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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 | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 41 | 3532B | VITAPLEX M SYR (CAR) MULTIVITAMINS (B) | CALCIUM|CYANOCOBALAMIN|IODINE|IRON ELEMENTAL|MAGNESIUM|MANGANESE|NICOTINAMIDE|PH More ... | VITAPLEX M | 250ML | B | 14.41 | 0.0576 | ML | 150 | BOTT | CAR | CARLISLE LABORATORIES LTD | COL | COLLINS LTD | 8828 | MULTIVITAMIN PREPARATIONS | 2024-04-01 | 2026-03-31 | ORAL | 6 | MULTIVITAMIN PREPARATIONS | |||||
| 40 | 72416 | MANGANESE 0.1 MG/ML INJ (KWA/ATB) | MANGANESE | MANGANESE | 10ML | BQ | 25.04 | 25.04 | INJECTION | 0 | VIAL | KWA | KWALITY PHARMACEUTICALS | ATB | ANSA TRADING BARBADOS LTD | 4012 | REPLACEMENT THERAPY | 2022-04-01 | 2024-03-31 | IV | 0 | ELECTROLYTIC, CALORIC, AND WATER BALANCE | |||||
| 41 | 72416 | MANGANESE 0.1 MG/ML INJ (KWA) | MANGANESE | MANGANESE | 10ML | BQ | 73.2045 | 73.2045 | VIAL | 0 | VIAL | KWA | KWALITY PHARMACEUTICALS | ATB | ANSA TRADING BARBADOS LTD | 4012 | REPLACEMENT THERAPY | 2024-04-01 | 2026-03-31 | IV | 0 | REPLACEMENT THERAPY | |||||