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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 73911 NIMOTOP 0.2MG/ML INJ (BSP/COL) NIMODIPINE NIMODIPINE NIMOTOP 50ML VIAL BQ 43.49 43.49 INJECTION 0 VIAL BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 242808 DIHYDROPYRIDINES 2022-04-01 2024-03-31 IV 0 CARDIOVASCULAR DRUGS
40 73913 NIMOTOP 0.2MG/ML INJ (BSP/AHI) NIMODIPINE NIMODIPINE NIMOTOP 50ML VIAL BQ 43.49 43.49 INJECTION 0 VIAL BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 242808 DIHYDROPYRIDINES 2022-04-01 2024-03-31 IV 0 CARDIOVASCULAR DRUGS