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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 16111 TAXOTERE 20MG INJ (SFA/COL) DOCETAXEL DOCETAXEL TAXOTERE 20MG VIAL C 135.92 135.92 INJECTION 0 VIAL SFA SANOFI AVENTIS COL COLLINS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 1611N DOCETAXEL 20MG INJ (DIL/AHI) DOCETAXEL DOCETAXEL 20MG VIAL C 36.02 36.02 INJECTION 0 VIAL DIL FRESENIUS KABI AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 1611U DOCETERE 20MG INJ (DRL/AAL) DOCETAXEL DOCETAXEL DOCETERE 1 DS SYRNG C 39.96 39.96 INJECTION 0 PFS DRL DR. REDDY'S LABORATORIES LTD AAL A. A. LAQUIS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 16121 TAXOTERE 80MG INJ (SFA/COL) DOCETAXEL DOCETAXEL TAXOTERE 80MG VIAL C 231.06 231.06 INJECTION 0 VIAL SFA SANOFI AVENTIS COL COLLINS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 1612A DOCETAXEL 80MG INJ (EBA/COL) DOCETAXEL DOCETAXEL 80MG VIAL C 68.58 68.58 INJECTION 0 VIAL EBA EBEW ARZNEIMITTLE GES.MBH COL COLLINS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Price Change IV 0 ANTINEOPLASTICS 2022-01-18
40 1612S DOCETAXEL 80MG INJ (INP/AHI) DOCETAXEL DOCETAXEL 80MG VIAL C 65.70 65.70 INJECTION 0 VIAL INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
41 1612X DOCETAXEL 80MG INJ (VEN) DOCETAXEL DOCETAXEL 4ML VIAL BQ 38.4643 38.4643 VIAL 0 VIAL VEN VENUS REMEDIES LIMITED AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 IV 0 ANTINEOPLASTICS