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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 3151A APO-EZETIMIBE 10MG TAB (APO/COL) EZETIMIBE APO-EZETIMIBE 100'S A 21.75 0.22 TABLET 30 TAB APO APOTEX INC. COL COLLINS LTD 240605 CHOLESTEROL ABSORPTION INHIBITORS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
40 3151C EZETROL 10MG TAB (MSD/STO) EZETIMIBE EZETIMIBE EZETROL 30'S C 47.30 1.58 TABLET 0 TAB MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 240605 CHOLESTEROL ABSORPTION INHIBITORS 2022-04-01 2024-03-31 Oral 0 CARDIOVASCULAR DRUGS
41 3151C EZETROL 10MG TAB (MSD) EZETIMIBE (C) EZETIMIBE EZETROL 30'S C 47.76 1.592 TAB 30 BOX MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 240605 CHOLESTEROL ABSORPTION INHIBITORS 2024-04-01 2026-03-31 ORAL 6 CHOLESTEROL ABSORPTION INHIBITORS
41 3151H APO-EZETIMIBE 10MG TAB (APO) EZETIM EZETIMIBE APO-EZETIMIBE 100'S A 22.18 0.2218 TAB 30 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 240605 CHOLESTEROL ABSORPTION INHIBITORS 2024-04-01 2026-03-31 ORAL 6 CHOLESTEROL ABSORPTION INHIBITORS