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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 A3313 AAP-MOCLOBEMIDE 150MG TAB (APO) MOCLOBEMIDE AAP-MOCLOBEMIDE 100'S C 26.10 0.26 TAB 0 BOTT APO APOTEX INC. COL AVENTA BARBADOS 28160412 MONOAMINE OXIDASE INHIBITORS 2026-04-01 ORAL 0 MONOAMINE OXIDASE INHIBITORS