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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 1452K PETHIDINE 50MG/ML INJ (MTP/COL) PETHIDINE PETHIDINE 10X1ML BQ 12.23 1.22 INJECTION 0 AMP MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 280808 OPIATE AGONISTS 2022-04-01 2022-07-14 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
40 1452K PETHIDINE 50MG/ML INJ (MTP/COL) PETHIDINE PETHIDINE 10X1ML BQ 15.20 1.52 INJECTION 0 AMP MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 280808 OPIATE AGONISTS 2022-07-15 2024-03-31 Price Change IV 0 CENTRAL NERVOUS SYSTEM DRUGS 2022-07-14
41 1452K PETHIDINE 50MG/ML INJ (MTP) (BQ) PETHIDINE PETHIDINE 10X1ML BQ 16.61 1.6609 AMP 0 BOX MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 280808 OPIATE AGONISTS 2024-04-01 2026-03-31 IV 0 OPIATE AGONISTS
42 1452T PETHIDINE 50MG/ML INJ (MTP) PETHIDINE PETHIDINE 10X1ML BQ 20.09 2.01 AMPG 0 AMP MTP MARTINDALE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 280808 OPIATE AGONISTS 2026-04-01 IV/IM 0 OPIATE AGONISTS
40 1453H PETHIDINE 50MG/ML INJ (MTP/COL) PETHIDINE PETHIDINE 10X2ML BQ 12.37 1.24 INJECTION 0 AMP MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 280808 OPIATE AGONISTS 2022-04-01 2022-07-14 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
40 1453H PETHIDINE 50MG/ML INJ (MTP/COL) PETHIDINE PETHIDINE 10X2ML BQ 15.34 1.53 INJECTION 0 AMP MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 280808 OPIATE AGONISTS 2022-07-15 2024-03-31 Price Change IV 0 CENTRAL NERVOUS SYSTEM DRUGS 2022-07-14
41 1453H PETHIDINE 50MG/ML INJ (MTP) (BQ) PETHIDINE PETHIDINE 10X2ML BQ 16.96 1.6962 AMP 0 BOX MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 280808 OPIATE AGONISTS 2024-04-01 2026-03-31 IV 0 OPIATE AGONISTS
42 1453L PETHIDINE 50MG/ML INJ (MTP) PETHIDINE PETHIDINE 10X2ML BQ 21.34 2.13 AMPG 0 AMP MTP MARTINDALE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 280808 OPIATE AGONISTS 2026-04-01 IV/IM 0 OPIATE AGONISTS