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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 49511 FERRUM FOL CHEWABLE 100/350 TAB (VFI/AHI) IRO FOLIC ACID|IRON 3 HYDROXY POLYMALTOSE FERRUM FOL CHEWABLE 30'S C 33.87 1.13 TABLET 0 TAB VFI VIFOR (INTERNATIONAL) INC, AHI ARMSTRONG HEALTHCARE INC 200404 IRON PREPARATIONS 2022-04-01 2022-09-30 Oral 0 BLOOD FORMATION, COAGULATION AND THROMBOSIS 2022-03-29
40 49513 OROFER CHEWABLE 350MCG | 100MG TAB (EMC/COL) FO FOLIC ACID|IRON 3 HYDROXY POLYMALTOSE OROFER CHEWABLE 30'S A 5.44 0.18 TABLET 30 TAB EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 200404 IRON PREPARATIONS 2022-04-01 2024-03-31 Oral 6 BLOOD FORMATION, COAGULATION AND THROMBOSIS
41 49513 OROFER CHEWABLE 350MCG|100MG TAB (EMC) F FOLIC ACID|IRON 3 HYDROXY POLYMALTOSE OROFER CHEWABLE 30'S A 6.12 0.2039 TAB 30 BOX EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 200404 IRON PREPARATIONS 2024-04-01 2026-03-31 ORAL 6 IRON PREPARATIONS
40 49514 OROFER 550MCG | 100MG CAP (EMC/COL) FOLIC ACID | FOLIC ACID|IRON 3 HYDROXY POLYMALTOSE OROFER 40'S A 4.08 0.10 CAPSULE 30 CAP EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 200404 IRON PREPARATIONS 2022-04-01 2024-03-31 Oral 6 BLOOD FORMATION, COAGULATION AND THROMBOSIS
41 49514 OROFER 550MCG|100MG CAP (EMC) FOLIC ACID FOLIC ACID|IRON 3 HYDROXY POLYMALTOSE OROFER 40'S A 4.62 0.1155 CAP 30 BOX EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 200404 IRON PREPARATIONS 2024-04-01 2026-03-31 ORAL 6 IRON PREPARATIONS