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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
42 0071J PMS-ZOLPIDEM 5MG TAB (PMS) ZOLPIDEM PMS-ZOLPIDEM 3X10 C 16.31 0.54 TAB 0 BLIS PMS PHARMASCIENCE COL AVENTA BARBADOS 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2026-04-01 ORAL 0 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCEL
42 0072L PMS-ZOLPIDEM 10MG OD TAB (PMS) ZOLPIDEM PMS-ZOLPIDEM 3X10 C 24.46 0.82 TABODT 0 BOTT PMS PHARMASCIENCE COL AVENTA BARBADOS 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2026-04-01 ORAL 0 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCEL
40 0102T PMS-NYSTATIN 100,000U/ML SUSP (PMS/COL) NYSTATIN PMS-NYSTATIN 100ML A 6.80 0.07 SUSPENSION 180 ML PMS PHARMASCIENCE COL COLLINS LTD 081428 POLYENES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 0102T PMS-NYSTATIN 100,000U/ML SUSP (PMS) NYSTATIN PMS-NYSTATIN 100ML A 8.15 0.0816 ML 180 BOTT PMS PHARMASCIENCE COL COLLINS LTD 081428 POLYENES 2024-04-01 2026-03-31 ORAL 0 POLYENES
40 0461C PMS-SULPHASALAZINE 500MG TAB (PMS/COL) SULPHASALAZINE PMS-SULPHASALAZINE 100'S A 24.46 0.24 TABLET 240 TAB PMS PHARMASCIENCE COL COLLINS LTD 081220 SULPHONAMIDES 2022-04-01 2024-03-31 Oral 6 ANTI-INFECTIVE AGENTS
41 0461C PMS-SULPHASALAZINE 500MG TAB (PMS) SULPHASALAZINE PMS-SULPHASALAZINE 100'S A 38.87 0.3887 TAB 240 BOTT PMS PHARMASCIENCE COL COLLINS LTD 081220 SULPHONAMIDES 2024-04-01 2026-03-31 ORAL 6 SULPHONAMIDES
42 0461C PMS-SULPHASALAZINE 500MG TAB (PMS) SULPHASALAZINE PMS-SULPHASALAZINE 100'S B 38.06 0.38 TAB 240 BOTT PMS PHARMASCIENCE COL AVENTA BARBADOS 081220 SULPHONAMIDES 2026-04-01 ORAL 6 SULPHONAMIDES
40 0502H PMS-NITROFURANTOIN 100MG TAB (PMS/COL) NITROFURANTOIN PMS-NITROFURANTOIN 100'S C 48.93 0.49 TABLET 0 TAB PMS PHARMASCIENCE COL COLLINS LTD 0836 URINARY ANTI-INFECTIVES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 07411 PMS-BENZTROPINE 2MG TAB (PMS/COL) BENZTROPINE PMS-BENZTROPINE 100'S A 9.51 0.10 TABLET 90 TAB PMS PHARMASCIENCE COL COLLINS LTD 283608 ANTICHOLINERGIC AGENTS (PARKINSONS) 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
41 0884BU PMS-SALBUTAMOL 5MG/ML RESP SOL (PMS) SALBUTAMOL PMS-SALBUTAMOL 20X2.5ML A 20.66 1.033 AMPP 20 BOX PMS PHARMASCIENCE COL COLLINS LTD B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2024-04-01 2026-03-31 ORAL INHALATION 6 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRA
42 0884BU PMS-SALBUTAMOL 5MG/ML RESP SOL (PMS) SALBUTAMOL PMS-SALBUTAMOL 20X2.5ML A 19.71 0.99 AMPP 20 BOX PMS PHARMASCIENCE COL AVENTA BARBADOS B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2026-04-01 ORAL INHALATION 6 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRA
41 0884BV PMS-IPRATROPIUM 0.25MG/ML RESP SOL (PMS) IPRATROPIUM PMS-IPRATROPIUM 20X1ML A 12.37 0.6184 AMPP 1 BOX PMS PHARMASCIENCE COL COLLINS LTD B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2024-04-01 2026-03-31 ORAL INHALATION 6 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRA
42 09121 PMS-IPRATROPIUM 0.25MG/ML RESP SOL (PMS) IPRATROPIUM PMS-IPRATROPIUM 20X1ML A 11.55 0.58 AMPP 1 AMPP PMS PHARMASCIENCE AVENTA BARBADOS B 481208 ANTICHOLINERGIC AGENTS (RESPIRATORY) 2026-04-01 ORAL INHALATION 6 ANTICHOLINERGIC AGENTS (RESPIRATORY)
40 10718 TOLOXIN 0.125MG TAB (PMS/COL) DIGOXIN TOLOXIN 250'S A 19.03 0.08 TABLET 60 TAB PMS PHARMASCIENCE COL COLLINS LTD 24040492 CARDIAC GLYCOSIDES 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
41 10718 TOLOXIN 0.125MG TAB (PMS) DIGOXIN TOLOXIN 250'S A 29.22 0.1169 TAB 60 BOX PMS PHARMASCIENCE COL COLLINS LTD 240408 CARDIOTONIC AGENTS 2024-04-01 2026-03-31 ORAL 6 CARDIOTONIC AGENTS
42 10718 TOLOXIN 0.125MG TAB (PMS) DIGOXIN TOLOXIN 250'S A 16.99 0.07 TAB 60 BLIS PMS PHARMASCIENCE COL AVENTA BARBADOS 240408 CARDIOTONIC AGENTS 2026-04-01 ORAL 6 CARDIOTONIC AGENTS
40 10739 TOLOXIN 50MCG/ML SOLN (PMS/COL) DIGOXIN TOLOXIN 115ML A 48.93 0.43 SOLUTION 120 ML PMS PHARMASCIENCE COL COLLINS LTD 24040492 CARDIAC GLYCOSIDES 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
42 10739 PMS-TOLOXIN 50MCG/ML SOLN (PMS) DIGOXIN PMS-TOLOXIN 115ML A 43.49 0.38 ML 120 BOTT PMS PHARMASCIENCE COL AVENTA BARBADOS 240408 CARDIOTONIC AGENTS 2026-04-01 ORAL 6 CARDIOTONIC AGENTS
40 1121KB PMS-CHOLESTYRAMINE GRANUL (PMS/COL) CHOLESTYRAMINE PMS-CHOLESTYRAMINE 30X4G A 43.49 1.45 GRANULES 60 SACH PMS PHARMASCIENCE COL COLLINS LTD 240604 BILE ACID SEQUESTRANTS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
41 1121KB PMS-CHOLESTYRAMINE 4G GRAN (PMS) CHOLESTYRAMINE PMS-CHOLESTYRAMINE 30X4G A 53.01 1.7669 SACH 60 BOX PMS PHARMASCIENCE COL COLLINS LTD 240604 BILE ACID SEQUESTRANTS 2024-04-01 2026-03-31 ORAL 6 BILE ACID SEQUESTRANTS