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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 15011 PHENOBARBITAL 15MG TAB (TEV/COL) PHENOBARBITO PHENOBARBITONE PHENOBARBITAL 28'S A 42.54 1.52 TABLET 180 TAB TEV TEVA UK LTD. COL COLLINS LTD B 281204 BARBITURATES (ANTICONVULSANTS) 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
42 15013 PHENOBARB 15MG TAB (PMS) PHENOBARBI PHENOBARBITONE PHENOBARB 500'S A 40.77 0.08 TAB 180 BOTT PMS PHARMASCIENCE COL AVENTA BARBADOS B 281204 BARBITURATES (ANTICONVULSANTS) 2026-04-01 ORAL 6 BARBITURATES (ANTICONVULSANTS)
40 15024 BARBIFED 30MG TAB (FED/RXP) PHENOBARBITONE PHENOBARBITONE BARBIFED 500'S A 22.75 0.05 TABLET 180 TAB FED FEDERATED PHARMACEUTICAL CO. LT RXP RX PRO INC B 281204 BARBITURATES (ANTICONVULSANTS) 2022-04-01 2022-05-11 Delete from contract Oral 6 CENTRAL NERVOUS SYSTEM DRUGS 2022-05-11
42 15025 PMS-PHENOBARBITONE 30MG TAB (PMS) PHENOBARBITONE PMS-PHENOBARBITONE 500'S A 48.93 0.10 TAB 180 BOTT PMS PHARMASCIENCE COL AVENTA BARBADOS B 281204 BARBITURATES (ANTICONVULSANTS) 2026-04-01 ORAL 6 BARBITURATES (ANTICONVULSANTS)
40 15029 BARBIFED 30MG TAB (FED/ATB) PHENOBARBITONE PHENOBARBITONE BARBIFED 500'S A 22.75 0.05 TABLET 180 TAB FED FEDERATED PHARMACEUTICAL CO. LT ATB ANSA TRADING BARBADOS LTD B 281204 BARBITURATES (ANTICONVULSANTS) 2022-05-11 2024-03-31 Change Local Agent Oral 6 CENTRAL NERVOUS SYSTEM DRUGS 2022-05-11
41 15029 BARBIFED 30MG TAB (FED) PHENOBARBITONE PHENOBARBITONE BARBIFED 500'S A 24.85 0.0497 TAB 180 BOTT FED FEDERATED PHARMACEUTICAL CO. LT ATB ANSA TRADING BARBADOS LTD B 9244 IMMUNOSUPPRESSIVE AGENTS 2024-04-01 2026-03-31 ORAL 6 IMMUNOSUPPRESSIVE AGENTS
40 1502S PHENOBARBITONE 30MG TAB (GPC/ATB) PHENOBARBITONE PHENOBARBITONE 1000'S A 16.69 0.02 TABLET 180 TAB GPC NEW GUYANA PHARMACEUTICAL CORP. LTD ATB ANSA TRADING BARBADOS LTD B 281204 BARBITURATES (ANTICONVULSANTS) 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
40 15031 PHENOBARBITONE 60MG TAB (GPC/ATB) PHENOBARBITONE PHENOBARBITONE 1000'S A 21.75 0.02 TABLET 180 TAB GPC NEW GUYANA PHARMACEUTICAL CORP. LTD ATB ANSA TRADING BARBADOS LTD B 281204 BARBITURATES (ANTICONVULSANTS) 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
41 15031 PHENOBARBITONE 60MG TAB (GPC) PHENOBARBITONE PHENOBARBITONE 1000'S A 81.77 0.0818 TAB 180 BOTT GPC NEW GUYANA PHARMACEUTICAL CORP. LTD ATB ANSA TRADING BARBADOS LTD B 281204 BARBITURATES (ANTICONVULSANTS) 2024-04-01 2026-03-31 ORAL 6 BARBITURATES (ANTICONVULSANTS)
42 15033 PMS-PHENOBARBITONE 60MG TAB (PMS) PHENOBARBITONE PMS-PHENOBARBITONE 500'S A 59.80 0.12 TAB 180 BOTT PMS PHARMASCIENCE COL AVENTA BARBADOS B 281204 BARBITURATES (ANTICONVULSANTS) 2026-04-01 ORAL 6 BARBITURATES (ANTICONVULSANTS)
40 15052 PHENOBARBITAL 100MG/ML INJ (STP/COL) PHENOBAR PHENOBARBITONE PHENOBARBITAL 100X2ML B 353.38 3.53 INJECTION 0 AMP STP STEROP LABORATORIES COL COLLINS LTD 281204 BARBITURATES (ANTICONVULSANTS) 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
42 15055 PHENOBARBITONE 200MG/ML INJ (VEV) PHENOBARBITONE PHENOBARBITONE 10X1ML BQ 32.29 3.23 AMPG 0 BOX VEV VERVE HUMANCARE LABORATORIES AHI ARMSTRONG HEALTHCARE INC 281204 BARBITURATES (ANTICONVULSANTS) 2026-04-01 IV 0 BARBITURATES (ANTICONVULSANTS)
41 1505A PHENOBARBITONE 200MG/ML INJ (KWA) PHENOBARBITONE PHENOBARBITONE 1ML AMP B 124.7711 124.7711 AMPP 0 AMP KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 281204 BARBITURATES (ANTICONVULSANTS) 2024-04-01 2026-03-31 IV/IM 0 BARBITURATES (ANTICONVULSANTS)