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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 B4811 VYMADA 24MG | 26MG TAB (NVS/COL) SACUBITRIL | VALSARTAN SACUBITRIL|VALSARTAN VYMADA 28'S B 70.68 2.52 TABLET 0 TAB NVS NOVARTIS CARIBE SA COL COLLINS LTD 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
41 B4811 VYMADA 24MG|26MG TAB (NVS) SACUBITRIL|VALSARTAN (B) SACUBITRIL|VALSARTAN VYMADA 28'S B 65.24 2.33 TAB 60 BOX NVS NOVARTIS CARIBE SA COL COLLINS LTD 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2024-04-01 2026-03-31 ORAL 6 ANGIOTENSIN II RECEPTOR ANTAGONIST
42 B4811 VYMADA 24MG|26MG TAB (NVS) SACUBITRIL|VALSARTAN SACUBITRIL|VALSARTAN VYMADA 28'S B 48.93 1.75 TAB 60 BLIS NVS NOVARTIS CARIBE SA COL AVENTA BARBADOS 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2026-04-01 ORAL 6 ANGIOTENSIN II RECEPTOR ANTAGONIST
40 B4812 VYMADA 49MG | 51MG TAB (NVS/COL) SACUBITRIL | VALSARTAN SACUBITRIL|VALSARTAN VYMADA 28'S B 70.68 2.52 TABLET 0 TAB NVS NOVARTIS CARIBE SA COL COLLINS LTD 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
41 B4812 VYMADA 49MG|51MG TAB (NVS) SACUBITRIL|VALSARTAN (B) SACUBITRIL|VALSARTAN VYMADA 28'S B 65.24 2.33 TAB 60 BOX NVS NOVARTIS CARIBE SA COL COLLINS LTD 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2024-04-01 2026-03-31 ORAL 6 ANGIOTENSIN II RECEPTOR ANTAGONIST
42 B4812 VYMADA 49MG|51MG TAB (NVS) SACUBITRIL|VALSARTAN SACUBITRIL|VALSARTAN VYMADA 28'S B 48.93 1.75 TAB 60 BLIS NVS NOVARTIS CARIBE SA COL AVENTA BARBADOS 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2026-04-01 ORAL 6 ANGIOTENSIN II RECEPTOR ANTAGONIST
40 B4813 VYMADA 97MG | 103MG TAB (NVS/COL) SACUBITRIL | VALSARTAN SACUBITRIL|VALSARTAN VYMADA 28'S B 70.68 2.52 TABLET 0 TAB NVS NOVARTIS CARIBE SA COL COLLINS LTD 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
41 B4813 VYMADA 97MG|103MG TAB (NVS) SACUBITRIL|VALSARTAN (B) SACUBITRIL|VALSARTAN VYMADA 28'S B 65.24 2.33 TAB 60 BOX NVS NOVARTIS CARIBE SA COL COLLINS LTD 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2024-04-01 2026-03-31 ORAL 6 ANGIOTENSIN II RECEPTOR ANTAGONIST
42 B4813 VYMADA 97MG|103MG TAB (NVS) SACUBITRIL|VALSARTAN SACUBITRIL|VALSARTAN VYMADA 28'S B 48.93 1.75 TAB 60 BLIS NVS NOVARTIS CARIBE SA COL AVENTA BARBADOS 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2026-04-01 ORAL 6 ANGIOTENSIN II RECEPTOR ANTAGONIST