Displaying 1 - 4 of 4
  • Print
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 16715 PERPHENAZINE 4MG TAB (KWA/ATB) PERPHENAZINE PERPHENAZINE 50X10 A 679.58 1.36 TABLET 180 TAB KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 28160824 PHENOTHIAZINES 2022-04-01 2022-09-30 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS 2022-03-30
40 16716 AAP-PERPHENAZINE 4MG TAB (APO/COL) PERPHENAZI PERPHENAZINE AAP-PERPHENAZINE 100'S A 40.77 0.41 TABLET 180 TAB APO APOTEX INC. COL COLLINS LTD 28160824 PHENOTHIAZINES 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
42 16716 AAP-PERPHENAZINE 4MG TAB (APO) PERP PERPHENAZINE AAP-PERPHENAZINE 100'S A 41.59 0.42 TAB 180 BOTT APO APOTEX INC. COL AVENTA BARBADOS 28160824 PHENOTHIAZINES 2026-04-01 ORAL 6 PHENOTHIAZINES
41 16717 AAP-PERPHENAZINE 4MG TAB (APO) PERP PERPHENAZINE AAP-PERPHENAZINE 100'S A 41.59 0.4159 TAB 180 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 28160824 PHENOTHIAZINES 2024-04-01 2026-03-31 ORAL 6 PHENOTHIAZINES