Displaying 1 - 4 of 4
  • Print
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 4631AA LUBRICATING JELLY (CHC) (B) LUBRICATING JELLY LUBRICATING 120G B 4.87 4.8658 TUBE 0 BOX CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD 8436 MUCOUS-SKIN PREPARATIONS,MISCE LLANEOUS 2024-04-01 2026-03-31 TOPICAL 0 MUCOUS-SKIN PREPARATIONS,MISCE LLANEOUS
41 4631AB LUBRICATING JELLY (KWA) (B) LUBRICATING JELLY LUBRICATING 120G B 5.55 5.5454 TUBE 0 TUBE KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 8436 MUCOUS-SKIN PREPARATIONS,MISCE LLANEOUS 2024-04-01 2026-03-31 TOPICAL 0 MUCOUS-SKIN PREPARATIONS,MISCE LLANEOUS
40 4631N DESIRE JELLY (HEA/ATB) LUBRICATING JELLY(B) LUBRICATING JELLY DESIRE JELLY 82G B 3.26 3.26 CREAM HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 8436 MUCOUS-SKIN PREPARATIONS,MISCE LLANEOUS 2022-12-07 2024-03-31 Change Local Agent Topical 0 MUCOUS-SKIN PREPARATIONS,MISCE LLANEOUS 2022-11-25
41 4631N DESIRE JELLY (HEA) LUBRICATING JELLY (B) LUBRICATING JELLY DESIRE JELLY 82G B 3.32 3.3164 TUBE 0 BOX HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 8436 MUCOUS-SKIN PREPARATIONS,MISCE LLANEOUS 2024-04-01 2026-03-31 Topical 0 MUCOUS-SKIN PREPARATIONS,MISCE LLANEOUS