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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 A3224 APO-CITALOPRAM 20MG TAB (APO/COL) CITALOPRAM APO-CITALOPRAM 30'S A 6.80 0.23 TABLET 30 TAB APO APOTEX INC. COL COLLINS LTD 28160420 SELECTIVE SEROTONIN REUPTAKE INHIBITORS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
42 A322EN PMS-CITALOPRAM 20MG TAB (PMS) CITALOPRAM PMS-CITALOPRAM 100'S A 11.55 0.12 TAB 42 BOTT PMS PHARMASCIENCE COL AVENTA BARBADOS 28160420 SELECTIVE SEROTONIN REUPTAKE INHIBITORS 2026-04-01 ORAL 6 SELECTIVE SEROTONIN REUPTAKE INHIBITORS
40 A322FQ LEXAPRO 10MG TAB (LUN/COL) ESCITALOPRAM ESCITALOPRAM LEXAPRO 28'S C 90.76 3.24 TABLET 0 TAB LUN H. LUNDBECK & CO. A/S COL COLLINS LTD 28160420 SELECTIVE SEROTONIN REUPTAKE INHIBITORS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
42 A322HX APO-ESCITALOPRAM 10MG TAB (APO) ESC ESCITALOPRAM APO-ESCITALOPRAM 100'S C 14.98 0.15 TAB 0 BOTT APO APOTEX INC. COL AVENTA BARBADOS 28160420 SELECTIVE SEROTONIN REUPTAKE INHIBITORS 2026-04-01 ORAL 0 SELECTIVE SEROTONIN REUPTAKE INHIBITORS
40 A322JQ APO-ESCITALOPRAM 20MG TAB (APO/COL) ESCITALOPRAM APO-ESCITALOPRAM 30'S C 8.97 0.30 TABLET 0 TAB APO APOTEX INC. COL COLLINS LTD 28160420 SELECTIVE SEROTONIN REUPTAKE INHIBITORS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
40 A322JR APO-ESCITALOPRAM 10MG TAB (APO/COL) ESCITALOPRAM APO-ESCITALOPRAM 30'S C 4.49 0.15 TABLET 0 TAB APO APOTEX INC. COL COLLINS LTD 28160420 SELECTIVE SEROTONIN REUPTAKE INHIBITORS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
40 A322JU CIPRAMIL 20MG TAB (LUN/COL) CITALOPRAM CITALOPRAM CIPRAMIL 14'S C 48.09 3.44 TABLET 0 TAB LUN H. LUNDBECK & CO. A/S COL COLLINS LTD 28160420 SELECTIVE SEROTONIN REUPTAKE INHIBITORS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
40 A322KD LEXAPRO 20MG TAB (LUN/COL) ESCITALOPRAM ESCITALOPRAM LEXAPRO 14'S C 89.54 6.40 TABLET 0 TAB LUN H. LUNDBECK & CO. A/S COL COLLINS LTD 28160420 SELECTIVE SEROTONIN REUPTAKE INHIBITORS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
41 A322LA APO-CITALOPRAM 20MG TAB (APO) CITALOPRAM APO-CITALOPRAM 30'S A 6.93 0.2311 TAB 42 BOX APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 28160420 SELECTIVE SEROTONIN REUPTAKE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 SELECTIVE SEROTONIN REUPTAKE INHIBITORS
41 A322LB APO-ESCITALOPRAM 10MG TAB (APO) ESC (C) ESCITALOPRAM APO-ESCITALOPRAM 100'S C 14.98 0.1498 TAB 0 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 28160420 SELECTIVE SEROTONIN REUPTAKE INHIBITORS 2024-04-01 2026-03-31 ORAL 0 SELECTIVE SEROTONIN REUPTAKE INHIBITORS
41 A322LK APO-ESCITALOPRAM 20MG TAB (APO) (C) ESCITALOPRAM APO-ESCITALOPRAM 100'S C 29.96 0.2996 TAB 0 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 28160420 SELECTIVE SEROTONIN REUPTAKE INHIBITORS 2024-04-01 2026-03-31 ORAL 0 SELECTIVE SEROTONIN REUPTAKE INHIBITORS
42 A322MA APO-ESCITALOPRAM 20MG TAB (APO) ESCITALOPRAM APO-ESCITALOPRAM 100'S C 29.96 0.30 TAB 0 BOTT APO APOTEX INC. COL AVENTA BARBADOS 28160420 SELECTIVE SEROTONIN REUPTAKE INHIBITORS 2026-04-01 ORAL 0 SELECTIVE SEROTONIN REUPTAKE INHIBITORS