Displaying 1 - 20 of 206
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 0012ER GLENCET 5MG TAB (GLP/ALI) LEVOCETIRIZINE LEVOCETIRIZINE GLENCET 30'S C 6.80 0.23 TABLET 0 TAB GLP GLENMARK PHARMACEUTICALS LTD ALI ALL HEALTH INC 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2022-03-22 Delete from contract Oral 0 ANTIHISTAMINICS 2022-03-22
40 0012FD GLENCET 5MG TAB (GLP/ATB) LEVOCETIRIZINE LEVOCETIRIZINE GLENCET 30'S C 6.80 0.23 TABLET 0 TAB GLP GLENMARK PHARMACEUTICALS LTD ATB ANSA TRADING BARBADOS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Change Local Agent Oral 0 ANTIHISTAMINICS 2022-03-22
42 0012GR FEEGRA 120MG SR TAB (JLP) FEXOFENADINE FEXOFENADINE FEEGRA 10X10 C 27.18 0.27 TAB 0 BLIS JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2026-04-01 ORAL 0 SECOND GENERATION ANTIHISTAMINES
42 0014U JONCPM 10MG/ML IV/IM INJ (JLP) CHLORPHENIRAMINE CHLORPHENIRAMINE JONCPM 10X1ML B 3.26 0.33 AMPG 30 AMP JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 0404 FIRST GENERATION ANTIHISTAMINES 2026-04-01 IV/IM/SC 6 FIRST GENERATION ANTIHISTAMINES
42 0111FJ XORICEF 500MG TAB (JLP) CEFUROXIME CEFUROXIME XORICEF 10X10 BH 51.65 0.52 TAB 20 BLIS JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 08120604 FIRST GEN CEPHALOSPORINS 2026-04-01 ORAL 0 FIRST GEN CEPHALOSPORINS
40 0114BP ALTACEF 250MG TAB (GLP/ATB) CEFUROXIME CEFUROXIME ALTACEF 10'S BQ 4.08 0.41 TABLET 0 TAB GLP GLENMARK PHARMACEUTICALS LTD ATB ANSA TRADING BARBADOS LTD 08120608 SECOND GEN CEPHALOSPORINS 2022-04-01 2024-03-31 Change Local Agent Oral 6 ANTI-INFECTIVE AGENTS 2022-03-22
42 0114BV XORICEF 250MG TAB (JLP) CEFUROXIME CEFUROXIME XORICEF 10X10 BQ 39.96 0.40 TAB 28 BLIS JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 08120608 SECOND GEN CEPHALOSPORINS 2026-04-01 ORAL 0 SECOND GEN CEPHALOSPORINS
42 0225N CLOXAMAX 500MG INJ (JLP) CLOXACILLIN CLOXACILLIN CLOXAMAX 500MG VIAL BQ 5.98 5.98 VIAL 56 VIAL JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 081216 PENICILLINS 2026-04-01 IV/IM 0 PENICILLINS
42 0292V CLIFORD 150MG CAP (JLP) CLINDAMYCIN HCL CLINDAMYCIN HCL CLIFORD 100'S A 21.75 0.22 CAP 28 BLIS JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 081228 ANTIBACTERIALS, MISCELLANEOUS 2026-04-01 ORAL 0 ANTIBACTERIALS, MISCELLANEOUS
42 0321BD GENTACURE 40MG/ML IV/IM INJ (JLP) GENTAMICIN GENTAMICIN GENTACURE 100X2ML B 78.83 0.79 VIAL 0 VIAL JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 081202 AMINOGLYCOSIDES 2026-04-01 IV/IM 0 AMINOGLYCOSIDES
41 0487B METRONIDAZOLE 0.75% GEL (GLP) (C) METRONIDAZOLE METRONIDAZOLE 30G C 26.5852 26.5852 TUBE 0 TUBE GLP GLENMARK PHARMACEUTICALS LTD CWS CAPSULE WHOLESALE 0832 TRICHOMONACIDES 2024-04-01 2026-03-31 TOPICAL 0 TRICHOMONACIDES
42 0502M URIFON 100MG SR TAB (JLP) NITROFURANTOIN NITROFURANTOIN URIFON 10X10 A 15.63 0.16 TAB 28 BLIS JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 0836 URINARY ANTI-INFECTIVES 2026-04-01 ORAL 0 URINARY ANTI-INFECTIVES
42 0633AD LEETREXATE 25MG/ML INJ (JLP) METHOTREXATE METHOTREXATE LEETREXATE 2ML VIAL B 4.62 4.62 VIAL 5 VIAL JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2026-04-01 IV/IM 6 ANTINEOPLASTICS
42 0702K PYRIDOSTIN 60MG TAB (JLP) PYRIDOSTIGMINE PYRIDOSTIGMINE PYRIDOSTIN 10X10 A 54.37 0.54 TAB 180 BLIS JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2026-04-01 ORAL 6 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS
42 0721E DEFJOHN 6MG TAB (JLP) DEFLAZACORT DEFLAZACORT DEFJOHN 10X10 C 21.47 0.21 TAB 0 BLIS JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 6804 ADRENALS 2026-04-01 ORAL 0 ADRENALS
42 0722C DEFJOHN 30MG TAB (JLP) DEFLAZACORT DEFLAZACORT DEFJOHN 10X10 C 11.15 0.11 TAB 0 BLIS JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 6804 ADRENALS 2026-04-01 ORAL 0 ADRENALS
42 0791AD ADREFORD 1MG/ML IV/IM INJ (JLP) ADRENALINE ADRENALINE ADREFORD 100X1ML B 32.62 0.33 AMPG 60 AMP JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 121212 ALPHA & BETA ADRENERGIC AGONIST 2026-04-01 IV/IM 0 ALPHA & BETA ADRENERGIC AGONIST
42 0981AX IRONFAST 200MG TAB (JLP) FERROUS SULPHATE FERROUS SULPHATE IRONFAST 200'S A 12.50 0.06 TAB 90 BLIS JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 200404 IRON PREPARATIONS 2026-04-01 ORAL 6 IRON PREPARATIONS
42 1011BF HEPAQUINT 5000U/ML INJ (JLP) HEPARIN HEPARIN HEPAQUINT 10X5ML B 92.97 9.30 VIAL 6 VIAL JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 20120416 HEPARINS 2026-04-01 IV 6 HEPARINS
42 1041B PROTAXCEL 10MG/ML INJ (JLP) PROTAMINE SULPHATE PROTAMINE SULPHATE PROTAXCEL 5X5ML BQ 40.77 8.15 AMPG 20 AMP JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 202808 ANTIHEPARIN 2026-04-01 IV 0 ANTIHEPARIN