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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 0131DH KLARICID 50MG/ML SUSP (ABB/PHA) CLARITHROMYCI CLARITHROMYCIN KLARICID 60ML C 15.79 0.26 SUSPENSION 0 ML ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0131DH KLARICID 50MG/ML SUSP (ABB/PHA) CLARITHROMYCI (C) CLARITHROMYCIN KLARICID 60ML C 15.79 0.2632 SUSPENSION ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 8121292 OTHER MACROLIDES 2022-04-01 2023-03-31 Delete from contract Oral 0 OTHER MACROLIDES 2023-03-02
40 0131DJ KLARICID 25MG/ML SUSP (ABB/PHA) CLARITHROMYCI CLARITHROMYCIN KLARICID 60ML C 11.50 0.19 SUSPENSION 0 ML ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0131DJ KLARICID 25MG/ML SUSP (ABB/PHA) CLARITHROMYCI (C) CLARITHROMYCIN KLARICID 60ML C 11.5 0.1917 SUSPENSION ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 8121292 OTHER MACROLIDES 2022-04-01 2023-03-31 Delete from contract Oral 0 OTHER MACROLIDES 2023-03-02
41 0131DU KLARICID 50MG/ML SUSP (ABB) CLARITHROMYCIN (C) CLARITHROMYCIN KLARICID 60ML C 19 0.3167 ML 60 BOTT ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES 2024-04-01 2026-03-31 ORAL 0 OTHER MACROLIDES
42 0131DU KLARICID 50MG/ML SUSP (ABB) CLARITHROMYCIN CLARITHROMYCIN KLARICID 60ML C 16.31 0.27 ML 60 BOTT ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES 2026-04-01 ORAL 0 OTHER MACROLIDES
41 0131DV KLARICID 25MG/ML SUSP (ABB) CLARITHROMYCIN (C) CLARITHROMYCIN KLARICID 60ML C 14.22 0.2369 ML 100 BOTT ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES 2024-04-01 2026-03-31 ORAL 0 OTHER MACROLIDES
42 0131DV KLARICID 25MG/ML SUSP (ABB) CLARITHROMYCIN CLARITHROMYCIN KLARICID 60ML C 10.87 0.18 ML 100 BOTT ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES 2026-04-01 ORAL 0 OTHER MACROLIDES
40 0141FU KLARICID XL 500MG TAB (ABB/PHA) CLARITHROMYCI CLARITHROMYCIN KLARICID XL 10'S C 16.66 1.67 TABLET 0 TAB ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0141FU KLARICID XL 500MG TAB (ABB/PHA) CLARITHROMYCI (C) CLARITHROMYCIN KLARICID XL 10'S C 16.66 1.666 TABLET IMMED ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 8121292 OTHER MACROLIDES 2022-04-01 2023-03-31 Delete from contract Oral 0 OTHER MACROLIDES 2023-03-02
40 0141FV KLARICID 500MG TAB (ABB/PHA) CLARITHROMYCIN CLARITHROMYCIN KLARICID 10'S C 16.72 1.67 TABLET 0 TAB ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Price Change Oral 0 ANTI-INFECTIVE AGENTS 2022-05-05
41 0141HG KLARICID 500MG TAB (ABB) CLARITHROMYCIN (C) CLARITHROMYCIN KLARICID 10'S C 11.96 1.1961 TAB 14 BOX ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES 2024-04-01 2026-03-31 ORAL 0 OTHER MACROLIDES
42 0141HG KLARICID 500MG TAB (ABB) CLARITHROMYCIN CLARITHROMYCIN KLARICID 10'S C 12.23 1.22 TAB 14 BLIS ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES 2026-04-01 ORAL 0 OTHER MACROLIDES
41 0141HH KLARICID XL 500MG ER TAB (ABB) CLARITHROMYCIN (C) CLARITHROMYCIN KLARICID XL 10'S C 17.34 1.7343 TABER 0 BOX ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES 2024-04-01 2026-03-31 ORAL 0 OTHER MACROLIDES
42 0141HH KLARICID XL 500MG ER TAB (ABB) CLARITHROMYCIN CLARITHROMYCIN KLARICID XL 10'S C 15.77 1.58 TABER 0 BLIS ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES 2026-04-01 ORAL 0 OTHER MACROLIDES
40 0211Y MEROPENEM 500MG INJ (ABB/PHA) MEROPENEM MEROPENEM 500MG VIAL BQ 11.50 11.50 INJECTION 0 VIAL ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 08120708 CARBAPENEMS 2022-04-01 2024-03-31 IV 6 ANTI-INFECTIVE AGENTS
40 0211Y MEROPENEM 500MG INJ (ABB/PHA) (BQ) MEROPENEM MEROPENEM 500MG VIAL BQ 11.5 11.5 INJECTION ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 8120708 CARBAPENEMS 2022-04-01 2023-03-31 Delete from contract IV 6 CARBAPENEMS 2023-03-02
42 1151B TRILIPIX 135MG DR CAP (ABB) FENOFIBRATE FENOFIBRATE TRILIPIX 3X10 C 89.70 2.99 CAP 0 BLIS ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 240606 FIBRIC ACID DERIVATIVES 2026-04-01 ORAL 0 FIBRIC ACID DERIVATIVES
40 1261L ULTANE (4456-02) (ABB/PHA) SEVOFLURANE SEVOFLURANE ULTANE (4456-02) 250ML BQ 265.04 265.04 SOLUTION 0 BOTT ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 280416 INHALATION ANAESTHETICS 2022-04-01 2024-03-31 INHALATION 0 CENTRAL NERVOUS SYSTEM DRUGS
41 1261L ULTANE (4456-02) (ABB) SEVOFLURANE (BQ) SEVOFLURANE ULTANE (4456-02) 250ML BQ 264.74 264.7376 BOTT 30 BOTT ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 280416 INHALATION ANAESTHETICS 2024-04-01 2026-03-31 INHALATION 0 INHALATION ANAESTHETICS