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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 08821 VENTOLIN 0.4MG/ML SYR (GSK/COL) SALBUTAMOL SALBUTAMOL VENTOLIN 200ML C 8.10 0.04 SYRUP 0 ML GSK GLAXOSMITHKLINE COL COLLINS LTD B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2022-04-01 2024-03-31 Oral 0 RESPIRATORY TRACT AGENTS
40 08825 SALBUTAMOL 0.4MG/ML SYR (GPC/ATB) SALBUTAMOL SALBUTAMOL 120ML A 2.04 0.02 SYRUP 300 ML GPC NEW GUYANA PHARMACEUTICAL CORP. LTD ATB ANSA TRADING BARBADOS LTD B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2022-04-01 2024-03-31 Oral 6 RESPIRATORY TRACT AGENTS
41 08825 SALBUTAMOL 0.4MG/ML SYR (GPC) SALBUTAMOL SALBUTAMOL 120ML A 7.5 0.0625 ML 300 BOTT GPC NEW GUYANA PHARMACEUTICAL CORP. LTD ATB ANSA TRADING BARBADOS LTD B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2024-04-01 2026-03-31 ORAL 6 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRA
40 0883AM VENTOLIN 100MCG INHR (GSK/COL) SALBUTAMOL SALBUTAMOL VENTOLIN 200 DOSES A 5.87 5.87 INHALER 1 INHR GSK GLAXOSMITHKLINE COL COLLINS LTD B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2022-04-01 2024-03-31 ORAL INHALATION 6 RESPIRATORY TRACT AGENTS
41 0883AM VENTOLIN 100MCG INHR (GSK) SALBUTAMOL SALBUTAMOL VENTOLIN 200 DOSES A 6.2 6.1978 INHR 1 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2024-04-01 2026-03-31 ORAL INHALATION 6 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRA
42 0883AM VENTOLIN 100MCG INHR (GSK) SALBUTAMOL SALBUTAMOL VENTOLIN 200 DOSES A 6.52 6.52 INHR 1 BOX GSK GLAXOSMITHKLINE COL AVENTA BARBADOS B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2026-04-01 ORAL INHALATION 6 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRA
40 0884AJ ASTHALIN 5MG/ML RESP SOL (CIP/AHI) SALBUTAMOL SALBUTAMOL ASTHALIN 15ML A 2.91 2.91 RESPIRATORY 20 BOTT CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2022-04-01 2024-03-31 INHALATION 6 RESPIRATORY TRACT AGENTS
41 0884AJ ASTHALIN 5MG/ML RESP SOL (CIP) SALBUTAMOL SALBUTAMOL ASTHALIN 15ML A 1.96 1.9572 BOTT 20 BOTT CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2024-04-01 2026-03-31 INHALATION 6 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRA
42 0884AJ ASTHALIN 5MG/ML RESP SOL (CIP) SALBUTAMOL SALBUTAMOL ASTHALIN 15ML A 2.07 2.07 BOTT 20 BOTT CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2026-04-01 INHALATION 6 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRA
40 0884BS SALBUTAMOL 5MG/ML RESP SOL (RYV/ATB) SALBUTAMOL SALBUTAMOL 15ML A 2.94 2.94 RESPIRATORY 20 BOTT RYV RYVIS PHARMA PVT. LTD ATB ANSA TRADING BARBADOS LTD B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2022-04-01 2024-03-31 Nasal 6 RESPIRATORY TRACT AGENTS
41 0884BU PMS-SALBUTAMOL 5MG/ML RESP SOL (PMS) SALBUTAMOL PMS-SALBUTAMOL 20X2.5ML A 20.66 1.033 AMPP 20 BOX PMS PHARMASCIENCE COL COLLINS LTD B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2024-04-01 2026-03-31 ORAL INHALATION 6 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRA
42 0884BU PMS-SALBUTAMOL 5MG/ML RESP SOL (PMS) SALBUTAMOL PMS-SALBUTAMOL 20X2.5ML A 19.71 0.99 AMPP 20 BOX PMS PHARMASCIENCE COL AVENTA BARBADOS B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2026-04-01 ORAL INHALATION 6 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRA
41 0884H VENTOLIN 5MG/ML RESP SOL (GSK) SALBUTAMO (C) SALBUTAMOL VENTOLIN 20ML C 12.78 12.7761 BOTT 20 BOTT GSK GLAXOSMITHKLINE COL COLLINS LTD B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2024-04-01 2026-03-31 INHALATION 6 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRA
42 0884H VENTOLIN 5MG/ML RESP SOL (GSK) SALBUTAMO SALBUTAMOL VENTOLIN 20ML C 13.40 13.40 BOTT 20 BOTT GSK GLAXOSMITHKLINE COL AVENTA BARBADOS B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2026-04-01 Price Change INHALATION 6 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRA 2026-02-16
40 08867 SALBUTAMOL 0.5MG/ML INJ (STP/COL) SALBUTAMOL SALBUTAMOL 100X1ML B 157.66 1.58 INJECTION 0 VIAL STP STEROP LABORATORIES COL COLLINS LTD 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2022-04-01 2024-03-31 IV 0 RESPIRATORY TRACT AGENTS
41 08867 SALBUTAMOL 0.5MG/ML INJ (STP) (B) SALBUTAMOL SALBUTAMOL 100X1ML B 163.1 1.631 VIAL 0 BOX STP STEROP LABORATORIES COL COLLINS LTD 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2024-04-01 2026-03-31 IV 0 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRA
40 A4021 COMBIVENT 0.2MG/ML | 1MG/ML RESP SOL (BOE/STO) IPRATROPIUM | SALBUTAMOL IPRATROPIUM|SALBUTAMOL COMBIVENT 20X2.5ML A 67.14 3.36 RESPIRATORY 20 BOTT BOE BOEHRINGER INGELHEIM STO BRYDEN STOKES LTD B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2022-04-01 2024-03-31 INHALATION 6 RESPIRATORY TRACT AGENTS
41 A4021 COMBIVENT 0.2MG/ML|1MG/ML RESP SOL (BOE) IPRATROPIUM|SALBUTA IPRATROPIUM|SALBUTAMOL COMBIVENT 20X2.5ML A 69.15 3.4577 BOX 20 BOTT BOE BOEHRINGER INGELHEIM STO BRYDEN STOKES LTD B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2024-04-01 2026-03-31 INHALATION 6 RESPIRATORY AGENTS MISCELLANEOUS
42 A4021 COMBIVENT 0.2MG/ML|1MG/ML RESP SOL (BOE) IPRATROPIUM|SALBUTA IPRATROPIUM|SALBUTAMOL COMBIVENT 20X2.5ML A 69.15 3.46 AMPG 20 AMPG BOE BOEHRINGER INGELHEIM STO BRYDEN STOKES LTD B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2026-04-01 INHALATION 6 RESPIRATORY AGENTS MISCELLANEOUS