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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
42 13824 MORPHINE 15MG/ML INJ (MTP) MORPHINE SULPHATE MORPHINE 10X1ML B 18.84 1.88 AMPG 0 AMP MTP MARTINDALE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 280808 OPIATE AGONISTS 2026-04-01 IV/IM 0 OPIATE AGONISTS
40 1383D VERMOR SR 30MG TAB (VEV/AHI) MORPHINE SULPHATE SR MORPHINE SULPHATE SR VERMOR SR 10X10 A 64.70 0.65 TABLET 30 TAB VEV VERVE HUMANCARE LABORATORIES AHI ARMSTRONG HEALTHCARE INC 280808 OPIATE AGONISTS 2022-04-01 2024-03-31 Oral 2 CENTRAL NERVOUS SYSTEM DRUGS 2022-03-29
41 1383D VERMOR 30MG SR TAB (VEV) MORPHINE SULPHATE MORPHINE SULPHATE VERMOR 10X10 A 392.93 3.9293 TABSR 30 BOX VEV VERVE HUMANCARE LABORATORIES AHI ARMSTRONG HEALTHCARE INC 280808 OPIATE AGONISTS 2024-04-01 2026-03-31 ORAL 2 OPIATE AGONISTS
42 1383D VERMOR 30MG SR TAB (VEV) MORPHINE SR MORPHINE SR VERMOR 10X10 B 404.16 4.04 TAB 0 BLIS VEV VERVE HUMANCARE LABORATORIES AHI ARMSTRONG HEALTHCARE INC 280808 OPIATE AGONISTS 2026-04-01 ORAL 0 OPIATE AGONISTS
42 1383H ZOMORPH 30MG SR CAP (MTP) MORPHINE MORPHINE SULPHATE ZOMORPH 10X6 A 41.86 0.70 CAP 30 BLIS MTP MARTINDALE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 280808 OPIATE AGONISTS 2026-04-01 ORAL 6 OPIATE AGONISTS
42 13844 MORPHINE 5MG/ML SOLN (MTP) MORPHINE SULPHATE MORPHINE 300ML B 207.63 207.63 BOTT 500 BOTT MTP MARTINDALE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 280808 OPIATE AGONISTS 2026-04-01 ORAL 6 OPIATE AGONISTS
42 13845 MORPHINE 5MG/ML SOLN (MTP) MORPHINE SULPHATE MORPHINE 500ML B 439.55 439.55 BOTT 500 BOTT MTP MARTINDALE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 280808 OPIATE AGONISTS 2026-04-01 ORAL 6 OPIATE AGONISTS
40 13855 VERMOR IR 10MG TAB (VEV/AHI) MORPHINE SULPHAT MORPHINE SULPHATE VERMOR IR 10X10 A 49.56 0.50 TABLET 112 TAB VEV VERVE HUMANCARE LABORATORIES AHI ARMSTRONG HEALTHCARE INC 280808 OPIATE AGONISTS 2022-04-01 2024-03-31 Oral 2 CENTRAL NERVOUS SYSTEM DRUGS 2022-03-29
42 13855 VERMOR IR 10MG TAB (VEV) MORPHINE SULPHA MORPHINE SULPHATE VERMOR IR 10X10 B 178.02 1.78 TAB 112 BLIS VEV VERVE HUMANCARE LABORATORIES AHI ARMSTRONG HEALTHCARE INC 280808 OPIATE AGONISTS 2026-04-01 ORAL 2 OPIATE AGONISTS
42 13856 ZOMORPH 10MG CAP (MTP) MORPHINE SULPHATE MORPHINE SULPHATE ZOMORPH 6X10 A 33.49 0.56 CAP 112 BLIS MTP MARTINDALE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 280808 OPIATE AGONISTS 2026-04-01 ORAL 2 OPIATE AGONISTS