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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 31819 BENZYLBENZOATE 25% EMULSION (GPC/ATB) BENZYLBENZOATE BENZYLBENZOATE 120ML A 4.00 0.03 EMULSION 100 ML GPC NEW GUYANA PHARMACEUTICAL CORP. LTD ATB ANSA TRADING BARBADOS LTD 840412 SCABICIDES AND PEDICULICIDES 2022-04-01 2024-03-31 TOPICAL 6 SKIN-MUCOUS MEMBRANE PREPARATIONS
41 31819 BENZYLBENZOATE 25% EMULSION (GPC) BENZYLBENZOATE BENZYLBENZOATE 120ML A 8.97 0.0748 ML 100 BOTT GPC NEW GUYANA PHARMACEUTICAL CORP. LTD ATB ANSA TRADING BARBADOS LTD 840412 SCABICIDES AND PEDICULICIDES 2024-04-01 2026-03-31 TOPICAL 6 SCABICIDES AND PEDICULICIDES
40 3181D BENZYLBENZOATE 25% EMUL (PDN/PHA) BENZYLBENZOATE BENZYLBENZOATE 1 LITRE A 21.72 0.02 EMULSION 100 ML PDN PHARMA DANICA A/S PHA PHARMACY SALES CARIBBEAN 840412 SCABICIDES AND PEDICULICIDES 2022-04-01 2024-03-31 TOPICAL 6 SKIN-MUCOUS MEMBRANE PREPARATIONS