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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 22011 TUSCOSED EF SYR (CAR/COL) DIPHEN/COD.PHOS CODEINE|DIPHENHYDRAMINE TUSCOSED EF 2 LITRES B 75.00 0.04 SYRUP 0 ML CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 4808 ANTITUSSIVES 2022-04-01 2024-03-31 Oral 0 RESPIRATORY TRACT AGENTS
41 22011 TUSCOSED EF SYR (CAR) DIPHEN/COD. (C) CODEINE|DIPHENHYDRAMINE TUSCOSED EF 2 LITRES C 81.17 0.0406 ML 0 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 4808 ANTITUSSIVES 2024-04-01 2026-03-31 ORAL 0 ANTITUSSIVES
42 22011 TUSCOSED EF SYR (CAR) DIPHEN/COD.PHOS CODEINE|DIPHENHYDRAMINE TUSCOSED EF 2 LITRES B 81.17 0.04 ML 100 BOTT CAR CARLISLE LABORATORIES LTD COL AVENTA BARBADOS 4808 ANTITUSSIVES 2026-04-01 ORAL 0 ANTITUSSIVES