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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 38513 BUSCOPAN PLUS 10MG | 500MG TAB (SFA/COL) HYOSCI HYOSCINE BUTYLBROMIDE|PARACETAMOL BUSCOPAN PLUS 20'S C 10.19 0.51 TABLET 0 TAB SFA SANOFI AVENTIS COL COLLINS LTD 120808 ANTIMUSCARINICS/ANTISPASMODICS 2022-04-01 2024-03-31 Oral 0 AUTONOMIC DRUGS