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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 65712 CLOZAPINE 25MG TAB (APL/AHI) CLOZAPINE CLOZAPINE 100'S BP 97.32 0.97 TABLET 270 TAB APL AUROBINDO PHARMA LTD. AHI ARMSTRONG HEALTHCARE INC 28160804 ATYPICAL ANTIPSYCHOTICS 2022-04-01 2022-07-30 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS 2022-03-29
41 65712 CLOZAPINE 25MG TAB (APL) CLOZAPINE CLOZAPINE 100'S BP 122.9498 1.2295 TAB 270 BOX APL AUROBINDO PHARMA LTD. AHI ARMSTRONG HEALTHCARE INC 28160804 ATYPICAL ANTIPSYCHOTICS 2024-04-01 2026-03-31 ORAL 6 ATYPICAL ANTIPSYCHOTICS
40 65715 SKIZORIL 25MG TAB (INP/AAL) CLOZAPINE CLOZAPINE SKIZORIL 500'S BP 92.45 0.18 TABLET 0 TAB INP INTAS PHARMACEUTICALS LTD AAL A. A. LAQUIS LTD 28160804 ATYPICAL ANTIPSYCHOTICS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
42 65717 PSYLOPINE 25MG TAB (JLP) CLOZAPINE CLOZAPINE PSYLOPINE 10X10 A 20.39 0.20 TAB 270 BLIS JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 28160804 ATYPICAL ANTIPSYCHOTICS 2026-04-01 ORAL 6 ATYPICAL ANTIPSYCHOTICS
40 65726 CLOZAREM 100MG TAB (REM/SBI) CLOZAPINE CLOZAPINE CLOZAREM 5X10 B 25.36 0.51 TABLET 0 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 28160804 ATYPICAL ANTIPSYCHOTICS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
41 65726 CLOZAREM 100MG TAB (REM) CLOZAPINE CLOZAPINE CLOZAREM 5X10 BP 24.36 0.4871 TAB 270 BOX REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 28160804 ATYPICAL ANTIPSYCHOTICS 2024-04-01 2026-03-31 ORAL 9 ATYPICAL ANTIPSYCHOTICS
42 65726 CLOZAREM 100MG TAB (REM) CLOZAPINE CLOZAPINE CLOZAREM 5X10 A 24.46 0.49 TAB 168 BLIS REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 28160804 ATYPICAL ANTIPSYCHOTICS 2026-04-01 ORAL 6 ATYPICAL ANTIPSYCHOTICS