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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 25611 GRAVOL 50MG TAB (CDC/COL) DIMENHYDRINAT DIMENHYDRINATE GRAVOL 100'S C 24.82 0.25 TABLET 0 TAB CDC CHURCH & DWIGHT CANADA CORP COL COLLINS LTD 5622 ANTIEMETICS 2022-04-01 2024-03-31 Oral 0 GASTROINTESTINAL DRUGS
41 25611 GRAVOL 50MG TAB (CDC) DIMENHYDRINAT (C) DIMENHYDRINATE GRAVOL 100'S C 27.54 0.2754 TAB 180 BOX CDC CHURCH & DWIGHT CANADA CORP COL COLLINS LTD 5622 ANTIEMETICS 2024-04-01 2026-03-31 ORAL 6 ANTIEMETICS
42 25611 GRAVOL 50MG TAB (CDC) DIMENHYDRINAT DIMENHYDRINATE GRAVOL 100'S C 29.03 0.29 TAB 180 BLIS CDC CHURCH & DWIGHT CANADA CORP COL AVENTA BARBADOS 5622 ANTIEMETICS 2026-04-01 ORAL 6 ANTIEMETICS
40 25619 GRAVOL 50MG TAB (CDC/COL) DIMENHYDRINATE DIMENHYDRINATE GRAVOL 30'S C 7.34 0.24 TABLET 0 TAB CDC CHURCH & DWIGHT CANADA CORP COL COLLINS LTD 5622 ANTIEMETICS 2022-04-01 2024-03-31 Oral 0 GASTROINTESTINAL DRUGS
41 25619 GRAVOL 50MG TAB (CDC) DIMENHYDRINAT (C) DIMENHYDRINATE GRAVOL 30'S C 7.53 0.251 TAB 180 BOX CDC CHURCH & DWIGHT CANADA CORP COL COLLINS LTD 5622 ANTIEMETICS 2024-04-01 2026-03-31 ORAL 6 ANTIEMETICS
40 2561B GRAVOL 50MG TAB (CDC/COL) DIMENHYDRINATE DIMENHYDRINATE GRAVOL 10'S C 3.43 0.34 TABLET 0 TAB CDC CHURCH & DWIGHT CANADA CORP COL COLLINS LTD 5622 ANTIEMETICS 2022-04-01 2024-03-31 Oral 0 GASTROINTESTINAL DRUGS
41 2561B GRAVOL 50MG TAB (CDC) DIMENHYDRINAT (C) DIMENHYDRINATE GRAVOL 10'S C 3.72 0.3724 TAB 180 BOX CDC CHURCH & DWIGHT CANADA CORP COL COLLINS LTD 5622 ANTIEMETICS 2024-04-01 2026-03-31 ORAL 6 ANTIEMETICS
42 2561B GRAVOL 50MG TAB (CDC) DIMENHYDRINAT DIMENHYDRINATE GRAVOL 10'S C 4.05 0.41 TAB 180 BLIS CDC CHURCH & DWIGHT CANADA CORP COL AVENTA BARBADOS 5622 ANTIEMETICS 2026-04-01 ORAL 6 ANTIEMETICS
40 2561H APO-DIMENHYDRINATE 50MG TAB (APO/COL) DIMENHYDRINATE APO-DIMENHYDRINATE 1000'S A 33.19 0.03 TABLET 180 TAB APO APOTEX INC. COL COLLINS LTD 5622 ANTIEMETICS 2022-04-01 2024-03-31 Oral 6 GASTROINTESTINAL DRUGS
42 2561H APO-DIMENHYDRINATE 50MG TAB (APO) DIMENHYDRINATE APO-DIMENHYDRINATE 1000'S A 56.27 0.06 TAB 180 BOTT APO APOTEX INC. COL AVENTA BARBADOS 5622 ANTIEMETICS 2026-04-01 ORAL 6 ANTIEMETICS
40 2561L GRAVINATE 50MG TAB (CAR/COL) DIMENHYDRINATE DIMENHYDRINATE GRAVINATE 250'S C 18.05 0.07 TABLET 0 TAB CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 5622 ANTIEMETICS 2022-04-01 2024-03-31 Oral 0 GASTROINTESTINAL DRUGS
41 2561L GRAVINATE 50MG TAB (CAR) DIMENHYDRINATE DIMENHYDRINATE GRAVINATE 250'S A 17.51 0.07 TAB 180 BOX CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 5622 ANTIEMETICS 2024-04-01 2026-03-31 ORAL 6 ANTIEMETICS
42 2561L GRAVINATE 50MG TAB (CAR) DIMENHYDRINATE DIMENHYDRINATE GRAVINATE 250'S A 17.51 0.07 TAB 180 BLIS CAR CARLISLE LABORATORIES LTD COL AVENTA BARBADOS 5622 ANTIEMETICS 2026-04-01 ORAL 6 ANTIEMETICS
41 2561N DIMENHYDRINATE 50MG TAB (GPC) DIMENHYDRINATE DIMENHYDRINATE 1000'S A 29.58 0.0296 TAB 180 BOTT GPC NEW GUYANA PHARMACEUTICAL CORP. LTD ATB ANSA TRADING BARBADOS LTD 5622 ANTIEMETICS 2024-04-01 2026-03-31 ORAL 6 ANTIEMETICS
40 2561S DIMENHYDRINATE 50MG TAB (FSB/ATB) DIMENHYDRINATE DIMENHYDRINATE 10X10 A 5.08 0.05 TABLET 180 TAB FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 5622 ANTIEMETICS 2022-04-01 2022-09-30 Oral 6 GASTROINTESTINAL DRUGS 2022-03-30
41 2561S DIMENHYDRINATE 50MG TAB (FSB) DIMENHYDRINATE DIMENHYDRINATE 10X10 A 4.59 0.0459 TAB 180 BOTT FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 5622 ANTIEMETICS 2024-04-01 2026-03-31 ORAL 6 ANTIEMETICS
40 2561U DIMENHYDRINATE 50MG TAB (RYV/ATB) DIMENHYDRINATE DIMENHYDRINATE 250'S A 9.92 0.04 TABLET 180 TAB RYV RYVIS PHARMA PVT. LTD ATB ANSA TRADING BARBADOS LTD 5622 ANTIEMETICS 2022-04-01 2024-03-31 Oral 6 GASTROINTESTINAL DRUGS
40 25628 GRAVOL KIDS 3MG/ML SYR (CDC/COL) DIMENHYDRINATE DIMENHYDRINATE GRAVOL KIDS 75ML C 5.95 0.08 SYRUP 0 ML CDC CHURCH & DWIGHT CANADA CORP COL COLLINS LTD 5622 ANTIEMETICS 2022-04-01 2024-03-31 Oral 0 GASTROINTESTINAL DRUGS
41 25628 GRAVOL KIDS 3MG/ML SYR (CDC) DIMENHYDRINATE (C) DIMENHYDRINATE GRAVOL KIDS 75ML C 6.44 0.0859 ML 125 BOTT CDC CHURCH & DWIGHT CANADA CORP COL COLLINS LTD 5622 ANTIEMETICS 2024-04-01 2026-03-31 ORAL 6 ANTIEMETICS
42 25628 GRAVOL KIDS 3MG/ML SYR (CDC) DIMENHYDRINATE DIMENHYDRINATE GRAVOL KIDS 75ML C 6.74 0.09 ML 125 BOTT CDC CHURCH & DWIGHT CANADA CORP COL AVENTA BARBADOS 5622 ANTIEMETICS 2026-04-01 ORAL 6 ANTIEMETICS