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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 59612 JANUMET 500MG | 50MG TAB (MSD/STO) METFORMIN | SITAGLIPTIN METFORMIN|SITAGLIPTIN JANUMET 56'S C 70.65 1.26 TABLET 0 TAB MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 59612 JANUMET 500MG|50MG TAB (MSD) METFORMIN|SITAGLIPTIN (C) METFORMIN|SITAGLIPTIN JANUMET 56'S C 70.65 1.2616 TAB 0 BOX MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2024-04-01 2026-03-31 ORAL 0 DIPEPTIDYL PEPTIDASE INHIBITORS
42 5961L METFOR SITA EZE 500MG|50MG TAB (INF) METFORMIN|SITAGLIPTIN METFORMIN|SITAGLIPTIN METFOR SITA EZE 10X10 C 15.66 0.16 TAB 0 BLIS INF INFOCUS REMEDIES PVT RXP RX PRO INC 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2026-04-01 ORAL 0 DIPEPTIDYL PEPTIDASE INHIBITORS
40 59632 JANUMET 1G | 50MG TAB (MSD/STO) METFORMIN | SITAGLIPTIN METFORMIN|SITAGLIPTIN JANUMET 56'S C 70.65 1.26 TABLET 0 TAB MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 59632 JANUMET 1G|50MG TAB (MSD) METFORMIN|SITAGLIPTIN (C) METFORMIN XR|SITAGLIPTIN JANUMET XR 56'S C 70.65 1.2616 TAB 0 BOX MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2024-04-01 2026-03-31 ORAL 0 DIPEPTIDYL PEPTIDASE INHIBITORS
40 59639 JANUMET XR 1G | 50MG TAB (MSD/STO) METFORMIN XR | SITAGLIPTIN METFORMIN XR|SITAGLIPTIN JANUMET XR 60'S C 93.89 1.56 TABLET 0 TAB MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 5963C JANUMET XR 1G | 100MG TAB (MSD/STO) METFORMIN XR | SITAGLIPTIN METFORMIN XR|SITAGLIPTIN JANUMET XR 30'S C 93.89 3.13 TABLET 0 TAB MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 5963E JANUMET 1G|100MG XR TAB (MSD) METFORMIN XR|SITAGLIPTIN (C) METFORMIN XR|SITAGLIPTIN JANUMET 28'S C 93.89 3.3532 TABXR 0 BOTT MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2024-04-01 2026-03-31 ORAL 0 DIPEPTIDYL PEPTIDASE INHIBITORS
41 5963N JANUMET 1G|50MG XR TAB (MSD) METFORMIN XR|SITAGLIPTIN (C) METFORMIN XR|SITAGLIPTIN JANUMET 56'S C 93.89 1.6766 TABXR 0 BOTT MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2024-04-01 2026-03-31 ORAL 0 DIPEPTIDYL PEPTIDASE INHIBITORS
42 5963S METFOR SITA EZE 1G|50MG TAB (INF) METFORMIN|SITAGLIPTIN METFORMIN|SITAGLIPTIN METFOR SITA EZE 10X10 C 18.29 0.18 TAB 0 BLIS INF INFOCUS REMEDIES PVT RXP RX PRO INC 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2026-04-01 ORAL 0 DIPEPTIDYL PEPTIDASE INHIBITORS
40 B2713 JANUVIA 50MG TAB (MSD/STO) SITAGLIPTIN SITAGLIPTIN JANUVIA 28'S C 70.65 2.52 TABLET 0 TAB MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 B2713 JANUVIA 50MG TAB (MSD) SITAGLIPTIN (C) SITAGLIPTIN JANUVIA 28'S C 67.12 2.397 TAB 0 BOX MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2024-04-01 2026-03-31 ORAL 0 DIPEPTIDYL PEPTIDASE INHIBITORS
40 B2714 JANUVIA 100MG TAB (MSD/STO) SITAGLIPTIN SITAGLIPTIN JANUVIA 28'S C 70.65 2.52 TABLET 0 TAB MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 B2714 JANUVIA 100MG TAB (MSD) SITAGLIPTIN (C) SITAGLIPTIN JANUVIA 28'S C 67.12 2.397 TAB 0 BOX MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2024-04-01 2026-03-31 ORAL 0 DIPEPTIDYL PEPTIDASE INHIBITORS
42 B271AQ SITADIET 50MG TAB (JLP) SITAGLIPTIN SITAGLIPTIN SITADIET 10X10 C 14.68 0.15 TAB 0 BLIS JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2026-04-01 ORAL 0 DIPEPTIDYL PEPTIDASE INHIBITORS
41 B271E REMEVIA 100MG TAB (REM) SITAGLIPTIN (C) SITAGLIPTIN REMEVIA 28'S C 11.93 0.4262 TAB 0 BOX REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 682005 DIPEPTIDYL PEPTIDASE INHIBITORS 2024-04-01 2026-03-31 ORAL 0 DIPEPTIDYL PEPTIDASE INHIBITORS