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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
41 27856 OESTROGENS CONJUGATED 0.3MG TAB (KW OESTROGENS CONJUGATED OESTROGENS CONJUGATED 100'S A 105.36 1.0536 TAB 28 BOX KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 681604 ESTROGENS 2024-04-01 2026-03-31 ORAL 6 ESTROGENS