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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 50411 ELOXATIN 50MG SOLN (SFA/COL) OXALIPLATIN OXALIPLATIN ELOXATIN 50MG VIAL BQ 67.96 67.96 SOLUTION 0 VIAL SFA SANOFI AVENTIS COL COLLINS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
41 50411 ELOXATIN 50MG INJ SOLN (SFA) OXALIPLATIN (BQ) OXALIPLATIN ELOXATIN 50MG VIAL BQ 182.13 182.1277 VIAL 0 VIAL SFA SANOFI AVENTIS COL COLLINS LTD 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 IV 0 ANTINEOPLASTICS
40 5041P OXALIPLATIN 50MG SOLN FOR INJ (FSB/ATB) OXALIPLATIN OXALIPLATIN 50MG VIAL BQ 38.06 38.06 SOLUTION FOR 0 VIAL FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 5041V OXALITHER 50MG SOLN FOR INJ (TPP/AHI) OXALIPLATIN OXALIPLATIN OXALITHER 50MG VIAL BQ 46.18 46.18 SOLUTION FOR 0 VIAL TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 50421 ELOXATIN 100MG SOLN FOR INJ (SFA/COL) OXALIPLATIN OXALIPLATIN ELOXATIN 20ML B 135.92 135.92 SOLUTION FOR 0 VIAL SFA SANOFI AVENTIS COL COLLINS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
41 50421 ELOXATIN 5MG/ML INJ SOLN (SFA) OXALIPLATIN (C) OXALIPLATIN ELOXATIN 20ML C 326.2 326.1989 VIAL 0 VIAL SFA SANOFI AVENTIS COL COLLINS LTD 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 IV 0 ANTINEOPLASTICS
41 5042AB OXALIPLATIN 5MG/ML INJ SOLN (CHC) (BQ) OXALIPLATIN OXALIPLATIN 20ML BQ 49.2 49.2017 VIAL 0 VIAL CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 IV 0 ANTINEOPLASTICS
41 50431 OXALIPLATIN 5MG/ML INJ SOLN (KWA) OXALIPLATIN OXALIPLATIN 40ML BQ 124.7711 124.7711 VIAL 0 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 IV 0 ANTINEOPLASTICS