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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 34427 AMINOPHYLLINE 25MG/ML INJ (KWA) (B) AMINOPHYLLINE AMINOPHYLLINE 10X10ML B 19.41 1.9409 AMP 10 BOX KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 4818 RESPIRATORY SMOOTH MUSCLE RELAXANTS 2024-04-01 2026-03-31 IV 0 RESPIRATORY SMOOTH MUSCLE RELAXANTS
40 34428 AMINOPHYLLINE 25MG/ML INJ (MON/PHA) AMINOPHYLLINE AMINOPHYLLINE 5X10ML B 11.39 2.28 INJECTION 0 AMP MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 4818 RESPIRATORY SMOOTH MUSCLE RELAXANTS 2022-04-01 2024-03-31 IV 0 RESPIRATORY TRACT AGENTS
40 3442E AMINOPHYLLINE 25MG/ML INJ (SGH/COL) AMINOPHYLLINE AMINOPHYLLINE 10X10ML B 28.00 2.80 INJECTION 0 AMP SGH SEIGFRIED-HAMELN COL COLLINS LTD 4818 RESPIRATORY SMOOTH MUSCLE RELAXANTS 2022-04-01 2024-03-31 IV 0 RESPIRATORY TRACT AGENTS