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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
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
40 0141GB EZECURE 500MG TAB (EMC/COL) AZITHROMYCIN AZITHROMYCIN EZECURE 3'S A 1.39 0.46 TABLET 7 TAB EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0141HA EZECURE 500MG TAB (EMC/COL) AZITHROMYCIN AZITHROMYCIN EZECURE 60'S A 27.80 0.46 TABLET 7 TAB EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 08121292 OTHER MACROLIDES 2022-08-10 2024-03-31 Package Size Change oral 0 ANTI-INFECTIVE AGENTS 2022-08-10
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
40 0211AA EMSTAR 500MG INJ (EMC/COL) MEROPENEM MEROPENEM EMSTAR 500MG VIAL BQ 9.51 9.51 INJECTION 0 VIAL EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 08120708 CARBAPENEMS 2022-04-01 2024-03-31 IV 6 ANTI-INFECTIVE AGENTS
41 0211AA EMSTAR 500MG INJ (EMC) MEROPENEM (C) MEROPENEM EMSTAR 500MG VIAL C 10.87 10.8733 VIAL 42 VIAL EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 08120708 CARBAPENEMS 2024-04-01 2026-03-31 IV 2 CARBAPENEMS
42 0211AA EMSTAR 500MG INJ (EMC) MEROPENEM MEROPENEM EMSTAR 500MG VIAL BQ 6.42 6.42 VIAL 42 VIAL EMC EMCURE PHARMACEUTICALS LTD COL AVENTA BARBADOS 08120708 CARBAPENEMS 2026-04-01 IV 0 CARBAPENEMS
40 0212AV EMSTAR 1G INJ (EMC/COL) MEROPENEM MEROPENEM EMSTAR 1G VIAL BQ 10.87 10.87 INJECTION 0 VIAL EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 08120708 CARBAPENEMS 2022-04-01 2024-03-31 IV 6 ANTI-INFECTIVE AGENTS
41 0212AV EMSTAR 1G INJ (EMC) MEROPENEM (C) MEROPENEM EMSTAR 1G VIAL C 12.23 12.2325 VIAL 42 VIAL EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 08120708 CARBAPENEMS 2024-04-01 2026-03-31 IV 2 CARBAPENEMS
42 0212AV EMSTAR 1G INJ (EMC) MEROPENEM MEROPENEM EMSTAR 1G VIAL BQ 7.77 7.77 VIAL 42 VIAL EMC EMCURE PHARMACEUTICALS LTD COL AVENTA BARBADOS 08120708 CARBAPENEMS 2026-04-01 IV 0 CARBAPENEMS