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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 0011M HISTAL 4MG TAB (CAR/COL) CHLORPHENIRAMINE CHLORPHENIRAMINE HISTAL 1000'S A 29.06 0.03 TABLET 84 TAB CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 0404 FIRST GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
41 0011M HISTAL 4MG TAB (CAR) CHLORPHENIRAMINE CHLORPHENIRAMINE HISTAL 1000'S A 33.44 0.0334 TAB 84 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 0404 FIRST GENERATION ANTIHISTAMINES 2024-04-01 2026-03-31 ORAL 0 FIRST GENERATION ANTIHISTAMINES
42 0011M HISTAL 4MG TAB (CAR) CHLORPHENIRAMINE CHLORPHENIRAMINE HISTAL 1000'S A 33.44 0.03 TAB 84 BOTT CAR CARLISLE LABORATORIES LTD COL AVENTA BARBADOS 0404 FIRST GENERATION ANTIHISTAMINES 2026-04-01 ORAL 0 FIRST GENERATION ANTIHISTAMINES
40 0012AN MEQUILAN 5MG TAB (CAR/COL) MEQUITAZINE MEQUITAZINE MEQUILAN 112'S A 42.41 0.38 TABLET 28 TAB CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
41 0012AN MEQUILAN 5MG TAB (CAR) MEQUITAZINE MEQUITAZINE MEQUILAN 112'S A 42.41 0.3786 TAB 28 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2024-04-01 2026-03-31 ORAL 0 SECOND GENERATION ANTIHISTAMINES
40 0013E HISTAL 0.4MG/ML ELIX (CAR/COL) CHLORPHENIRAMI CHLORPHENIRAMINE HISTAL 2 LITRES A 34.79 0.02 SYRUP 100 ML CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 0404 FIRST GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
41 0013E HISTAL 0.4MG/ML ELIX (CAR) CHLORPHENIRAM CHLORPHENIRAMINE HISTAL 2 LITRES A 46.16 0.0231 ML 100 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 0404 FIRST GENERATION ANTIHISTAMINES 2024-04-01 2026-03-31 ORAL 0 FIRST GENERATION ANTIHISTAMINES
42 0013E HISTAL 0.4MG/ML ELIX (CAR) CHLORPHENIRAM CHLORPHENIRAMINE HISTAL 2 LITRES A 46.16 0.02 ML 100 BOTT CAR CARLISLE LABORATORIES LTD COL AVENTA BARBADOS 0404 FIRST GENERATION ANTIHISTAMINES 2026-04-01 ORAL 0 FIRST GENERATION ANTIHISTAMINES
40 01261 CHLORAMPHENICOL MINIMS 0.5% EYE DR (CAM/STO) CHLORAMPHENICOL CHLORAMPHENICOL MINIMS 20X0.5ML BQ 94.73 4.74 EYE DROP 0 AMP CAM MORNINGSIDE PHARMACEUTICALS STO BRYDEN STOKES LTD 520404 EENT ANTIBACTERIALS 2022-04-01 2024-03-31 Ophthalmic 6 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 01262 CHLORAMPHENICOL 0.5% EYE/EAR DR (CAM) CHLORAMPHENICOL CHLORAMPHENICOL MINIMS 20X0.5ML A 82.53 4.1264 AMPP 1 BOTT CAM MORNINGSIDE PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 5204 EENT ANTI-INFECTIVES 2024-04-01 2026-03-31 OPHTHALMIC 0 EENT ANTI-INFECTIVES
41 0292L CLINDAMYCIN 150MG CAP (CAM) CLINDAMYCIN HCL CLINDAMYCIN 100'S A 32.84 0.3284 CAP 28 BOX CAM MORNINGSIDE PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 08122820 LINCOMYCINS 2024-04-01 2026-03-31 ORAL 0 LINCOMYCINS
42 0362K ETHAMBUTOL 400MG TAB (CAD) ETHAMBUTOL ETHAMBUTOL 100'S A 18.62 0.19 EACH 150 BOX CAD CADILA AHI ARMSTRONG HEALTHCARE INC 081604 ANTITUBERCULOSIS AGENTS 2026-04-01 ORAL 6 ANTITUBERCULOSIS AGENTS
40 0452E SULFATRIM 40MG/ML | 8MG/ML SUSP (CAR/COL) SULFAMETHOXAZOLE | TRIMETHOPRIM SULFAMETHOXAZOLE|TRIMETHOPRIM SULFATRIM 100ML A 5.84 0.06 SUSPENSION 200 ML CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 081220 SULPHONAMIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 0452E SULFATRIM 40MG/ML|8MG/ML SUSP (CAR) SULFAMETHOXAZOLE|TRIMETH SULFAMETHOXAZOLE|TRIMETHOPRIM SULFATRIM 100ML A 6.12 0.0612 ML 200 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 081220 SULPHONAMIDES 2024-04-01 2026-03-31 ORAL 0 SULPHONAMIDES
42 0452E SULFATRIM 40MG/ML|8MG/ML SUSP (CAR) SULFAMETHOXAZOLE|TRIMETH SULFAMETHOXAZOLE|TRIMETHOPRIM SULFATRIM 100ML A 6.12 0.06 ML 200 BOTT CAR CARLISLE LABORATORIES LTD COL AVENTA BARBADOS 081220 SULPHONAMIDES 2026-04-01 ORAL 0 SULPHONAMIDES
41 07123 ATROPINE MINIMS 1% EYE DR (CAM) ATROPINE SULPHATE (B) ATROPINE SULPHATE ATROPINE MINIMS 20X0.5ML B 113.49 5.6745 AMPP 20 BOX CAM MORNINGSIDE PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 5224 EENT MYDRIATICS 2024-04-01 2026-03-31 OPHTHALMIC 6 EENT MYDRIATICS
40 07127 ATROPINE MINIMS 1% EYE DR (CAM/STO) ATROPINE SULPHATE ATROPINE SULPHATE ATROPINE MINIMS 20X0.5ML B 94.73 4.74 EYE DROP 0 AMP CAM MORNINGSIDE PHARMACEUTICALS STO BRYDEN STOKES LTD 5224 EENT MYDRIATICS 2022-04-01 2024-03-31 OPHTHALMIC 0 EYE, EAR, NOSE AND THROAT PREPARATIONS
40 09712 IFA 40MG | 0.04MG SYR (CAR/COL) FERROUS SULPHAT FERROUS SULPHATE|FOLIC ACID IFA 125ML A 8.05 0.06 SYRUP 375 ML CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 200404 IRON PREPARATIONS 2022-04-01 2024-03-31 Oral 6 BLOOD FORMATION, COAGULATION AND THROMBOSIS
41 09712 IFA 40MG|0.04MG SYR (CAR) FERROUS SULPHA FERROUS SULPHATE|FOLIC ACID IFA 125ML A 8.05 0.0644 ML 375 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 200404 IRON PREPARATIONS 2024-04-01 2026-03-31 ORAL 6 IRON PREPARATIONS
42 09712 IFA 40MG|0.04MG SYR (CAR) FERROUS SULPHATE|FOLIC ACID FERROUS SULPHATE|FOLIC ACID IFA 125ML A 8.13 0.07 ML 375 BOTT CAR CARLISLE LABORATORIES LTD COL AVENTA BARBADOS 200404 IRON PREPARATIONS 2026-04-01 ORAL 6 IRON PREPARATIONS