Displaying 1 - 15 of 15
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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 2951D APO-MEDROXY 10MG TAB (APO/COL) MEDROXYPROGESTERONE APO-MEDROXY 100'S A 13.59 0.14 TABLET 10 TAB APO APOTEX INC. COL COLLINS LTD 6832 PROGESTINS 2022-04-01 2024-03-31 Oral 6 HORMONES AND SYNTHETIC SUBSTITUTES
40 2951F PROVERA 10MG TAB (PFI/STO) MEDROXYPROGESTERON MEDROXYPROGESTERONE PROVERA 10'S C 6.82 0.68 TABLET 0 TAB PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 6832 PROGESTINS 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 2951F PROVERA 10MG TAB (PFI) MEDROXYPROGESTERO (C) MEDROXYPROGESTERONE PROVERA 10'S C 6.88 0.6877 TAB 10 BOX PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 6832 PROGESTINS 2024-04-01 2026-03-31 ORAL 6 PROGESTINS
42 2951F PROVERA 10MG TAB (PFI) MEDROXYPROGE MEDROXYPROGESTERONE PROVERA 10'S A 6.88 0.69 TAB 10 BOTT PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 6832 PROGESTINS 2026-04-01 ORAL 6 PROGESTINS
41 2951K APO-MEDROXY 10MG TAB (APO) MEDROXYPROGESTERONE APO-MEDROXY 100'S A 13.86 0.1386 TAB 10 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 6832 PROGESTINS 2024-04-01 2026-03-31 ORAL 6 PROGESTINS
40 29532 DEPO-PROVERA 150MG/ML INJ (PFI/STO) MEDROXYPR MEDROXYPROGESTERONE DEPO-PROVERA 1ML VIAL C 17.51 17.51 INJECTION 0 VIAL PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 6812 CONTRACEPTIVES 2022-04-01 2024-03-31 IV 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 29532 DEPO-PROVERA 150MG/ML INJ (PFI) MEDROXYP (C) MEDROXYPROGESTERONE DEPO-PROVERA 1ML VIAL C 17.67 17.6691 VIAL 1 VIAL PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 6812 CONTRACEPTIVES 2024-04-01 2026-03-31 IV 0 CONTRACEPTIVES
42 29532 DEPO-PROVERA 150MG/ML INJ (PFI) MED MEDROXYPROGESTERONE DEPO-PROVERA 1ML VIAL C 17.67 17.67 VIAL 1 VIAL PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 6812 CONTRACEPTIVES 2026-04-01 IV 0 CONTRACEPTIVES
41 2953G MEDROXYPROGESTERONE 150MG/ML INJ (KWA) (C) MEDROXYPROGESTERONE MEDROXYPROGESTERONE 1ML VIAL C 4.81 4.8114 VIAL 1 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 6812 CONTRACEPTIVES 2024-04-01 2026-03-31 IM 0 CONTRACEPTIVES
40 29555 APO-MEDROXY 100MG TAB (APO/COL) MEDROXYPROGESTERONE APO-MEDROXY 100'S C 40.77 0.41 TABLET 0 TAB APO APOTEX INC. COL COLLINS LTD 6832 PROGESTINS 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
42 29555 AAP-MEDROXY 100MG TAB (APO) MEDROX (C) MEDROXYPROGESTERONE AAP-MEDROXY 100'S C 89.51 0.90 TAB 30 BOTT APO APOTEX INC. COL AVENTA BARBADOS 6832 PROGESTINS 2026-04-01 ORAL 6 PROGESTINS
41 29556 APO-MEDROXY 100MG TAB (APO) (C) MEDROXYPROGESTERONE APO-MEDROXY 100'S C 41.59 0.4159 TAB 30 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 6832 PROGESTINS 2024-04-01 2026-03-31 ORAL 6 PROGESTINS
40 29563 APO-MEDROXY 2.5MG TAB (APO/COL) MEDROXYPROGESTERONE APO-MEDROXY 100'S A 5.98 0.06 TABLET 20 TAB APO APOTEX INC. COL COLLINS LTD 6832 PROGESTINS 2022-04-01 2024-03-31 Oral 6 HORMONES AND SYNTHETIC SUBSTITUTES
42 29563 AAP-MEDROXY 2.5MG TAB (APO) MEDROXYPROGESTERONE MEDROXYPROGESTERONE AAP-MEDROXY 100'S A 7.37 0.07 TAB 20 BOTT APO APOTEX INC. COL AVENTA BARBADOS 6832 PROGESTINS 2026-04-01 ORAL 6 PROGESTINS
41 29567 APO-MEDROXY 2.5MG TAB (APO) MEDROXYPROGESTERONE APO-MEDROXY 100'S A 6.09 0.0609 TAB 20 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 6832 PROGESTINS 2024-04-01 2026-03-31 ORAL 6 PROGESTINS