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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 6581R ZOLADEX 10.8MG KIT (AZN/COL) GOSERELIN GOSERELIN ZOLADEX 10.8MG KIT C 611.62 611.62 KIT 0 KIT AZN ASTRAZENECA AB COL COLLINS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IM 0 ANTINEOPLASTICS
41 6581R ZOLADEX 10.8MG KIT (AZN) GOSERELIN (C) GOSERELIN ZOLADEX 10.8MG KIT C 611.62 611.6229 KIT 0 BOX AZN ASTRAZENECA AB COL COLLINS LTD 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 IM 0 ANTINEOPLASTICS
40 6581S ZOLADEX 3.6MG KIT (AZN/COL) GOSERELIN GOSERELIN ZOLADEX 3.6MG KIT C 205.51 205.51 KIT 0 KIT AZN ASTRAZENECA AB COL COLLINS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IM 0 ANTINEOPLASTICS
41 6581S ZOLADEX 3.6MG KIT (AZN) GOSERELIN (C) GOSERELIN ZOLADEX 3.6MG KIT C 205.51 205.5053 KIT 0 BOX AZN ASTRAZENECA AB COL COLLINS LTD 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 IM 0 ANTINEOPLASTICS