Displaying 1 - 14 of 14
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 2701B DEPO-MEDROL 40MG/ML INJ (PFI/STO) METHYLPREDN METHYLPREDNISOLONE DEPO-MEDROL 1ML VIAL C 14.79 14.79 INJECTION 0 VIAL PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 6804 ADRENALS 2022-04-01 2024-03-31 IV 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 2701B DEPO-MEDROL 40MG/ML INJ (PFI) METHYLPRED (C) METHYLPREDNISOLONE DEPO-MEDROL 1ML VIAL C 14.92 14.9236 VIAL 0 VIAL PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 6804 ADRENALS 2024-04-01 2026-03-31 IV 0 ADRENALS
42 2701B DEPO-MEDROL 40MG/ML INJ (PFI) METHY METHYLPREDNISOLONE DEPO-MEDROL 1ML VIAL C 14.92 14.92 VIAL 0 VIAL PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 6804 ADRENALS 2026-04-01 IV 0 ADRENALS
40 2701C METHYLPREDNISOLONE 40MG/ML INJ (MON/PHA) METHYLPREDNISOLONE METHYLPREDNISOLONE 2ML VIAL B 3.91 3.91 INJECTION 0 VIAL MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 6804 ADRENALS 2022-04-01 2024-03-31 IV 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 2701C METHYLPREDNISOLONE 40MG/ML INJ (MON (B) METHYLPREDNISOLONE METHYLPREDNISOLONE 2ML VIAL B 4.29 4.29 VIAL 0 VIAL MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 6804 ADRENALS 2024-04-01 2026-03-31 IV 0 ADRENALS
42 2701D JOHNLEE MPD 40MG/ML INJ (JLP) METHYLPREDNISOLONE METHYLPREDNISOLONE JOHNLEE MPD 2ML B 3.67 3.67 VIAL 0 VIAL JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 6804 ADRENALS 2026-04-01 IM/SC 0 ADRENALS
40 3301AW METHYLPREDNISOLONE 0.1% CR (KWA/ATB) METHYLPREDNISOLONE METHYLPREDNISOLONE 15G A 6.01 6.01 CREAM 2 TUBE KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 8406 ANTI-INFLAMMATORY AGENTS, TOPICAL 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
40 3301BE ADVANTAN 0.1% CR (LEO/COL) METHYLPREDNISOLONE METHYLPREDNISOLONE ADVANTAN 15G C 11.50 11.50 CREAM 0 TUBE LEO LEO LABORATORIES LTD. COL COLLINS LTD 8406 ANTI-INFLAMMATORY AGENTS, TOPICAL 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
40 3302AA METHYLPREDNISOLONE 0.1% OINT (KWA/ATB) METHYLPREDNISOLONE METHYLPREDNISOLONE 15G A 6.50 6.50 OINT 2 TUBE KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 8406 ANTI-INFLAMMATORY AGENTS, TOPICAL 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
40 4121B METHYLPREDNISOLONE SODIUM SUCCINATE 500MG INJ (KWA/ATB) METHYLPREDNISOLONE SODIUM SUCCINATE METHYLPREDNISOLONE SODIUM SUCCINATE 500MG VIAL B 15.36 15.36 INJECTION 0 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 6804 ADRENALS 2022-04-01 2022-09-30 IV 0 HORMONES AND SYNTHETIC SUBSTITUTES 2022-03-30
41 4121B METHYLPRED. SOD. SUCC. 500MG INJ (KWA) METHYLPREDNISOLONE SO (BQ) METHYLPREDNISOLONE SODIUM SUCCINATE METHYLPRED. SOD. SUCC. 500MG VIAL BQ 9.7 9.7044 VIAL 0 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 6804 ADRENALS 2024-04-01 2026-03-31 IV 0 ADRENALS
40 4121D METHYLPREDNISOLONE SODIUM SUCCINATE 500MG INJ (MON/PHA) METHYLPREDNISOLONE SODIUM SUCCINATE METHYLPREDNISOLONE SODIUM SUCCINATE 10ML VIAL B 10.55 10.55 INJECTION 0 VIAL MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 6804 ADRENALS 2022-04-01 2024-03-31 IV 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 4121G METHYLPRED. SOD. SUCC. 500MG INJ (FSB) METHYLPREDNISOLONE SO (BQ) METHYLPREDNISOLONE SODIUM SUCCINATE METHYLPRED. SOD. SUCC. 500MG VIAL BQ 9.43 9.4326 VIAL 0 VIAL FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 6804 ADRENALS 2024-04-01 2026-03-31 IV/IM 0 ADRENALS
42 4121J METHYLPRED. SOD. SUCC. 50MG/ML INJ (BAX) METHYLPREDNISOLONE METHYLPREDNISOLONE SODIUM SUCCINATE METHYLPRED. SOD. SUCC. 10X10ML BQ 68.42 6.84 VIAL 0 VIAL BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 6804 ADRENALS 2026-04-01 IV/IM 0 ADRENALS