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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
40 58811 GLUCOBAY 50MG TAB (BSP/COL) ACARBOSE ACARBOSE GLUCOBAY 84'S C 18.40 0.22 TABLET 0 TAB BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 682002 ALPHA GLUCOSIDASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 58811 GLUCOBAY 50MG TAB (BSP) ACARBOSE (C) ACARBOSE GLUCOBAY 84'S C 18.4 0.2191 TAB 180 BOX BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD B 682002 ALPHA GLUCOSIDASE INHIBITORS 2024-04-01 2024-07-25 ORAL 6 ALPHA GLUCOSIDASE INHIBITORS 2024-06-13
40 58816 GLUCOBAY 50MG TAB (BSP/AHI) ACARBOSE ACARBOSE GLUCOBAY 84'S C 18.40 0.22 TABLET 0 TAB BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 682002 ALPHA GLUCOSIDASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 5881J ACARBOSE 50MG TAB (RYV/ATB) ACARBOSE ACARBOSE 90'S C 16.17 0.18 TABLET 180 TAB RYV RYVIS PHARMA PVT. LTD ATB ANSA TRADING BARBADOS LTD B 682002 ALPHA GLUCOSIDASE INHIBITORS 2022-04-01 2024-03-31 Oral 6 HORMONES AND SYNTHETIC SUBSTITUTES
42 5881N GLUCAR 50MG TAB (GLP) ACARBOSE (C) ACARBOSE GLUCAR 100'S C 1.71 0.02 TAB 180 BLIS GLP GLENMARK PHARMACEUTICALS LTD STO BRYDEN STOKES LTD B 682002 ALPHA GLUCOSIDASE INHIBITORS 2026-04-01 2028-03-31 ORAL 6 ALPHA GLUCOSIDASE INHIBITORS
40 58821 GLUCOBAY 100MG TAB (BSP/COL) ACARBOSE ACARBOSE GLUCOBAY 90'S C 35.77 0.40 TABLET 0 TAB BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 682002 ALPHA GLUCOSIDASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 58821 GLUCOBAY 100MG TAB (BSP) ACARBOSE (C) ACARBOSE GLUCOBAY 90'S C 35.77 0.3975 TAB 90 BOX BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD B 682002 ALPHA GLUCOSIDASE INHIBITORS 2024-04-01 2024-07-25 ORAL 6 ALPHA GLUCOSIDASE INHIBITORS 2024-06-13
40 58824 GLUCOBAY 100MG TAB (BSP/AHI) ACARBOSE ACARBOSE GLUCOBAY 90'S C 35.77 0.40 TABLET 0 TAB BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 682002 ALPHA GLUCOSIDASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 58824 GLUCOBAY 100MG TAB (BSP) ACARBOSE (C) ACARBOSE GLUCOBAY 90'S C 35.77 0.3975 TAB 90 BOX BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC B 682002 ALPHA GLUCOSIDASE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 ALPHA GLUCOSIDASE INHIBITORS
40 5882G ACARBOSE 100MG TAB (LDP/AHI) ACARBOSE ACARBOSE 84'S C 24.06 0.29 TABLET 0 TAB LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 682002 ALPHA GLUCOSIDASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES