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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 29712 THYCARZOL 5MG TAB (HEA/RXP) CARBIMAZOLE CARBIMAZOLE THYCARZOL 10X10 A 5.95 0.06 TABLET 360 TAB HEA HEALTH 2000 INC RXP RX PRO INC 683608 ANTI-THYROID AGENTS 2022-04-01 2024-03-31 Oral 6 HORMONES AND SYNTHETIC SUBSTITUTES
42 2971AA THYCARZOL 5MG TAB (HEA) CARBIMAZOLE CARBIMAZOLE THYCARZOL 10X10 A 5.90 0.06 TAB 360 BLIS HEA HEALTH 2000 INC AHI ARMSTRONG HEALTHCARE INC 683608 ANTI-THYROID AGENTS 2026-04-01 Price Change ORAL 6 ANTI-THYROID AGENTS 2025-10-31
42 2971AC THYCARZOL 5MG TAB (HEA) CARBIMAZOLE CARBIMAZOLE THYCARZOL 10X10 A 5.90 0.06 TAB 360 BLIS HEA HEALTH 2000 INC CWS CAPSULE WHOLESALE 683608 ANTI-THYROID AGENTS 2026-04-01 Add to Contract as Cat A ORAL 6 ANTI-THYROID AGENTS 2026-01-26
42 2971AD THYCARZOL 5MG TAB (HEA) CARBIMAZOLE CARBIMAZOLE THYCARZOL 10X10 A 5.90 0.06 TAB 360 HEA HEALTH 2000 INC STO BRYDEN STOKES LTD 683608 ANTI-THYROID AGENTS 2026-04-01 Add to Contract as Cat A ORAL 6 ANTI-THYROID AGENTS 2026-02-27
42 2971AE CARBIMAZOLE 5MG TAB (FSB) CARBIMAZOLE CARBIMAZOLE 10X10 A 5.30 0.05 TAB 360 FSB FLAGSHIP BIOTECH STO BRYDEN STOKES LTD 683608 ANTI-THYROID AGENTS 2026-04-01 Add to Contract as Cat A ORAL 6 ANTI-THYROID AGENTS 2026-03-05
40 2971E CARBIMAZOLE 5MG TAB (REM/SBI) CARBIMAZOLE CARBIMAZOLE 10x10 A 9.84 0.10 TABLET 360 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 683608 ANTI-THYROID AGENTS 2022-04-01 2024-03-31 Oral 6 HORMONES AND SYNTHETIC SUBSTITUTES
41 2971E CARBIMAZOLE 5MG TAB (REM) (C) CARBIMAZOLE CARBIMAZOLE 10x10 C 9.84 0.0984 TAB 360 BOX REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 683608 ANTI-THYROID AGENTS 2024-04-01 2026-03-31 ORAL 6 ANTI-THYROID AGENTS
40 2971G NEO-MERCAZOLE 5MG TAB (ANT/COL) CARBIMAZOLE CARBIMAZOLE NEO-MERCAZOLE 100'S C 16.88 0.17 TABLET 0 TAB ANT CONCORDIA INTERNATIONAL COL COLLINS LTD 683608 ANTI-THYROID AGENTS 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 2971K THYCARZOL 5MG TAB (HEA/ATB) CARBIMAZOLE CARBIMAZOLE THYCARZOL 10X10 A 5.95 0.0595 TABLET IMMED HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 683608 ANTI-THYROID AGENTS 2022-12-07 2024-03-31 Change Local Agent oral 6 ANTI-THYROID AGENTS 2022-11-25
41 2971K THYCARZOL 5MG TAB (HEA) CARBIMAZOLE CARBIMAZOLE THYCARZOL 10X10 A 6.01 0.0601 TAB 360 BOX HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 683608 ANTI-THYROID AGENTS 2024-04-01 2026-03-31 ORAL 6 ANTI-THYROID AGENTS
41 2971X CARBIMAZOLE 5MG TAB (CAM) CARBIMAZOLE CARBIMAZOLE 100'S A 8.75 0.0875 TAB 360 BOTT CAM MORNINGSIDE PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 683608 ANTI-THYROID AGENTS 2024-04-01 2026-03-31 ORAL 6 ANTI-THYROID AGENTS