Displaying 1 - 10 of 10
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 06319 METHOTREXATE 2.5MG TAB (REM/SBI) METHOTREXATE METHOTREXATE 10X10 A 14.79 0.15 TABLET 32 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
40 0631AD METHOTREXATE 2.5MG TAB (INP/AHI) METHOTREXATE METHOTREXATE 100'S A 12.72 0.13 TABLET 32 TAB INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
41 0631AG ZUVITREX 2.5MG TAB (ZUV) METHOTREXATE METHOTREXATE ZUVITREX 100'S A 13.32 0.1332 TAB 32 BOX ZUV ZUVIUS PHA PHARMACY SALES CARIBBEAN B 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 6 ANTINEOPLASTICS
41 0631D METHOTREXATE 2.5MG TAB (REM) METHOTREXATE METHOTREXATE 100'S A 14.79 0.1479 TAB 32 BOTT REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD B 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 6 ANTINEOPLASTICS
40 0631Y METHOTREXATE 2.5MG TAB (FSB/ATB) METHOTREXATE METHOTREXATE 100'S A 7.48 0.07 TABLET 32 TAB FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD B 1000 ANTINEOPLASTICS 2022-04-01 2022-09-30 Oral 6 ANTINEOPLASTICS 2022-03-30
40 0633V METHACOR 25MG/ML INJ (INP/AHI) METHOTREXATE METHOTREXATE METHACOR 2ML VIAL B 8.70 8.70 INJECTION 0 VIAL INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 0633X UNITREXATE 25MG/ML INJ (UBI/RXP) METHOTREXATE METHOTREXATE UNITREXATE 2ML VIAL B 7.07 7.07 INJECTION 0 VIAL UBI UNITED BIOTECH (P) LIMITED RXP RX PRO INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
41 0633Z ZUVITREX 25MG/ML INJ (ZUV) METHOTREXATE (B) METHOTREXATE ZUVITREX 2ML VIAL B 5.11 5.1104 VIAL 5 VIAL ZUV ZUVIUS PHA PHARMACY SALES CARIBBEAN 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 IV 6 ANTINEOPLASTICS
40 0634M METHOTREXATE 25MG/ML INJ (INP/AHI) METHOTREXATE METHOTREXATE 20ML VIAL BQ 46.43 46.43 INJECTION 0 VIAL INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 06351 METHOTREXATE 25MG/ML INJ (INP/AHI) METHOTREXATE METHOTREXATE 40ML BQ 82.12 82.12 INJECTION 0 VIAL INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS