Displaying 1 - 20 of 152
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
41 0012FP LORATADINE 10MG TAB (MCP) LORATADINE LORATADINE 10X10 A 6.9 0.069 TAB 14 BOX MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2024-04-01 2024-12-27 OTIC 0 SECOND GENERATION ANTIHISTAMINES
41 0012FP LORATADINE 10MG TAB (MCP) LORATADINE LORATADINE 10X10 A 7.85 0.0785 TAB 14 BOX MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2024-12-28 2026-03-31 OTIC 0 SECOND GENERATION ANTIHISTAMINES 2024-12-27
41 0141HN AZITHROMYCIN 500MG TAB (MCP) AZITHROMYCIN AZITHROMYCIN 30'S A 11.47 0.3824 TAB 7 BOX MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 08121292 OTHER MACROLIDES 2024-04-01 2024-05-15 ORAL 0 OTHER MACROLIDES 2024-04-03
41 0141HQ AZITHROMYCIN 500MG TAB (MCP) AZITHROMYCIN AZITHROMYCIN 3'S A 1.17 0.39 TAB 7 BOX MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 08121292 OTHER MACROLIDES 2024-04-02 2026-03-31 ORAL 0 OTHER MACROLIDES 2024-04-02
42 0141HQ AZITHROMYCIN 500MG TAB (MCP) AZITHROMYCIN AZITHROMYCIN 3'S A 1.30 0.43 TAB 10 BLIS MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 08121292 OTHER MACROLIDES 2026-04-01 ORAL 0 OTHER MACROLIDES
40 0152BQ AMOXICILLIN 25MG/ML SUSP (MCP/AHI) AMOXICILLIN AMOXICILLIN 100ML A 1.79 0.02 SUSPENSION 300 ML MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 081216 PENICILLINS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 0152BQ AMOXICILLIN 25MG/ML SUSP (MCP) AMOXICILLIN AMOXICILLIN 100ML A 1.79 0.0179 ML 300 BOTT MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 081216 PENICILLINS 2024-04-01 2024-12-27 ORAL 0 PENICILLINS
41 0152BQ AMOXICILLIN 25MG/ML SUSP (MCP) AMOXICILLIN AMOXICILLIN 100ML A 2.04 0.0204 ML 300 BOTT MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 081216 PENICILLINS 2024-12-28 2026-03-31 ORAL 0 PENICILLINS 2024-12-27
41 0153DH AMOXICILLIN 500MG TAB (MCP) AMOXICILLIN AMOXICILLIN 10X10 A 10.03 0.1003 CAP 28 BOX MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 0812 ANTIBACTERIALS 2024-04-01 2024-12-27 ORAL 0 ANTIBACTERIALS 2023-10-30
41 0153DH AMOXICILLIN 500MG TAB (MCP) AMOXICILLIN AMOXICILLIN 10X10 A 11.4 0.114 CAP 28 BOX MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 0812 ANTIBACTERIALS 2024-12-28 2026-03-31 ORAL 0 ANTIBACTERIALS 2024-12-27
40 0155AG AMOXICILLIN 50MG/ML SUSP (MCP/AHI) AMOXICILLIN AMOXICILLIN 100ML A 1.93 0.02 SUSPENSION 200 ML MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 081216 PENICILLINS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 0155AG AMOXICILLIN 50MG/ML SUSP (MCP) AMOXICILLIN AMOXICILLIN 100ML A 2.01 0.0201 ML 200 BOTT MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 081216 PENICILLINS 2024-04-01 2026-03-31 ORAL 0 PENICILLINS
41 0212BM MEROPENEM 1G INJ (MCP) (BQ) MEROPENEM MEROPENEM 1G VIAL BQ 10.57 10.5743 VIAL 42 VIAL MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 08120708 CARBAPENEMS 2024-04-01 2026-03-31 IV/IM 2 CARBAPENEMS
40 03628 ETHAMBUTOL 400MG TAB (MCP/AHI) ETHAMBUTOL ETHAMBUTOL 10X10 A 12.42 0.12 TABLET 150 TAB MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 081604 ANTITUBERCULOSIS AGENTS 2022-04-01 2024-03-31 Oral 6 ANTI-INFECTIVE AGENTS
41 03628 ETHAMBUTOL 400MG TAB (MCP) ETHAMBUTOL ETHAMBUTOL 10X10 A 18.62 0.1862 TAB 150 BOX MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 0816 ANTIMYCOBACTERIALS 2024-04-01 2026-03-31 ORAL 6 ANTIMYCOBACTERIALS
40 0372B ISONIAZID 300MG TAB (MCP/AHI) ISONIAZID ISONIAZID 10X10 A 8.37 0.08 TABLET 30 TAB MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 081604 ANTITUBERCULOSIS AGENTS 2022-04-01 2024-03-31 Oral 6 ANTI-INFECTIVE AGENTS
41 0372B ISONIAZID 300MG TAB (MCP) ISONIAZID ISONIAZID 10X10 A 9.24 0.0924 TAB 30 BOX MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 0816 ANTIMYCOBACTERIALS 2024-04-01 2026-03-31 ORAL 6 ANTIMYCOBACTERIALS
40 0373E ISONIAZID 100MG TAB (MCP/AHI) ISONIAZID ISONIAZID 10X10 A 5.55 0.06 TABLET 30 TAB MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 081604 ANTITUBERCULOSIS AGENTS 2022-04-01 2024-03-31 Oral 6 ANTI-INFECTIVE AGENTS
41 0373E ISONIAZID 100MG TAB (MCP) ISONIAZID ISONIAZID 10X10 A 6.25 0.0625 TAB 30 BOX MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 0816 ANTIMYCOBACTERIALS 2024-04-01 2026-03-31 ORAL 6 ANTIMYCOBACTERIALS
40 0381Q RIFAMPICIN 300MG CAP (MCP/AHI) RIFAMPICIN RIFAMPICIN 10X10 A 68.96 0.69 CAPSULE 60 CAP MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 081604 ANTITUBERCULOSIS AGENTS 2022-04-01 2024-03-31 Oral 6 ANTI-INFECTIVE AGENTS