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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 6861C CINNARON 75MG CAP (REM/SBI) CINNARIZINE CINNARIZINE CINNARON 50'S A 12.40 0.25 CAPSULE 60 CAP REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 9300 VASOACTIVE DRUGS 2022-04-01 2024-03-31 Oral 6 VASOACTIVE DRUGS
41 6861C CINNARON 75MG CAP (REM) CINNARIZINE CINNARIZINE CINNARON 50'S A 11.77 0.2354 CAP 60 BOTT REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 9300 VASOACTIVE DRUGS 2024-04-01 2026-03-31 ORAL 6 VASOACTIVE DRUGS
42 6861C CINNARON 75MG CAP (REM) CINNARIZINE CINNARIZINE CINNARON 50'S A 11.69 0.23 CAP 60 BOTT REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 9300 VASOACTIVE DRUGS 2026-04-01 ORAL 6 VASOACTIVE DRUGS