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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 7151AM CASODEX 150MG TAB (AZN/COL) BICALUTAMIDE BICALUTAMIDE CASODEX 28'S C 654.87 23.39 TABLET 0 TAB AZN ASTRAZENECA AB COL COLLINS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 0 ANTINEOPLASTICS
41 7151AM CASODEX 150MG TAB (AZN) BICALUTAMID (C) BICALUTAMIDE CASODEX 28'S C 654.87 23.3883 TAB 0 BOX AZN ASTRAZENECA AB COL COLLINS LTD 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 0 ANTINEOPLASTICS
40 7151AN CASODEX 50MG CAP (AZN/COL) BICALUTAMIDE BICALUTAMIDE CASODEX 28'S C 226.30 8.08 CAPSULE 0 CAP AZN ASTRAZENECA AB COL COLLINS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 0 ANTINEOPLASTICS
41 7151AN CASODEX 50MG CAP (AZN) BICALUTAMIDE (C) BICALUTAMIDE CASODEX 28'S C 226.3 8.0822 CAP 0 BOX AZN ASTRAZENECA AB COL COLLINS LTD 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 0 ANTINEOPLASTICS
40 7151P APO-BICALUTAMIDE 50MG TAB (APO/COL) BICALUTAMIDE APO-BICALUTAMIDE 30'S C 17.67 0.59 TABLET 0 TAB APO APOTEX INC. COL COLLINS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 0 ANTINEOPLASTICS
40 7151R BICALUTAMIDE 150MG TAB (CIP/AHI) BICALUTAMIDE BICALUTAMIDE 30'S C 93.24 3.11 TABLET 0 TAB CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 0 ANTINEOPLASTICS
41 7151S BICALUTAMIDE 50MG TAB (CIP) (C) BICALUTAMIDE BICALUTAMIDE 30'S C 17.67 0.589 TAB 0 BOX CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 0 ANTINEOPLASTICS