Displaying 1 - 20 of 49
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 0164AU AMPICILLIN 500MG INJ (CHC/ATB) AMPICILLIN AMPICILLIN 500MG VIAL BQ 0.82 0.82 INJECTION 0 VIAL CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD 081216 PENICILLINS 2022-04-01 2024-03-31 Price Change IV 6 ANTI-INFECTIVE AGENTS 2021-12-03
40 0182F PENICILLIN G BENZATHINE 2.4MU INJ (CHC/ATB) PENICILLIN G BENZATHINE PENICILLIN G BENZATHINE 2.4MU VIAL B 10.33 10.33 INJECTION 0 VIAL CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD 081216 PENICILLINS 2022-04-01 2024-03-31 IM 6 ANTI-INFECTIVE AGENTS
40 05218 ACTINOMYCIN D 500MCG INJ (CHC/ATB) ACTINOMYCIN D ACTINOMYCIN D 500MCG VIA BQ 33.16 33.16 INJECTION 0 VIAL CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
41 1514T PHENYTOIN 50MG/ML INJ (CHC) (B) PHENYTOIN PHENYTOIN 5ML B 5.14 5.1376 AMP 2 AMP CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD 2812 ANTICONVULSANTS 2024-04-01 2026-03-31 IV 0 ANTICONVULSANTS
40 2091D CHLORTHALIDONE 50MG TAB (CHC/ATB) CHLORTHALIDONE CHLORTHALIDONE 500'S A 61.90 0.12 TABLET 30 TAB CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD B 402824 THIAZIDE LIKE DIURETICS 2022-04-01 2024-03-31 Oral 6 ELECTROLYTIC, CALORIC, AND WATER BALANCE
41 2132BG FRUSEMIDE 10MG/ML INJ (CHC) (B) FRUSEMIDE FRUSEMIDE 10X2ML B 7.07 0.7068 AMP 0 BOX CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD 402808 LOOP DIURETICS 2024-04-01 2026-03-31 IV 0 LOOP DIURETICS
40 22832 ACETAZOLAMIDE SR 250MG TAB (CHC/ATB) ACETAZOLAMIDE SR ACETAZOLAMIDE SR 100'S A 154.75 1.55 TABLET 60 TAB CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD B 402804 CARBONIC ANHYDRASE INHIBITORS 2022-04-01 2024-03-31 Oral 6 ELECTROLYTIC, CALORIC, AND WATER BALANCE
42 2641CX FLUTICASONE 125MCG INHR (CHC) FLUTICASONE FLUTICASONE 120 DOSES A 8.21 8.21 INHR 1 CHC CARITAS HEALTHCARE PVT LTD STO BRYDEN STOKES LTD B 481008 CORTICOSTEROIDS (RESPIRATORY) 2026-04-01 Add to Contract as Cat A ORAL INHALATION 6 CORTICOSTEROIDS (RESPIRATORY) 2026-03-05
42 2641CY FLUTICASONE 250MCG INHR (CHC) FLUTICASONE FLUTICASONE 120 DOSES A 9.27 9.27 INHR 1 CHC CARITAS HEALTHCARE PVT LTD STO BRYDEN STOKES LTD B 481008 CORTICOSTEROIDS (RESPIRATORY) 2026-04-01 Add to Contract as Cat A ORAL INHALATION 6 CORTICOSTEROIDS (RESPIRATORY) 2026-03-05
42 2641CZ FLUTICASONE 50MCG INHR (CHC) FLUTICASONE FLUTICASONE 120 DOSES A 7.50 7.50 INHR 1 CHC CARITAS HEALTHCARE PVT LTD STO BRYDEN STOKES LTD B 481008 CORTICOSTEROIDS (RESPIRATORY) 2026-04-01 Add to Contract as Cat A ORAL INHALATION 6 CORTICOSTEROIDS (RESPIRATORY) 2026-03-05
40 3262H POVIDONE IODINE 0.75% SCRUB (CHC/ATB) POVIDONE IODINE POVIDONE IODINE 500ML B 7.61 0.02 SCRUB 0 ML CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD 840492 ANTI-INFECTIVES TOPICAL MISCELLANEOUS 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
40 3262J POVIDONE IODINE 0.75% SCRUB (CHC/ATB) DISPENSER POVIDONE IODINE POVIDONE IODINE 500ML B 8.43 0.02 SCRUB 0 ML CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD 840492 ANTI-INFECTIVES TOPICAL MISCELLANEOUS 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
42 3262K POVIDONE IODINE SCRUB (CHC) POVIDONE IODINE POVIDONE IODINE 500ML B 250.77 0.50 ML 0 CHC CARITAS HEALTHCARE PVT LTD STO BRYDEN STOKES LTD 840492 ANTI-INFECTIVES TOPICAL MISCELLANEOUS 2026-04-01 Add to Contract as Cat B TOPICAL 6 ANTI-INFECTIVES TOPICAL MISCELLANEOUS 2026-03-05
41 4142BL DICLOFENAC SOD 25MG/ML IV/IM INJ (C (B) DICLOFENAC SODIUM DICLOFENAC SOD 10X3ML B 4 0.3996 AMP 0 BOX CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 IV/IM 0 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
42 4142CF DICLOFENAC SODIUM 25MG/ML INJ (CHC) DICLOFENAC SODIUM DICLOFENAC SODIUM 10X3ML B 0.84 0.08 AMPG 0 CHC CARITAS HEALTHCARE PVT LTD STO BRYDEN STOKES LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2026-04-01 Add to Contract as Cat B IV/IM 0 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2026-03-05
42 4252AD FUSIDIC ACID 2% CR (CHC) FUSIDIC ACID FUSIDIC ACID 15G A 3.34 3.34 TUBE 2 CHC CARITAS HEALTHCARE PVT LTD STO BRYDEN STOKES LTD 840404 ANTIBIOTICS TOPICAL 2026-04-01 Add to Contract as Cat A TOPICAL 0 ANTIBIOTICS TOPICAL 2026-03-05
40 4252U FUSIDIC ACID 2% CR (CHC/ATB) FUSIDIC ACID FUSIDIC ACID 15G A 2.75 2.75 CREAM 2 TUBE CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD 840404 ANTIBIOTICS TOPICAL 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
41 4252U FUSIDIC ACID 2% CR (CHC) FUSIDIC ACID FUSIDIC ACID 15G A 3.59 3.5882 TUBE 2 BOX CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD 840404 ANTIBIOTICS TOPICAL 2024-04-01 2026-03-31 TOPICAL 0 ANTIBIOTICS TOPICAL
40 4253AQ FUSIDIC ACID 2% OINT (CHC/ATB) FUSIDIC ACID FUSIDIC ACID 15G A 2.77 2.77 OINT 2 TUBE CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD 840404 ANTIBIOTICS TOPICAL 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
42 4253AX MUPIROCIN 2% OINT (CHC) MUPIROCIN MUPIROCIN 15G BQ 2.56 2.56 TUBE 2 CHC CARITAS HEALTHCARE PVT LTD STO BRYDEN STOKES LTD 840404 ANTIBIOTICS TOPICAL 2026-04-01 Add to Contract TOPICAL 0 ANTIBIOTICS TOPICAL 2026-03-05