Displaying 1 - 20 of 73
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 0012V CETIRIZINE 10MG TAB (HEA/RXP) CETIRIZINE CETIRIZINE 1X10 A 0.95 0.10 TABLET 14 TAB HEA HEALTH 2000 INC RXP RX PRO INC 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0013BH DPH ELIXIR 2.5MG/ML SYR (FED/RXP) DIPHENHYDRA DIPHENHYDRAMINE DPH ELIXIR 120ML A 4.08 0.03 SYRUP 120 ML FED FEDERATED PHARMACEUTICAL CO. LT RXP RX PRO INC 0404 FIRST GENERATION ANTIHISTAMINES 2022-04-01 2022-05-11 Delete from contract Oral 6 ANTIHISTAMINICS 2022-05-11
40 0013K CETIRIZINE 1MG/ML SYR (HEA/RXP) CETIRIZINE CETIRIZINE 60ML A 2.69 0.04 SYRUP 60 ML HEA HEALTH 2000 INC RXP RX PRO INC 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0013P LORATADINE 1MG/ML SYRUP (HEA/RXP) LORATADINE LORATADINE 100ML A 3.13 0.03 SYRUP 120 ML HEA HEALTH 2000 INC RXP RX PRO INC 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0081AG AMPHOTIN 50MG INJ (UBI/RXP) AMPHOTERICIN B AMPHOTERICIN B AMPHOTIN 50MG VIAL BQ 19.71 19.71 INJECTION 0 VIAL UBI UNITED BIOTECH (P) LIMITED RXP RX PRO INC 081428 POLYENES 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
40 01027 NYSTATIN 100,000U/ML SUSP (HEA/RXP) NYSTATIN NYSTATIN 60ML A 5.71 0.10 SUSPENSION 180 ML HEA HEALTH 2000 INC RXP RX PRO INC 081428 POLYENES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0131BE SKAZI 40MG/ML SUSP (SKH/RXP) AZITHROMYCIN AZITHROMYCIN SKAZI 15ML A 4.89 0.33 SUSPENSION 30 ML SKH S. KANT HEALTHCARE LTD RXP RX PRO INC 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0301Q CLINDATECH 150MG/ML INJ (UBI/RXP) CLINDAMYCIN CLINDAMYCIN PHOSPHATE CLINDATECH 2ML AMP BQ 6.12 6.12 INJECTION 0 AMP UBI UNITED BIOTECH (P) LIMITED RXP RX PRO INC 08122820 LINCOMYCINS 2022-04-01 2024-03-31 IV 6 ANTI-INFECTIVE AGENTS
40 0411J CHLOROQUINE SULPHATE 250MG TAB (HEA/RXP) CHLOROQUINE SULPHATE CHLOROQUINE SULPHATE 40'S A 24.33 0.61 TABLET 90 TAB HEA HEALTH 2000 INC RXP RX PRO INC 083008 ANTIMALARIALS 2022-04-01 2024-03-31 Oral 6 ANTI-INFECTIVE AGENTS
40 0451A CO-TRIMOXAZOLE 400MG | 80MG TAB (HEA/RXP) SULFA SULFAMETHOXAZOLE|TRIMETHOPRIM CO-TRIMOXAZOLE 10X10 A 7.20 0.07 TABLET 56 TAB HEA HEALTH 2000 INC RXP RX PRO INC 081220 SULPHONAMIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 05217 DACTINOTEC 500MCG INJ (UBI/RXP) ACTINOMYCIN D ACTINOMYCIN D DACTINOTEC 500MCG BQ 31.26 31.26 INJECTION 0 VIAL UBI UNITED BIOTECH (P) LIMITED RXP RX PRO INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 0582D ONCOTAR 1G INJ (UBI/RXP) CYTARABINE CYTARABINE ONCOTAR 1G VIAL BQ 31.26 31.26 INJECTION 0 VIAL UBI UNITED BIOTECH (P) LIMITED RXP RX PRO INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 0633X UNITREXATE 25MG/ML INJ (UBI/RXP) METHOTREXATE METHOTREXATE UNITREXATE 2ML VIAL B 7.07 7.07 INJECTION 0 VIAL UBI UNITED BIOTECH (P) LIMITED RXP RX PRO INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 0671D UNIBLASTIN 10MG INJ (UBI/RXP) VINBLASTINE VINBLASTINE UNIBLASTIN 10MG VIAL BQ 54.37 54.37 INJECTION 0 VIAL UBI UNITED BIOTECH (P) LIMITED RXP RX PRO INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 0681Q UNICRISTINE 1MG INJ (UBI/RXP) VINCRISTINE VINCRISTINE UNICRISTINE 1MG VIAL BQ 7.07 7.07 INJECTION 0 VIAL UBI UNITED BIOTECH (P) LIMITED RXP RX PRO INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
41 1303D ASPIRIN 325MG TAB (QUC) ASPIRIN ASPIRIN 300'S A 16.99 0.0566 TAB 240 BOX QUC QUALITY CHOICE RXP RX PRO INC 28080424 SALICYLATES 2024-04-01 2026-03-31 ORAL 6 SALICYLATES
40 1351C METAMIZOL 500MG TAB (HEA/RXP) METAMIZOL METAMIZOL 250'S A 17.53 0.07 TABLET 30 TAB HEA HEALTH 2000 INC RXP RX PRO INC 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
40 1421BD PARACETAMOL 500MG TAB (HEA/RXP) PARACETAMOL PARACETAMOL 100x10 C 32.35 0.03 TABLET 0 TAB HEA HEALTH 2000 INC RXP RX PRO INC 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
40 1422BC CETAMOL 32MG/ML SYR (FED/RXP) PARACETAMOL PARACETAMOL CETAMOL 120ML A 3.15 0.03 SYRUP 300 ML FED FEDERATED PHARMACEUTICAL CO. LT RXP RX PRO INC 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2022-04-01 2022-05-11 Delete from contract Oral 0 CENTRAL NERVOUS SYSTEM DRUGS 2022-05-11
40 1431BN TRAMADOL 50MG TAB (HEA/RXP) TRAMADOL TRAMADOL 10X10 A 6.55 0.07 TABLET 56 TAB HEA HEALTH 2000 INC RXP RX PRO INC 280808 OPIATE AGONISTS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS