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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
41 0012FN CETVAN 10MG TAB (TPP) CETIRIZINE CETIRIZINE CETVAN 10X10 A 5.44 0.0544 TAB 14 BOX TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2024-04-01 2026-03-31 ORAL 0 SECOND GENERATION ANTIHISTAMINES
41 0012FQ LORDINE 10MG TAB (TPP) LORATADINE LORATADINE LORDINE 10X10 A 5.33 0.0533 TAB 14 BOX TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2024-04-01 2026-03-31 ORAL 0 SECOND GENERATION ANTIHISTAMINES
42 0012FQ LORDINE 10MG TAB (TPP) LORATADINE LORATADINE LORDINE 10X10 A 6.12 0.06 TAB 14 BLIS TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2026-04-01 ORAL 0 SECOND GENERATION ANTIHISTAMINES
41 0141HM AZVAN 500MG TAB (TPP) AZITHROMYCIN AZITHROMYCIN AZVAN 10X10 A 45.48 0.4548 TAB 7 BOX TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 08121292 OTHER MACROLIDES 2024-04-01 2026-03-31 ORAL 0 OTHER MACROLIDES
41 0292R CLINDAVAN 150MG CAP (TPP) CLINDAMYCIN HCL CLINDAMYCIN HCL CLINDAVAN 10X10 A 25.2 0.252 CAP 28 BOX TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 08122820 LINCOMYCINS 2024-04-01 2026-03-31 ORAL 0 LINCOMYCINS
41 0294S CLINDAVAN 300MG CAP (TPP) CLINDAMYCIN HCL CLINDAMYCIN HCL CLINDAVAN 10X10 A 47.38 0.4738 CAP 28 BOX TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 081228 ANTIBACTERIALS, MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 0 ANTIBACTERIALS, MISCELLANEOUS
40 0611B MELPHALAN 2MG TAB (TPP/AHI) MELPHALAN MELPHALAN 50'S A 75.05 1.50 TABLET 63 TAB TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
42 0611B MELPHALAN 2MG TAB (TPP) MELPHALAN MELPHALAN 50'S B 79.40 1.59 TAB 63 BLIS TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC B 1000 ANTINEOPLASTICS 2026-04-01 ORAL 6 ANTINEOPLASTICS
41 1131FN ATORVASTATIN 10MG TAB (TPP) ATORVASTATIN ATORVASTATIN 10X10 A 3.86 0.0386 TAB 30 BOX TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 240608 HMG-CoA REDUCTASE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 HMG-CoA REDUCTASE INHIBITORS 2023-10-27
42 1131FN ATORVASTATIN 10MG TAB (TPP) ATORVASTATIN ATORVASTATIN 10X10 A 3.89 0.04 TAB 30 BLIS TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 240608 HMG-CoA REDUCTASE INHIBITORS 2026-04-01 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
41 1132GS ATORVASTATIN 20MG TAB (TPP) ATORVASTATIN ATORVASTATIN 10X10 A 5.03 0.0503 TAB 30 BOX TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 240608 HMG-CoA REDUCTASE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 HMG-CoA REDUCTASE INHIBITORS 2023-10-27
41 1132HV RSTAT 10MG TAB (TPP) ROSUVASTATIN ROSUVASTATIN RSTAT 10X10 A 4.95 0.0495 TAB 30 BOX TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 240608 HMG-CoA REDUCTASE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
42 1132HV RSTAT 10MG TAB (TPP) ROSUVASTATIN ROSUVASTATIN RSTAT 10X10 A 4.95 0.05 TAB 30 BLIS TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 240608 HMG-CoA REDUCTASE INHIBITORS 2026-04-01 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
41 1133GJ RSTAT 20MG TAB (TPP) ROSUVASTATIN ROSUVASTATIN RSTAT 10X10 A 12.72 0.1272 TAB 30 BOX TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 240608 HMG-CoA REDUCTASE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
41 1133GL ASTAT 40MG TAB (TPP) ATORVASTATIN ATORVASTATIN ASTAT 10X10 A 7.07 0.0707 TAB 60 BOX TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 240608 HMG-CoA REDUCTASE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
41 1134AX RSTAT 40MG TAB (TPP) ROSUVASTATIN ROSUVASTATIN RSTAT 10X10 A 19.95 0.1995 TAB 30 BOX TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 240608 HMG-CoA REDUCTASE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 HMG-CoA REDUCTASE INHIBITORS
41 1421CY PACT 500MG TAB (TPP) PARACETAMOL PARACETAMOL PACT 500'S A 14.9 0.0298 TAB 180 BOTT TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANALGESICS AND PYRETICS MISCELLANEOUS
41 1972AJ VANCAL 600MG TAB (TPP) CALCIUM CARBONATE CALCIUM CARBONATE VANCAL 10X10 A 2.12 0.0212 TAB 90 BOX TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 4012 REPLACEMENT THERAPY 2024-04-01 2026-03-31 ORAL 6 REPLACEMENT THERAPY
41 4141SD IBUVAN 400MG TAB (TPP) IBUPROFEN IBUPROFEN IBUVAN 10X10 A 8.02 0.0802 TAB 120 BOX TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
40 5041V OXALITHER 50MG SOLN FOR INJ (TPP/AHI) OXALIPLATIN OXALIPLATIN OXALITHER 50MG VIAL BQ 46.18 46.18 SOLUTION FOR 0 VIAL TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS