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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 1183G METOPROLOL 1MG/ML INJ (CIP/AHI) METOPROLOL METOPROLOL 5X5ML BQ 13.21 2.64 INJECTION 0 VIAL CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 2424 BETA ADRENERGIC BLOCKING AGENTS 2022-04-01 2024-03-31 IV 0 CARDIOVASCULAR DRUGS
41 1183G METOLAR 1MG/ML INJ (CIP) METOPROLOL METOPROLOL METOLAR 5X5ML BQ 13.21 2.6422 VIAL 0 BOX CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 2424 BETA ADRENERGIC BLOCKING AGENTS 2024-04-01 2026-03-31 IV 0 BETA ADRENERGIC BLOCKING AGENTS
42 1183J TOPME 1MG/ML INJ (JLP) METOPROLOL METOPROLOL TOPME 5X5ML BQ 8.16 1.63 VIAL 0 VIAL JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 2424 BETA ADRENERGIC BLOCKING AGENTS 2026-04-01 IV 0 BETA ADRENERGIC BLOCKING AGENTS