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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 0012EJ LORATADINE 10MG TAB (KWA/ATB) LORATADINE LORATADINE 10X10 A 5.25 0.05 TABLET 14 TAB KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0012ER GLENCET 5MG TAB (GLP/ALI) LEVOCETIRIZINE LEVOCETIRIZINE GLENCET 30'S C 6.80 0.23 TABLET 0 TAB GLP GLENMARK PHARMACEUTICALS LTD ALI ALL HEALTH INC 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2022-03-22 Delete from contract Oral 0 ANTIHISTAMINICS 2022-03-22
40 0012FD GLENCET 5MG TAB (GLP/ATB) LEVOCETIRIZINE LEVOCETIRIZINE GLENCET 30'S C 6.80 0.23 TABLET 0 TAB GLP GLENMARK PHARMACEUTICALS LTD ATB ANSA TRADING BARBADOS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Change Local Agent Oral 0 ANTIHISTAMINICS 2022-03-22
41 0012FP LORATADINE 10MG TAB (MCP) LORATADINE LORATADINE 10X10 A 6.9 0.069 TAB 14 BOX MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2024-04-01 2024-12-27 OTIC 0 SECOND GENERATION ANTIHISTAMINES
41 0012FP LORATADINE 10MG TAB (MCP) LORATADINE LORATADINE 10X10 A 7.85 0.0785 TAB 14 BOX MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2024-12-28 2026-03-31 OTIC 0 SECOND GENERATION ANTIHISTAMINES 2024-12-27
42 0012GR FEEGRA 120MG SR TAB (JLP) FEXOFENADINE FEXOFENADINE FEEGRA 10X10 C 27.18 0.27 TAB 0 BLIS JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2026-04-01 ORAL 0 SECOND GENERATION ANTIHISTAMINES
40 0013BH DPH ELIXIR 2.5MG/ML SYR (FED/RXP) DIPHENHYDRA DIPHENHYDRAMINE DPH ELIXIR 120ML A 4.08 0.03 SYRUP 120 ML FED FEDERATED PHARMACEUTICAL CO. LT RXP RX PRO INC 0404 FIRST GENERATION ANTIHISTAMINES 2022-04-01 2022-05-11 Delete from contract Oral 6 ANTIHISTAMINICS 2022-05-11
40 0013BL DPH ELIXIR 2.5MG/ML SYR (FED/ATB) DIPHENHYDRA DIPHENHYDRAMINE DPH ELIXIR 120ML A 4.08 0.03 SYRUP 120 ML FED FEDERATED PHARMACEUTICAL CO. LT ATB ANSA TRADING BARBADOS LTD 0404 FIRST GENERATION ANTIHISTAMINES 2022-05-11 2024-03-31 Change Local Agent Oral 6 ANTIHISTAMINICS 2022-05-11
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 0014U JONCPM 10MG/ML IV/IM INJ (JLP) CHLORPHENIRAMINE CHLORPHENIRAMINE JONCPM 10X1ML B 3.26 0.33 AMPG 30 AMP JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 0404 FIRST GENERATION ANTIHISTAMINES 2026-04-01 IV/IM/SC 6 FIRST GENERATION ANTIHISTAMINES
40 0051F CAPECITABINE 150MG TAB (INP/AHI) CAPECITABINE CAPECITABINE 6X10 BQ 194.20 3.24 TABLET 0 TAB INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
41 0051J CAPECITABINE 150MG TAB (WAT) CAPECITABINE CAPECITABINE 60'S BQ 175.3319 2.9222 TAB 230 BOTT WAT WATSON (ACTAVIS) PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 6 ANTINEOPLASTICS
42 0051M CAPECITABINE 150MG TAB (INP) CAPECITABINE CAPECITABINE 10'S BQ 15.79 1.58 TAB 230 PACK INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2026-04-01 ORAL 0 ANTINEOPLASTICS
40 0111D CEFUROXIME 500MG CAP (KWA/ATB) CEFUROXIME CEFUROXIME 100'S BQ 66.95 0.67 CAPSULE 0 CAP KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 08120608 SECOND GEN CEPHALOSPORINS 2022-04-01 2024-03-31 Oral 6 ANTI-INFECTIVE AGENTS
40 0111DL CEFADROXIL 500MG CAP (KWA/ATB) CEFADROXIL CEFADROXIL 10X10 A 23.11 0.23 CAPSULE 28 CAP KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 08120604 FIRST GEN CEPHALOSPORINS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 0111FA ADORA 500MG CAP (INC) CEFADROXIL CEFADROXIL ADORA 20'S A 8.07 0.4037 CAP 28 BOX INC INCEPTA PHARMACEUTICALS LIMITED AHI ARMSTRONG HEALTHCARE INC 08120604 FIRST GEN CEPHALOSPORINS 2024-04-01 2026-03-31 ORAL 0 FIRST GEN CEPHALOSPORINS
42 0111FA ADORA 500MG CAP (INC) CEFADROXIL CEFADROXIL ADORA 20'S A 8.26 0.41 CAP 28 BLIS INC INCEPTA PHARMACEUTICALS LIMITED AHI ARMSTRONG HEALTHCARE INC 08120604 FIRST GEN CEPHALOSPORINS 2026-04-01 ORAL 0 FIRST GEN CEPHALOSPORINS
42 0111FJ XORICEF 500MG TAB (JLP) CEFUROXIME CEFUROXIME XORICEF 10X10 BH 51.65 0.52 TAB 20 BLIS JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 08120604 FIRST GEN CEPHALOSPORINS 2026-04-01 ORAL 0 FIRST GEN CEPHALOSPORINS
40 0113AG CEFAZOLIN 1G IV/IM INJ (KWA/ATB) CEFAZOLIN CEFAZOLIN 1G VIAL B 4.02 4.02 INJECTION 0 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 08120604 FIRST GEN CEPHALOSPORINS 2022-04-01 2022-09-30 IV/IM 0 ANTI-INFECTIVE AGENTS 2022-03-30
41 0113BA CEFAZOL 1G INJ (INC) (BQ) CEFAZOLIN CEFAZOL 15ML VIAL BQ 14.19 14.1897 VIAL 0 VIAL INC INCEPTA PHARMACEUTICALS LIMITED AHI ARMSTRONG HEALTHCARE INC 08120604 FIRST GEN CEPHALOSPORINS 2024-04-01 2026-03-31 IV/IM 0 FIRST GEN CEPHALOSPORINS