Displaying 1 - 20 of 80
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 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 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 1131FZ XTOR 10MG TAB (IPC) ATORVASTATIN ATORVASTATIN XTOR 100'S A 3.97 0.0397 TAB 30 BOX IPC IPCA Laboratories Ltd. ATB ANSA TRADING BARBADOS LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
41 1132HM XTOR 20MG TAB (IPC) ATORVASTATIN ATORVASTATIN XTOR 100'S A 4.68 0.0468 TAB 30 BOX IPC IPCA Laboratories Ltd. ATB ANSA TRADING BARBADOS LTD 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
42 1181FX BISOPROLOL 2.5MG TAB (IPC) BISOPROLOL BISOPROLOL 28'S A 1.03 0.04 TAB 30 BLIS IPC IPCA Laboratories Ltd. CWS CAPSULE WHOLESALE B 2424 BETA ADRENERGIC BLOCKING AGENTS 2026-04-01 ORAL 6 BETA ADRENERGIC BLOCKING AGENTS
42 1182FP BISOPROLOL 5MG TAB (IPC) BISOPROLOL BISOPROLOL 28'S A 1.03 0.04 TAB 30 BLIS IPC IPCA Laboratories Ltd. CWS CAPSULE WHOLESALE B 2424 BETA ADRENERGIC BLOCKING AGENTS 2026-04-01 ORAL 6 BETA ADRENERGIC BLOCKING AGENTS
40 1183G METOPROLOL 1MG/ML INJ (CIP/AHI) METOPROLOL METOPROLOL 5X5ML BQ 13.21 2.64 INJECTION 0 VIAL CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 2424 BETA ADRENERGIC BLOCKING AGENTS 2022-04-01 2024-03-31 IV 0 CARDIOVASCULAR DRUGS
41 1183G METOLAR 1MG/ML INJ (CIP) METOPROLOL METOPROLOL METOLAR 5X5ML BQ 13.21 2.6422 VIAL 0 BOX CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 2424 BETA ADRENERGIC BLOCKING AGENTS 2024-04-01 2026-03-31 IV 0 BETA ADRENERGIC BLOCKING AGENTS
42 1184AA BISOPROLOL 10MG TAB (IPC) BISOPROLOL BISOPROLOL 28'S A 1.60 0.06 TAB 30 BLIS IPC IPCA Laboratories Ltd. CWS CAPSULE WHOLESALE B 2424 BETA ADRENERGIC BLOCKING AGENTS 2026-04-01 ORAL 6 BETA ADRENERGIC BLOCKING AGENTS
41 1421BF PACIMOL 500MG TAB (IPC) PARACETAMOL PARACETAMOL PACIMOL 100'S A 3.51 0.0351 TAB 180 BOX IPC IPCA Laboratories Ltd. ATB ANSA TRADING BARBADOS LTD 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANALGESICS AND PYRETICS MISCELLANEOUS
42 1652B HYDROXYZINE 10MG TAB (IPC) HYDROXYZINE HYDROXYZINE 84'S A 10.93 0.13 TAB 90 BLIS IPC IPCA Laboratories Ltd. CWS CAPSULE WHOLESALE 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2026-04-01 ORAL 6 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCEL