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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 1201P AZARGA 1% | 0.5% EYE DR (NVS/COL) BRINZOLAMIDE | BRINZOLAMIDE|TIMOLOL AZARGA 5ML C 19.79 19.79 EYE DROP 0 BOTT NVS NOVARTIS CARIBE SA COL COLLINS LTD 524092 ANTIGLAUCOMA AGENTS MISCELLANEOUS 2022-04-01 2024-03-31 OPHTHALMIC 0 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 1201P AZARGA 1%|0.5% EYE DR (NVS) BRINZOLAMIDE|TIMOLOL (BQ) BRINZOLAMIDE|TIMOLOL AZARGA 5ML BQ 19.79 19.7894 BOTT 1 BOTT NVS NOVARTIS CARIBE SA COL COLLINS LTD 524092 ANTIGLAUCOMA AGENTS MISCELLANEOUS 2024-04-01 2026-03-31 OPHTHALMIC 6 ANTIGLAUCOMA AGENTS MISCELLANEOUS
42 1201P AZARGA 1%|0.5% EYE DR (NVS) BRINZOLAMIDE|TIMOLOL BRINZOLAMIDE|TIMOLOL AZARGA 5ML BQ 19.79 19.79 BOTT 1 BOTT NVS NOVARTIS CARIBE SA COL AVENTA BARBADOS 524092 ANTIGLAUCOMA AGENTS MISCELLANEOUS 2026-04-01 OPHTHALMIC 0 ANTIGLAUCOMA AGENTS MISCELLANEOUS
40 14624 TEGRETOL 200MG TAB (NVS/COL) CARBAMAZEPINE CARBAMAZEPINE TEGRETOL 100'S A 38.25 0.38 TABLET 240 TAB NVS NOVARTIS CARIBE SA COL COLLINS LTD B 281292 ANTICONVULSANTS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
41 14624 TEGRETOL 200MG TAB (NVS) CARBAMAZEPINE CARBAMAZEPINE TEGRETOL 100'S A 38.25 0.3825 TAB 240 BOX NVS NOVARTIS CARIBE SA COL COLLINS LTD B 281292 ANTICONVULSANTS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANTICONVULSANTS MISCELLANEOUS
42 14624 TEGRETOL 200MG TAB (NVS) CARBAMAZEPINE CARBAMAZEPINE TEGRETOL 100'S A 38.25 0.38 TAB 240 BLIS NVS NOVARTIS CARIBE SA COL AVENTA BARBADOS B 281292 ANTICONVULSANTS MISCELLANEOUS 2026-04-01 ORAL 6 ANTICONVULSANTS MISCELLANEOUS
40 14632 TEGRETOL 20MG/ML SYR (NVS/COL) CARBAMAZEPINE CARBAMAZEPINE TEGRETOL 100ML A 7.80 0.08 SYRUP 900 ML NVS NOVARTIS CARIBE SA COL COLLINS LTD B 281292 ANTICONVULSANTS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
41 14632 TEGRETOL 20MG/ML SYR (NVS) CARBAMAZEPINE CARBAMAZEPINE TEGRETOL 100ML A 10.14 0.1014 ML 900 BOTT NVS NOVARTIS CARIBE SA COL COLLINS LTD B 281292 ANTICONVULSANTS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANTICONVULSANTS MISCELLANEOUS
42 14632 TEGRETOL 20MG/ML SYR (NVS) CARBAMAZEPINE CARBAMAZEPINE TEGRETOL 100ML A 12.07 0.12 ML 900 BOTT NVS NOVARTIS CARIBE SA COL AVENTA BARBADOS B 281292 ANTICONVULSANTS MISCELLANEOUS 2026-04-01 ORAL 6 ANTICONVULSANTS MISCELLANEOUS
40 14641 TEGRETOL CR 400MG TAB (NVS/COL) CARBAMAZEPINE CARBAMAZEPINE CR TEGRETOL CR 30'S A 21.94 0.73 TABLET 120 TAB NVS NOVARTIS CARIBE SA COL COLLINS LTD B 281292 ANTICONVULSANTS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
41 14641 TEGRETOL CR 400MG TAB (NVS) CARBAMAZEPINE CR CARBAMAZEPINE CR TEGRETOL CR 30'S A 21.94 0.7313 TABCR 120 BOX NVS NOVARTIS CARIBE SA COL COLLINS LTD B 281292 ANTICONVULSANTS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANTICONVULSANTS MISCELLANEOUS
42 14641 TEGRETOL 400MG CR TAB (NVS) CARBAMAZEPINE CARBAMAZEPINE TEGRETOL 30'S A 21.94 0.73 TAB 120 BLIS NVS NOVARTIS CARIBE SA COL AVENTA BARBADOS B 281292 ANTICONVULSANTS MISCELLANEOUS 2026-04-01 ORAL 6 ANTICONVULSANTS MISCELLANEOUS
40 14651 TEGRETOL CR 200MG TAB (NVS/COL) CARBAMAZEPINE CARBAMAZEPINE CR TEGRETOL CR 50'S A 17.23 0.34 TABLET 240 TAB NVS NOVARTIS CARIBE SA COL COLLINS LTD B 281292 ANTICONVULSANTS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
41 14651 TEGRETOL 200MG CR TAB (NVS) CARBAMAZEPINE CARBAMAZEPINE TEGRETOL 50'S A 17.23 0.3446 TABCR 240 BOX NVS NOVARTIS CARIBE SA COL COLLINS LTD B 281292 ANTICONVULSANTS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANTICONVULSANTS MISCELLANEOUS
42 14651 TEGRETOL 200MG CR TAB (NVS) CARBAMAZEPINE CARBAMAZEPINE TEGRETOL 50'S A 17.23 0.34 TAB 240 BLIS NVS NOVARTIS CARIBE SA COL AVENTA BARBADOS B 281292 ANTICONVULSANTS MISCELLANEOUS 2026-04-01 ORAL 6 ANTICONVULSANTS MISCELLANEOUS
40 17213 RITALIN 10MG TAB (NVS/COL) METHYLPHENIDATE METHYLPHENIDATE RITALIN 30'S C 11.82 0.39 TABLET 0 TAB NVS NOVARTIS CARIBE SA COL COLLINS LTD 2820 RESPIRATORY-CEREBRAL STIMULANTS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
41 17213 RITALIN 10MG TAB (NVS) METHYLPHENIDATE (C) METHYLPHENIDATE RITALIN 30'S C 21.12 0.704 TAB 84 BOX NVS NOVARTIS CARIBE SA COL COLLINS LTD 2820 RESPIRATORY-CEREBRAL STIMULANTS 2024-04-01 2026-03-31 ORAL 6 RESPIRATORY-CEREBRAL STIMULANTS
42 17213 RITALIN 10MG TAB (NVS) METHYLPHENIDATE METHYLPHENIDATE RITALIN 30'S C 17.59 0.59 TAB 84 BLIS NVS NOVARTIS CARIBE SA COL AVENTA BARBADOS 282032 RESPIRATORY-CNS STIMULANTS 2026-04-01 ORAL 6 RESPIRATORY-CNS STIMULANTS
40 41011 ZOMETA 4MG INJ (NVS/COL) ZOLENDRONIC ACID ZOLENDRONIC ACID ZOMETA 4MG VIAL C 842.68 842.68 INJECTION 0 VIAL NVS NOVARTIS CARIBE SA COL COLLINS LTD 9224 BONE RESORPTION INHIBITORS 2022-04-01 2024-03-31 IV 0 UNCLASSIFIED THERAPEUTIC AGENTS
41 41011 ZOMETA 4MG INJ (NVS) ZOLENDRONIC ACID (C) ZOLENDRONIC ACID ZOMETA 4MG VIAL C 706.76 706.7642 VIAL 2 VIAL NVS NOVARTIS CARIBE SA COL COLLINS LTD 9224 BONE RESORPTION INHIBITORS 2024-04-01 2026-03-31 IV 6 BONE RESORPTION INHIBITORS