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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 1521D AAP-PRIMIDONE 250MG TAB (APO/COL) PRIMIDONE PRIMIDONE AAP-PRIMIDONE 100'S A 28.22 0.28 TABLET 120 TAB APO APOTEX INC. COL COLLINS LTD B 281204 BARBITURATES (ANTICONVULSANTS) 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
41 1521F APO-PRIMIDONE 250MG TAB (APO) PRIMIDONE APO-PRIMIDONE 100'S A 28.79 0.2879 TAB 120 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD B 281204 BARBITURATES (ANTICONVULSANTS) 2024-04-01 2026-03-31 ORAL 6 BARBITURATES (ANTICONVULSANTS)