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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 1131EP ROSUVASTATIN 5MG TAB (MSN/AHI) ROSUVASTATIN ROSUVASTATIN 30'S A 2.47 0.08 TABLET 30 TAB MSN MSN LABS AHI ARMSTRONG HEALTHCARE INC 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2022-09-30 Oral 6 CARDIOVASCULAR DRUGS 2022-03-29
41 1131FA ATOREM 10MG TAB (MSN) ATORVASTATIN ATORVASTATIN ATOREM 3X10 A 1.2 0.0399 TAB 30 BOTT MSN MSN LABS ATB ANSA TRADING BARBADOS LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
42 1131HT ATOREM 10MG TAB (MSN) ATORVASTATIN ATORVASTATIN ATOREM 3X10 A 1.06 0.04 TAB 30 MSN MSN LABS STO BRYDEN STOKES LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2026-04-01 Add to Contract as Cat A ORAL 6 HMG-CoA REDUCTASE INHIBITORS 2026-03-23
40 1132FW ROSUVASTATIN 10MG TAB (MSN/AHI) ROSUVASTATIN ROSUVASTATIN 30'S A 4.08 0.14 TABLET 30 TAB MSN MSN LABS AHI ARMSTRONG HEALTHCARE INC 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2022-09-30 Oral 6 CARDIOVASCULAR DRUGS 2022-03-29
41 1132GL ROSUVASTATIN 10MG TAB (MSN) ROSUVASTATIN ROSUVASTATIN 30'S A 2.58 0.0861 TAB 30 BOTT MSN MSN LABS ATB ANSA TRADING BARBADOS LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
42 1132KM ATOREM 20MG TAB (MSN) ATORVASTATIN ATORVASTATIN ATOREM 3X10 A 1.60 0.05 TAB 30 BLIS MSN MSN LABS STO BRYDEN STOKES LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2026-03-24 Add to Contract as Cat A ORAL 6 HMG-CoA REDUCTASE INHIBITORS 2026-03-23
40 1133EH ROSUVASTATIN 20MG TAB (MSN/AHI) ROSUVASTATIN ROSUVASTATIN 30'S A 5.16 0.17 TABLET 30 TAB MSN MSN LABS AHI ARMSTRONG HEALTHCARE INC 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2022-09-30 Oral 6 CARDIOVASCULAR DRUGS 2022-03-29
41 1133FB LDNIL 20MG TAB (MSN) ROSUVASTATIN ROSUVASTATIN LDNIL 30'S A 3.86 0.1287 TAB 30 BOTT MSN MSN LABS ATB ANSA TRADING BARBADOS LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
41 1134AT ATORVASTATIN 80MG TAB (MSN) ATORVASTATIN ATORVASTATIN 30'S A 5.76 0.1921 TAB 30 BOX MSN MSN LABS ATB ANSA TRADING BARBADOS LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
41 1134AU LDNIL 40MG TAB (MSN) ROSUVASTATIN ROSUVASTATIN LDNIL 30'S A 6.31 0.2102 TAB 30 BOX MSN MSN LABS ATB ANSA TRADING BARBADOS LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
41 21435 EPNONE 50MG TAB (MSN) EPLERENONE (B) EPLERENONE EPNONE 30'S B 21.39 0.7131 TAB 60 BOX MSN MSN LABS ATB ANSA TRADING BARBADOS LTD B 243220 ALDOSTERONE RECEPTOR ANTAGONIST 2024-04-01 2026-03-31 ORAL 6 ALDOSTERONE RECEPTOR ANTAGONIST
41 21436 EPNONE 25MG TAB (MSN) EPLERENONE (B) EPLERENONE EPNONE 30'S B 12.64 0.4213 TAB 60 BOX MSN MSN LABS ATB ANSA TRADING BARBADOS LTD B 243220 ALDOSTERONE RECEPTOR ANTAGONIST 2024-04-01 2026-03-31 ORAL 6 ALDOSTERONE RECEPTOR ANTAGONIST
40 2841EZ METSAFE ER 500MG TAB (MSN/ATB) METFORMIN XR METFORMIN XR METSAFE ER 10X10 A 4.84 0.05 TABLET 120 TAB MSN MSN LABS ATB ANSA TRADING BARBADOS LTD B 682004 BIGUANIDES 2022-04-01 2024-03-31 Oral 6 HORMONES AND SYNTHETIC SUBSTITUTES
40 2843F METSAFE ER 1G TAB (MSN/ATB) METFORMIN XR METFORMIN XR METSAFE ER 100'S A 9.70 0.10 TABLET 60 TAB MSN MSN LABS ATB ANSA TRADING BARBADOS LTD B 682004 BIGUANIDES 2022-04-01 2024-03-31 Oral 6 HORMONES AND SYNTHETIC SUBSTITUTES
41 2843F METSAFE 1G ER TAB (MSN) METFORMIN XR METFORMIN XR METSAFE 100'S A 13.18 0.1318 TABER 60 BOX MSN MSN LABS ATB ANSA TRADING BARBADOS LTD B 682004 BIGUANIDES 2024-04-01 2026-03-31 ORAL 6 BIGUANIDES
40 3921CK PLASEP 75MG TAB (MSN/ATB) CLOPIDOGREL CLOPIDOGREL PLASEP 3X10 A 1.77 0.06 TABLET 30 TAB MSN MSN LABS ATB ANSA TRADING BARBADOS LTD 201218 PLATELET AGGREGATION INHIBITORS 2022-04-01 2022-07-26 Oral 6 BLOOD FORMATION, COAGULATION AND THROMBOSIS
40 3921CK PLASEP 75MG TAB (MSN/ATB) CLOPIDOGREL CLOPIDOGREL PLASEP 3X10 A 2.16 0.07 TABLET 30 TAB MSN MSN LABS ATB ANSA TRADING BARBADOS LTD 201218 PLATELET AGGREGATION INHIBITORS 2022-09-06 2024-03-31 Price Change Oral 6 BLOOD FORMATION, COAGULATION AND THROMBOSIS 2022-07-26
41 3921CK PLASEP 75MG TAB (MSN) CLOPIDOGREL CLOPIDOGREL PLASEP 3X10 A 2.64 0.0879 TAB 30 BOX MSN MSN LABS ATB ANSA TRADING BARBADOS LTD 201218 PLATELET AGGREGATION INHIBITORS 2024-04-01 2026-03-31 ORAL 6 PLATELET AGGREGATION INHIBITORS
42 3921ER PLASEP 75MG TAB (MSN) CLOPIDOGREL CLOPIDOGREL PLASEP 3X10 A 2.47 0.08 TAB 30 MSN MSN LABS STO BRYDEN STOKES LTD 201218 PLATELET AGGREGATION INHIBITORS 2026-04-01 Add to Contract as Cat A ORAL 6 PLATELET AGGREGATION INHIBITORS 2026-03-23
41 4332U TYKONIB 400MG TAB (MSN) (BQ) IMATINIB TYKONIB 30'S BQ 117.02 3.9008 TAB 60 BOTT MSN MSN LABS ATB ANSA TRADING BARBADOS LTD 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 6 ANTINEOPLASTICS