Displaying 1 - 20 of 72
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
42 0124AE CHLRORAMPHENICOL 0.5% EYE DR (HAN) CHLORAMPHENICOL CHLORAMPHENICOL CHLRORAMPHENICOL 10ML A 1.14 1.14 BOTT 1 HAN HANUCHEM LABORATORIES PSB PHARMACEUTICAL SOLUTIONS BARBA 520404 EENT ANTIBACTERIALS 2026-04-01 Add to Contract as Cat A OPHTHALMIC 0 EENT ANTIBACTERIALS 2026-02-11
41 06926 NEOSTIGMINE 2.5MG/ML INJ (ANT) (BQ) NEOSTIGMINE NEOSTIGMINE 10X1ML BQ 46.21 4.6212 AMP 0 BOX ANT CONCORDIA INTERNATIONAL COL COLLINS LTD 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2024-04-01 2026-03-31 IV/IM/SC 0 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS
42 1133HB ATRONIM 40MG TAB (ANC) ATORVASTATIN ATORVASTATIN ATRONIM 3X10 A 1.90 0.06 TAB 60 BLIS ANC AEONIM HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2026-04-01 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
42 1181FV BISONIM 2.5MG TAB (ANC) BISOPROLOL BISOPROLOL BISONIM 10X10 A 2.45 0.02 TAB 30 BLIS ANC AEONIM HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD B 2424 BETA ADRENERGIC BLOCKING AGENTS 2026-04-01 ORAL 6 BETA ADRENERGIC BLOCKING AGENTS
42 1182FJ BISONIM 5MG TAB (ANC) BISOPROLOL BISOPROLOL BISONIM 10X10 A 2.85 0.03 TAB 30 BLIS ANC AEONIM HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD B 2424 BETA ADRENERGIC BLOCKING AGENTS 2026-04-01 ORAL 6 BETA ADRENERGIC BLOCKING AGENTS
42 2594EJ FOMODIN 40MG TAB (ANC) FAMOTIDINE FAMOTIDINE FOMODIN 10X10 A 4.89 0.05 TAB 30 BLIS ANC AEONIM HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 562812 HISTAMINE RECEPTOR ANTAGONIST 2026-04-01 Add to Contract as Cat A ORAL 6 HISTAMINE RECEPTOR ANTAGONIST 2026-02-11
40 2971G NEO-MERCAZOLE 5MG TAB (ANT/COL) CARBIMAZOLE CARBIMAZOLE NEO-MERCAZOLE 100'S C 16.88 0.17 TABLET 0 TAB ANT CONCORDIA INTERNATIONAL COL COLLINS LTD 683608 ANTI-THYROID AGENTS 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
42 3631BC MPRANIM 10MG TAB (ANC) METOCLOPRAMIDE METOCLOPRAMIDE MPRANIM 500'S A 8.70 0.02 TAB 90 BOTT ANC AEONIM HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 5632 GI PROKINETIC AGENTS 2026-04-01 ORAL 6 GI PROKINETIC AGENTS
42 3961BG VALSONIM 133.2MG|58MG CR TAB (ANC) SODIUM VALPROATE|VALPROIC SODIUM VALPROATE|VALPROIC ACID VALSONIM 100'S A 8.92 0.09 TAB 150 ANC AEONIM HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD B 281292 ANTICONVULSANTS MISCELLANEOUS 2026-04-01 Add to Contract as Cat A ORAL 6 ANTICONVULSANTS MISCELLANEOUS 2026-01-30
42 3963A VALSONIM 199.8MG|87MG CR TAB (ANC) SODIUM VALPROATE|VALPROIC SODIUM VALPROATE|VALPROIC ACID VALSONIM 100'S A 10.52 0.11 TAB 150 ANC AEONIM HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD B 281292 ANTICONVULSANTS MISCELLANEOUS 2026-04-01 Add to Contract as Cat A ORAL 6 ANTICONVULSANTS MISCELLANEOUS 2026-01-30
42 3965G VALSONIM 500MG TAB (ANC) VALPROIC ACID SODIUM VALPROATE|VALPROIC ACID VALSONIM 100'S A 19.03 0.19 TAB 120 BLIS ANC AEONIM HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD B 281292 ANTICONVULSANTS MISCELLANEOUS 2026-04-01 Price Change ORAL 6 ANTICONVULSANTS MISCELLANEOUS 2026-02-05
40 5201FS LIFESTYLES ULTRA THIN (ANS/SBI) CONDOM CONDOM LIFESTYLES ULTRA THIN 3'S C 3.59 1.20 0 EACH ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2022-04-01 2022-06-12 IV 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 5201FS LIFESTYLES ULTRA THIN (ANS/SBI) CONDOM CONDOM LIFESTYLES ULTRA THIN 3'S C 5.77 1.92 0 EACH ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2022-06-14 2024-03-31 Price Change IV 0 HORMONES AND SYNTHETIC SUBSTITUTES 2022-06-13
41 5201FS LIFESTYLES ULTRA THIN (ANS) CONDO CONDOM LIFESTYLES ULTRA THIN 3'S C 2.0116 0.6705 EACH 0 BOX ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2024-04-01 2026-03-31 IV 0 CONDOMS
42 5201FS LIFESTYLES ULTRA THIN (ANS) CONDO CONDOM LIFESTYLES ULTRA THIN 3'S C 2.01 0.67 EACH 0 BOX ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2026-04-01 IV 0 CONDOMS
40 5201FT LIFESTYLES SKYN ORIGINAL (ANS/SBI) CONDOM CONDOM LIFESTYLES SKYN ORIGINAL 3'S C 3.13 1.04 0 EACH ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2022-04-01 IV 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 5201FT LIFESTYLES SKYN ORIGINAL (ANS/SBI) CONDOM CONDOM LIFESTYLES SKYN ORIGINAL 3'S C 5.98 1.99 0 EACH ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2022-06-14 2024-03-31 Price Change IV 0 HORMONES AND SYNTHETIC SUBSTITUTES 2022-06-13
41 5201FT LIFESTYLES SKYN ORIGINAL (ANS) CO CONDOM LIFESTYLES SKYN ORIGINAL 3'S C 5.0289 1.6763 EACH 0 BOX ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2024-04-01 2024-07-22 IV 0 CONDOMS 2024-07-22
41 5201FT LIFESTYLES SKYN ORIGINAL (ANS) CO CONDOM LIFESTYLES SKYN ORIGINAL 3'S C 5.89 1.9633 EACH 0 BOX ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2024-07-23 2026-03-31 IV 0 CONDOMS 2024-07-22
42 5201FT LIFESTYLES SKYN ORIGINAL (ANS) CO CONDOM LIFESTYLES SKYN ORIGINAL 3'S C 5.03 1.68 EACH 0 BOX ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2026-04-01 IV 0 CONDOMS