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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 19412 URS-11 STRP (TED/COL) DIAGNOSTIC URINE DIAGNOSTIC URINE URS-11 100'S B 28.54 28.54 STRIP 0 BOTT TED TECO DIAGNOSTICS COL COLLINS LTD 3688 URINE CONTENTS 2022-04-01 2024-03-31 0 DIAGNOSTIC AGENTS
41 19412 URS-11 STRP (TED) DIAGNOSTIC URINE (B) DIAGNOSTIC URINE URS-11 100'S B 40.77 40.7749 BOTT 0 BOTT TED TECO DIAGNOSTICS COL COLLINS LTD 3688 URINE CONTENTS 2024-04-01 2026-03-31 0 URINE CONTENTS
42 19412 URS-11 STRP (TED) DIAGNOSTIC URINE DIAGNOSTIC URINE URS-11 100'S C 40.77 40.77 BOTT 0 BOTT TED TECO DIAGNOSTICS COL AVENTA BARBADOS 3688 URINE CONTENTS 2026-04-01 0 URINE CONTENTS
40 19415 MEDI-TEST COMBI 10 STRP (SCN/PHA) DIAGNOSTIC URINE DIAGNOSTIC URINE MEDI-TEST COMBI 10 100'S B 15.22 15.22 STRIP 0 BOTT SCN SCANPHARM A/S PHA PHARMACY SALES CARIBBEAN 3688 URINE CONTENTS 2022-04-01 2022-07-18 0 DIAGNOSTIC AGENTS
40 19415 MEDI-TEST COMBI 10 STRP (SCN/PHA) DIAGNOSTIC URINE DIAGNOSTIC URINE MEDI-TEST COMBI 10 100'S B 20.44 20.44 STRIP 0 BOTT SCN SCANPHARM A/S PHA PHARMACY SALES CARIBBEAN 3688 URINE CONTENTS 2022-07-19 2024-03-31 Price Change 0 DIAGNOSTIC AGENTS 2022-07-18
41 19415 MEDI-TEST COMBI 10 STRP (SCN) DIAGNOSTIC URINE (B) DIAGNOSTIC URINE MEDI-TEST COMBI 10 100'S B 25.1 25.1 BOTT 0 BOTT SCN SCANPHARM A/S PHA PHARMACY SALES CARIBBEAN 3688 URINE CONTENTS 2024-04-01 2026-03-31 0 URINE CONTENTS 2023-10-05
42 19415 MEDI-TEST COMBI 10 STRP (SCN) DIAGNOSTIC URINE DIAGNOSTIC URINE MEDI-TEST COMBI 10 100'S B 18.21 18.21 BOTT 0 BOTT SCN SCANPHARM A/S PHA PHARMACY SALES CARIBBEAN 3688 URINE CONTENTS 2026-04-01 0 URINE CONTENTS
40 1941B MULTISTIX 10SG STRP (BYC/AHI) DIAGNOSTIC URINE DIAGNOSTIC URINE MULTISTIX 10SG 100'S C 62.52 62.52 STRIP 0 BOTT BYC BAYER S.A AHI ARMSTRONG HEALTHCARE INC 3688 URINE CONTENTS 2022-04-01 2024-03-31 0 DIAGNOSTIC AGENTS
41 1941B MULTISTIX 10SG STRP (BYC) DIAGNOSTIC URINE (C) DIAGNOSTIC URINE MULTISTIX 10SG 100'S C 62.52 62.5215 BOTT 0 BOTT BYC Siemens Medcal Solutions AHI ARMSTRONG HEALTHCARE INC 3688 URINE CONTENTS 2024-04-01 2026-03-31 0 URINE CONTENTS
42 1941B MULTISTIX 10SG STRP (SHD) DIAGNOSTIC URINE DIAGNOSTIC URINE MULTISTIX 10SG 100'S B 58.91 58.91 BOTT 0 BOTT SHD SIEMENS HEALTHCARE DIAGNOSTICS AHI ARMSTRONG HEALTHCARE INC 3688 URINE CONTENTS 2026-04-01 Name Change 0 URINE CONTENTS 2026-02-05
40 1941G MEDI-TEST COMBI-10 STRP (SCN/PHA) DIAGNOSTIC URINE DIAGNOSTIC URINE MEDI-TEST COMBI-10 50'S B 15.22 15.22 STRIP 0 BOTT SCN SCANPHARM A/S PHA PHARMACY SALES CARIBBEAN 3688 URINE CONTENTS 2022-04-01 2024-03-31 0 DIAGNOSTIC AGENTS