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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 41011 ZOMETA 4MG INJ (NVS/COL) ZOLENDRONIC ACID ZOLENDRONIC ACID ZOMETA 4MG VIAL C 842.68 842.68 INJECTION 0 VIAL NVS NOVARTIS CARIBE SA COL COLLINS LTD 9224 BONE RESORPTION INHIBITORS 2022-04-01 2024-03-31 IV 0 UNCLASSIFIED THERAPEUTIC AGENTS
41 41011 ZOMETA 4MG INJ (NVS) ZOLENDRONIC ACID (C) ZOLENDRONIC ACID ZOMETA 4MG VIAL C 706.76 706.7642 VIAL 2 VIAL NVS NOVARTIS CARIBE SA COL COLLINS LTD 9224 BONE RESORPTION INHIBITORS 2024-04-01 2026-03-31 IV 6 BONE RESORPTION INHIBITORS
42 41011 ZOMETA 4MG INJ (NVS) ZOLENDRONIC ACID ZOLENDRONIC ACID ZOMETA 4MG VIAL C 706.76 706.76 VIAL 2 VIAL NVS NOVARTIS CARIBE SA COL AVENTA BARBADOS 9224 BONE RESORPTION INHIBITORS 2026-04-01 IV 6 BONE RESORPTION INHIBITORS
41 41016 ZOLENDRONIC ACID 4MG INJ (ZUV) (BQ) ZOLENDRONIC ACID ZOLENDRONIC ACID 4MG VIAL BQ 13.59 13.5916 VIAL 2 VIAL ZUV ZUVIUS PHA PHARMACY SALES CARIBBEAN 9224 BONE RESORPTION INHIBITORS 2024-04-01 2026-03-31 INJ 6 BONE RESORPTION INHIBITORS
42 41016 ZOLENDRONIC ACID 4MG INJ (ZUV) ZOLENDRONIC ACID ZOLENDRONIC ACID 4MG VIAL BQ 8.54 8.54 VIAL 2 VIAL ZUV ZUVIUS PHA PHARMACY SALES CARIBBEAN 9224 BONE RESORPTION INHIBITORS 2026-04-01 INJ 0 BONE RESORPTION INHIBITORS
40 4101A ZOLENDRONIC ACID 4MG INJ (SLS/AHI) ZOLENDRONIC ACID ZOLENDRONIC ACID 4MG VIAL BQ 38.95 38.95 INJECTION 0 VIAL SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 9224 BONE RESORPTION INHIBITORS 2022-04-01 2022-09-30 IV 0 UNCLASSIFIED THERAPEUTIC AGENTS 2022-03-29
41 4101A ZOLENDRONIC ACID 4MG INJ (SLS) (BQ) ZOLENDRONIC ACID ZOLENDRONIC ACID 4MG VIAL BQ 30.42 30.418 VIAL 2 VIAL SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 9224 BONE RESORPTION INHIBITORS 2024-04-01 2024-05-27 IV 6 BONE RESORPTION INHIBITORS 2024-04-15
40 4101E ZOLASTA 4MG INJ (INP/AHI) ZOLENDRONIC ACID ZOLENDRONIC ACID ZOLASTA 5ML BQ 35.07 35.07 INJECTION 0 VIAL INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 9224 BONE RESORPTION INHIBITORS 2022-04-01 2024-03-31 IV 0 UNCLASSIFIED THERAPEUTIC AGENTS
42 4101Q ZOLOSTEO 4MG INJ (JLP) ZOLENDRONIC ACID ZOLENDRONIC ACID ZOLOSTEO 12X4MG BQ 108.73 9.06 VIAL 2 VIAL JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 9224 BONE RESORPTION INHIBITORS 2026-04-01 IV 0 BONE RESORPTION INHIBITORS