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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 4145AB NEVANAC 0.1% EYE DR (NVS/COL) NEPAFENAC NEPAFENAC NEVANAC 5ML C 16.55 16.55 EYE DROP 0 BOTT NVS NOVARTIS CARIBE SA COL COLLINS LTD 520820 EENT NSAID 2022-04-01 2024-03-31 OPHTHALMIC 0 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 4145AB NEVANAC 0.1% EYE DR (NVS) NEPAFENAC (C) NEPAFENAC NEVANAC 5ML C 16.55 16.5546 BOTT 1 BOTT NVS NOVARTIS CARIBE SA COL COLLINS LTD 520892 EENT ANTI INFLAMMATORY AGENTS MISCELLANEOUS 2024-04-01 2026-03-31 OPHTHALMIC 3 EENT ANTI INFLAMMATORY AGENTS MISCELLANEOUS
42 4145AB NEVANAC 0.1% EYE DR (NVS) NEPAFENAC NEPAFENAC NEVANAC 5ML C 16.55 16.55 BOTT 1 BOTT NVS NOVARTIS CARIBE SA COL AVENTA BARBADOS 520892 EENT ANTI INFLAMMATORY AGENTS MISCELLANEOUS 2026-04-01 OPHTHALMIC 3 EENT ANTI INFLAMMATORY AGENTS MISCELLANEOUS
40 4145AE NEPAFENAC 0.1% EYE DR (CIR/AHI) NEPAFENAC NEPAFENAC 5ML A 7.48 7.48 EYE DROP 1 BOTT CIR CIRON PHARMA AHI ARMSTRONG HEALTHCARE INC 520820 EENT NSAID 2022-04-01 2024-03-31 OPHTHALMIC 3 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 4145AG NEPATOP FREE 0.1% EYE DR (SYP) NEPAFENAC NEPAFENAC NEPATOP FREE 5ML A 8.92 8.9161 BOTT 1 BOTT SYP SYAASH PHARMACEUTICALS PSB PHARMACEUTICAL SOLUTIONS BARBA 5208 EENT ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 OPHTHALMIC 3 EENT ANTI-INFLAMMATORY AGENTS
42 4145AG NEPATOP FREE 0.1% EYE DR (SYP) NEPAFENAC NEPAFENAC NEPATOP FREE 5ML A 9.11 9.11 BOTT 1 BOTT SYP SYAASH PHARMACEUTICALS PSB PHARMACEUTICAL SOLUTIONS BARBA 5208 EENT ANTI-INFLAMMATORY AGENTS 2026-04-01 OPHTHALMIC 3 EENT ANTI-INFLAMMATORY AGENTS