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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
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
42 1421BA ACETA 500MG TAB (BEX) PARACETAMOL PARACETAMOL ACETA 20X10 A 5.79 0.03 TAB 180 BLIS BEX BEXIMCO PHARMACEUTICALS LTD RXP RX PRO INC 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2026-04-01 ORAL 6 ANALGESICS AND PYRETICS MISCELLANEOUS
40 1421CM NAPA 500MG TAB (BEX/AHI) PARACETAMOL PARACETAMOL NAPA 500'S A 14.43 0.03 TABLET 180 TAB BEX BEXIMCO PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
41 1421CM NAPA 500MG TAB (BEX) PARACETAMOL PARACETAMOL NAPA 510'S A 17.32 0.0346 TAB 180 BOX BEX BEXIMCO PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANALGESICS AND PYRETICS MISCELLANEOUS 2023-10-27
41 2641CM BECLOVAIRE 50MCG INHR (BEX) BECLOMETHASONE BECLOMETHASONE BECLOVAIRE 200 DOSES A 6.63 6.6327 INHR 1 BOX BEX BEXIMCO PHARMACEUTICALS LTD RXP RX PRO INC B 8600 SMOOTH MUSCLE RELAXANTS 2024-04-01 2026-03-31 ORAL 6 SMOOTH MUSCLE RELAXANTS
42 2641CM BECLOVAIRE 50MCG INHR (BEX) BECLOMETHASONE BECLOMETHASONE BECLOVAIRE 200 DOSES A 6.63 6.63 INHR 1 BOX BEX BEXIMCO PHARMACEUTICALS LTD RXP RX PRO INC B 8600 SMOOTH MUSCLE RELAXANTS 2026-04-01 ORAL INHALATION 6 SMOOTH MUSCLE RELAXANTS
41 2841FX METFORMIN 500MG XR TAB (BEX) METFORMIN XR METFORMIN 10X10 A 7.48 0.0748 TABXR 120 BOX BEX BEXIMCO PHARMACEUTICALS LTD RXP RX PRO INC B 682004 BIGUANIDES 2024-04-01 2026-03-31 ORAL 6 BIGUANIDES
40 43519 BOTTLE, GLASS RX, 30ML AMBER EACH (BEA/COL) BOTTLES BOTTLE, GLASS RX, 30ML AMBER 130'S B 43.38 0.33 0 EACH BEA BEATSON CLARKE & CO. LTD., COL COLLINS LTD 9400 MEDICAL DEVICES 2022-04-01 2024-03-31 0 MEDICAL DEVICES
42 4351E BOTTLE, GLASS RX, 30ML AMBER 30ML (BEA) BOTTLES BOTTLES BOTTLE, GLASS RX, 30ML AMBER 110'S B 39.42 0.36 EACH 0 BOX BEA BEATSON CLARKE & CO. LTD., COL AVENTA BARBADOS 9400 MEDICAL DEVICES 2026-04-01 0 MEDICAL DEVICES
40 43528 BOTTLE, GLASS RX, 60ML AMBER EACH (BEA/COL) BOTTLES BOTTLE, GLASS RX, 60ML AMBER 132'S B 52.60 0.40 0 EACH BEA BEATSON CLARKE & CO. LTD., COL COLLINS LTD 9400 MEDICAL DEVICES 2022-04-01 2024-03-31 Price Change 0 MEDICAL DEVICES 2022-05-09
41 43528 BOTTLE, GLASS RX, 60ML AMBER EACH (BEA) BOTTLES BOTTLE, GLASS RX, 60ML AMBER 132'S B 52.6 0.3985 EACH 4 BOX BEA BEATSON CLARKE & CO. LTD., COL COLLINS LTD 9400 MEDICAL DEVICES 2024-04-01 2025-01-28 0 MEDICAL DEVICES 2024-12-17
41 4352A BOTTLE, GLASS RX, 60ML AMBER (BEA) BOTTLES BOTTLES BOTTLE, GLASS RX, 60ML AMBER 81'S B 32.28 0.3985 EACH 4 BOX BEA BEATSON CLARKE & CO. LTD., COL COLLINS LTD 9400 MEDICAL DEVICES 2024-12-17 2026-03-31 MEDICAL DEVICES 2024-12-17
42 4352A BOTTLE, GLASS RX, 60ML AMBER (BEA) BOTTLES BOTTLES BOTTLE, GLASS RX, 60ML AMBER 81'S B 32.29 0.40 EACH 0 BOX BEA BEATSON CLARKE & CO. LTD., COL AVENTA BARBADOS 9400 MEDICAL DEVICES 2026-04-01 0 MEDICAL DEVICES
40 43536 BOTTLE, GLASS RX, 100ML FLAT (BEA/COL) BOT BOTTLES BOTTLE, GLASS RX, 100ML FLAT 90'S B 87.45 0.97 0 EACH BEA BEATSON CLARKE & CO. LTD., COL COLLINS LTD 9400 MEDICAL DEVICES 2022-04-01 2024-03-31 Price Change 0 MEDICAL DEVICES 2022-05-09
41 43536 BOTTLE, GLASS RX, 100ML FLAT (BEA) BOTTLES BOTTLE, GLASS RX, 100ML FLAT 90'S B 75.46 0.8385 EACH 4 BOX BEA BEATSON CLARKE & CO. LTD., COL COLLINS LTD 9400 MEDICAL DEVICES 2024-04-01 2026-03-31 0 MEDICAL DEVICES
42 43536 BOTTLE, GLASS RX, 100ML FLAT (BEA) BOTTLES BOTTLE, GLASS RX, 100ML FLAT 90'S B 95.14 1.06 EACH 4 BOX BEA BEATSON CLARKE & CO. LTD., COL AVENTA BARBADOS 9400 MEDICAL DEVICES 2026-04-01 0 MEDICAL DEVICES
40 43539 BOTTLE, GLASS RX, 100ML AMBER (BEA/COL) BOT BOTTLES BOTTLE, GLASS RX, 100ML AMBER 104'S B 42.76 0.41 0 EACH BEA BEATSON CLARKE & CO. LTD., COL COLLINS LTD 9400 MEDICAL DEVICES 2022-04-01 2024-03-31 0 MEDICAL DEVICES
40 43544 BOTTLE, GLASS RX, 200ML AMBER (BEA/COL) BOT BOTTLES BOTTLE, GLASS RX, 200ML AMBER 67'S B 37.68 0.56 0 EACH BEA BEATSON CLARKE & CO. LTD., COL COLLINS LTD 9400 MEDICAL DEVICES 2022-04-01 2024-03-31 0 MEDICAL DEVICES
40 43545 BOTTLE, GLASS RX, 200ML FLAT (BEA/COL) BOTT BOTTLES BOTTLE, GLASS RX, 200ML FLAT 56'S B 37.78 0.67 0 EACH BEA BEATSON CLARKE & CO. LTD., COL COLLINS LTD 9400 MEDICAL DEVICES 2022-04-01 2024-03-31 0 MEDICAL DEVICES