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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 A573H ALENDRONATE 70MG TAB (CIP) (B) ALENDRONATE ALENDRONATE 40'S B 21.94 0.5484 TAB 5 BOX CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 9224 BONE RESORPTION INHIBITORS 2024-04-01 2026-03-31 ORAL 6 BONE RESORPTION INHIBITORS
42 A573K ALENDRONATE 70MG TAB (CIP) ALENDRONATE ALENDRONATE 4'S BQ 3.78 0.95 TAB 5 BLIS CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 9224 BONE RESORPTION INHIBITORS 2026-04-01 ORAL 0 BONE RESORPTION INHIBITORS
40 A573P ALENDRONATE 70MG TAB (APL/AHI) ALENDRONATE ALENDRONATE 4'S B 3.62 0.91 TABLET 0 TAB APL AUROBINDO PHARMA LTD. AHI ARMSTRONG HEALTHCARE INC 9224 BONE RESORPTION INHIBITORS 2022-04-01 2024-03-31 Oral 6 UNCLASSIFIED THERAPEUTIC AGENTS