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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 10718 TOLOXIN 0.125MG TAB (PMS/COL) DIGOXIN TOLOXIN 250'S A 19.03 0.08 TABLET 60 TAB PMS PHARMASCIENCE COL COLLINS LTD 24040492 CARDIAC GLYCOSIDES 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
41 10718 TOLOXIN 0.125MG TAB (PMS) DIGOXIN TOLOXIN 250'S A 29.22 0.1169 TAB 60 BOX PMS PHARMASCIENCE COL COLLINS LTD 240408 CARDIOTONIC AGENTS 2024-04-01 2026-03-31 ORAL 6 CARDIOTONIC AGENTS
40 1072Y DIXIN 0.25MG TAB (SLS/AHI) DIGOXIN DIGOXIN DIXIN 200'S A 15.58 0.08 TABLET 60 TAB SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 24040492 CARDIAC GLYCOSIDES 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
41 1072Y DIXIN 0.25MG TAB (SLS) DIGOXIN DIGOXIN DIXIN 200'S A 16.23 0.0811 TAB 60 BOX SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 240408 CARDIOTONIC AGENTS 2024-04-01 2026-03-31 ORAL 6 CARDIOTONIC AGENTS
40 10739 TOLOXIN 50MCG/ML SOLN (PMS/COL) DIGOXIN TOLOXIN 115ML A 48.93 0.43 SOLUTION 120 ML PMS PHARMASCIENCE COL COLLINS LTD 24040492 CARDIAC GLYCOSIDES 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
41 1073C DIGOXIN 50MCG/ML SOLN (KWA) DIGOXIN DIGOXIN 100ML A 5.49 0.0549 ML 120 BOTT KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 240408 CARDIOTONIC AGENTS 2024-04-01 2026-03-31 ORAL 6 CARDIOTONIC AGENTS
40 10745 DIGOXIN 0.25MG/ML INJ (SLS/AHI) DIGOXIN DIGOXIN 10X2ML B 19.44 1.94 INJECTION 0 AMP SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 24040492 CARDIAC GLYCOSIDES 2022-04-01 2024-03-31 IV 0 CARDIOVASCULAR DRUGS
41 10745 DIGOXIN 0.25MG/ML INJ (SLS) (B) DIGOXIN DIGOXIN 10X2ML B 21.28 2.1284 AMP 360 BOX SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 240408 CARDIOTONIC AGENTS 2024-04-01 2026-03-31 IV 6 CARDIOTONIC AGENTS
40 1074S DIGOXIN 0.25MG/ML INJ (LDP/AHI) DIGOXIN DIGOXIN 10X2ML B 19.16 1.92 INJECTION 0 AMP LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 24040492 CARDIAC GLYCOSIDES 2022-04-01 2024-03-31 IV 0 CARDIOVASCULAR DRUGS
41 1074V DIGOXIN 0.25MG/ML INJ (KWA) (B) DIGOXIN DIGOXIN 10X2ML B 22.18 2.2182 AMP 360 BOX KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 240408 CARDIOTONIC AGENTS 2024-04-01 2026-03-31 IV/IM 6 CARDIOTONIC AGENTS
41 1074W DIGOXIN 0.25MG/ML INJ (FSB) (B) DIGOXIN DIGOXIN 10X2ML B 10.66 1.0656 AMP 360 BOX FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 240408 CARDIOTONIC AGENTS 2024-04-01 2026-03-31 IV 6 CARDIOTONIC AGENTS