Displaying 1 - 20 of 187
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 0011M HISTAL 4MG TAB (CAR/COL) CHLORPHENIRAMINE CHLORPHENIRAMINE HISTAL 1000'S A 29.06 0.03 TABLET 84 TAB CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 0404 FIRST GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
41 0011M HISTAL 4MG TAB (CAR) CHLORPHENIRAMINE CHLORPHENIRAMINE HISTAL 1000'S A 33.44 0.0334 TAB 84 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 0404 FIRST GENERATION ANTIHISTAMINES 2024-04-01 2026-03-31 ORAL 0 FIRST GENERATION ANTIHISTAMINES
40 0012AN MEQUILAN 5MG TAB (CAR/COL) MEQUITAZINE MEQUITAZINE MEQUILAN 112'S A 42.41 0.38 TABLET 28 TAB CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
41 0012AN MEQUILAN 5MG TAB (CAR) MEQUITAZINE MEQUITAZINE MEQUILAN 112'S A 42.41 0.3786 TAB 28 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2024-04-01 2026-03-31 ORAL 0 SECOND GENERATION ANTIHISTAMINES
41 0012ES RHINIL SR 10MG TAB (ARP) CETIRIZINE CETIRIZINE RHINIL SR 100'S A 7.42 0.0742 TAB 14 BOX ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2024-04-01 2026-03-31 ORAL 0 SECOND GENERATION ANTIHISTAMINES
41 0012FR AXOFEN 120MG TAB (ARP) FEXOFENADINE (C) FEXOFENADINE AXOFEN 30'S C 23.27 0.7756 TAB 0 BOX ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2024-04-01 2026-03-31 ORAL 0 SECOND GENERATION ANTIHISTAMINES
40 0013E HISTAL 0.4MG/ML ELIX (CAR/COL) CHLORPHENIRAMI CHLORPHENIRAMINE HISTAL 2 LITRES A 34.79 0.02 SYRUP 100 ML CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 0404 FIRST GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
41 0013E HISTAL 0.4MG/ML ELIX (CAR) CHLORPHENIRAM CHLORPHENIRAMINE HISTAL 2 LITRES A 46.16 0.0231 ML 100 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 0404 FIRST GENERATION ANTIHISTAMINES 2024-04-01 2026-03-31 ORAL 0 FIRST GENERATION ANTIHISTAMINES
40 0292J CLINEX 150MG CAP (ARP/AHI) CLINDAMYCIN HCL CLINDAMYCIN HYDROCHLORIDE CLINEX 3X10 A 9.65 0.32 CAPSULE 28 CAP ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 08122820 LINCOMYCINS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 0292J CLINEX 150MG CAP (ARP) CLINDAMYCIN HCL (C) CLINDAMYCIN HCL CLINEX 3X10 C 10.28 0.3425 CAP 28 BOX ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 08122820 LINCOMYCINS 2024-04-01 2026-03-31 ORAL 0 LINCOMYCINS
40 0294K CLINEX 300MG CAP (ARP/AHI) CLINDAMYCIN HCL CLINDAMYCIN HYDROCHLORIDE CLINEX 30'S A 18.76 0.63 CAPSULE 28 CAP ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 08122820 LINCOMYCINS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 0294K CLINEX 300MG CAP (ARP) CLINDAMYCIN HCL (C) CLINDAMYCIN HCL CLINEX 30'S C 18.76 0.6252 CAP 28 BOX ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 08122820 LINCOMYCINS 2024-04-01 2026-03-31 ORAL 0 LINCOMYCINS
40 0452E SULFATRIM 40MG/ML | 8MG/ML SUSP (CAR/COL) SULFAMETHOXAZOLE | TRIMETHOPRIM SULFAMETHOXAZOLE|TRIMETHOPRIM SULFATRIM 100ML A 5.84 0.06 SUSPENSION 200 ML CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 081220 SULPHONAMIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 0452E SULFATRIM 40MG/ML|8MG/ML SUSP (CAR) SULFAMETHOXAZOLE|TRIMETH SULFAMETHOXAZOLE|TRIMETHOPRIM SULFATRIM 100ML A 6.12 0.0612 ML 200 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 081220 SULPHONAMIDES 2024-04-01 2026-03-31 ORAL 0 SULPHONAMIDES
40 07219 FLACORT 6MG TAB (ARP/AHI) DEFLAZACORT DEFLAZACORT FLACORT 3X10 C 8.97 0.30 TABLET 0 TAB ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 6804 ADRENALS 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 09712 IFA 40MG | 0.04MG SYR (CAR/COL) FERROUS SULPHAT FERROUS SULPHATE|FOLIC ACID IFA 125ML A 8.05 0.06 SYRUP 375 ML CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 200404 IRON PREPARATIONS 2022-04-01 2024-03-31 Oral 6 BLOOD FORMATION, COAGULATION AND THROMBOSIS
41 09712 IFA 40MG|0.04MG SYR (CAR) FERROUS SULPHA FERROUS SULPHATE|FOLIC ACID IFA 125ML A 8.05 0.0644 ML 375 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 200404 IRON PREPARATIONS 2024-04-01 2026-03-31 ORAL 6 IRON PREPARATIONS
40 09911 IFA 200MG | 0.4MG TAB (CAR/COL) FERROUS SULPHATE | FOLIC ACID FERROUS SULPHATE|FOLIC ACID IFA 300'S C 36.53 0.12 TABLET 0 TAB CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 200404 IRON PREPARATIONS 2022-04-01 2024-03-31 Oral 0 BLOOD FORMATION, COAGULATION AND THROMBOSIS
40 12148 NITROCARD 0.4MG SPRAY (ARP/AHI) GLYCERYL TRIN GLYCERYL TRINITRATE NITROCARD 200 DOSES A 17.61 17.61 SPRAY 1 BOTT ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 241208 NITRATES AND NITRITES 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
40 1421CF ARAMOL 500MG TAB (CAR/COL) PARACETAMOL PARACETAMOL ARAMOL 500'S A 14.78 0.03 TABLET 180 TAB CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2022-06-30 2024-03-31 Add to Contract as Cat A Oral 6 CENTRAL NERVOUS SYSTEM DRUGS 2022-06-30