Displaying 1 - 20 of 111
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 0013AZ LEVOCETIRIZINE 2.5MG/ML SYR (CIR/AHI) LEVOCETIRIZINE LEVOCETIRIZINE 60ML C 5.71 0.10 SYRUP 0 ML CIR CIRON PHARMA AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0124R CHLORAMPHENICOL 0.5% EYE DR (CIR/AHI) CHLORAMPHENICOL CHLORAMPHENICOL 10ML A 1.90 1.90 EYE DROP 1 BOTT CIR CIRON PHARMA AHI ARMSTRONG HEALTHCARE INC 520404 EENT ANTIBACTERIALS 2022-04-01 2024-03-31 OPHTHALMIC 0 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 0124R CHLORAMPHENICOL 0.5% EYE DR (CIR) CHLORAMPHENICOL CHLORAMPHENICOL 10ML A 2.07 2.0659 BOTT 1 BOTT CIR CIRON PHARMA AHI ARMSTRONG HEALTHCARE INC 520404 EENT ANTIBACTERIALS 2024-04-01 2026-03-31 OPHTHALMIC 0 EENT ANTIBACTERIALS
42 0452AT CO-TRIMOXAZOLE 40MG/ML|8MG/ML SUSP (CIR) SULFAMETHOXAZOLE|TR SULFAMETHOXAZOLE|TRIMETHOPRIM CO-TRIMOXAZOLE 100ML A 4.89 0.05 ML 200 BOTT CIR CIRON PHARMA CWS CAPSULE WHOLESALE 081220 SULPHONAMIDES 2026-04-01 ORAL 0 SULPHONAMIDES
40 05415 BLEOMYCIN SULPHATE 15MG INJ (CIP/AHI) BLEOMYCIN SULPHATE BLEOMYCIN SULPHATE 15MG VIAL BQ 44.85 44.85 INJECTION 0 VIAL CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 0742X BENZTROPINE 1MG/ML INJ (CIR/AHI) BENZTROPINE BENZTROPINE 2ML B 5.11 5.11 INJECTION 0 AMP CIR CIRON PHARMA AHI ARMSTRONG HEALTHCARE INC 283608 ANTICHOLINERGIC AGENTS (PARKINSONS) 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
40 0884AJ ASTHALIN 5MG/ML RESP SOL (CIP/AHI) SALBUTAMOL SALBUTAMOL ASTHALIN 15ML A 2.91 2.91 RESPIRATORY 20 BOTT CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2022-04-01 2024-03-31 INHALATION 6 RESPIRATORY TRACT AGENTS
41 0884AJ ASTHALIN 5MG/ML RESP SOL (CIP) SALBUTAMOL SALBUTAMOL ASTHALIN 15ML A 1.96 1.9572 BOTT 20 BOTT CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2024-04-01 2026-03-31 INHALATION 6 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRA
42 0884AJ ASTHALIN 5MG/ML RESP SOL (CIP) SALBUTAMOL SALBUTAMOL ASTHALIN 15ML A 2.07 2.07 BOTT 20 BOTT CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2026-04-01 INHALATION 6 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRA
40 0884BL IPRAVENT 0.25MG/ML RESP SOL (CIP/AHI) IPRATRO IPRATROPIUM BROMIDE IPRAVENT 20X2ML A 32.70 1.64 RESPIRATORY 1 AMP CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC B 481208 ANTICHOLINERGIC AGENTS (RESPIRATORY) 2022-04-01 2024-03-31 Nasal 6 RESPIRATORY TRACT AGENTS
40 0884BT IPRAVENT 0.25MG/ML RESP SOL (CIP/AHI) IPRATRO IPRATROPIUM BROMIDE IPRAVENT 15ML A 1.82 1.82 RESPIRATORY 1 BOTT CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC B 481208 ANTICHOLINERGIC AGENTS (RESPIRATORY) 2022-04-01 2024-03-31 Nasal 6 RESPIRATORY TRACT AGENTS
41 0884BT IPRAVENT 0.25MG/ML RESP SOL (CIP) IPRATROPIUM IPRATROPIUM IPRAVENT 15ML A 6.5 6.4968 BOTT 1 BOTT CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC B 481208 ANTICHOLINERGIC AGENTS (RESPIRATORY) 2024-04-01 2026-03-31 NASAL 6 ANTICHOLINERGIC AGENTS (RESPIRATORY)
42 09122 IPRAVENT 0.25MG/ML RESP SOL (CIP) IPRATROPIUM IPRATROPIUM IPRAVENT 15ML A 3.23 3.23 BOTT 1 BOTT CIP CIPLA LTD ARMSTRONG HEALTHCARE INC B 481208 ANTICHOLINERGIC AGENTS (RESPIRATORY) 2026-04-01 ORAL INHALATION 6 ANTICHOLINERGIC AGENTS (RESPIRATORY)
41 09415 PANCURONIUM BROMIDE 2MG/ML INJ (CIR (B) PANCURONIUM BROMIDE PANCURONIUM BROMIDE 10X2ML B 52.3 5.2301 AMP 0 BOX CIR CIRON PHARMA AHI ARMSTRONG HEALTHCARE INC 122020 NEUROMUSCULAR BLOCKING AGENTS 2024-04-01 2026-03-31 IV 0 NEUROMUSCULAR BLOCKING AGENTS
41 1133FS ATORVASTATIN 40MG TAB (CIR) ATORVASTATIN ATORVASTATIN 30'S A 2.01 0.0671 TAB 60 BOTT CIR CIRON PHARMA AHI ARMSTRONG HEALTHCARE INC 240608 HMG-CoA REDUCTASE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
40 11529 GEMFIBROZIL 600MG TAB (CIP/AHI) GEMFIBROZIL GEMFIBROZIL 60'S B 40.86 0.68 TABLET 60 TAB CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 240606 FIBRIC ACID DERIVATIVES 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
41 11529 GEMFIBROZIL 600MG TAB (CIP) GEMFIBROZIL GEMFIBROZIL 60'S B 40.86 0.6809 TAB 60 BOX CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 240606 FIBRIC ACID DERIVATIVES 2024-04-01 2026-03-31 ORAL 6 FIBRIC ACID DERIVATIVES
42 11529 GEMFIBROZIL 600MG TAB (CIP) GEMFIBROZIL GEMFIBROZIL 60'S C 40.91 0.68 TAB 60 BLIS CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 240606 FIBRIC ACID DERIVATIVES 2026-04-01 ORAL 6 FIBRIC ACID DERIVATIVES
40 1181EV CILENOL 2.5MG TAB (CIR/AHI) BISOPROLOL BISOPROLOL CILENOL 30'S A 2.75 0.09 TABLET 30 TAB CIR CIRON PHARMA AHI ARMSTRONG HEALTHCARE INC B 2424 BETA ADRENERGIC BLOCKING AGENTS 2022-04-01 2022-09-30 Oral 6 CARDIOVASCULAR DRUGS 2022-03-29
40 1182EQ CILENOL 5MG TAB (CIR/AHI) BISOPROLOL BISOPROLOL CILENOL 30'S A 4.24 0.14 TABLET 30 TAB CIR CIRON PHARMA AHI ARMSTRONG HEALTHCARE INC B 2424 BETA ADRENERGIC BLOCKING AGENTS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS