|
|
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
|
|
|
|
40
|
01133
|
CEFAZOLIN 1G IV/IM INJ (RTM/PHA)
|
CEFAZOLIN
|
CEFAZOLIN
|
1G VIAL
|
B
|
$3.89
|
$3.89
|
INJECTION
|
0
|
VIAL
|
RTM
|
PANPHARMA GMBH
|
PHA
|
PHARMACY SALES CARIBBEAN
|
|
08120604
|
FIRST GEN CEPHALOSPORINS
|
2022-04-01
|
2024-03-31
|
|
IV/IM
|
6
|
ANTI-INFECTIVE AGENTS
|
|
|
|
40
|
01243
|
OPTOMYCIN 0.5% EYE DR (ASL/PHA) CHLORAMPHENIC
|
CHLORAMPHENICOL
|
OPTOMYCIN
|
10ML
|
C
|
$4.08
|
$4.08
|
EYE DROP
|
0
|
BOTT
|
ASL
|
ASHFORD LABORATORIES LTD
|
PHA
|
PHARMACY SALES CARIBBEAN
|
|
520404
|
EENT ANTIBACTERIALS
|
2022-04-01
|
2024-03-31
|
|
OPHTHALMIC
|
0
|
EYE, EAR, NOSE AND THROAT PREPARATIONS
|
|
|
|
40
|
0131DH
|
KLARICID 50MG/ML SUSP (ABB/PHA) CLARITHROMYCI
|
CLARITHROMYCIN
|
KLARICID
|
60ML
|
C
|
$15.79
|
$0.26
|
SUSPENSION
|
0
|
ML
|
ABB
|
ABBOTT
|
PHA
|
PHARMACY SALES CARIBBEAN
|
|
08121292
|
OTHER MACROLIDES
|
2022-04-01
|
2024-03-31
|
|
Oral
|
0
|
ANTI-INFECTIVE AGENTS
|
|
|
|
40
|
0131DH
|
KLARICID 50MG/ML SUSP (ABB/PHA) CLARITHROMYCI (C)
|
CLARITHROMYCIN
|
KLARICID
|
60ML
|
C
|
$15.79
|
$0.26
|
SUSPENSION
|
|
|
ABB
|
ABBOTT
|
PHA
|
PHARMACY SALES CARIBBEAN
|
|
8121292
|
OTHER MACROLIDES
|
2022-04-01
|
2023-03-31
|
Delete from contract
|
Oral
|
0
|
OTHER MACROLIDES
|
2023-03-02
|
|
|
40
|
0131DJ
|
KLARICID 25MG/ML SUSP (ABB/PHA) CLARITHROMYCI
|
CLARITHROMYCIN
|
KLARICID
|
60ML
|
C
|
$11.50
|
$0.19
|
SUSPENSION
|
0
|
ML
|
ABB
|
ABBOTT
|
PHA
|
PHARMACY SALES CARIBBEAN
|
|
08121292
|
OTHER MACROLIDES
|
2022-04-01
|
2024-03-31
|
|
Oral
|
0
|
ANTI-INFECTIVE AGENTS
|
|
|
|
40
|
0131DJ
|
KLARICID 25MG/ML SUSP (ABB/PHA) CLARITHROMYCI (C)
|
CLARITHROMYCIN
|
KLARICID
|
60ML
|
C
|
$11.50
|
$0.19
|
SUSPENSION
|
|
|
ABB
|
ABBOTT
|
PHA
|
PHARMACY SALES CARIBBEAN
|
|
8121292
|
OTHER MACROLIDES
|
2022-04-01
|
2023-03-31
|
Delete from contract
|
Oral
|
0
|
OTHER MACROLIDES
|
2023-03-02
|
|
|
40
|
0141FU
|
KLARICID XL 500MG TAB (ABB/PHA) CLARITHROMYCI
|
CLARITHROMYCIN
|
KLARICID XL
|
10'S
|
C
|
$16.66
|
$1.67
|
TABLET
|
0
|
TAB
|
ABB
|
ABBOTT
|
PHA
|
PHARMACY SALES CARIBBEAN
|
|
08121292
|
OTHER MACROLIDES
|
2022-04-01
|
2024-03-31
|
|
Oral
|
0
|
ANTI-INFECTIVE AGENTS
|
|
|
|
40
|
0141FU
|
KLARICID XL 500MG TAB (ABB/PHA) CLARITHROMYCI (C)
|
CLARITHROMYCIN
|
KLARICID XL
|
10'S
|
C
|
$16.66
|
$1.67
|
TABLET IMMED
|
|
|
ABB
|
ABBOTT
|
PHA
|
PHARMACY SALES CARIBBEAN
|
|
8121292
|
OTHER MACROLIDES
|
2022-04-01
|
2023-03-31
|
Delete from contract
|
Oral
|
0
|
OTHER MACROLIDES
|
2023-03-02
|
|
|
40
|
0141FV
|
KLARICID 500MG TAB (ABB/PHA) CLARITHROMYCIN
|
CLARITHROMYCIN
|
KLARICID
|
10'S
|
C
|
$16.72
|
$1.67
|
TABLET
|
0
|
TAB
|
ABB
|
ABBOTT
|
PHA
|
PHARMACY SALES CARIBBEAN
|
|
08121292
|
OTHER MACROLIDES
|
2022-04-01
|
2024-03-31
|
Price Change
|
Oral
|
0
|
ANTI-INFECTIVE AGENTS
|
2022-05-05
|
|
|
40
|
0164AW
|
AMPICILLIN 500MG INJ (MON/PHA)
|
AMPICILLIN
|
AMPICILLIN
|
500MG VIAL
|
C
|
$1.69
|
$1.69
|
INJECTION
|
0
|
VIAL
|
MON
|
MONTAGE PHARMACEUTICALS
|
PHA
|
PHARMACY SALES CARIBBEAN
|
|
081216
|
PENICILLINS
|
2022-04-01
|
2024-03-31
|
|
IV
|
0
|
ANTI-INFECTIVE AGENTS
|
|
|
|
40
|
0164C
|
AMPICILLIN 500MG INJ (RTM/PHA)
|
AMPICILLIN
|
AMPICILLIN
|
500MG VIAL
|
C
|
$1.82
|
$1.82
|
INJECTION
|
0
|
VIAL
|
RTM
|
PANPHARMA GMBH
|
PHA
|
PHARMACY SALES CARIBBEAN
|
|
081216
|
PENICILLINS
|
2022-04-01
|
2024-03-31
|
|
IV
|
0
|
ANTI-INFECTIVE AGENTS
|
|
|
|
40
|
01916
|
PENICILLIN G SODIUM 1MU INJ (RTM/PHA)
|
PENICILLIN G SODIUM
|
PENICILLIN G SODIUM
|
15ML
|
B
|
$12.07
|
$12.07
|
INJECTION
|
0
|
VIAL
|
RTM
|
PANPHARMA GMBH
|
PHA
|
PHARMACY SALES CARIBBEAN
|
|
081216
|
PENICILLINS
|
2022-04-01
|
2024-03-31
|
|
IV
|
0
|
ANTI-INFECTIVE AGENTS
|
|
|
|
40
|
01924
|
PENICILLIN G SODIUM 5MU INJ (RTM/PHA)
|
PENICILLIN G SODIUM
|
PENICILLIN G SODIUM
|
15ML
|
B
|
$12.07
|
$12.07
|
INJECTION
|
0
|
VIAL
|
RTM
|
PANPHARMA GMBH
|
PHA
|
PHARMACY SALES CARIBBEAN
|
|
081216
|
PENICILLINS
|
2022-04-01
|
2024-03-31
|
|
IV
|
0
|
ANTI-INFECTIVE AGENTS
|
|
|
|
40
|
0211Y
|
MEROPENEM 500MG INJ (ABB/PHA)
|
MEROPENEM
|
MEROPENEM
|
500MG VIAL
|
BQ
|
$11.50
|
$11.50
|
INJECTION
|
0
|
VIAL
|
ABB
|
ABBOTT
|
PHA
|
PHARMACY SALES CARIBBEAN
|
|
08120708
|
CARBAPENEMS
|
2022-04-01
|
2024-03-31
|
|
IV
|
6
|
ANTI-INFECTIVE AGENTS
|
|
|
|
40
|
0211Y
|
MEROPENEM 500MG INJ (ABB/PHA) (BQ)
|
MEROPENEM
|
MEROPENEM
|
500MG VIAL
|
BQ
|
$11.50
|
$11.50
|
INJECTION
|
|
|
ABB
|
ABBOTT
|
PHA
|
PHARMACY SALES CARIBBEAN
|
|
8120708
|
CARBAPENEMS
|
2022-04-01
|
2023-03-31
|
Delete from contract
|
IV
|
6
|
CARBAPENEMS
|
2023-03-02
|
|
|
40
|
0212BG
|
MEROPENEM 1G INJ (RTM/PHA)
|
MEROPENEM
|
MEROPENEM
|
20ML VIAL
|
BQ
|
$14.79
|
$14.79
|
INJECTION
|
0
|
VIAL
|
RTM
|
PANPHARMA GMBH
|
PHA
|
PHARMACY SALES CARIBBEAN
|
|
08120708
|
CARBAPENEMS
|
2022-04-01
|
2024-03-31
|
|
IV
|
6
|
ANTI-INFECTIVE AGENTS
|
|
|
|
40
|
0225K
|
CLOXACILLIN 500MG INJ (MON/PHA)
|
CLOXACILLIN
|
CLOXACILLIN
|
500MG VIAL
|
B
|
$1.58
|
$1.58
|
INJECTION
|
0
|
VIAL
|
MON
|
MONTAGE PHARMACEUTICALS
|
PHA
|
PHARMACY SALES CARIBBEAN
|
|
081216
|
PENICILLINS
|
2022-04-01
|
2024-03-31
|
|
IV
|
6
|
ANTI-INFECTIVE AGENTS
|
|
|
|
40
|
0321AB
|
GENTAMICIN 40MG/ML IV/IM INJ (RTM/PHA)
|
GENTAMICIN
|
GENTAMICIN
|
10X2ML
|
B
|
$12.48
|
$1.25
|
INJECTION
|
0
|
AMP
|
RTM
|
PANPHARMA GMBH
|
PHA
|
PHARMACY SALES CARIBBEAN
|
|
081202
|
AMINOGLYCOSIDES
|
2022-04-01
|
2022-05-31
|
|
IV/IM
|
6
|
ANTI-INFECTIVE AGENTS
|
|
|
|
40
|
0321AB
|
GENTAMICIN 40MG/ML IV/IM INJ (RTM/PHA)
|
GENTAMICIN
|
GENTAMICIN
|
10X2ML
|
B
|
$19.27
|
$1.93
|
INJECTION
|
0
|
AMP
|
RTM
|
PANPHARMA GMBH
|
PHA
|
PHARMACY SALES CARIBBEAN
|
|
081202
|
AMINOGLYCOSIDES
|
2022-06-01
|
2024-03-31
|
Price Change
|
IV/IM
|
6
|
ANTI-INFECTIVE AGENTS
|
2022-05-31
|