Displaying 1 - 12 of 12
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
41 66311 DIPRIVAN 10MG/ML INJ (ASG) PROPOFOL (C) PROPOFOL DIPRIVAN 5X20ML C 73.91 14.7822 AMP 30 BOX ASG ASPEN OSD (GLOBAL) STO BRYDEN STOKES LTD 2804 GENERAL ANESTHETICS 2024-04-01 2026-03-31 IV 0 GENERAL ANESTHETICS
40 66318 PROPOFOL 10MG/ML INJ (BRA/COL) PROPOFOL PROPOFOL 5X20ML BQ 13.92 2.78 INJECTION 0 VIAL BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 280492 GENERAL ANAESTHETICS MISCELLANEOUS 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
41 66318 PROPOFOL 10MG/ML INJ (BRA) (BQ) PROPOFOL PROPOFOL 5X20ML BQ 18.97 3.7948 VIAL 30 BOX BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 280492 GENERAL ANAESTHETICS MISCELLANEOUS 2024-04-01 2026-03-31 IV 0 GENERAL ANAESTHETICS MISCELLANEOUS
42 66318 PROPOFOL 10MG/ML INJ (BRA) PROPOFOL PROPOFOL 5X20ML BQ 24.46 4.89 VIAL 30 VIAL BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL AVENTA BARBADOS 280492 GENERAL ANAESTHETICS MISCELLANEOUS 2026-04-01 IV 0 GENERAL ANAESTHETICS MISCELLANEOUS
40 6631A PROPOFOL 10MG/ML INJ (BRA/COL) PROPOFOL PROPOFOL 50ML BQ 8.13 8.13 INJECTION 0 VIAL BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 280492 GENERAL ANAESTHETICS MISCELLANEOUS 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
41 6631A PROPOFOL 10MG/ML INJ (BRA) (BQ) PROPOFOL PROPOFOL 50ML BQ 8.13 8.1278 VIAL 30 VIAL BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 280492 GENERAL ANAESTHETICS MISCELLANEOUS 2024-04-01 2026-03-31 IV 0 GENERAL ANAESTHETICS MISCELLANEOUS
42 6631A PROPOFOL 10MG/ML INJ (BRA) PROPOFOL PROPOFOL 50ML BQ 11.42 11.42 VIAL 30 VIAL BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL AVENTA BARBADOS 280492 GENERAL ANAESTHETICS MISCELLANEOUS 2026-04-01 IV 0 GENERAL ANAESTHETICS MISCELLANEOUS
41 6631L PROPOFOL 10MG/ML INJ (KWA) (BQ) PROPOFOL PROPOFOL 20ML BQ 3.56 3.561 VIAL 30 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 280492 GENERAL ANAESTHETICS MISCELLANEOUS 2024-04-01 2026-03-31 IV 0 GENERAL ANAESTHETICS MISCELLANEOUS
40 6631Q PROPOFOL 10MG/ML INJ (BAX/STO) PROPOFOL PROPOFOL 5X20ML C 33.27 6.65 INJECTION 0 VIAL BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 280492 GENERAL ANAESTHETICS MISCELLANEOUS 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
40 6631R OLEO-LAX 10MG/ML INJ (ABB/PHA) PROPOFOL PROPOFOL OLEO-LAX 5X20ML C 44.17 8.83 INJECTION 0 VIAL ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 280492 GENERAL ANAESTHETICS MISCELLANEOUS 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
40 6631R OLEO-LAX 10MG/ML (ABB/PHA) PROPOFOL (C) PROPOFOL OLEO-LAX 5X20ML C 44.17 8.834 INJECTION ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 280492 GENERAL ANAESTHETICS MISCELLANEOUS 2022-04-01 2023-03-31 Delete from contract IV 0 GENERAL ANAESTHETICS MISCELLANEOUS 2023-03-07
42 6631Y PROPIFOL 10MG/ML INJ (JLP) PROPOFOL PROPOFOL PROPIFOL 20X20ML BQ 35.88 1.79 VIAL 0 VIAL JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 280492 GENERAL ANAESTHETICS MISCELLANEOUS 2026-04-01 IV 0 GENERAL ANAESTHETICS MISCELLANEOUS