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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 A8317 MOBIC 15MG TAB (BOE/STO) MELOXICAM MELOXICAM MOBIC 30'S C 41.59 1.39 TABLET 0 TAB BOE BOEHRINGER INGELHEIM STO BRYDEN STOKES LTD 28080408 CYCLOOXYGENASE-2 (COX2) INHIBITORS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
42 A831AK APO-MELOXICAM 7.5MG TAB (APO) MELOXICAM APO-MELOXICAM 100'S C 4.62 0.05 TAB 0 BOTT APO APOTEX INC. COL AVENTA BARBADOS 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2026-04-01 ORAL 0 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
40 A831AN APO-MELOXICAM 15MG TAB (APO/COL) MELOXICAM APO-MELOXICAM 100'S C 7.61 0.08 TABLET 0 TAB APO APOTEX INC. COL COLLINS LTD 28080408 CYCLOOXYGENASE-2 (COX2) INHIBITORS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
42 A831AN APO-MELOXICAM 15MG TAB (APO) MELOXICAM APO-MELOXICAM 100'S C 7.77 0.08 TAB 15 BOTT APO APOTEX INC. COL AVENTA BARBADOS 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2026-04-01 ORAL 0 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
41 A831AZ MELOXICAM 15MG TAB (HEA) (C) MELOXICAM MELOXICAM 10'S C 0.71 0.0707 TAB 15 BOTT HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 0 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
41 A831FM APO-MELOXICAM 7.5MG TAB (APO) (C) MELOXICAM APO-MELOXICAM 100'S C 4.62 0.0462 TAB 0 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 0 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
41 A831FN APO-MELOXICAM 15MG TAB (APO) (C) MELOXICAM APO-MELOXICAM 100'S C 7.77 0.0777 TAB 15 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 0 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS