Displaying 1 - 20 of 108
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 0012BK REMIDINE 10MG TAB (REM/SBI) LORATADINE LORATADINE REMIDINE 2x10 A $1.74 $0.09 TABLET 14 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 00527 KAPETRAL 500MG TAB (REM/SBI) CAPECITABINE CAPECITABINE KAPETRAL 120'S BQ $103.41 $0.86 TABLET 0 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
40 00915 GRISEOFULVIN 125MG TAB (REM/SBI) GRISEOFULVIN GRISEOFULVIN 10x10 A $17.37 $0.17 TABLET 60 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081492 ANTIFUNGALS, MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 ANTI-INFECTIVE AGENTS
40 00923 GRISEOFULVIN 500MG TAB (REM/SBI) GRISEOFULVIN GRISEOFULVIN 10X10 A $28.27 $0.28 TABLET 60 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081492 ANTIFUNGALS, MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 ANTI-INFECTIVE AGENTS
40 0141M CLAREM 250MG TAB (REM/SBI) CLARITHROMYCIN CLARITHROMYCIN CLAREM 100'S A $7.99 $0.08 TABLET 14 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0153C AMOXAPEN 500MG CAP (REM/SBI) AMOXICILLIN AMOXICILLIN AMOXAPEN 100x10 C $115.83 $0.12 CAPSULE 0 CAP REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081216 PENICILLINS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0153CW AMOXAPEN 500MG CAP (REM/SBI) AMOXICILLIN AMOXICILLIN AMOXAPEN 10x10 C $10.14 $0.10 CAPSULE 0 CAP REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081216 PENICILLINS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 02223 CLOXACILLIN 500MG CAP (REM/SBI) CLOXACILLIN CLOXACILLIN 10x10 A $16.39 $0.16 CAPSULE 28 CAP REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081216 PENICILLINS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS 2021-12-03
40 06319 METHOTREXATE 2.5MG TAB (REM/SBI) METHOTREXATE METHOTREXATE 10X10 A $14.79 $0.15 TABLET 32 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
40 07515 DIVIDOL 10MG TAB (REM/SBI) HYOSCINE BUTYLBROM HYOSCINE BUTYLBROMIDE DIVIDOL 100'S A $12.23 $0.12 TABLET 120 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 120808 ANTIMUSCARINICS/ANTISPASMODICS 2022-04-01 2024-03-31 Oral 0 AUTONOMIC DRUGS
40 09815 GALFER 305MG CAP (THR/SBI) FERROUS FUMARATE FERROUS FUMARATE GALFER 250'S C $19.71 $0.08 CAPSULE 0 CAP THR THORNTON & ROSS LTD SBI MASSY DISTRIBUTION (BDOS) LTD 200404 IRON PREPARATIONS 2022-04-01 2024-03-31 Oral 0 BLOOD FORMATION, COAGULATION AND THROMBOSIS
40 09818 GALFER 305MG CAP (THR/SBI) FERROUS FUMARATE FERROUS FUMARATE GALFER 100'S C $9.87 $0.10 CAPSULE 0 CAP THR THORNTON & ROSS LTD SBI MASSY DISTRIBUTION (BDOS) LTD 200404 IRON PREPARATIONS 2022-04-01 2024-03-31 Oral 0 BLOOD FORMATION, COAGULATION AND THROMBOSIS
40 09824 GALFER 28MG/ML SYR (THR/SBI) FERROUS FUMARATE FERROUS FUMARATE GALFER 300ML A $14.49 $0.05 SYRUP 300 ML THR THORNTON & ROSS LTD SBI MASSY DISTRIBUTION (BDOS) LTD 200404 IRON PREPARATIONS 2022-04-01 2024-03-31 Oral 6 BLOOD FORMATION, COAGULATION AND THROMBOSIS
40 1131DA LIPITOR 10MG TAB (PFI/SBI) ATORVASTATIN ATORVASTATIN LIPITOR 30'S C $33.19 $1.11 TABLET 0 TAB PFI PFIZER CORPORATION SBI MASSY DISTRIBUTION (BDOS) LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 CARDIOVASCULAR DRUGS
40 1131DW ATORSTAN 10MG TAB (REM/SBI) ATORVASTATIN ATORVASTATIN ATORSTAN 3x10 A $1.60 $0.05 TABLET 30 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
40 1132DW LIPITOR 20MG TAB (PFI/SBI) ATORVASTATIN ATORVASTATIN LIPITOR 30'S C $36.21 $1.21 TABLET 0 TAB PFI PFIZER CORPORATION SBI MASSY DISTRIBUTION (BDOS) LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 CARDIOVASCULAR DRUGS
40 1132ET ATORSTAN 20MG TAB (REM/SBI) ATORVASTATIN ATORVASTATIN ATORSTAN 3x10 A $2.07 $0.07 TABLET 30 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
40 1133CQ LIPITOR 40MG TAB (PFI/SBI) ATORVASTATIN ATORVASTATIN LIPITOR 30'S C $37.73 $1.26 TABLET 0 TAB PFI PFIZER CORPORATION SBI MASSY DISTRIBUTION (BDOS) LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 CARDIOVASCULAR DRUGS
40 1133DJ ATORSTAN 40MG TAB (REM/SBI) ATORVASTATIN ATORVASTATIN ATORSTAN 3x10 A $3.02 $0.10 TABLET 60 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
40 11348 LIPITOR 80MG TAB (PFI/SBI) ATORVASTATIN ATORVASTATIN LIPITOR 14'S C $51.29 $3.66 TABLET 0 TAB PFI PFIZER CORPORATION SBI MASSY DISTRIBUTION (BDOS) LTD 240608 HMG-CoA REDUCTASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 CARDIOVASCULAR DRUGS