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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
41 33624 COLCHICINE 0.5MG TAB (CAM) COLCHICINE COLCHICINE 100'S A 15.63 0.1563 TAB 90 BOTT CAM MORNINGSIDE PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 4040 URICOSURIC AGENTS 2024-04-01 2026-03-31 ORAL 6 URICOSURIC AGENTS
40 33625 COLCHICINE 0.5MG TAB (CAM/AHI) COLCHICINE COLCHICINE 100'S A 26.91 0.27 TABLET 90 TAB CAM MORNINGSIDE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 4040 URICOSURIC AGENTS 2022-04-01 2024-03-31 Oral 6 ELECTROLYTIC, CALORIC, AND WATER BALANCE
42 3362B COLSHINE 0.5MG TAB (JLP) COLCHICINE COLCHICINE COLSHINE 10X10 A 13.59 0.14 TAB 90 BLIS JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 4040 URICOSURIC AGENTS 2026-04-01 ORAL 6 URICOSURIC AGENTS
41 3362C COLCHICINE 0.5MG TAB (CPP) COLCHICINE COLCHICINE 100'S A 19.16 0.1916 TAB 90 BOX CPP WOCKHARDT UK LTD COL COLLINS LTD 4040 URICOSURIC AGENTS 2024-04-01 2026-03-31 ORAL 6 URICOSURIC AGENTS
40 3362E COLCHICINE 0.5MG TAB (HAL/COL) COLCHICINE COLCHICINE 100'S A 22.40 0.22 TABLET 90 TAB HAL HALEWOOD CHEMICALS LTD. COL COLLINS LTD 4040 URICOSURIC AGENTS 2022-04-01 2024-03-31 Oral 6 ELECTROLYTIC, CALORIC, AND WATER BALANCE