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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 0124N CHLORAMPHENICOL 0.5% EYE DR (MTP/COL) CHLORAMPHENICOL CHLORAMPHENICOL 10ML C 2.58 2.58 EYE DROP 0 BOTT MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 520404 EENT ANTIBACTERIALS 2022-04-01 2024-03-31 OPHTHALMIC 0 EYE, EAR, NOSE AND THROAT PREPARATIONS
40 0125J CHLORAMPHENICOL 1% EYE OINT (MTP/COL) CHLORAMPHENICOL CHLORAMPHENICOL 4G A 4.21 4.21 EYE OINTMENT 1 TUBE MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 520404 EENT ANTIBACTERIALS 2022-04-01 2024-03-31 OPHTHALMIC 0 EYE, EAR, NOSE AND THROAT PREPARATIONS
40 13319 FENTANYL CITRATE 50MCG/ML INJ (MTP/COL) FENTANYL CITRATE FENTANYL CITRATE 10X2ML BQ 13.05 1.31 INJECTION 0 AMP MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 280808 OPIATE AGONISTS 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
41 13319 FENTANYL CITRATE 50MCG/ML INJ (MTP) (BQ) FENTANYL CITRATE FENTANYL CITRATE 10X2ML BQ 17.94 1.7941 AMP 0 BOX MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 280808 OPIATE AGONISTS 2024-04-01 2026-03-31 IV 0 OPIATE AGONISTS
40 13329 FENTANYL CITRATE 50MCG/ML INJ (MTP/COL) FENTANYL CITRATE FENTANYL CITRATE 10X10ML BQ 31.26 3.13 INJECTION 0 AMP MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 280808 OPIATE AGONISTS 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
41 13329 FENTANYL CITRATE 50MCG/ML INJ (MTP) (BQ) FENTANYL CITRATE FENTANYL CITRATE 10X10ML BQ 42.41 4.2406 AMP 0 BOX MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 280808 OPIATE AGONISTS 2024-04-01 2026-03-31 IV 0 OPIATE AGONISTS
42 1332F FENTANYL CITRATE 50MCG/ML INJ (MTP) FENTANYL CITRATE FENTANYL CITRATE 10X10ML BQ 50.23 5.02 AMPG 0 AMP MTP MARTINDALE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 280808 OPIATE AGONISTS 2026-04-01 IV 0 OPIATE AGONISTS
40 1381C MORPHINE 10MG/ML INJ (MTP/COL) MORPHINE MORPHINE 10X1ML B 10.19 1.02 INJECTION 0 AMP MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 280808 OPIATE AGONISTS 2022-04-01 2022-07-14 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
40 1381C MORPHINE 10MG/ML INJ (MTP/COL) MORPHINE MORPHINE 10X1ML B 12.64 1.26 INJECTION 0 AMP MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 280808 OPIATE AGONISTS 2022-07-15 2024-03-31 Price Change IV 0 CENTRAL NERVOUS SYSTEM DRUGS 2022-07-14
41 1381C MORPHINE 10MG/ML INJ (MTP) (B) MORPHINE MORPHINE 10X1ML B 13.78 1.3782 AMP 0 BOX MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 280808 OPIATE AGONISTS 2024-04-01 2026-03-31 IV 0 OPIATE AGONISTS
42 1381L MORPHINE SULFATE 10MG/ML INJ (MTP) MORPHINE MORPHINE SULFATE 10X1ML B 16.74 1.67 AMPG 0 AMP MTP MARTINDALE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 280808 OPIATE AGONISTS 2026-04-01 IV/IM 0 OPIATE AGONISTS
42 13824 MORPHINE 15MG/ML INJ (MTP) MORPHINE SULPHATE MORPHINE 10X1ML B 18.84 1.88 AMPG 0 AMP MTP MARTINDALE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 280808 OPIATE AGONISTS 2026-04-01 IV/IM 0 OPIATE AGONISTS
40 1382G MORPHINE 15MG/ML INJ (MTP/COL) MORPHINE MORPHINE 10X1ML B 11.15 1.12 INJECTION 0 AMP MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 280808 OPIATE AGONISTS 2022-04-01 2022-07-14 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
40 1382G MORPHINE 15MG/ML INJ (MTP/COL) MORPHINE MORPHINE 10X1ML B 13.84 1.38 INJECTION 0 AMP MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 280808 OPIATE AGONISTS 2022-07-15 2024-03-31 Price Change IV 0 CENTRAL NERVOUS SYSTEM DRUGS 2022-07-14
41 1382G MORPHINE 15MG/ML INJ (MTP) (B) MORPHINE MORPHINE 10X1ML B 15.55 1.5549 AMP 0 BOX MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 280808 OPIATE AGONISTS 2024-04-01 2026-03-31 IV 0 OPIATE AGONISTS
42 1383H ZOMORPH 30MG SR CAP (MTP) MORPHINE MORPHINE SULPHATE ZOMORPH 10X6 A 41.86 0.70 CAP 30 BLIS MTP MARTINDALE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 280808 OPIATE AGONISTS 2026-04-01 ORAL 6 OPIATE AGONISTS
40 13842 MORPHINE 2MG/ML SOLN (MTP/COL) MORPHINE MORPHINE 500ML B 26.29 26.29 SOLUTION 0 BOTT MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 280808 OPIATE AGONISTS 2022-04-01 2022-07-14 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
40 13842 MORPHINE 2MG/ML SOLN (MTP/COL) MORPHINE MORPHINE 500ML B 33.44 33.44 SOLUTION 0 BOTT MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 280808 OPIATE AGONISTS 2022-07-15 2024-03-31 Price Change Oral 0 CENTRAL NERVOUS SYSTEM DRUGS 2022-07-14
41 13842 MORPHINE 2MG/ML SOLN (MTP) MORPHINE MORPHINE 500ML B 34.74 34.7402 BOTT 0 BOTT MTP MARTINDALE PHARMACEUTICALS COL COLLINS LTD 280808 OPIATE AGONISTS 2024-04-01 2026-03-31 ORAL 0 OPIATE AGONISTS
42 13844 MORPHINE 5MG/ML SOLN (MTP) MORPHINE SULPHATE MORPHINE 300ML B 207.63 207.63 BOTT 500 BOTT MTP MARTINDALE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 280808 OPIATE AGONISTS 2026-04-01 ORAL 6 OPIATE AGONISTS