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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
41 57822 DUODART 0.5MG|0.4MG TAB (GSK) DUTASTERIDE|TAMSULOSIN MR (C) DUTASTERIDE|TAMSULOSIN MR DUODART 30'S C 88.18 2.9394 TAB 0 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD 9208 5 ALPHA REDUCTASE INHIBITORS 2024-04-01 2026-03-31 ORAL 0 5 ALPHA REDUCTASE INHIBITORS
41 57829 TRUVERA 0.5MG|0.4MG CAP (TMP) DUTASTERIDE|TAMSULOSIN MR (C) DUTASTERIDE|TAMSULOSIN MR TRUVERA 3X10 C 23.89 0.7965 CAP 0 BOX TMP THE MADRAS PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 9208 5 ALPHA REDUCTASE INHIBITORS 2024-04-01 2026-03-31 ORAL 0 5 ALPHA REDUCTASE INHIBITORS