21'S	B	4.49	4.4852	PACK	3	BOX	BSP	BAYER SCHERING PHARMA AG.	AHI	ARMSTRONG HEALTHCARE INC	6812	CONTRACEPTIVES	2024-04-01	2026-03-31		ORAL	6	CONTRACEPTIVES
42	7621Y	MICROGYNON-30 30MCG\|150MCG TAB (BSP) ETHINYL ESTRADIOL\|LEVON	ETHINYL ESTRADIOL\|LEVONORGESTREL	MICROGYNON-30	21'S	B	3.34	3.34	PACK	3	BOX	BSP	BAYER SCHERING PHARMA AG.	AHI	ARMSTRONG HEALTHCARE INC	6812	CONTRACEPTIVES	2026-04-01			ORAL	6	CONTRACEPTIVES
40	7621Z	MICROGYNON-30 30MCG \| 150MCG TAB (BSP/COL) ETHI	ETHINYL ESTRADIOL\|LEVONORGESTREL	MICROGYNON-30	21'S	B	4.49	4.49	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	7621Z	MICROGYNON-30 30MCG\|150MCG TAB (BSP) ETH (B)	ETHINYL ESTRADIOL\|LEVONORGESTREL	MICROGYNON-30	21'S	B	4.49	4.4852	PACK	3	BOX	BSP	BAYER SCHERING PHARMA AG.	COL	COLLINS LTD	6812	CONTRACEPTIVES	2024-04-01	2026-03-31		ORAL	6	CONTRACEPTIVES
42	7621Z	MICROGYNON-30 30MCG\|150MCG TAB (BSP) ETHINYL ESTRADIOL\|LEVON	ETHINYL ESTRADIOL\|LEVONORGESTREL	MICROGYNON-30	21'S	BC	3.04	3.04	PACK	3	BOX	BSP	BAYER SCHERING PHARMA AG.	COL	AVENTA BARBADOS	6812	CONTRACEPTIVES	2026-04-01			ORAL	0	CONTRACEPTIVES