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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
42 B041EV APO-LANSOPRAZOLE 15MG CAP (APO) LANSOPRAZOLE APO-LANSOPRAZOLE 100'S C 13.32 0.13 CAP 0 BOTT APO APOTEX INC. COL AVENTA BARBADOS 562836 PROTON PUMP INHIBITORS 2026-04-01 ORAL 0 PROTON PUMP INHIBITORS
40 B041EW APO-LANSOPRAZOLE 30MG CAP (APO/COL) LANSOPRAZOLE APO-LANSOPRAZOLE 100'S C 19.90 0.20 CAPSULE 0 CAP APO APOTEX INC. COL COLLINS LTD 562836 PROTON PUMP INHIBITORS 2022-04-01 2024-03-31 Oral 0 GASTROINTESTINAL DRUGS
42 B041EW APO-LANSOPRAZOLE 30MG CAP (APO) LANSOPRAZOLE APO-LANSOPRAZOLE 100'S C 20.31 0.20 CAP 0 BOTT APO APOTEX INC. COL AVENTA BARBADOS 562836 PROTON PUMP INHIBITORS 2026-04-01 ORAL 0 PROTON PUMP INHIBITORS
41 B041NP APO-LANSOPRAZOLE 15MG CAP (APO) (C) LANSOPRAZOLE APO-LANSOPRAZOLE 100'S C 10.68 0.1068 CAP 0 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 562836 PROTON PUMP INHIBITORS 2024-04-01 2026-03-31 ORAL 0 PROTON PUMP INHIBITORS
41 B041NT APO-LANSOPRAZOLE 30MG CAP (APO) (C) LANSOPRAZOLE APO-LANSOPRAZOLE 100'S C 20.31 0.2031 CAP 0 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 562836 PROTON PUMP INHIBITORS 2024-04-01 2026-03-31 ORAL 0 PROTON PUMP INHIBITORS
42 B041QD JUNIOR LANZOL 15MG CHEW TAB (CIP) LANSOPRAZOLE LANSOPRAZOLE JUNIOR LANZOL 120'S C 79.81 0.67 TAB 0 BLIS CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 562836 PROTON PUMP INHIBITORS 2026-04-01 ORAL 0 PROTON PUMP INHIBITORS