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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 1261Q SUPRANE (10019-641-24) (BAX/STO) DESFLURANE DESFLURANE SUPRANE (10019-641-24) 240ML BQ 231.06 231.06 SOLUTION 0 BOTT BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 280416 INHALATION ANAESTHETICS 2022-04-01 2024-03-31 INHALATION 0 CENTRAL NERVOUS SYSTEM DRUGS
41 1261Q SUPRANE (10019-641-24) (BAX) DESFLURANE (BQ) DESFLURANE SUPRANE (10019-641-24) 240ML BQ 232.88 232.8788 BOTT 200 BOTT BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 280416 INHALATION ANAESTHETICS 2024-04-01 2026-03-31 INHALATION 0 INHALATION ANAESTHETICS
42 1261Q SUPRANE (10019-641-24) (BAX) DESFLURANE DESFLURANE SUPRANE (10019-641-24) 240ML BQ 312.61 312.61 BOTT 200 BOTT BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 280416 INHALATION ANAESTHETICS 2026-04-01 INHALATION 0 INHALATION ANAESTHETICS