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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
41 11519 GEMFIBROZIL 300MG TAB (KWA) GEMFIBROZIL GEMFIBROZIL 100'S A 27.1832 0.2718 TAB 60 BOX KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 240606 FIBRIC ACID DERIVATIVES 2024-04-01 2026-03-31 ORAL 6 FIBRIC ACID DERIVATIVES
40 11529 GEMFIBROZIL 600MG TAB (CIP/AHI) GEMFIBROZIL GEMFIBROZIL 60'S B 40.86 0.68 TABLET 60 TAB CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 240606 FIBRIC ACID DERIVATIVES 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
41 11529 GEMFIBROZIL 600MG TAB (CIP) GEMFIBROZIL GEMFIBROZIL 60'S B 40.86 0.6809 TAB 60 BOX CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 240606 FIBRIC ACID DERIVATIVES 2024-04-01 2026-03-31 ORAL 6 FIBRIC ACID DERIVATIVES