Displaying 1 - 16 of 16
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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
41 4291AE VANCOMYCIN 500MG INJ (CHC) (BQ) VANCOMYCIN VANCOMYCIN 500MG VIAL BQ 4.24 4.2406 VIAL 56 VIAL CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD 081228 ANTIBACTERIALS, MISCELLANEOUS 2024-04-01 2026-03-31 IV 0 ANTIBACTERIALS, MISCELLANEOUS
41 4291AK VANCOMYCIN 500MG INJ (HET) (BQ) VANCOMYCIN VANCOMYCIN 10ML BQ 4.08 4.0775 VIAL 56 VIAL HET HETERO DRUGS LTD ALI ALL HEALTH INC 08122816 GLYCOPEPTIDES 2024-04-01 2026-03-31 IV 0 GLYCOPEPTIDES
42 4291AN VANCOMAX 500MG INJ (JLP) VANCOMYCIN VANCOMYCIN VANCOMAX 20X500MG BQ 49.47 2.47 VIAL 56 VIAL JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 08122816 GLYCOPEPTIDES 2026-04-01 IV 0 GLYCOPEPTIDES
42 4291AP VANCOMYCIN 500MG INJ (FSB) VANCOMYCIN VANCOMYCIN 500MG VIAL BQ 3.34 3.34 VIAL 56 FSB FLAGSHIP BIOTECH STO BRYDEN STOKES LTD 081228 ANTIBACTERIALS, MISCELLANEOUS 2026-04-01 Add to Contract IV 0 ANTIBACTERIALS, MISCELLANEOUS 2026-03-05
40 4291Q VANCOMYCIN 500MG INJ (GLN/AHI) VANCOMYCIN VANCOMYCIN 500MG VIAL BQ 5.27 5.27 INJECTION 0 VIAL GLN GLAND AHI ARMSTRONG HEALTHCARE INC 08122816 GLYCOPEPTIDES 2022-04-01 2022-09-30 IV 0 ANTI-INFECTIVE AGENTS 2022-03-29
40 4291V VANCOMYCIN 500MG INJ (FSB/ATB) VANCOMYCIN VANCOMYCIN 500MG VIAL BQ 4.08 4.08 INJECTION 0 VIAL FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 08122816 GLYCOPEPTIDES 2022-04-01 2024-03-31 IV 6 ANTI-INFECTIVE AGENTS
41 4291V VANCOMYCIN 500MG INJ (FSB) (BQ) VANCOMYCIN VANCOMYCIN 500MG VIAL BQ 4.13 4.1319 VIAL 56 VIAL FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 08122816 GLYCOPEPTIDES 2024-04-01 2026-03-31 IV 0 GLYCOPEPTIDES
40 4291W VAREDET 500MG INJ (ABB/PHA) VANCOMYCIN VANCOMYCIN VAREDET 10ML VIAL C 7.99 7.99 INJECTION 0 VIAL ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 08122816 GLYCOPEPTIDES 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
40 4291W VAREDET 500MG INJ (ABB/PHA) VANCOMYCIN (C) VANCOMYCIN VAREDET 10ML VIAL C 7.99 7.99 INJECTION ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 8122816 GLYCOPEPTIDES 2022-04-01 2023-03-31 Delete from contract IV 0 GLYCOPEPTIDES 2023-03-02
40 42931 VANCOMYCIN 1G INJ (KWA/ATB) VANCOMYCIN VANCOMYCIN 1G VIAL BQ 20.39 20.39 INJECTION 0 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 08122816 GLYCOPEPTIDES 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS 2022-03-30
41 42931 VANCOMYCIN 1G INJ (KWA) (BQ) VANCOMYCIN VANCOMYCIN 1G VIAL BQ 6.9 6.9045 VIAL 28 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 08122816 GLYCOPEPTIDES 2024-04-01 2025-01-28 IV 0 GLYCOPEPTIDES
41 42931 VANCOMYCIN 1G INJ (KWA) (BQ) VANCOMYCIN VANCOMYCIN 1G VIAL BQ 10.85 10.85 VIAL 28 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 08122816 GLYCOPEPTIDES 2024-05-25 2026-03-31 IV 0 GLYCOPEPTIDES 2024-05-24
40 42934 VANCOMYCIN 1G INJ (MON/PHA) VANCOMYCIN VANCOMYCIN 1G VIAL BQ 10.41 10.41 INJECTION 0 VIAL MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 08122816 GLYCOPEPTIDES 2022-04-01 2024-03-31 IV 6 ANTI-INFECTIVE AGENTS
40 42938 VANCOQURE 1G INJ (FSB/ATB) VANCOMYCIN VANCOMYCIN VANCOQURE 10ML BQ 10.85 10.85 INJECTION 0 VIAL FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 08122816 GLYCOPEPTIDES 2022-04-01 2024-03-31 IV 6 ANTI-INFECTIVE AGENTS
42 4293H VANCOMAX 1G INJ (JLP) VANCOMYCIN VANCOMYCIN VANCOMAX 8X1G BQ 41.45 5.18 VIAL 28 VIAL JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 08122816 GLYCOPEPTIDES 2026-04-01 IV 0 GLYCOPEPTIDES
42 4293J VANCOQURE 1G INJ (FSB) VANCOMYCIN VANCOMYCIN VANCOQURE 10ML BQ 5.03 5.03 VIAL 28 FSB FLAGSHIP BIOTECH STO BRYDEN STOKES LTD 08122816 GLYCOPEPTIDES 2026-04-01 Add to Contract IV 0 GLYCOPEPTIDES 2026-03-09