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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 29813 AAP-MISOPROSTOL 200MCG TAB (APO/COL) MISOPROSTOL AAP-MISOPROSTOL 100'S BQ 92.42 0.92 TABLET 0 TAB APO APOTEX INC. COL COLLINS LTD 5632 GI PROKINETIC AGENTS 2022-04-01 2024-03-31 Oral 0 GASTROINTESTINAL DRUGS
42 29813 AAP-MISOPROSTOL 200MCG TAB (APO) MISOPROSTOL AAP-MISOPROSTOL 100'S BQ 94.19 0.94 TAB 0 BLIS APO APOTEX INC. COL AVENTA BARBADOS 5632 GI PROKINETIC AGENTS 2026-04-01 ORAL 0 GI PROKINETIC AGENTS