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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 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 15024 BARBIFED 30MG TAB (FED/RXP) PHENOBARBITONE PHENOBARBITONE BARBIFED 500'S A 22.75 0.05 TABLET 180 TAB FED FEDERATED PHARMACEUTICAL CO. LT RXP RX PRO INC B 281204 BARBITURATES (ANTICONVULSANTS) 2022-04-01 2022-05-11 Delete from contract Oral 6 CENTRAL NERVOUS SYSTEM DRUGS 2022-05-11
40 15029 BARBIFED 30MG TAB (FED/ATB) PHENOBARBITONE PHENOBARBITONE BARBIFED 500'S A 22.75 0.05 TABLET 180 TAB FED FEDERATED PHARMACEUTICAL CO. LT ATB ANSA TRADING BARBADOS LTD B 281204 BARBITURATES (ANTICONVULSANTS) 2022-05-11 2024-03-31 Change Local Agent Oral 6 CENTRAL NERVOUS SYSTEM DRUGS 2022-05-11
41 15029 BARBIFED 30MG TAB (FED) PHENOBARBITONE PHENOBARBITONE BARBIFED 500'S A 24.85 0.0497 TAB 180 BOTT FED FEDERATED PHARMACEUTICAL CO. LT ATB ANSA TRADING BARBADOS LTD B 9244 IMMUNOSUPPRESSIVE AGENTS 2024-04-01 2026-03-31 ORAL 6 IMMUNOSUPPRESSIVE AGENTS
40 3051M DURATOCIN 100MCG/ML INJ (FER/STO) CARBETOCIN CARBETOCIN DURATOCIN 5X1ML BQ 259.25 51.85 INJECTION 0 AMP FER FERRING PHARMACEUTICALS LTD STO BRYDEN STOKES LTD 7600 OXYTOCICS 2022-04-01 2024-03-31 IV 0 OXYTOCICS
41 3051M DURATOCIN 100MCG/ML INJ (FER) CARBETOCIN (BQ) CARBETOCIN DURATOCIN 5X1ML BQ 273.41 54.6818 AMP 50 BOX FER FERRING PHARMACEUTICALS LTD STO BRYDEN STOKES LTD 7600 OXYTOCICS 2024-04-01 2026-03-31 IV 0 OXYTOCICS
42 3051M DURATOCIN 100MCG/ML INJ (FER) CARBETOCIN CARBETOCIN DURATOCIN 5X1ML BQ 306.46 61.29 AMPG 50 BOX FER FERRING PHARMACEUTICALS LTD STO BRYDEN STOKES LTD 7600 OXYTOCICS 2026-04-01 IV 0 OXYTOCICS
40 48638 MINIRIN 4MCG/ML INJ (FER/STO) DESMOPRESSIN DESMOPRESSIN MINIRIN 10X1ML BQ 171.34 17.13 INJECTION 0 AMP FER FERRING PHARMACEUTICALS LTD STO BRYDEN STOKES LTD 6828 PITUITARY 2022-04-01 2024-03-31 IV 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 48638 MINIRIN 4MCG/ML INJ (FER) DESMOPRESSIN DESMOPRESSIN MINIRIN 10X1ML BQ 186.83 18.683 AMP 0 BOX FER FERRING PHARMACEUTICALS LTD STO BRYDEN STOKES LTD 6828 PITUITARY 2024-04-01 2026-03-31 IV 0 PITUITARY
42 48638 MINIRIN 4MCG/ML INJ (FER) DESMOPRESSIN DESMOPRESSIN MINIRIN 10X1ML BQ 209.50 20.95 AMPG 0 BOX FER FERRING PHARMACEUTICALS LTD STO BRYDEN STOKES LTD 6828 PITUITARY 2026-04-01 IV 0 PITUITARY
40 4864B MINIRIN MELT 120MCG WAFER (FER/STO) DESMOPRES DESMOPRESSIN MINIRIN MELT 30'S B 116.45 3.88 WAFER 0 WAF FER FERRING PHARMACEUTICALS LTD STO BRYDEN STOKES LTD 6828 PITUITARY 2022-04-01 2024-03-31 Oral 6 HORMONES AND SYNTHETIC SUBSTITUTES
41 4864B MINIRIN MELT 120MCG WAFER (FER) DESMOPRE (BQ) DESMOPRESSIN MINIRIN MELT 30'S BQ 123.47 4.1155 WAF 30 BOX FER FERRING PHARMACEUTICALS LTD STO BRYDEN STOKES LTD 6828 PITUITARY 2024-04-01 2026-03-31 ORAL 6 PITUITARY
42 4864B MINIRIN MELT 120MCG WAFER (FER) DESMOPRE DESMOPRESSIN MINIRIN MELT 30'S BQ 138.47 4.62 WAF 30 BOX FER FERRING PHARMACEUTICALS LTD STO BRYDEN STOKES LTD 6828 PITUITARY 2026-04-01 ORAL 0 PITUITARY
40 50512 HYDROGEN PEROXIDE 6% (FED/ATB) HYDROGEN PEROXIDE HYDROGEN PEROXIDE 150ML B 2.58 0.02 SOLUTION 0 ML FED FEDERATED PHARMACEUTICAL CO. LT ATB ANSA TRADING BARBADOS LTD 5228 MOUTH WASHES AND GARGLES 2022-05-11 2024-03-31 Change Local Agent TOPICAL 0 EYE, EAR, NOSE AND THROAT PREPARATIONS 2022-05-11
40 50514 HYDROGEN PEROXIDE 6% (FED/RXP) HYDROGEN PEROXIDE HYDROGEN PEROXIDE 150ML B 2.58 0.02 SOLUTION 0 ML FED FEDERATED PHARMACEUTICAL CO. LT RXP RX PRO INC 5228 MOUTH WASHES AND GARGLES 2022-04-01 2022-05-11 Delete from contract TOPICAL 0 EYE, EAR, NOSE AND THROAT PREPARATIONS 2022-05-11
40 5172T LEVAM 8MG/ML SYR (FED/ATB) LEVAMISOLE LEVAM 30ML C 3.15 0.11 SYRUP 0 ML FED FEDERATED PHARMACEUTICAL CO. LT ATB ANSA TRADING BARBADOS LTD 0808 ANTHELMINTICS 2022-04-01 2022-05-11 Delete from contract Oral 0 ANTI-INFECTIVE AGENTS 2022-05-11
40 5172T LEVAM 8MG/ML SYR (FED/ATB) LEVAMISOLE LEVAM 30ML C 3.15 0.11 SYRUP 0 ML FED FEDERATED PHARMACEUTICAL CO. LT ATB ANSA TRADING BARBADOS LTD 0808 ANTHELMINTICS 2022-05-11 2024-03-31 Change Local Agent Oral 0 ANTI-INFECTIVE AGENTS 2022-05-11