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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 26416 FLIXOTIDE 50MCG INHR (GSK/COL) FLUTICASONE FLUTICASONE FLIXOTIDE 120 DOSES A 21.67 21.67 INHALER 1 INHR GSK GLAXOSMITHKLINE COL COLLINS LTD B 481008 CORTICOSTEROIDS (RESPIRATORY) 2022-04-01 2024-03-31 ORAL INHALATION 6 RESPIRATORY TRACT AGENTS
41 26416 FLIXOTIDE 50MCG INHR (GSK) FLUTICASONE FLUTICASONE FLIXOTIDE 120 DOSES A 23.84 23.8397 INHR 1 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD B 481008 CORTICOSTEROIDS (RESPIRATORY) 2024-04-01 2026-03-31 ORAL INHALATION 6 CORTICOSTEROIDS (RESPIRATORY)
42 26416 FLIXOTIDE 50MCG INHR (GSK) FLUTICASONE FLUTICASONE FLIXOTIDE 120 DOSES C 25.04 25.04 INHR 1 BOX GSK GLAXOSMITHKLINE COL AVENTA BARBADOS B 481008 CORTICOSTEROIDS (RESPIRATORY) 2026-04-01 ORAL INHALATION 6 CORTICOSTEROIDS (RESPIRATORY)
40 2641AB FLIXOTIDE 250MCG INHR (GSK/COL) FLUTICASONE FLUTICASONE FLIXOTIDE 60 DOSES A 26.72 26.72 INHALER 1 INHR GSK GLAXOSMITHKLINE COL COLLINS LTD B 481008 CORTICOSTEROIDS (RESPIRATORY) 2022-04-01 2024-03-31 ORAL INHALATION 6 RESPIRATORY TRACT AGENTS
41 2641AB FLIXOTIDE 250MCG INHR (GSK) FLUTICASONE FLUTICASONE FLIXOTIDE 60 DOSES A 29.39 29.3851 INHR 1 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD B 481008 CORTICOSTEROIDS (RESPIRATORY) 2024-04-01 2026-03-31 ORAL INHALATION 6 CORTICOSTEROIDS (RESPIRATORY)
42 2641AB FLIXOTIDE 250MCG INHR (GSK) FLUTICASONE FLUTICASONE FLIXOTIDE 60 DOSES C 30.85 30.85 INHR 1 BOX GSK GLAXOSMITHKLINE COL AVENTA BARBADOS B 481008 CORTICOSTEROIDS (RESPIRATORY) 2026-04-01 ORAL INHALATION 6 CORTICOSTEROIDS (RESPIRATORY)
42 2641CS APO-FLUTICASONE 250MCG INHR (APO) FLUTICASONE APO-FLUTICASONE 120 DOSES A 14.79 14.79 INHR 1 CNN APO APOTEX INC. COL AVENTA BARBADOS B 481008 CORTICOSTEROIDS (RESPIRATORY) 2026-04-01 INHALATION 6 CORTICOSTEROIDS (RESPIRATORY)
42 2641CT APO-FLUTICASONE 125MCG INHR (APO) FLUTICASONE APO-FLUTICASONE 120 DOSES A 14.00 14.00 INHR 1 CNN APO APOTEX INC. COL AVENTA BARBADOS B 481008 CORTICOSTEROIDS (RESPIRATORY) 2026-04-01 INHALATION 6 CORTICOSTEROIDS (RESPIRATORY)
42 2641CX FLUTICASONE 125MCG INHR (CHC) FLUTICASONE FLUTICASONE 120 DOSES A 8.21 8.21 INHR 1 CHC CARITAS HEALTHCARE PVT LTD STO BRYDEN STOKES LTD B 481008 CORTICOSTEROIDS (RESPIRATORY) 2026-04-01 Add to Contract as Cat A ORAL INHALATION 6 CORTICOSTEROIDS (RESPIRATORY) 2026-03-05
42 2641CY FLUTICASONE 250MCG INHR (CHC) FLUTICASONE FLUTICASONE 120 DOSES A 9.27 9.27 INHR 1 CHC CARITAS HEALTHCARE PVT LTD STO BRYDEN STOKES LTD B 481008 CORTICOSTEROIDS (RESPIRATORY) 2026-04-01 Add to Contract as Cat A ORAL INHALATION 6 CORTICOSTEROIDS (RESPIRATORY) 2026-03-05
42 2641CZ FLUTICASONE 50MCG INHR (CHC) FLUTICASONE FLUTICASONE 120 DOSES A 7.50 7.50 INHR 1 CHC CARITAS HEALTHCARE PVT LTD STO BRYDEN STOKES LTD B 481008 CORTICOSTEROIDS (RESPIRATORY) 2026-04-01 Add to Contract as Cat A ORAL INHALATION 6 CORTICOSTEROIDS (RESPIRATORY) 2026-03-05
40 2641U FLIXOTIDE 125MCG INHR (GSK/COL) FLUTICASONE FLUTICASONE FLIXOTIDE 60 DOSES A 17.21 17.21 INHALER 1 INHR GSK GLAXOSMITHKLINE COL COLLINS LTD B 481008 CORTICOSTEROIDS (RESPIRATORY) 2022-04-01 2024-03-31 ORAL INHALATION 6 RESPIRATORY TRACT AGENTS
41 2641U FLIXOTIDE 125MCG INHR (GSK) FLUTICASONE FLUTICASONE FLIXOTIDE 60 DOSES A 18.95 18.9467 INHR 1 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD B 481008 CORTICOSTEROIDS (RESPIRATORY) 2024-04-01 2026-03-31 ORAL INHALATION 6 CORTICOSTEROIDS (RESPIRATORY)
42 2641U FLIXOTIDE 125MCG INHR (GSK) FLUTICASONE FLUTICASONE FLIXOTIDE 60 DOSES C 19.90 19.90 INHR 1 BOX GSK GLAXOSMITHKLINE COL AVENTA BARBADOS B 481008 CORTICOSTEROIDS (RESPIRATORY) 2026-04-01 ORAL INHALATION 6 CORTICOSTEROIDS (RESPIRATORY)
40 3301AD CUTIVATE 0.05% CR (GSK/COL) FLUTICASONE FLUTICASONE CUTIVATE 15G C 11.15 11.15 CREAM 0 TUBE GSK GLAXOSMITHKLINE COL COLLINS LTD 8406 ANTI-INFLAMMATORY AGENTS, TOPICAL 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
42 3301AD CUTIVATE 0.05% CR (GSK) FLUTICASONE FLUTICASONE CUTIVATE 15G C 13.48 13.48 TUBE 2 BOX GSK GLAXOSMITHKLINE COL AVENTA BARBADOS 8406 ANTI-INFLAMMATORY AGENTS, TOPICAL 2026-04-01 TOPICAL 0 ANTI-INFLAMMATORY AGENTS, TOPICAL
42 3301BJ FLUTICA 0.05% CR (ARP) FLUTICASONE FLUTICA 10G A 3.26 3.26 TUBE 2 TUBE ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 8406 ANTI-INFLAMMATORY AGENTS, TOPICAL 2026-04-01 TOPICAL 0 ANTI-INFLAMMATORY AGENTS, TOPICAL
40 3653BJ AVAMYS 27.5MCG NASAL SP (GSK/COL) FLUTICASONE FLUTICASONE AVAMYS 120 DOSES C 25.14 25.14 NASAL SPRAY 0 BOTT GSK GLAXOSMITHKLINE COL COLLINS LTD 5208 EENT ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 NASAL 0 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 3653BJ AVAMYS 27.5MCG NASAL SP (GSK) FLUTICASON (C) FLUTICASONE AVAMYS 120 DOSES C 26.67 26.6668 BOTT 1 BOTT GSK GLAXOSMITHKLINE COL COLLINS LTD 5208 EENT ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 NASAL 6 EENT ANTI-INFLAMMATORY AGENTS
42 3653BJ AVAMYS 27.5MCG NASAL SP (GSK) FLUTICASONE FLUTICASONE AVAMYS 120 DOSES C 29.33 29.33 BOTT 1 BOTT GSK GLAXOSMITHKLINE COL AVENTA BARBADOS 5208 EENT ANTI-INFLAMMATORY AGENTS 2026-04-01 NASAL 6 EENT ANTI-INFLAMMATORY AGENTS