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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 B0611 VALDOXAN 25MG TAB (SER/STO) AGOMELATINE AGOMELATINE VALDOXAN 28'S BP 65.24 2.33 TABLET 0 TAB SER LES LABORATOIRES SERVIER STO BRYDEN STOKES LTD 28160492 ANTIDEPRESSANTS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
41 B0611 VALDOXAN 25MG TAB (SER) AGOMELATINE (BP) AGOMELATINE VALDOXAN 28'S BP 65.43 2.3368 TAB 84 BOX SER LES LABORATOIRES SERVIER STO BRYDEN STOKES LTD 28160492 ANTIDEPRESSANTS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANTIDEPRESSANTS MISCELLANEOUS
42 B0611 VALDOXAN 25MG TAB (SER) AGOMELATINE AGOMELATINE VALDOXAN 28'S BP 65.43 2.34 TAB 84 BLIS SER LES LABORATOIRES SERVIER STO BRYDEN STOKES LTD 28160492 ANTIDEPRESSANTS MISCELLANEOUS 2026-04-01 ORAL 0 ANTIDEPRESSANTS MISCELLANEOUS
40 B0612 VALDOXAN 25MG TAB (SER/COL) AGOMELATINE AGOMELATINE VALDOXAN 28'S BP 65.24 2.33 TABLET 0 TAB SER LES LABORATOIRES SERVIER COL COLLINS LTD 28160492 ANTIDEPRESSANTS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
41 B0612 VALDOXAN 25MG TAB (SER) AGOMELATINE (BP) AGOMELATINE VALDOXAN 28'S BP 65.43 2.3368 TAB 84 BOX SER LES LABORATOIRES SERVIER COL COLLINS LTD 28160492 ANTIDEPRESSANTS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANTIDEPRESSANTS MISCELLANEOUS
42 B0612 VALDOXAN 25MG TAB (SER) AGOMELATINE AGOMELATINE VALDOXAN 28'S BP 65.43 2.34 TAB 84 BLIS SER LES LABORATOIRES SERVIER COL AVENTA BARBADOS 28160492 ANTIDEPRESSANTS MISCELLANEOUS 2026-04-01 ORAL 0 ANTIDEPRESSANTS MISCELLANEOUS