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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 49712 APO-HYDROXYUREA 500MG CAP (APO/COL) HYDROXYUREA APO-HYDROXYUREA 100'S C 93.70 0.94 CAPSULE 0 CAP APO APOTEX INC. COL COLLINS LTD B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 0 ANTINEOPLASTICS
40 4971J HYDROXYUREA 500MG CAP (SLS/AHI) HYDROXYUREA HYDROXYUREA 100'S A 33.30 0.33 CAPSULE 150 CAP SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
41 4971N HYDROXYUREA 500MG CAP (FSB) HYDROXYUREA HYDROXYUREA 100'S A 25.14 0.2514 CAP 150 BOX FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD B 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 6 ANTINEOPLASTICS
41 4971X ZYDROX 500MG CAP (ZUV) HYDROXYUREA HYDROXYUREA ZYDROX 100'S A 25.12 0.2512 CAP 150 BOX ZUV ZUVIUS PHA PHARMACY SALES CARIBBEAN B 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 6 ANTINEOPLASTICS