Displaying 1 - 20 of 98
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 0012V CETIRIZINE 10MG TAB (HEA/RXP) CETIRIZINE CETIRIZINE 1X10 A 0.95 0.10 TABLET 14 TAB HEA HEALTH 2000 INC RXP RX PRO INC 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0013BH DPH ELIXIR 2.5MG/ML SYR (FED/RXP) DIPHENHYDRA DIPHENHYDRAMINE DPH ELIXIR 120ML A 4.08 0.03 SYRUP 120 ML FED FEDERATED PHARMACEUTICAL CO. LT RXP RX PRO INC 0404 FIRST GENERATION ANTIHISTAMINES 2022-04-01 2022-05-11 Delete from contract Oral 6 ANTIHISTAMINICS 2022-05-11
40 0013K CETIRIZINE 1MG/ML SYR (HEA/RXP) CETIRIZINE CETIRIZINE 60ML A 2.69 0.04 SYRUP 60 ML HEA HEALTH 2000 INC RXP RX PRO INC 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0013P LORATADINE 1MG/ML SYRUP (HEA/RXP) LORATADINE LORATADINE 100ML A 3.13 0.03 SYRUP 120 ML HEA HEALTH 2000 INC RXP RX PRO INC 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0081AG AMPHOTIN 50MG INJ (UBI/RXP) AMPHOTERICIN B AMPHOTERICIN B AMPHOTIN 50MG VIAL BQ 19.71 19.71 INJECTION 0 VIAL UBI UNITED BIOTECH (P) LIMITED RXP RX PRO INC 081428 POLYENES 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
40 01027 NYSTATIN 100,000U/ML SUSP (HEA/RXP) NYSTATIN NYSTATIN 60ML A 5.71 0.10 SUSPENSION 180 ML HEA HEALTH 2000 INC RXP RX PRO INC 081428 POLYENES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
42 0131B AZITHRO EZE 40MG/ML SUSP (INF) AZITHROMYCIN AZITHROMYCIN AZITHRO EZE 15ML A 4.59 0.31 ML 30 BOTT INF INFOCUS REMEDIES PVT RXP RX PRO INC B 08121292 OTHER MACROLIDES 2026-04-01 ORAL 0 OTHER MACROLIDES
40 0131BE SKAZI 40MG/ML SUSP (SKH/RXP) AZITHROMYCIN AZITHROMYCIN SKAZI 15ML A 4.89 0.33 SUSPENSION 30 ML SKH S. KANT HEALTHCARE LTD RXP RX PRO INC 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
42 0155AR AMOTID 50MG/ML SUSP (BEX) AMOXICILLIN AMOXICILLIN AMOTID 100ML A 2.58 0.03 ML 200 BOTT BEX BEXIMCO PHARMACEUTICALS LTD RXP RX PRO INC 081216 PENICILLINS 2026-04-01 ORAL 0 PENICILLINS
42 0294U RIBOCLIN 300MG CAP (BEX) CLINDAMYCIN HCL CLINDAMYCIN HCL RIBOCLIN 3X10 A 6.39 0.21 CAP 28 BLIS BEX BEXIMCO PHARMACEUTICALS LTD RXP RX PRO INC 08122820 LINCOMYCINS 2026-04-01 ORAL 0 LINCOMYCINS
40 0301Q CLINDATECH 150MG/ML INJ (UBI/RXP) CLINDAMYCIN CLINDAMYCIN PHOSPHATE CLINDATECH 2ML AMP BQ 6.12 6.12 INJECTION 0 AMP UBI UNITED BIOTECH (P) LIMITED RXP RX PRO INC 08122820 LINCOMYCINS 2022-04-01 2024-03-31 IV 6 ANTI-INFECTIVE AGENTS
40 0411J CHLOROQUINE SULPHATE 250MG TAB (HEA/RXP) CHLOROQUINE SULPHATE CHLOROQUINE SULPHATE 40'S A 24.33 0.61 TABLET 90 TAB HEA HEALTH 2000 INC RXP RX PRO INC 083008 ANTIMALARIALS 2022-04-01 2024-03-31 Oral 6 ANTI-INFECTIVE AGENTS
40 0451A CO-TRIMOXAZOLE 400MG | 80MG TAB (HEA/RXP) SULFA SULFAMETHOXAZOLE|TRIMETHOPRIM CO-TRIMOXAZOLE 10X10 A 7.20 0.07 TABLET 56 TAB HEA HEALTH 2000 INC RXP RX PRO INC 081220 SULPHONAMIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
42 0451BW CO TRIMOX EZE 400MG|80MG TAB (INF) SULFAMETHOXAZOLE|TRIMETHO SULFAMETHOXAZOLE|TRIMETHOPRIM CO TRIMOX EZE 10X10 A 7.20 0.07 TAB 56 BLIS INF INFOCUS REMEDIES PVT RXP RX PRO INC 081220 SULPHONAMIDES 2026-04-01 ORAL 0 SULPHONAMIDES
42 0481BA METRON EZE 400MG TAB (INF) METRONIDAZOLE METRONIDAZOLE METRON EZE 10X10 A 12.78 0.13 TAB 90 BLIS INF INFOCUS REMEDIES PVT RXP RX PRO INC 083092 ANTIPROTOZOALS, MISCELLANEOUS 2026-04-01 ORAL 0 ANTIPROTOZOALS, MISCELLANEOUS
40 05217 DACTINOTEC 500MCG INJ (UBI/RXP) ACTINOMYCIN D ACTINOMYCIN D DACTINOTEC 500MCG BQ 31.26 31.26 INJECTION 0 VIAL UBI UNITED BIOTECH (P) LIMITED RXP RX PRO INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 0582D ONCOTAR 1G INJ (UBI/RXP) CYTARABINE CYTARABINE ONCOTAR 1G VIAL BQ 31.26 31.26 INJECTION 0 VIAL UBI UNITED BIOTECH (P) LIMITED RXP RX PRO INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 0633X UNITREXATE 25MG/ML INJ (UBI/RXP) METHOTREXATE METHOTREXATE UNITREXATE 2ML VIAL B 7.07 7.07 INJECTION 0 VIAL UBI UNITED BIOTECH (P) LIMITED RXP RX PRO INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 0671D UNIBLASTIN 10MG INJ (UBI/RXP) VINBLASTINE VINBLASTINE UNIBLASTIN 10MG VIAL BQ 54.37 54.37 INJECTION 0 VIAL UBI UNITED BIOTECH (P) LIMITED RXP RX PRO INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 0681Q UNICRISTINE 1MG INJ (UBI/RXP) VINCRISTINE VINCRISTINE UNICRISTINE 1MG VIAL BQ 7.07 7.07 INJECTION 0 VIAL UBI UNITED BIOTECH (P) LIMITED RXP RX PRO INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS