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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 09815 GALFER 305MG CAP (THR/SBI) FERROUS FUMARATE FERROUS FUMARATE GALFER 250'S C 19.71 0.08 CAPSULE 0 CAP THR THORNTON & ROSS LTD SBI MASSY DISTRIBUTION (BDOS) LTD 200404 IRON PREPARATIONS 2022-04-01 2024-03-31 Oral 0 BLOOD FORMATION, COAGULATION AND THROMBOSIS
40 09818 GALFER 305MG CAP (THR/SBI) FERROUS FUMARATE FERROUS FUMARATE GALFER 100'S C 9.87 0.10 CAPSULE 0 CAP THR THORNTON & ROSS LTD SBI MASSY DISTRIBUTION (BDOS) LTD 200404 IRON PREPARATIONS 2022-04-01 2024-03-31 Oral 0 BLOOD FORMATION, COAGULATION AND THROMBOSIS
40 0981AT FERROUS FUMARATE 200MG TAB (MBL/AHI) FERROUS FUMARATE FERROUS FUMARATE 100'S A 4.89 0.05 TABLET 90 TAB MBL MEDICAMEN BIOTECH LTD AHI ARMSTRONG HEALTHCARE INC 200404 IRON PREPARATIONS 2022-04-01 2022-09-30 Oral 6 BLOOD FORMATION, COAGULATION AND THROMBOSIS 2022-03-29
40 09824 GALFER 28MG/ML SYR (THR/SBI) FERROUS FUMARATE FERROUS FUMARATE GALFER 300ML A 14.49 0.05 SYRUP 300 ML THR THORNTON & ROSS LTD SBI MASSY DISTRIBUTION (BDOS) LTD 200404 IRON PREPARATIONS 2022-04-01 2024-03-31 Oral 6 BLOOD FORMATION, COAGULATION AND THROMBOSIS