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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
42 1642AQ HALOFORD 5MG/ML INJ (JLP) HALOPERIDOL HALOPERIDOL HALOFORD 100X1ML B 48.93 0.49 AMPG 0 AMP JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 28160808 BUTYROPHENES 2026-04-01 IV/IM 6 BUTYROPHENES
40 1642G HALOPERIDOL 5MG/ML INJ (STP/COL) HALOPERIDOL HALOPERIDOL 100X1ML B 165.82 1.66 INJECTION 0 AMP STP STEROP LABORATORIES COL COLLINS LTD 28160808 BUTYROPHENES 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
41 1642G HALOPERIDOL 5MG/ML INJ (STP) (B) HALOPERIDOL HALOPERIDOL 100X1ML B 193 1.93 AMP 0 BOX STP STEROP LABORATORIES COL COLLINS LTD 28160808 BUTYROPHENES 2024-04-01 2026-03-31 IV 6 BUTYROPHENES
41 1642U HALOPERIDOL 5MG/ML INJ (FSB) (B) HALOPERIDOL HALOPERIDOL 10X1ML B 5.9 0.5899 AMP 0 BOX FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 28160808 BUTYROPHENES 2024-04-01 2026-03-31 IM 6 BUTYROPHENES
40 1642X HALOPERIDOL 5MG/ML INJ (MON/PHA) HALOPERIDOL HALOPERIDOL 10X1ML B 6.20 0.62 INJECTION 0 AMP MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 28160808 BUTYROPHENES 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
42 1642X HALOPERIDOL 5MG/ML INJ (MON) HALOPERIDOL HALOPERIDOL 10X1ML B 6.47 0.65 AMPG 0 BOX MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 28160808 BUTYROPHENES 2026-04-01 IV 6 BUTYROPHENES
40 16441 HALOXEM 5MG TAB (REM/SBI) HALOPERIDOL HALOPERIDOL HALOXEM 1000'S A 73.07 0.07 TABLET 180 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 28160808 BUTYROPHENES 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
41 16441 HALOXEN 5MG TAB (REM) HALOPERIDOL HALOPERIDOL HALOXEN 1000'S A 71.03 0.071 TAB 180 BOTT REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 28160808 BUTYROPHENES 2024-04-01 2026-03-31 ORAL 6 BUTYROPHENES
42 16441 HALOXEN 5MG TAB (REM) HALOPERIDOL HALOPERIDOL HALOXEN 1000'S A 71.76 0.07 TAB 180 BOTT REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 28160808 BUTYROPHENES 2026-04-01 ORAL 6 BUTYROPHENES
40 1644T HALDOL 5MG TAB (JAC/STO) HALOPERIDOL HALOPERIDOL HALDOL 20'S C 32.27 1.61 TABLET 0 TAB JAC JANSSEN-CILAG STO BRYDEN STOKES LTD 28160808 BUTYROPHENES 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
41 1644T HALDOL 5MG TAB (JAC) HALOPERIDOL (C) HALOPERIDOL HALDOL 20'S C 32.27 1.6133 TAB 180 BOX JAC JANSSEN-CILAG STO BRYDEN STOKES LTD 28160808 BUTYROPHENES 2024-04-01 2026-03-31 ORAL 6 BUTYROPHENES