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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 A3221 APO-FLUOXETINE 20MG CAP (APO/COL) FLUOXETINE APO-FLUOXETINE 100'S A 7.61 0.08 CAPSULE 120 CAP APO APOTEX INC. COL COLLINS LTD 28160420 SELECTIVE SEROTONIN REUPTAKE INHIBITORS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
42 A3221 APO-FLUOXETINE 20MG CAP (APO) FLUOXETINE APO-FLUOXETINE 100'S A 7.77 0.08 CAP 120 BOTT APO APOTEX INC. COL AVENTA BARBADOS 28160420 SELECTIVE SEROTONIN REUPTAKE INHIBITORS 2026-04-01 ORAL 6 SELECTIVE SEROTONIN REUPTAKE INHIBITORS
40 A322HL FLUOXETINE 20MG CAP (APL/AHI) FLUOXETINE FLUOXETINE 100'S A 11.20 0.11 CAPSULE 120 CAP APL AUROBINDO PHARMA LTD. AHI ARMSTRONG HEALTHCARE INC 28160420 SELECTIVE SEROTONIN REUPTAKE INHIBITORS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
40 A322JN FLUNIL 20MG TAB (INP/AAL) FLUOXETINE FLUOXETINE FLUNIL 30'S C 5.98 0.20 TABLET 0 TAB INP INTAS PHARMACEUTICALS LTD AAL A. A. LAQUIS LTD 28160420 SELECTIVE SEROTONIN REUPTAKE INHIBITORS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
41 A322JN FLUNIL 20MG TAB (INP) FLUOXETINE FLUOXETINE FLUNIL 30'S A 2.39 0.0797 TAB 42 BOX INP INTAS PHARMACEUTICALS LTD AAL A. A. LAQUIS LTD 28160420 SELECTIVE SEROTONIN REUPTAKE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 SELECTIVE SEROTONIN REUPTAKE INHIBITORS
40 A322KN FLUOXETINE 20MG TAB (APL/AHI) FLUOXETINE FLUOXETINE 1000'S A 120.97 0.12 TABLET 120 CAP APL AUROBINDO PHARMA LTD. AHI ARMSTRONG HEALTHCARE INC 28160420 SELECTIVE SEROTONIN REUPTAKE INHIBITORS 2022-09-20 2024-03-31 Package Size Change oral 6 CENTRAL NERVOUS SYSTEM DRUGS 2022-09-20
41 A322LC APO-FLUOXETINE 20MG TAB (APO) FLUOXETINE APO-FLUOXETINE 100'S A 7.77 0.0777 TAB 42 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 28160420 SELECTIVE SEROTONIN REUPTAKE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 SELECTIVE SEROTONIN REUPTAKE INHIBITORS
41 A322LX FLUNIL 20MG CAP (INP) FLUOXETINE FLUOXETINE FLUNIL 3X10 A 2.39 0.0797 CAP 42 BOX INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 28160420 SELECTIVE SEROTONIN REUPTAKE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 SELECTIVE SEROTONIN REUPTAKE INHIBITORS
42 A322ML FLUOXETINE 20MG CAP (HEA) FLUOXETINE FLUOXETINE 10X10 A 5.30 0.05 CAP 120 BLIS HEA HEALTH 2000 INC AHI ARMSTRONG HEALTHCARE INC 28160420 SELECTIVE SEROTONIN REUPTAKE INHIBITORS 2026-04-01 Price Change ORAL 6 SELECTIVE SEROTONIN REUPTAKE INHIBITORS 2025-10-31
42 A322NA FLUOXETINE 20MG CAP (HEA) FLUOXETINE FLUOXETINE 10X10 A 5.30 0.05 CAP 120 BLIS HEA HEALTH 2000 INC CWS CAPSULE WHOLESALE 28160420 SELECTIVE SEROTONIN REUPTAKE INHIBITORS 2026-04-01 Add to Contract as Cat A ORAL 6 SELECTIVE SEROTONIN REUPTAKE INHIBITORS 2026-01-26
42 A322NB FLUOXETINE 20MG CAP (HEA) FLUOXETINE FLUOXETINE 10X10 A 5.30 0.05 CAP 120 HEA HEALTH 2000 INC STO BRYDEN STOKES LTD 28160420 SELECTIVE SEROTONIN REUPTAKE INHIBITORS 2026-04-01 Add to Contract as Cat A ORAL 6 SELECTIVE SEROTONIN REUPTAKE INHIBITORS 2026-02-27