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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 28321 DIAMICRON MR 60MG TAB (SER/STO) GLICLAZIDE GLICLAZIDE DIAMICRON MR 30'S A 7.18 0.24 TABLET 60 TAB SER LES LABORATOIRES SERVIER STO BRYDEN STOKES LTD B 682020 SULPHONYLUREAS 2022-04-01 2024-03-31 contract extended Oral 6 HORMONES AND SYNTHETIC SUBSTITUTES 2022-05-27
40 2832AT DIAMICROM MR 60MG TAB (SER/COL) GLICLAZIDE GLICLAZIDE DIAMICROM MR 30'S A 7.18 0.24 TABLET 60 TAB SER LES LABORATOIRES SERVIER COL COLLINS LTD B 682020 SULPHONYLUREAS 2022-04-01 2024-03-31 Contract Extended Oral 6 HORMONES AND SYNTHETIC SUBSTITUTES 2022-03-21
40 2832BP GLICLAZIDE MR 60MG TAB (SER/COL) GLICLAZIDE GLICLAZIDE MR 30'S A 14.35 0.24 TABLET 60 TAB SER LES LABORATOIRES SERVIER COL COLLINS LTD B 682020 SULPHONYLUREAS 2022-04-01 2024-03-31 Name Change Oral 6 HORMONES AND SYNTHETIC SUBSTITUTES 2022-05-27
40 2832BP GLICLAZIDE MR 60MG TAB (SER/COL) GLICLAZIDE GLICLAZIDE MR 30'S A 7.18 0.24 TABLET 60 TAB SER LES LABORATOIRES SERVIER COL COLLINS LTD B 682020 SULPHONYLUREAS 2022-04-01 2024-03-31 Name Change Oral 6 HORMONES AND SYNTHETIC SUBSTITUTES 2022-09-21
41 2832BP GLICLAZIDE MR 60MG TAB (SER) GLICLAZIDE GLICLAZIDE MR 30'S A 7.39 0.2465 TAB 60 BOX SER LES LABORATOIRES SERVIER COL COLLINS LTD B 682020 SULPHONYLUREAS 2024-04-01 2026-03-31 ORAL 6 SULPHONYLUREAS
42 2832BP GLICLAZIDE MR 60MG TAB (SER) GLICLAZIDE GLICLAZIDE MR 30'S A 7.39 0.25 TAB 60 BLIS SER LES LABORATOIRES SERVIER COL AVENTA BARBADOS B 682020 SULPHONYLUREAS 2026-04-01 ORAL 6 SULPHONYLUREAS
41 2832BQ GLICLAZIDE MR 60MG TAB (SER) GLICLAZIDE GLICLAZIDE MR 30'S A 7.39 0.2465 TAB 60 BOX SER LES LABORATOIRES SERVIER STO BRYDEN STOKES LTD B 682020 SULPHONYLUREAS 2024-04-01 2026-03-31 ORAL 6 SULPHONYLUREAS
42 2832BQ GLICLAZIDE MR 60MG TAB (SER) GLICLAZIDE GLICLAZIDE MR 30'S A 7.39 0.25 TAB 60 BLIS SER LES LABORATOIRES SERVIER STO BRYDEN STOKES LTD B 682020 SULPHONYLUREAS 2026-04-01 ORAL 6 SULPHONYLUREAS
41 2832BV APO-GLICLAZIDE 80MG TAB (APO) GLICLAZIDE APO-GLICLAZIDE 100'S A 9.7 0.097 TAB 120 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD B 682020 SULPHONYLUREAS 2024-04-01 2026-03-31 ORAL 6 SULPHONYLUREAS
40 2832C APO-GLICLAZIDE 80MG TAB (APO/COL) GLICLAZIDE APO-GLICLAZIDE 100'S A 9.51 0.10 TABLET 120 TAB APO APOTEX INC. COL COLLINS LTD B 682020 SULPHONYLUREAS 2022-04-01 2024-03-31 Oral 6 HORMONES AND SYNTHETIC SUBSTITUTES
42 2832C APO-GLICLAZIDE 80MG TAB (APO) GLICLAZIDE APO-GLICLAZIDE 100'S A 9.70 0.10 TAB 120 BOTT APO APOTEX INC. COL AVENTA BARBADOS B 682020 SULPHONYLUREAS 2026-04-01 ORAL 6 SULPHONYLUREAS