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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
42 5261AC CALTROL 0.25MCG CAP (JLP) CALCITRIOL CALCITRIOL CALTROL 100'S A 17.67 0.18 CAP 120 BLIS JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 8816 VITAMIN D 2026-04-01 ORAL 6 VITAMIN D
40 5261W CALCITRIOL 0.25MCG CAP (FSB/ATB) CALCITRIOL CALCITRIOL 100'S A 16.04 0.16 CAPSULE 120 CAP FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 8816 VITAMIN D 2022-04-01 2024-03-31 Oral 6 VITAMINS
41 5261Y CALCITRIOL 0.25MCG CAP (KWA) CALCITRIOL CALCITRIOL 100'S A 13.86 0.1386 CAP 120 BOX KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 8816 VITAMIN D 2024-04-01 2026-03-31 ORAL 6 VITAMIN D
41 5261Z CALCITRIOL 0.25MCG CAP (MCP) CALCITRIOL CALCITRIOL 5X10 A 14.24 0.2848 CAP 120 BOX MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 8816 VITAMIN D 2024-04-01 2026-03-31 ORAL 6 VITAMIN D 2023-10-30