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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 0861E NORADRENALINE 1MG/ML INJ (KWA/ATB) NORADRENALINE NORADRENALINE 10X4ML BQ 27.05 2.71 INJECTION 0 AMP KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 121212 ALPHA & BETA ADRENERGIC AGONIST 2022-04-01 2024-03-31 IV 0 AUTONOMIC DRUGS
41 0861E NORADRENALINE 1MG/ML INJ (KWA) (BQ) NORADRENALINE NORADRENALINE 10X4ML BQ 10.55 1.0547 AMP 0 BOX KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 121212 ALPHA & BETA ADRENERGIC AGONIST 2024-04-01 2026-03-31 IV 0 ALPHA & BETA ADRENERGIC AGONIST
40 0861F NORADRENALINE 1MG/ML INJ (MON/PHA) NORADRENALINE NORADRENALINE 5X4ML BQ 16.55 3.31 INJECTION 0 AMP MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 121212 ALPHA & BETA ADRENERGIC AGONIST 2022-04-01 2024-03-31 IV 0 AUTONOMIC DRUGS
41 0861H LADRELINE 1MG/ML INJ (LDP) NORADRENALINE (BQ) NORADRENALINE LADRELINE 5X4ML BQ 14.19 2.8379 AMP 0 BOX LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 121212 ALPHA & BETA ADRENERGIC AGONIST 2024-04-01 2026-03-31 IV/IM 0 ALPHA & BETA ADRENERGIC AGONIST