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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 2451AF LOPERAMIDE 2MG CAP (CIP/AHI) LOPERAMIDE LOPERAMIDE 30X10 A 27.94 0.09 CAPSULE 30 CAP CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 5608 ANTIDIARRHEA AGENTS 2022-04-01 2024-03-31 Oral 6 GASTROINTESTINAL DRUGS
40 2451AN ALKA AD 2MG TAB (BSP/COL) LOPERAMIDE LOPERAMIDE ALKA AD 60'S C 17.13 0.29 TABLET 0 TAB BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 5608 ANTIDIARRHEA AGENTS 2022-04-01 2024-03-31 Oral 0 GASTROINTESTINAL DRUGS
40 2451AP ALKA AD 2MG TAB (BSP/COL) LOPERAMIDE LOPERAMIDE ALKA AD 12'S C 3.59 0.30 TABLET 0 TAB BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 5608 ANTIDIARRHEA AGENTS 2022-04-01 2024-03-31 Oral 0 GASTROINTESTINAL DRUGS
41 2451AQ LOPERAMIDE 2MG CAP (TEV) LOPERAMIDE LOPERAMIDE 30'S A 2.96 0.0988 CAP 30 BOTT TEV TEVA UK LTD. COL COLLINS LTD 5608 ANTIDIARRHEA AGENTS 2024-04-01 2024-12-16 ORAL 6 ANTIDIARRHEA AGENTS
41 2451AQ LOPERAMIDE 2MG CAP (TEV) LOPERAMIDE LOPERAMIDE 30'S A 4.57 0.1523 CAP 30 BOTT TEV TEVA UK LTD. COL COLLINS LTD 5608 ANTIDIARRHEA AGENTS 2024-12-17 2026-03-31 ORAL 6 ANTIDIARRHEA AGENTS 2024-11-26
41 2451AT ALKA AD 2MG TAB (BSP) LOPERAMIDE (C) LOPERAMIDE ALKA AD 72'S C 18.35 0.2548 TAB 30 BOX BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 5608 ANTIDIARRHEA AGENTS 2024-04-01 2026-03-31 ORAL 6 ANTIDIARRHEA AGENTS
41 2451AV ALKA AD 2MG TAB (BSP) LOPERAMIDE (C) LOPERAMIDE ALKA 72'S C 18.35 0.2548 TAB 30 BOX BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 5608 ANTIDIARRHEA AGENTS 2024-04-01 2026-03-31 ORAL 6 ANTIDIARRHEA AGENTS
42 2451AV ALKA AD 2MG TAB (BSP) LOPERAMIDE LOPERAMIDE ALKA 72'S A 16.69 0.23 TAB 30 BLIS BSP BAYER SCHERING PHARMA AG. COL AVENTA BARBADOS 5608 ANTIDIARRHEA AGENTS 2026-04-01 ORAL 6 ANTIDIARRHEA AGENTS
40 2451U IMODIUM 2MG TAB (JAC/STO) LOPERAMIDE LOPERAMIDE IMODIUM 60'S C 66.79 1.11 TABLET 0 TAB JAC JANSSEN-CILAG STO BRYDEN STOKES LTD 5608 ANTIDIARRHEA AGENTS 2022-04-01 2022-05-24 Delete from contract Oral 0 GASTROINTESTINAL DRUGS 2022-04-12
42 2451Y PMS-LOPERAMIDE 2MG CAP (PMS) LOPERAMIDE PMS-LOPERAMIDE 100'S A 16.31 0.16 CAP 30 BOTT PMS PHARMASCIENCE COL AVENTA BARBADOS 5608 ANTIDIARRHEA AGENTS 2026-04-01 ORAL 6 ANTIDIARRHEA AGENTS