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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 16814 STEMETIL 5MG TAB (SFA/COL) PROCHLORPER PROCHLORPERAZINE STEMETIL 25'S C 12.78 0.51 TABLET 0 TAB SFA SANOFI AVENTIS COL COLLINS LTD 28160824 PHENOTHIAZINES 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
40 16819 CARMETIC 5MG TAB (CAR/COL) PROCHLORPERAZINE PROCHLORPERAZINE CARMETIC 1000'S A 65.24 0.07 TABLET 180 TAB CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 28160824 PHENOTHIAZINES 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
41 16819 CARMETIC 5MG TAB (CAR) PROCHLORPERAZINE PROCHLORPERAZINE CARMETIC 1000'S A 71.76 0.0718 TAB 180 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 28160824 PHENOTHIAZINES 2024-04-01 2026-03-31 ORAL 6 PHENOTHIAZINES
42 16819 CARMETIC 5MG TAB (CAR) PROCHLORPERAZINE PROCHLORPERAZINE CARMETIC 1000'S A 71.76 0.07 TAB 180 BOTT CAR CARLISLE LABORATORIES LTD COL AVENTA BARBADOS 28160824 PHENOTHIAZINES 2026-04-01 ORAL 6 PHENOTHIAZINES