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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 3631AX ACCORD METOCLOPRAMIDE 10MG TAB (INP/AAL) METO METOCLOPRAMIDE ACCORD METOCLOPRAMIDE 30'S A 1.96 0.07 TABLET 90 TAB INP INTAS PHARMACEUTICALS LTD AAL A. A. LAQUIS LTD 5632 GI PROKINETIC AGENTS 2022-04-01 2024-03-31 Oral 6 GASTROINTESTINAL DRUGS
40 3631BB METOCLOPRAMIDE 10MG TAB (FSB/ATB) METOCLOPRAMIDE METOCLOPRAMIDE 500'S A 21.72 0.04 TABLET 90 TAB FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 5632 GI PROKINETIC AGENTS 2022-04-01 2024-03-31 Oral 6 GASTROINTESTINAL DRUGS
41 3631BB METOCLOPRAMIDE 10MG TAB (FSB) METOCLOPRAMIDE METOCLOPRAMIDE 500'S A 21.86 0.0437 TAB 90 BOX FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 5632 GI PROKINETIC AGENTS 2024-04-01 2026-03-31 ORAL 6 GI PROKINETIC AGENTS
42 3631BC MPRANIM 10MG TAB (ANC) METOCLOPRAMIDE METOCLOPRAMIDE MPRANIM 500'S A 8.70 0.02 TAB 90 BOTT ANC AEONIM HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 5632 GI PROKINETIC AGENTS 2026-04-01 ORAL 6 GI PROKINETIC AGENTS
40 3633AG METOCLOPRAMIDE 5MG/ML IV/IM INJ (MON/PHA) METOCLOPRAMIDE METOCLOPRAMIDE 10X2ML B 6.01 0.60 INJECTION 0 AMP MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 5632 GI PROKINETIC AGENTS 2022-04-01 2024-03-31 IV/IM 0 GASTROINTESTINAL DRUGS
42 3633AG METOCLOPRAMIDE 5MG/ML IV/IM INJ (MO METOCLOPRAMIDE METOCLOPRAMIDE 10X2ML B 6.47 0.65 AMPG 0 BOX MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 5632 GI PROKINETIC AGENTS 2026-04-01 IV/IM 0 GI PROKINETIC AGENTS
41 3633AV METOCLOPRAMIDE 5MG/ML IV/IM INJ (FSB) (B) METOCLOPRAMIDE METOCLOPRAMIDE 10X2ML B 4.32 0.4322 AMP 0 BOX FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 5632 GI PROKINETIC AGENTS 2024-04-01 2026-03-31 IV/IM 0 GI PROKINETIC AGENTS