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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 22014 TUSCOSED LINCTUS SYR (CAR/COL) DIPHEN/COD.PH CODEINE PHOSPHATE|DIPHENHYDRAMINE|EPHEDRINE HCL TUSCOSED LINCTUS 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 22014 TUSCOSED 2MG/ML|2.8MG/ML|1MG/ LINCT (CAR) CODEINE PHOSPHATE| (B) CODEINE PHOSPHATE|DIPHENHYDRAMINE|EPHEDRINE HCL TUSCOSED 2 LITRES B 81.17 0.0406 ML 150 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 4808 ANTITUSSIVES 2024-04-01 2026-03-31 ORAL 0 ANTITUSSIVES
42 22014 TUSCOSED 2MG/ML|2.8MG/ML|1MG/ LINCT (CAR) CODEINE PHOSPHATE| CODEINE PHOSPHATE|DIPHENHYDRAMINE|EPHEDRINE HCL TUSCOSED 2 LITRES B 81.17 0.04 ML 150 BOTT CAR CARLISLE LABORATORIES LTD COL AVENTA BARBADOS 4808 ANTITUSSIVES 2026-04-01 ORAL 0 ANTITUSSIVES