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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 1941B MULTISTIX 10SG STRP (BYC/AHI) DIAGNOSTIC URINE DIAGNOSTIC URINE MULTISTIX 10SG 100'S C 62.52 62.52 STRIP 0 BOTT BYC BAYER S.A AHI ARMSTRONG HEALTHCARE INC 3688 URINE CONTENTS 2022-04-01 2024-03-31 0 DIAGNOSTIC AGENTS
41 1941B MULTISTIX 10SG STRP (BYC) DIAGNOSTIC URINE (C) DIAGNOSTIC URINE MULTISTIX 10SG 100'S C 62.52 62.5215 BOTT 0 BOTT BYC Siemens Medcal Solutions AHI ARMSTRONG HEALTHCARE INC 3688 URINE CONTENTS 2024-04-01 2026-03-31 0 URINE CONTENTS
40 35462 PEDIA POLY-VITE DROPS (BYP/PHA) MULTIVITAMINS PAEDIATRIC MULTIVITAMINS PAEDIATRIC PEDIA POLY-VITE 50ML A 10.79 10.79 DROPS 1 BOTT BYP BAYSHORE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 8828 MULTIVITAMIN PREPARATIONS 2022-04-01 2024-03-31 Oral 6 VITAMINS
41 35462 PEDIA POLY-VITE DROPS (BYP) MULTIVITAMINS PAEDIATRIC MULTIVITAMINS PAEDIATRIC PEDIA POLY-VITE 50ML A 11.66 11.6616 BOTT 1 BOTT BYP BAYSHORE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 8828 MULTIVITAMIN PREPARATIONS 2024-04-01 2026-03-31 ORAL 6 MULTIVITAMIN PREPARATIONS
40 35463 PEDIA POLY-VITE W | IRON DROPS (BYP/PHA) MULTIVITAMINS PAEDIATRIC WITH IRON MULTIVITAMINS PAEDIATRIC WITH IRON PEDIA POLY-VITE W|IRON 50ML A 10.79 10.79 DROPS 1 BOTT BYP BAYSHORE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 8828 MULTIVITAMIN PREPARATIONS 2022-04-01 2024-03-31 Oral 6 VITAMINS
41 35463 PEDIA POLY-VITE W|IRON DROPS (BYP) MULTIVITAMINS PAEDIATRIC MULTIVITAMINS PAEDIATRIC WITH IRON PEDIA POLY-VITE W|IRON 50ML A 11.66 11.66 BOTT 1 BOTT BYP BAYSHORE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 8828 MULTIVITAMIN PREPARATIONS 2024-04-01 2026-03-31 ORAL 6 MULTIVITAMIN PREPARATIONS 2023-09-12
40 3701AP BAYER NEXT EZ GLUC (BYC/AHI) DIAGNOSTIC BLOO DIAGNOSTIC BLOOD GLUCOSE BAYER NEXT EZ 50'S A 40.23 40.23 GLUCOSE STRI 1 PACK BYC BAYER S.A AHI ARMSTRONG HEALTHCARE INC B 3626 DIABETES MELLITUS 2022-04-01 2024-03-31 6 DIAGNOSTIC AGENTS
41 3701AP CONTOUR NEXT GLUC (BYC) DIAGNOSTIC BLOOD GLUCOSE DIAGNOSTIC BLOOD GLUCOSE CONTOUR NEXT 50'S A 40.23 40.2312 PACK 1 BOX BYC Siemens Medcal Solutions AHI ARMSTRONG HEALTHCARE INC B 3626 DIABETES MELLITUS 2024-04-01 2026-03-31 6 DIABETES MELLITUS
42 3701AP CONTOUR NEXT GLUC (BYC) DIAGNOSTIC BLOOD GLUCOSE DIAGNOSTIC BLOOD GLUCOSE CONTOUR NEXT 50'S A 41.64 41.64 PACK 1 BOX BYC ASCENSIA DIABETES CARE AHI ARMSTRONG HEALTHCARE INC B 3626 DIABETES MELLITUS 2026-04-01 6 DIABETES MELLITUS