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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 B5831 APO-NABILONE 1MG CAP (APO/COL) NABILONE APO-NABILONE 50'S A 66.00 1.32 CAPSULE 30 CAP APO APOTEX INC. COL COLLINS LTD 9200 UNCLASSIFIED THERAPEUTIC AGENTS 2022-04-01 2024-03-31 Oral 6 UNCLASSIFIED THERAPEUTIC AGENTS
40 B5832 APO-NABILONE 0.25MG CAP (APO/COL) NABILONE APO-NABILONE 50'S A 23.05 0.46 CAPSULE 30 CAP APO APOTEX INC. COL COLLINS LTD 9200 UNCLASSIFIED THERAPEUTIC AGENTS 2022-04-01 2024-03-31 Oral 6 UNCLASSIFIED THERAPEUTIC AGENTS