Displaying 1 - 20 of 110
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 01243 OPTOMYCIN 0.5% EYE DR (ASL/PHA) CHLORAMPHENIC CHLORAMPHENICOL OPTOMYCIN 10ML C 4.08 4.08 EYE DROP 0 BOTT ASL ASHFORD LABORATORIES LTD PHA PHARMACY SALES CARIBBEAN 520404 EENT ANTIBACTERIALS 2022-04-01 2024-03-31 OPHTHALMIC 0 EYE, EAR, NOSE AND THROAT PREPARATIONS
40 0211AK ERTAPENEM 1G INJ (SLS/AHI) ERTAPENEM ERTAPENEM 1G VIAL BQ 22.02 22.02 INJECTION 0 VIAL SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 08120708 CARBAPENEMS 2022-04-01 2024-03-31 IV 6 ANTI-INFECTIVE AGENTS
41 0212AR IMIPENEM|CILASTATIN 500MG|500MG INJ (SLS) CILASTATIN|IMIPENE (BQ) CILASTATIN|IMIPENEM IMIPENEM|CILASTATIN 500MG VIAL BQ 27.56 27.5638 VIAL 0 VIAL SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 08120708 CARBAPENEMS 2024-04-01 2026-03-31 IV 0 CARBAPENEMS
40 03248 GENOPTIC 0.3% EYE DR (ASL/PHA) GENTAMICIN GENTAMICIN GENOPTIC 5ML BQ 4.08 4.08 EYE DROP 1 BOTT ASL ASHFORD LABORATORIES LTD PHA PHARMACY SALES CARIBBEAN 520404 EENT ANTIBACTERIALS 2022-04-01 2024-03-31 OPHTHALMIC 6 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 03248 GENOPTIC 0.3% EYE DR (ASL) GENTAMICIN GENTAMICIN GENOPTIC 5ML BQ 7.34 7.3395 BOTT 1 BOTT ASL ASHFORD LABORATORIES LTD PHA PHARMACY SALES CARIBBEAN 520404 EENT ANTIBACTERIALS 2024-04-01 2026-03-31 OPHTHALMIC 0 EENT ANTIBACTERIALS
42 03248 GENOPTIC 0.3% EYE DR (ASL) GENTAMICIN GENTAMICIN GENOPTIC 5ML B 6.63 6.63 BOTT 1 BOTT ASL ASHFORD LABORATORIES LTD PHA PHARMACY SALES CARIBBEAN 520404 EENT ANTIBACTERIALS 2026-04-01 OPHTHALMIC 0 EENT ANTIBACTERIALS
41 0603D FLUOROURACIL 50MG/ML INJ (SLS (BQ) FLUOROURACIL FLUOROURACIL 10ML BQ 18.67 18.6749 VIAL 0 VIAL SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 IV 0 ANTINEOPLASTICS
42 0603D FLUOROURACIL 50MG/ML INJ (SLS FLUOROURACIL FLUOROURACIL 10ML BQ 3.43 3.43 VIAL 0 VIAL SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2026-04-01 IV 0 ANTINEOPLASTICS
40 0621B MERCAPTOPURINE 50MG TAB (SLS/AHI) MERCAPTOPURINE MERCAPTOPURINE 30'S A 45.64 1.52 TABLET 60 TAB SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
41 0621B MERCAPTOPURINE 50MG TAB (SLS) MERCAPTOPURINE MERCAPTOPURINE 30'S A 45.64 1.5214 TAB 60 BOX SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC B 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 6 ANTINEOPLASTICS
42 0621B MERCAPTOPURINE 50MG TAB (SLS) MERCAPTOPURINE MERCAPTOPURINE 30'S A 45.64 1.52 TAB 60 BLIS SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC B 1000 ANTINEOPLASTICS 2026-04-01 ORAL 6 ANTINEOPLASTICS
40 0702C PYRIDOSTIGMINE 60MG TAB (SLS/AHI) PYRIDOSTIGMINE PYRIDOSTIGMINE 50'S A 31.10 0.62 TABLET 180 TAB SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2022-04-01 2024-03-31 Oral 6 AUTONOMIC DRUGS
40 07141 ATROPINE SULPHATE 1% EYE DR (ASL/PHA) ATROPINE SULPHATE ATROPINE SULPHATE 10ML A 11.66 11.66 EYE DROP 1 BOTT ASL ASHFORD LABORATORIES LTD PHA PHARMACY SALES CARIBBEAN 5224 EENT MYDRIATICS 2022-04-01 2024-03-31 OPHTHALMIC 0 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 07141 ATROPINE SULPHATE 1% EYE DR (ASL) ATROPINE SULPHATE ATROPINE SULPHATE 10ML A 13.29 13.2926 BOTT 20 BOTT ASL ASHFORD LABORATORIES LTD PHA PHARMACY SALES CARIBBEAN 5224 EENT MYDRIATICS 2024-04-01 2026-03-31 OPHTHALMIC 6 EENT MYDRIATICS
42 07141 ATROPINE SULPHATE 1% EYE DR (ASL) ATROPINE SULPHATE ATROPINE SULPHATE 10ML A 12.04 12.04 BOTT 20 BOTT ASL ASHFORD LABORATORIES LTD PHA PHARMACY SALES CARIBBEAN 5224 EENT MYDRIATICS 2026-04-01 OPHTHALMIC 6 EENT MYDRIATICS
40 0801P DOPAMINE 40MG/ML INJ (SLS/AHI) DOPAMINE DOPAMINE 25X5ML B 35.47 1.42 INJECTION 0 VIAL SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 121208 BETA ADRENERGIC AGONIST 2022-04-01 2024-03-31 IV 0 AUTONOMIC DRUGS
41 0801P DOPAMINE 40MG/ML INJ (SLS) (B) DOPAMINE DOPAMINE 25X5ML B 40.37 1.6147 VIAL 0 BOX SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 121208 BETA ADRENERGIC AGONIST 2024-04-01 2026-03-31 IV 0 BETA ADRENERGIC AGONIST
42 0801P DOPAMINE 40MG/ML INJ (SLS) DOPAMINE DOPAMINE 25X5ML BQ 51.38 2.06 VIAL 0 VIAL SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 121208 BETA ADRENERGIC AGONIST 2026-04-01 IV 0 BETA ADRENERGIC AGONIST
40 08234 ISOLIN 2MG/ML INJ (SLS/AHI) ISOPRENALINE ISOPRENALINE ISOLIN 5X1ML BQ 37.92 7.58 INJECTION 0 VIAL SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 121208 BETA ADRENERGIC AGONIST 2022-04-01 2024-03-31 IV 0 AUTONOMIC DRUGS
41 08234 ISOLIN 2MG/ML INJ (SLS) ISOPRENALINE (BQ) ISOPRENALINE ISOLIN 5X1ML BQ 37.92 7.5841 VIAL 1 BOX SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 121208 BETA ADRENERGIC AGONIST 2024-04-01 2026-03-31 IV 0 BETA ADRENERGIC AGONIST