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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 1972AG CALCIUM CARBONATE 600MG TAB (KWA) CALCIUM CARBONATE CALCIUM CARBONATE 100'S A 13.86 0.1386 TAB 90 BOX KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 4012 REPLACEMENT THERAPY 2024-04-01 2026-03-31 ORAL 6 REPLACEMENT THERAPY
42 1972AH CALCIUM CARBONATE 650MG TAB (FSB) CALCIUM CARBONATE CALCIUM CARBONATE 100'S A 4.49 0.04 TAB 180 BOTT FSB FLAGSHIP BIOTECH AHI ARMSTRONG HEALTHCARE INC 4012 REPLACEMENT THERAPY 2026-04-23 Name Change ORAL 6 REPLACEMENT THERAPY 2026-04-23
41 1972AJ VANCAL 600MG TAB (TPP) CALCIUM CARBONATE CALCIUM CARBONATE VANCAL 10X10 A 2.12 0.0212 TAB 90 BOX TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 4012 REPLACEMENT THERAPY 2024-04-01 2026-03-31 ORAL 6 REPLACEMENT THERAPY
40 1972Z TUMS EX ASSORTED 750MG TAB (GSK/COL) CARB CALCIUM CARBONATE TUMS EX ASSORTED 48'S C 4.21 0.09 TABLET 0 TAB GSK GLAXOSMITHKLINE COL COLLINS LTD 4012 REPLACEMENT THERAPY 2022-04-01 2024-03-31 Oral 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE
41 1972Z TUMS EX ASSORTED 750MG TAB (GSK) C (C) CALCIUM CARBONATE TUMS EX ASSORTED 48'S C 4.43 0.0923 TAB 0 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD 4012 REPLACEMENT THERAPY 2024-04-01 2026-03-31 ORAL REPLACEMENT THERAPY 2024-04-09