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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 7911AA APO-CYCLOBENZAPRINE 10MG TAB (APO/COL) CYCLOBENZAPRINE APO-CYCLOBENZAPRINE 500'S A 271.83 0.54 TABLET 42 TAB APO APOTEX INC. COL COLLINS LTD 122004 CENTRALLY ACTING SKELETAL MUSCLE RELAXANTS 2022-04-01 2024-03-31 Package Size Change Oral 6 AUTONOMIC DRUGS 2022-02-28
41 7911AB APO-CYCLOBENZAPRINE 10MG TAB (APO) CYCLOBENZAPRINE APO-CYCLOBENZAPRINE 500'S A 271.89 0.5438 TAB 42 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 122004 CENTRALLY ACTING SKELETAL MUSCLE RELAXANTS 2024-04-01 2026-03-31 ORAL 6 CENTRALLY ACTING SKELETAL MUSCLE RELAXANTS