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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 44619 RIVASTIGMINE 1.5MG CAP (DRL/AHI) RIVASTIGMINE RIVASTIGMINE 60'S C 143.36 2.39 CAPSULE 0 CAP DRL DR. REDDY'S LABORATORIES LTD AHI ARMSTRONG HEALTHCARE INC 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2022-04-01 2024-03-31 Oral 0 AUTONOMIC DRUGS
40 4462A RIVASTIGMINE 3MG CAP (DRL/AHI) RIVASTIGMINE RIVASTIGMINE 60'S C 137.38 2.29 CAPSULE 0 CAP DRL DR. REDDY'S LABORATORIES LTD AHI ARMSTRONG HEALTHCARE INC 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2022-04-01 2024-03-31 Oral 0 AUTONOMIC DRUGS
41 4463G RIVASTIGMINE 4.5MG CAP (KWA) (C) RIVASTIGMINE RIVASTIGMINE 60'S C 99.82 1.6636 CAP 30 BOX KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2024-04-01 2026-03-31 ORAL 0 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS
40 4463J RIVASTIGMINE 4.5MG TAB (DRL/AHI) RIVASTIGMINE RIVASTIGMINE 60'S C 96.69 1.61 TABLET 0 CAP DRL DR. REDDY'S LABORATORIES LTD AHI ARMSTRONG HEALTHCARE INC 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2022-04-01 2024-03-31 Oral 0 AUTONOMIC DRUGS
40 4464K RIVASTIGMINE 6MG CAP (DRL/AHI) RIVASTIGMINE RIVASTIGMINE 60'S C 107.32 1.79 CAPSULE 0 CAP DRL DR. REDDY'S LABORATORIES LTD AHI ARMSTRONG HEALTHCARE INC 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2022-04-01 2024-03-31 Oral 0 AUTONOMIC DRUGS