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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
41 13315 FENTANYL CITRATE 50MCG/ML INJ (RTM) (BQ) FENTANYL CITRATE FENTANYL CITRATE 10X2ML BQ 24.85 2.4846 AMP 0 BOX RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 280808 OPIATE AGONISTS 2024-04-01 2026-03-31 IV 0 OPIATE AGONISTS
42 13315 FENTANYL CITRATE 50MCG/ML INJ (RTM) FENTANYL CITRATE FENTANYL CITRATE 10X2ML BQ 14.95 1.50 AMPG 0 BOX RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 280808 OPIATE AGONISTS 2026-04-01 IV 0 OPIATE AGONISTS
40 13319 FENTANYL CITRATE 50MCG/ML INJ (MTP/COL) FENTANYL CITRATE FENTANYL CITRATE 10X2ML BQ 13.05 1.31 INJECTION 0 AMP MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 280808 OPIATE AGONISTS 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
41 13319 FENTANYL CITRATE 50MCG/ML INJ (MTP) (BQ) FENTANYL CITRATE FENTANYL CITRATE 10X2ML BQ 17.94 1.7941 AMP 0 BOX MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 280808 OPIATE AGONISTS 2024-04-01 2026-03-31 IV 0 OPIATE AGONISTS
40 1331K FENTANYL CITRATE 50MCG/ML INJ (KWA/ATB) FENTANYL CITRATE FENTANYL CITRATE 10X2ML BQ 25.17 0.25 INJECTION 0 AMP KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 280808 OPIATE AGONISTS 2022-04-01 2022-09-30 IV 0 CENTRAL NERVOUS SYSTEM DRUGS 2022-03-30
41 1331K FENTANYL CITRATE 50MCG/ML INJ (KWA) (BQ) FENTANYL CITRATE FENTANYL CITRATE 10X2ML BQ 18.02 1.8022 AMP 0 BOX KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 280808 OPIATE AGONISTS 2024-04-01 2026-03-31 IV 0 OPIATE AGONISTS
40 1331M FENTANYL CITRATE 50MCG/ML INJ (SGH/COL) FENTANYL CITRATE FENTANYL CITRATE 10X2ML BQ 13.59 1.36 INJECTION 0 AMP SGH SEIGFRIED-HAMELN COL COLLINS LTD 280808 OPIATE AGONISTS 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
40 13325 FENTANYL CITRATE 50MCG/ML INJ (RTM/PHA) FENTANYL CITRATE FENTANYL CITRATE 10X10ML BQ 27.37 2.74 INJECTION 0 VIAL RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 280808 OPIATE AGONISTS 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
41 13325 FENTANYL CITRATE 50MCG/ML INJ (RTM) (BQ) FENTANYL CITRATE FENTANYL CITRATE 10X10ML BQ 38.22 3.822 VIAL 0 BOX RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 280808 OPIATE AGONISTS 2024-04-01 2026-03-31 IV 0 OPIATE AGONISTS
40 13329 FENTANYL CITRATE 50MCG/ML INJ (MTP/COL) FENTANYL CITRATE FENTANYL CITRATE 10X10ML BQ 31.26 3.13 INJECTION 0 AMP MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 280808 OPIATE AGONISTS 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
41 13329 FENTANYL CITRATE 50MCG/ML INJ (MTP) (BQ) FENTANYL CITRATE FENTANYL CITRATE 10X10ML BQ 42.41 4.2406 AMP 0 BOX MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 280808 OPIATE AGONISTS 2024-04-01 2026-03-31 IV 0 OPIATE AGONISTS
42 1332F FENTANYL CITRATE 50MCG/ML INJ (MTP) FENTANYL CITRATE FENTANYL CITRATE 10X10ML BQ 50.23 5.02 AMPG 0 AMP MTP MARTINDALE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 280808 OPIATE AGONISTS 2026-04-01 IV 0 OPIATE AGONISTS
42 1332L VERFEN 50MCG/ML INJ (VEV) FENTANYL FENTANYL CITRATE VERFEN 5X10ML BQ 23.65 4.73 AMPG 0 BOX VEV VERVE HUMANCARE LABORATORIES AHI ARMSTRONG HEALTHCARE INC 280808 OPIATE AGONISTS 2026-04-01 IV 0 OPIATE AGONISTS