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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 4141JQ PEROFEN 400MG TAB (REM) IBUPROFEN IBUPROFEN PEROFEN 1000'S A 69.43 0.0694 TAB 120 BOX REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
40 4141KK IBUPROFEN 400MG TAB (HEA/RXP) IBUPROFEN IBUPROFEN 10X10 A 8.97 0.09 TABLET 120 TAB HEA HEALTH 2000 INC RXP RX PRO INC 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
40 4141KX IBUPROFEN 400MG TAB (HEA/ATB) IBUPROFEN IBUPROFEN 10X10 A 8.97 0.0897 TABLET IMMED HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2022-12-07 2024-03-31 Change Local Agent oral 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2022-11-25
40 4141PQ APO-IBUPROFEN 200MG TAB (APO/COL) IBUPROFEN APO-IBUPROFEN 100'S A 11.99 0.12 TABLET 120 TAB APO APOTEX INC. COL COLLINS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
40 4141QF ADVIL 200MG TAB (GSK/COL) IBUPROFEN IBUPROFEN ADVIL 50'S C 12.69 0.25 TABLET 0 TAB GSK GLAXOSMITHKLINE COL COLLINS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
41 4141QF ADVIL 200MG TAB (GSK) IBUPROFEN IBUPROFEN ADVIL 50'S A 13.35 0.2669 TAB 120 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
40 4141QG ADVIL 200MG TAB (GSK/COL) IBUPROFEN IBUPROFEN ADVIL 24'S C 7.42 0.31 TABLET 0 TAB GSK GLAXOSMITHKLINE COL COLLINS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
41 4141QG ADVIL 200MG TAB (GSK) IBUPROFEN (C) IBUPROFEN ADVIL 24'S C 7.8 0.3251 TAB 120 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
42 4141QG ADVIL 200MG TAB (GSK) IBUPROFEN IBUPROFEN ADVIL 24'S C 8.18 0.34 TAB 120 BLIS GSK GLAXOSMITHKLINE COL AVENTA BARBADOS 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2026-04-01 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
40 4141QH ADVIL 200MG CAPLET (GSK/COL) IBUPROFEN IBUPROFEN ADVIL 24'S C 7.42 0.31 CAPLET 0 CPL GSK GLAXOSMITHKLINE COL COLLINS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
41 4141QH ADVIL 200MG CAPLET (GSK) IBUPROFEN (C) IBUPROFEN ADVIL 24'S C 7.8 0.3251 CPL 0 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 0 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
40 4141QM ADVIL LIQUI-GELS 200MG CAP (GSK/COL) IBUPROFEN IBUPROFEN ADVIL LIQUI-GELS 40'S C 12.91 0.32 CAPSULE 0 CAP GSK GLAXOSMITHKLINE COL COLLINS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
41 4141QM ADVIL LIQUI-GELS 200MG CAP (GSK) IBUPROFEN (C) IBUPROFEN ADVIL LIQUI-GELS 40'S C 13.54 0.3384 CAP 0 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 0 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
40 4141QN ADVIL LIQUI-GELS 200MG CAP (GSK/COL) IBUPROFEN IBUPROFEN ADVIL LIQUI-GELS 20'S C 7.09 0.35 CAPSULE 0 CAP GSK GLAXOSMITHKLINE COL COLLINS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
41 4141QN ADVIL LIQUI-GELS 200MG CAP (GSK) IBUPROFEN (C) IBUPROFEN ADVIL LIQUI-GELS 20'S C 7.48 0.3738 CAP 0 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 0 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
42 4141QN ADVIL LIQUI-GELS 200MG CAP (GSK) IBUPROFEN IBUPROFEN ADVIL LIQUI-GELS 20'S C 7.83 0.39 CAP 0 BLIS GSK GLAXOSMITHKLINE COL AVENTA BARBADOS 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2026-04-01 ORAL 0 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
40 4141QS ADVIL PM 200MG CAPLET (GSK/COL) IBUPROFEN IBUPROFEN ADVIL PM 20'S C 10.03 0.50 CAPLET 0 CPL GSK GLAXOSMITHKLINE COL COLLINS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
41 4141QS ADVIL PM 200MG CAPLET (GSK) IBUPROFEN (C) IBUPROFEN ADVIL PM 20'S C 10.52 0.526 CPL 0 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 0 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
42 4141QS ADVIL PM 200MG CAPLET (GSK) IBUPROFEN IBUPROFEN ADVIL PM 20'S C 11.04 0.55 CPL 0 BOX GSK GLAXOSMITHKLINE COL AVENTA BARBADOS 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2026-04-01 ORAL 0 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
41 4141SD IBUVAN 400MG TAB (TPP) IBUPROFEN IBUPROFEN IBUVAN 10X10 A 8.02 0.0802 TAB 120 BOX TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS