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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
41 5811KQ AAP-DILTIAZ 60MG TAB (APO) DILTIAZEM DILTIAZEM AAP-DILTIAZ 100'S A 11.09 0.1109 TAB 90 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD B 242892 CCBs, MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 CCBs, MISCELLANEOUS
41 5811ZD AAP-DILTIAZ 60MG TAB (APO) DILTIAZEM DILTIAZEM AAP-DILTIAZ 60MG TAB 100'S 11.09 0.1109 TAB 120 BOTT APO APOTEX COL COLLINS LTD B 242892 CCBs, MISCELLANEOUS ORAL 6 CCBs, MISCELLANEOUS
40 5811ZD AAP-DILTIAZ 60MG TAB (APO/COL) DILTIAZEM DILTIAZEM AAP-DILTIAZ 100'S A 10.87 0.11 TABLET 90 TAB APO APOTEX INC. COL COLLINS LTD B 242892 CCBs, MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
42 5811ZD AAP-DILTIAZ 60MG TAB (APO) DILTIAZEM DILTIAZEM AAP-DILTIAZ 100'S A 11.09 0.11 TAB 90 BOTT APO APOTEX INC. COL AVENTA BARBADOS B 242892 CCBs, MISCELLANEOUS 2026-04-01 ORAL 6 CCBs, MISCELLANEOUS
40 5813AQ APO-DILTIAZ CD 120MG CAP (APO/COL) DILTIAZEM APO-DILTIAZ CD 100'S A 16.58 0.17 CAPSULE 60 CAP APO APOTEX INC. COL COLLINS LTD B 242892 CCBs, MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
42 5813AQ APO-DILTIAZ 120MG CD CAP (APO) DILTIAZEM APO-DILTIAZ 100'S A 16.91 0.17 CAP 60 BOTT APO APOTEX INC. COL AVENTA BARBADOS B 242892 CCBs, MISCELLANEOUS 2026-04-01 ORAL 6 CCBs, MISCELLANEOUS
40 5813AR APO-DILTIAZ CD 180MG CAP (APO/COL) DILTIAZEM APO-DILTIAZ CD 100'S A 23.11 0.23 CAPSULE 60 CAP APO APOTEX INC. COL COLLINS LTD B 242892 CCBs, MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
42 5813AR APO-DILTIAZ 180MG CD CAP (APO) DILTIAZEM APO-DILTIAZ 100'S A 23.57 0.24 CAP 60 BOTT APO APOTEX INC. COL AVENTA BARBADOS B 242892 CCBs, MISCELLANEOUS 2026-04-01 ORAL 6 CCBs, MISCELLANEOUS
40 5813AS APO-DILTIAZ CD 240MG CAP (APO/COL) DILTIAZEM APO-DILTIAZ CD 100'S A 29.36 0.29 CAPSULE 60 CAP APO APOTEX INC. COL COLLINS LTD B 242892 CCBs, MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
42 5813AS APO-DILTIAZ 240MG CD CAP (APO) DILTIAZEM APO-DILTIAZ 100'S A 29.96 0.30 CAP 60 BOTT APO APOTEX INC. COL AVENTA BARBADOS B 242892 CCBs, MISCELLANEOUS 2026-04-01 ORAL 6 CCBs, MISCELLANEOUS
41 5813FV APO-DILTIAZ 240MG CD CAP (APO) DILTIAZEM APO-DILTIAZ 100'S A 29.96 0.2996 CAPCD 60 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD B 242892 CCBs, MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 CCBs, MISCELLANEOUS
41 5813FW APO-DILTIAZ 180MG CD CAP (APO) DILTIAZEM APO-DILTIAZ 100'S A 23.57 0.2357 CAP 60 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD B 242892 CCBs, MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 CCBs, MISCELLANEOUS
41 5813FX APO-DILTIAZ 120MG CAP SR (APO) DILTIAZEM APO-DILTIAZ 100'S A 16.91 0.1691 CAP 60 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD B 242892 CCBs, MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 CCBs, MISCELLANEOUS