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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 35715 ALOPRON 100MG TAB (REM/SBI) ALLOPURINOL ALLOPURINOL ALOPRON 1000'S A 47.14 0.05 TABLET 180 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 4040 URICOSURIC AGENTS 2022-04-01 2024-03-31 Oral 6 ELECTROLYTIC, CALORIC, AND WATER BALANCE
41 35715 ALOPRON 100MG TAB (REM) ALLOPURINOL ALLOPURINOL ALOPRON 1000'S A 54.39 0.0544 TAB 180 BOTT REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 4040 URICOSURIC AGENTS 2024-04-01 2026-03-31 ORAL 6 URICOSURIC AGENTS
42 35715 ALOPRON 100MG TAB (REM) ALLOPURINOL ALLOPURINOL ALOPRON 1000'S A 54.23 0.05 TAB 180 BOTT REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 4040 URICOSURIC AGENTS 2026-04-01 ORAL 6 URICOSURIC AGENTS
41 3571AW APO-ALLOPURINOL 100MG TAB (APO) ALLOPURINOL APO-ALLOPURINOL 1000'S A 48.09 0.0481 TAB 180 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 4040 URICOSURIC AGENTS 2024-04-01 2026-03-31 ORAL 6 URICOSURIC AGENTS
40 3571ZD APO-ALLOPURINOL 100MG TAB (APO/COL) ALLOPURINOL APO-ALLOPURINOL 1000'S A 50.29 0.05 TABLET 180 TAB APO APOTEX INC. COL COLLINS LTD 4040 URICOSURIC AGENTS 2022-04-01 2024-03-31 Oral 6 ELECTROLYTIC, CALORIC, AND WATER BALANCE
42 3571ZD APO-ALLOPURINOL 100MG TAB (APO) ALLOPURINOL APO-ALLOPURINOL 1000'S A 48.09 0.05 TAB 180 BOTT APO APOTEX INC. COL AVENTA BARBADOS 4040 URICOSURIC AGENTS 2026-04-01 ORAL 6 URICOSURIC AGENTS
40 3571ZV ZYLOPRIM 100MG TAB (ASG/STO) ALLOPURINOL ALLOPURINOL ZYLOPRIM 50'S C 27.18 0.54 TABLET 0 TAB ASG ASPEN OSD (GLOBAL) STO BRYDEN STOKES LTD 4040 URICOSURIC AGENTS 2022-04-01 2024-03-31 Oral 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE
41 3571ZV ZYLOPRIM 100MG TAB (ASG) ALLOPURINOL (C) ALLOPURINOL ZYLOPRIM 50'S C 27.43 0.5486 TAB 180 BOX ASG ASPEN OSD (GLOBAL) STO BRYDEN STOKES LTD 4040 URICOSURIC AGENTS 2024-04-01 2026-03-31 ORAL 6 URICOSURIC AGENTS