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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 1531AJ AMIROL 10MG TAB (REM) AMITRIPTYLINE AMITRIPTYLINE AMIROL 10X10 A 4.08 0.0408 TAB 150 BOX REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 28160428 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE
42 1531AJ AMIROL 10MG TAB (REM) AMITRIPTYLINE AMITRIPTYLINE AMIROL 10X10 A 4.38 0.04 TAB 150 BLIS REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 28160428 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE INHIBITORS 2026-04-01 ORAL 6 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE
40 1531Z APO-AMITRIPTYLINE 10MG TAB (APO/COL) AMITRIPTYLINE APO-AMITRIPTYLINE 1000'S A 36.21 0.04 TABLET 150 TAB APO APOTEX INC. COL COLLINS LTD 28160428 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE INHIBITORS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
41 1532AW AMITRIPTYLINE 25MG TAB (GPC) AMITRIPTYLINE AMITRIPTYLINE 1000'S A 27.73 0.0277 TAB 240 BOTT GPC NEW GUYANA PHARMACEUTICAL CORP. LTD ATB ANSA TRADING BARBADOS LTD 28160428 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE
41 1532AX AMIROL 25MG TAB (REM) AMITRIPTYLINE AMITRIPTYLINE AMIROL 10X10 A 4.38 0.0438 TAB 240 BOX REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 28160428 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE
42 1532AX AMIROL 25MG TAB (REM) AMITRIPTYLINE AMITRIPTYLINE AMIROL 10X10 A 6.66 0.07 TAB 240 BLIS REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 28160428 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE INHIBITORS 2026-04-01 2028-03-31 ORAL 6 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE
41 1532E APO-AMITRIPTYLINE 25MG TAB (APO) AMITRIPTYLINE AMITRIPTYLINE 1000'S A 44.09 0.0441 TAB 240 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 28160428 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE
40 1532ZC APO-AMITRIPTYLINE 25MG TAB (APO/COL) AMITRIPTYLINE APO-AMITRIPTYLINE 1000'S A 43.22 0.04 TABLET 240 TAB APO APOTEX INC. COL COLLINS LTD 28160428 TRICYCLICS & OTHER NOREPINEPHRINE REUPTAKE INHIBITORS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS