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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 47127 ERGOMETRINE MALEATE 500MCG/ML INJ (SGH/COL) ERGOMETRINE MALEATE ERGOMETRINE MALEATE 1ML AMP BQ 67.96 67.96 INJECTION 0 AMP SGH SEIGFRIED-HAMELN COL COLLINS LTD 7600 OXYTOCICS 2022-04-01 2024-03-31 IV 0 OXYTOCICS