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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 0014K CHLORPHENIRAMINE 10MG/ML IV/IM INJ (MON/PHA) CHLORPHENIRAMINE CHLORPHENIRAMINE 10X1ML B 6.96 0.70 INJECTION 0 AMP MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 0404 FIRST GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 IV/IM 0 ANTIHISTAMINICS
42 0164AR AMPICILLIN 500MG INJ (MON) AMPICILLIN AMPICILLIN 10X5ML B 13.18 1.32 VIAL 28 VIAL MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 081216 PENICILLINS 2026-04-01 IV 0 PENICILLINS
40 0164AW AMPICILLIN 500MG INJ (MON/PHA) AMPICILLIN AMPICILLIN 500MG VIAL C 1.69 1.69 INJECTION 0 VIAL MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 081216 PENICILLINS 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
41 0164AW AMPICILLIN 500MG INJ (MON) (BQ) AMPICILLIN AMPICILLIN 500MG VIAL BQ 1.85 1.8485 VIAL 28 VIAL MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 081216 PENICILLINS 2024-04-01 2026-03-31 IV 0 PENICILLINS
42 0211AE MEROPENEM 500MG INJ (MON) MEROPENEM MEROPENEM 500MG VIAL BQ 4.92 4.92 VIAL 42 VIAL MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 08120708 CARBAPENEMS 2026-04-01 IV 0 CARBAPENEMS
41 0211AT MEROPENEM 500MG INJ (MON) (BQ) MEROPENEM MEROPENEM 10X500MG BQ 9.49 0.9487 VIAL 42 BOX MON MONTAGE PHARMACEUTICALS ALI ALL HEALTH INC 08120708 CARBAPENEMS 2024-04-01 2026-03-31 IV 2 CARBAPENEMS
42 0212BC MEROPENEM 1G INJ (MON) MEROPENEM MEROPENEM 1G VIAL BQ 5.95 5.95 VIAL 42 VIAL MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 08120708 CARBAPENEMS 2026-04-01 IV 0 CARBAPENEMS
40 0225K CLOXACILLIN 500MG INJ (MON/PHA) CLOXACILLIN CLOXACILLIN 500MG VIAL B 1.58 1.58 INJECTION 0 VIAL MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 081216 PENICILLINS 2022-04-01 2024-03-31 IV 6 ANTI-INFECTIVE AGENTS
42 0301P CLINDAMYCIN PHOSPHATE 150MG/ML INJ CLINDAMYCIN PHOSPHATE CLINDAMYCIN PHOSPHATE 5X2ML BQ 8.02 1.60 AMPG 112 BOX MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 0812 ANTIBACTERIALS 2026-04-01 IV 0 ANTIBACTERIALS
40 0453C CO-TRIMOXAZOLE 80MG/ML | 16MG/ML INJ (MON/PHA) SULFAMETHOXAZOLE|TRIMETHOPRIM CO-TRIMOXAZOLE 5X5ML B 10.06 2.01 INJECTION 0 AMP MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 081220 SULPHONAMIDES 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
42 0453C CO-TRIMOXAZOLE 80MG/ML|16MG/ML INJ (MON) SULFAMETHOXAZOLE|TR SULFAMETHOXAZOLE|TRIMETHOPRIM CO-TRIMOXAZOLE 5X5ML B 8.02 1.60 AMPG 20 BOX MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 081220 SULPHONAMIDES 2026-04-01 IV 0 SULPHONAMIDES
42 06928 NEOSTIGMINE 2.5MG/ML INJ (MON) NEOSTIGMINE NEOSTIGMINE 10X1ML BQ 13.18 1.32 AMPG 0 BOX MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2026-04-01 IV 0 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS
40 0692L NEOSTIGMINE 2.5MG/ML INJ (MON/PHA) NEOSTIGMINE NEOSTIGMINE 5X1ML BQ 7.83 1.57 INJECTION 0 AMP MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2022-04-01 2024-03-31 IV 0 AUTONOMIC DRUGS
40 0694A NEOSTIGMINE 2.5MG/ML INJ (MON/PHA) NEOSTIGMINE NEOSTIGMINE 5X5ML BQ 19.14 3.83 INJECTION 0 AMP MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2022-04-01 2024-03-31 IV 0 AUTONOMIC DRUGS
42 0694A NEOSTIGMINE 2.5MG/ML INJ (MON) NEOSTIGMINE NEOSTIGMINE 5X5ML BQ 15.49 3.10 AMPG 0 BOX MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2026-04-01 IV 0 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS
40 0711AF ATROPINE SULPHATE 0.5MG/ML IV/IM INJ (MON/PHA) ATROPINE SULPHATE ATROPINE SULPHATE 10X1ML B 6.36 0.64 INJECTION 0 AMP MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 120808 ANTIMUSCARINICS/ANTISPASMODICS 2022-04-01 2024-03-31 IV/IM 0 AUTONOMIC DRUGS
41 0711AF ATROPINE SULPHATE 0.5MG/ML IV/IM INJ (MON) (B) ATROPINE SULPHATE ATROPINE SULPHATE 10X1ML B 8.32 0.8318 AMP 10 BOX MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 1208 ANTICHOLINERGIC AGENTS 2024-04-01 2026-03-31 IV/IM 0 ANTICHOLINERGIC AGENTS
42 0711AF ATROPINE SULPHATE 0.5MG/ML IV/IM INJ (MON) ATROPINE SULPHATE ATROPINE SULPHATE 10X1ML B 7.75 0.78 AMPG 10 BOX MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 1208 ANTICHOLINERGIC AGENTS 2026-04-01 IV/IM 0 ANTICHOLINERGIC AGENTS
42 0742L BENZTROPINE 1MG/ML INJ (MON) BENZTROPINE BENZTROPINE 5X2ML B 13.43 2.69 AMPG 6 BOX MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 283608 ANTICHOLINERGIC AGENTS (PARKINSONS) 2026-04-01 IV 6 ANTICHOLINERGIC AGENTS (PARKINSONS)
40 0752K HYOSCINE BUTYLBROMIDE 20MG/ML INJ (MON/PHA) HYOSCINE BUTYLBROMIDE HYOSCINE BUTYLBROMIDE 10X1ML B 16.26 1.63 INJECTION 0 AMP MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 120808 ANTIMUSCARINICS/ANTISPASMODICS 2022-04-01 2024-03-31 IV 0 AUTONOMIC DRUGS