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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 68213 CORDARONE 50MG/ML INJ (SFA/COL) AMIODARONE AMIODARONE CORDARONE 6X3ML B 24.46 4.08 INJECTION 0 VIAL SFA SANOFI AVENTIS COL COLLINS LTD 240404 ANTIARRHYTHMIC AGENTS 2022-04-01 2024-03-31 IV 0 CARDIOVASCULAR DRUGS
40 6821R AMIODARONE 50MG/ML INJ (SLS/AHI) AMIODARONE AMIODARONE 5X3ML B 16.39 3.28 INJECTION 0 VIAL SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 240404 ANTIARRHYTHMIC AGENTS 2022-04-01 2024-03-31 IV 0 CARDIOVASCULAR DRUGS
40 6821V LAMINOR 50MG/ML INJ (LDP/AHI) AMIODARONE AMIODARONE LAMINOR 10X3ML B 54.80 5.48 INJECTION 0 VIAL LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 240404 ANTIARRHYTHMIC AGENTS 2022-04-01 2024-03-31 IV 0 CARDIOVASCULAR DRUGS
41 6821W AMIODARONE 50MG/ML INJ (MON) (B) AMIODARONE AMIODARONE 5X3ML B 3.26 0.6524 VIAL 50 BOX MON MONTAGE PHARMACEUTICALS ALI ALL HEALTH INC 240404 ANTIARRHYTHMIC AGENTS 2024-04-01 2026-03-31 IV 0 ANTIARRHYTHMIC AGENTS
40 68225 CORDARONE 200MG TAB (SFA/COL) AMIODARONE AMIODARONE CORDARONE 30'S C 23.11 0.77 TABLET 0 TAB SFA SANOFI AVENTIS COL COLLINS LTD 240404 ANTIARRHYTHMIC AGENTS 2022-04-01 2024-03-31 Oral 0 CARDIOVASCULAR DRUGS
41 68225 CORDARONE 200MG TAB (SFA) AMIODARONE (C) AMIODARONE CORDARONE 30'S C 19.03 0.6343 TAB 90 BOX SFA SANOFI AVENTIS COL COLLINS LTD 240404 ANTIARRHYTHMIC AGENTS 2024-04-01 2026-03-31 ORAL 6 ANTIARRHYTHMIC AGENTS
40 6822AD AMIODARONE 200MG TAB (KWA/ATB) AMIODARONE AMIODARONE 3X10 A 7.07 0.24 TABLET 90 TAB KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 240404 ANTIARRHYTHMIC AGENTS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
41 6822AE AMIODARONE 200MG TAB (INP) AMIODARONE AMIODARONE 2X14 A 5.44 0.1942 TAB 90 BOX INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 240404 ANTIARRHYTHMIC AGENTS 2024-04-01 2026-03-31 ORAL 6 ANTIARRHYTHMIC AGENTS
40 6822J CARDILOR 200MG TAB (REM/SBI) AMIODARONE AMIODARONE CARDILOR 3X10 A 6.47 0.22 TABLET 90 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 240404 ANTIARRHYTHMIC AGENTS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
41 6822J CARDILOR 200MG TAB (REM) AMIODARONE AMIODARONE CARDILOR 3X10 A 7.42 0.2474 TAB 90 BOX REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 240404 ANTIARRHYTHMIC AGENTS 2024-04-01 2026-03-31 ORAL 6 ANTIARRHYTHMIC AGENTS