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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 0012EA DESLORA-DENK 5MG TAB (EDK/COL) DESLORATADINE DESLORATADINE DESLORA-DENK 10'S C 3.13 0.31 TABLET 0 TAB EDK DENK PHARMA GMBH & CO. KG. COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
41 0012EA DESLORA-DENK 5MG TAB (EDK) DESLORAT (C) DESLORATADINE DESLORA-DENK 10'S C 2.07 0.2066 TAB 0 BOX EDK DENK PHARMA GMBH & CO. KG. COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2024-04-01 2026-03-31 ORAL 0 SECOND GENERATION ANTIHISTAMINES
40 0013BH DPH ELIXIR 2.5MG/ML SYR (FED/RXP) DIPHENHYDRA DIPHENHYDRAMINE DPH ELIXIR 120ML A 4.08 0.03 SYRUP 120 ML FED FEDERATED PHARMACEUTICAL CO. LT RXP RX PRO INC 0404 FIRST GENERATION ANTIHISTAMINES 2022-04-01 2022-05-11 Delete from contract Oral 6 ANTIHISTAMINICS 2022-05-11
40 0013BL DPH ELIXIR 2.5MG/ML SYR (FED/ATB) DIPHENHYDRA DIPHENHYDRAMINE DPH ELIXIR 120ML A 4.08 0.03 SYRUP 120 ML FED FEDERATED PHARMACEUTICAL CO. LT ATB ANSA TRADING BARBADOS LTD 0404 FIRST GENERATION ANTIHISTAMINES 2022-05-11 2024-03-31 Change Local Agent Oral 6 ANTIHISTAMINICS 2022-05-11
40 1422BC CETAMOL 32MG/ML SYR (FED/RXP) PARACETAMOL PARACETAMOL CETAMOL 120ML A 3.15 0.03 SYRUP 300 ML FED FEDERATED PHARMACEUTICAL CO. LT RXP RX PRO INC 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2022-04-01 2022-05-11 Delete from contract Oral 0 CENTRAL NERVOUS SYSTEM DRUGS 2022-05-11
40 1422BL CETAMOL 32MG/ML SYR (FED/ATB) PARACETAMOL PARACETAMOL CETAMOL 120ML A 3.15 0.03 SYRUP 300 ML FED FEDERATED PHARMACEUTICAL CO. LT ATB ANSA TRADING BARBADOS LTD 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2022-05-11 2024-03-31 Change Local Agent Oral 0 CENTRAL NERVOUS SYSTEM DRUGS 2022-05-11
40 14233 PARA-DENK 125MG SUPPOS (EDK/COL) PARACETAMOL PARACETAMOL PARA-DENK 10'S A 2.99 0.30 SUPPOSITORY 10 SUPP EDK DENK PHARMA GMBH & CO. KG. COL COLLINS LTD 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2022-04-01 2024-03-31 RECTAL 0 CENTRAL NERVOUS SYSTEM DRUGS
41 14233 PARA-DENK 125MG SUPPOS (EDK) PARACETAMOL PARACETAMOL PARA-DENK 10'S A 2.83 0.2827 SUPP 10 BOX EDK DENK PHARMA GMBH & CO. KG. COL COLLINS LTD 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2024-04-01 2026-03-31 RECTAL 0 ANALGESICS AND PYRETICS MISCELLANEOUS
42 14233 PARA-DENK 125MG SUPPOS (EDK) PARACETAMOL PARACETAMOL PARA-DENK 10'S A 2.99 0.30 SUPP 10 BOX EDK DENK PHARMA GMBH & CO. KG. COL AVENTA BARBADOS 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2026-04-01 RECTAL 0 ANALGESICS AND PYRETICS MISCELLANEOUS
42 14237 PARA-DENK 125MG SUPPOS (EDK) PARACETAMOL PARACETAMOL PARA-DENK 2X5 A 2.99 0.30 SUPP 10 BOX EDK DENK PHARMA GMBH & CO. KG. SBI MASSY DISTRIBUTION (BDOS) LTD 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2026-04-01 RECTAL 0 ANALGESICS AND PYRETICS MISCELLANEOUS
40 14241 PARA-DENK 250MG SUPP (EDK/COL) PARACETAMOL PARACETAMOL PARA-DENK 10'S A 2.99 0.30 SUPPOSITORY 10 SUPP EDK DENK PHARMA GMBH & CO. KG. COL COLLINS LTD 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2022-04-01 2024-03-31 RECTAL 0 CENTRAL NERVOUS SYSTEM DRUGS
41 14241 PARA-DENK 250MG SUPP (EDK) PARACETAMOL PARACETAMOL PARA-DENK 10'S A 3.1 0.3099 SUPP 10 BOX EDK DENK PHARMA GMBH & CO. KG. COL COLLINS LTD 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2024-04-01 2026-03-31 RECTAL 0 ANALGESICS AND PYRETICS MISCELLANEOUS
42 14241 PARA-DENK 250MG SUPP (EDK) PARACETAMOL PARACETAMOL PARA-DENK 10'S A 3.26 0.33 SUPP 10 BOX EDK DENK PHARMA GMBH & CO. KG. COL AVENTA BARBADOS 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2026-04-01 RECTAL 0 ANALGESICS AND PYRETICS MISCELLANEOUS
42 14245 PARA-DENK 250MG SUPPOS (EDK) PARACETAMOL PARACETAMOL PARA-DENK 2X5 A 3.26 0.33 SUPP 10 BOX EDK DENK PHARMA GMBH & CO. KG. SBI MASSY DISTRIBUTION (BDOS) LTD 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2026-04-01 2028-03-31 RECTAL 0 ANALGESICS AND PYRETICS MISCELLANEOUS
40 1431AZ TRAMADOL-DENK EFFERV 50MG TAB (EDK/COL) TRAMA TRAMADOL TRAMADOL-DENK EFFERV 10'S C 8.70 0.87 TABLET 0 TAB EDK DENK PHARMA GMBH & CO. KG. COL COLLINS LTD 280808 OPIATE AGONISTS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
42 1431AZ TRAMADOL-DENK EFFERV 50MG DISP TAB (EDK) TRAMADOL TRAMADOL-DENK EFFERV 10'S C 8.70 0.87 TABDISP 0 BLIS EDK DENK PHARMA GMBH & CO. KG. COL AVENTA BARBADOS 280808 OPIATE AGONISTS 2026-04-01 ORAL 0 OPIATE AGONISTS
40 1431BU TRAMADOL-DENK RETARD 100MG TAB (EDK/COL) TRAM TRAMADOL TRAMADOL-DENK RETARD 30'S A 12.23 0.41 TABLET 28 TAB EDK DENK PHARMA GMBH & CO. KG. COL COLLINS LTD 280808 OPIATE AGONISTS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
42 1431BZ TRAMADOL DENK 50MG DISP TAB (EDK) TRAMADOL TRAMADOL DENK 10'S C 8.70 0.87 TABDISP 0 TUBE EDK DENK PHARMA GMBH & CO. KG. SBI MASSY DISTRIBUTION (BDOS) LTD 280808 OPIATE AGONISTS 2026-04-01 ORAL 0 OPIATE AGONISTS
40 1432AU TRAMADOL DENK 50MG/ML INJ (EDK/COL) TRAMADOL TRAMADOL TRAMADOL DENK 5X2ML B 10.74 2.15 INJECTION 0 AMP EDK DENK PHARMA GMBH & CO. KG. COL COLLINS LTD 280808 OPIATE AGONISTS 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
42 1432AU TRAMADOL DENK 50MG/ML INJ (EDK) TRA TRAMADOL TRAMADOL DENK 5X2ML B 9.51 1.90 AMPG 30 BOX EDK DENK PHARMA GMBH & CO. KG. COL AVENTA BARBADOS 280808 OPIATE AGONISTS 2026-04-01 IV 6 OPIATE AGONISTS