Displaying 1 - 12 of 12
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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 23312 PILOCARPINE 2% EYE DR (MTP) PILOCARPINE PILOCARPINE 10ML A 33.49 33.49 BOTT 1 BOTT MTP MARTINDALE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC B 524020 EENT MIOTICS 2026-04-01 OPHTHALMIC 6 EENT MIOTICS
40 2331J PILOCARPINE 2% EYE DR (MTP/COL) PILOCARPINE PILOCARPINE 10ML A 15.25 15.25 EYE DROP 1 BOTT MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD B 524020 EENT MIOTICS 2022-04-01 2024-03-31 Price Change OPHTHALMIC 6 EYE, EAR, NOSE AND THROAT PREPARATIONS 2022-03-18
41 2331J PILOCARPINE 2% EYE DR (MTP) PILOCARPINE PILOCARPINE 10ML A 13.08 13.0751 BOTT 1 BOTT MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD B 524020 EENT MIOTICS 2024-04-01 2026-03-31 OPHTHALMIC 6 EENT MIOTICS
42 23325 PILOCARPINE EYE DR (MTP) PILOCARPINE PILOCARPINE 10ML C 41.86 41.86 BOTT 1 BOTT MTP MARTINDALE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC B 524020 EENT MIOTICS 2026-04-01 OPHTHALMIC 6 EENT MIOTICS
40 2332H PILOCARPINE 4% EYE DR (MTP/COL) PILOCARPINE PILOCARPINE 10ML C 16.74 16.74 EYE DROP 0 BOTT MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 524020 EENT MIOTICS 2022-04-01 2024-03-31 Price Change OPHTHALMIC 0 EYE, EAR, NOSE AND THROAT PREPARATIONS 2022-03-18
41 2332H PILOCARPINE 4% EYE DR (MTP) (C) PILOCARPINE PILOCARPINE 10ML C 14.49 14.4887 BOTT 1 BOTT MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD B 524020 EENT MIOTICS 2024-04-01 2025-01-28 OPHTHALMIC 6 EENT MIOTICS
41 2332H PILOCARPINE 4% EYE DR (MTP) (C) PILOCARPINE PILOCARPINE 10ML C 21.56 21.56 BOTT 1 BOTT MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD B 524020 EENT MIOTICS 2024-04-11 2026-03-31 OPHTHALMIC 6 EENT MIOTICS 2024-04-10
40 23361 PILOCARPINE MINIMS 2% EYE DR (CAM/STO) PILOCARPINE PILOCARPINE MINIMS 20X0.5ML B 94.73 4.74 EYE DROP 0 AMP CAM MORNINGSIDE PHARMACEUTICALS STO BRYDEN STOKES LTD 524020 EENT MIOTICS 2022-04-01 2024-03-31 Ophthalmic 6 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 23362 PILOCARPINE MINIMS 2% EYE DR (CAM) (B) PILOCARPINE PILOCARPINE MINIMS 20X0.5ML B 96.61 4.8305 AMPP 0 BOTT CAM MORNINGSIDE PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 524020 EENT MIOTICS 2024-04-01 2026-03-31 OPHTHALMIC 0 EENT MIOTICS
40 A7017 PILOCARPINE | TIMOLOL 2% | 0.5% EYE DR (FSB/ATB) PILOCARPINE|TIMOLOL PILOCARPINE|TIMOLOL 5ML A 5.76 5.76 EYE DROP 1 BOTT FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD B 524092 ANTIGLAUCOMA AGENTS MISCELLANEOUS 2022-04-01 2024-03-31 Price Change Ophthalmic 6 EYE, EAR, NOSE AND THROAT PREPARATIONS 2021-12-08
42 A7019 PILOCARPINE|TIMOLOL 2%|0.5% EYE DR (CHC) PILOCARPINE|TIMOLOL PILOCARPINE|TIMOLOL 5ML A 19.52 19.52 BOTT 1 CHC CARITAS HEALTHCARE PVT LTD STO BRYDEN STOKES LTD B 524092 ANTIGLAUCOMA AGENTS MISCELLANEOUS 2026-04-01 Add to Contract as Cat A OPHTHALMIC 6 ANTIGLAUCOMA AGENTS MISCELLANEOUS 2026-03-05
40 A7026 PILOCARPINE | TIMOLOL 4% | 0.5% EYE DR (FSB/ATB) PILOCARPINE|TIMOLOL PILOCARPINE|TIMOLOL 5ML A 7.04 7.04 EYE DROP 1 BOTT FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD B 524092 ANTIGLAUCOMA AGENTS MISCELLANEOUS 2022-04-01 2024-03-31 Price Change Ophthalmic 6 EYE, EAR, NOSE AND THROAT PREPARATIONS 2021-12-08