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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 6302AL CISATRACURIUM 2.5MG/ML INJ (OMG/COL) CISATRACURIUM CISATRACURIUM 10X10ML BQ 232.42 23.24 INJECTION 0 VIAL OMG OMEGA COL COLLINS LTD 122020 NEUROMUSCULAR BLOCKING AGENTS 2022-04-01 2024-03-31 IV 0 AUTONOMIC DRUGS
40 6302AQ NIMBEX 2MG/ML INJ (ASG/STO) CISATRACURIUM CISATRACURIUM NIMBEX 5X5ML BQ 114.17 22.83 INJECTION 0 VIAL ASG ASPEN OSD (GLOBAL) STO BRYDEN STOKES LTD 122020 NEUROMUSCULAR BLOCKING AGENTS 2022-04-01 2024-03-31 IV 0 AUTONOMIC DRUGS
41 6302AQ NIMBEX 2MG/ML INJ (ASG) CISATRACURI (BQ) CISATRACURIUM NIMBEX 5X5ML BQ 114.17 22.8339 VIAL 0 BOX ASG ASPEN OSD (GLOBAL) STO BRYDEN STOKES LTD 122020 NEUROMUSCULAR BLOCKING AGENTS 2024-04-01 2026-03-31 IV 0 NEUROMUSCULAR BLOCKING AGENTS
41 6302AR CISATRACURIUM 2.5MG/ML INJ (LDP) (BQ) CISATRACURIUM CISATRACURIUM 10ML BQ 19.65 19.6535 VIAL 400 VIAL LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 122020 NEUROMUSCULAR BLOCKING AGENTS 2024-04-01 2026-03-31 IV 0 NEUROMUSCULAR BLOCKING AGENTS