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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 78013 APO-OXYBUTYNIN 5MG TAB (APO/COL) OXYBUTYNIN APO-OXYBUTYNIN 100'S C 17.67 0.18 TABLET 0 TAB APO APOTEX INC. COL COLLINS LTD 8612 GENITOURINARY SMOOTH MUSCLE RELAXANTS 2022-04-01 2024-03-31 Oral 0 SMOOTH MUSCLE RELAXANTS
40 7801E PMS-OXYBUTYNIN 5MG TAB (PMS/COL) OXYBUTYNIN PMS-OXYBUTYNIN 100'S A 6.80 0.07 TABLET 120 TAB PMS PHARMASCIENCE COL COLLINS LTD 8612 GENITOURINARY SMOOTH MUSCLE RELAXANTS 2022-04-01 2024-03-31 Oral 6 SMOOTH MUSCLE RELAXANTS
42 7801E PMS-OXYBUTYNIN 5MG TAB (PMS) OXYBUTYNIN PMS-OXYBUTYNIN 100'S A 12.23 0.12 TAB 120 BOTT PMS PHARMASCIENCE COL AVENTA BARBADOS 8612 GENITOURINARY SMOOTH MUSCLE RELAXANTS 2026-04-01 ORAL 6 GENITOURINARY SMOOTH MUSCLE RELAXANTS
41 7801Q APO-OXYBUTYNIN 5MG TAB (APO) OXYBUTYNIN APO-OXYBUTYNIN 100'S A 6.93 0.0693 TAB 120 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 8612 GENITOURINARY SMOOTH MUSCLE RELAXANTS 2024-04-01 2026-03-31 ORAL 6 GENITOURINARY SMOOTH MUSCLE RELAXANTS
42 7801R OXYNINE 5MG TAB (JLP) OXYBUTYNIN OXYBUTYNIN OXYNINE 10X10 A 8.70 0.09 TAB 120 BLIS JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 8612 GENITOURINARY SMOOTH MUSCLE RELAXANTS 2026-04-01 ORAL 6 GENITOURINARY SMOOTH MUSCLE RELAXANTS