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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 1261P AERRANE (BAX/STO) ISOFLURANE ISOFLURANE AERRANE 250ML C 66.54 66.54 SOLUTION 0 BOTT BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 280416 INHALATION ANAESTHETICS 2022-04-01 2024-03-31 INHALATION 0 CENTRAL NERVOUS SYSTEM DRUGS
41 1261P AERRANE (BAX) ISOFLURANE (C) ISOFLURANE AERRANE 250ML C 58.69 58.6886 BOTT 0 BOTT BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 280416 INHALATION ANAESTHETICS 2024-04-01 2026-03-31 INHALATION 0 INHALATION ANAESTHETICS
42 1261P AERRANE (BAX) ISOFLURANE ISOFLURANE AERRANE 250ML C 77.85 77.85 BOTT 0 BOTT BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 280416 INHALATION ANAESTHETICS 2026-04-01 INHALATION 0 INHALATION ANAESTHETICS
40 1261S AERRANE SOLN (BAX/STO) ISOFLURANE ISOFLURANE AERRANE 100ML C 34.06 34.06 SOLUTION 0 BOTT BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 280416 INHALATION ANAESTHETICS 2022-04-01 2024-03-31 INHALATION 0 CENTRAL NERVOUS SYSTEM DRUGS
41 1261S AERRANE SOLN (BAX) ISOFLURANE (C) ISOFLURANE AERRANE 100ML C 38.65 38.6546 BOTT 0 BOTT BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 280416 INHALATION ANAESTHETICS 2024-04-01 2026-03-31 INHALATION 0 INHALATION ANAESTHETICS