Displaying 1 - 20 of 62
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 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
41 01133 CEFAZOLIN 1G IV/IM INJ (RTM) (BQ) CEFAZOLIN CEFAZOLIN 1G VIAL BQ 3.97 3.9688 VIAL 10 VIAL RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 08120604 FIRST GEN CEPHALOSPORINS 2024-04-01 2026-03-31 IV/IM 0 FIRST GEN CEPHALOSPORINS
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
41 0164C AMPICILLIN 500MG INJ (RTM) (BQ) AMPICILLIN AMPICILLIN 500MG VIAL BQ 2.36 2.3649 VIAL 28 VIAL RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 081216 PENICILLINS 2024-04-01 2026-03-31 IV 0 PENICILLINS
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
41 01916 PENICILLIN G SODIUM 1MU INJ (RTM) (B) PENICILLIN G SODIUM PENICILLIN G SODIUM 15ML B 11.5 11.4985 VIAL 0 VIAL RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 081216 PENICILLINS 2024-04-01 2026-03-31 IV 0 PENICILLINS
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 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 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
41 0321AB GENTAMICIN 40MG/ML IV/IM INJ (RTM) (B) GENTAMICIN GENTAMICIN 10X2ML B 14.9 1.4896 AMP 0 BOX RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 081202 AMINOGLYCOSIDES 2024-04-01 2026-03-31 IV/IM 0 AMINOGLYCOSIDES
40 0752F BUTYLSCOPOLAMINE 20MG/ML INJ (RTM/PHA) HYOSCINE BUTYLBROMIDE HYOSCINE BUTYLBROMIDE BUTYLSCOPOLAMINE 10X1ML B 18.92 1.89 INJECTION 0 AMP RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 120808 ANTIMUSCARINICS/ANTISPASMODICS 2022-04-01 2024-03-31 IV 0 AUTONOMIC DRUGS
41 0752F BUTYLSCOPOLAMINE 20MG/ML INJ (RTM) HYOSCINE BUTYLBROMIDE (B) HYOSCINE BUTYLBROMIDE BUTYLSCOPOLAMINE 10X1ML B 19.33 1.9327 AMP 20 BOX RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 120808 ANTIMUSCARINICS/ANTISPASMODICS 2024-04-01 2026-03-31 IV 0 ANTIMUSCARINICS/ANTISPASMODICS
40 07918 ADRENALINE 1MG/ML IV/IM INJ (RTM/PHA) ADRENALINE ADRENALINE 10X1ML B 35.01 3.50 INJECTION 0 AMP RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 121212 ALPHA & BETA ADRENERGIC AGONIST 2022-06-01 2024-03-31 Price Change IV/IM 0 AUTONOMIC DRUGS 2022-05-31
40 07918A ADRENALINE 1MG/ML IV/IM INJ (RTM/PHA) ADRENALINE ADRENALINE 10X1ML B 24.14 2.41 INJECTION 0 AMP RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 121212 ALPHA & BETA ADRENERGIC AGONIST 2022-04-01 2022-05-31 IV/IM 0 AUTONOMIC DRUGS
41 08011 DOPAMINE 40MG/ML INJ (RTM) (B) DOPAMINE DOPAMINE 10X5ML B 114.5 11.4496 AMP 0 BOX RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 121208 BETA ADRENERGIC AGONIST 2024-04-01 2026-03-31 IV 0 BETA ADRENERGIC AGONIST
40 0941F PANCURONIUM BROMIDE 2MG/ML INJ (RTM/PHA) PANCURONIUM BROMIDE PANCURONIUM BROMIDE 5X2ML BQ 40.23 8.05 INJECTION 0 AMP RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 122020 NEUROMUSCULAR BLOCKING AGENTS 2022-04-01 2024-03-31 IV 0 AUTONOMIC DRUGS
41 0941F PANCURONIUM BROMIDE 2MG/ML INJ (RTM (B) PANCURONIUM BROMIDE PANCURONIUM BROMIDE 5X2ML B 114.63 22.9263 AMP 0 BOX RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 122020 NEUROMUSCULAR BLOCKING AGENTS 2024-04-01 2026-03-31 IV 0 NEUROMUSCULAR BLOCKING AGENTS
40 1011J HEPARIN 5000U/ML INJ (RTM/PHA) HEPARIN HEPARIN 5ML VIAL B 12.23 12.23 INJECTION 0 VIAL RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 20120416 HEPARINS 2022-04-01 2024-03-31 IV 0 BLOOD FORMATION, COAGULATION AND THROMBOSIS
41 1011J HEPARIN 5000U/ML INJ (RTM) (B) HEPARIN HEPARIN 5ML VIAL B 15.39 15.3857 VIAL 0 VIAL RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 20120416 HEPARINS 2024-04-01 2026-03-31 IV 0 HEPARINS