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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
41 1261F SEVOFLURANE SOLN (BAX) (BQ) SEVOFLURANE SEVOFLURANE 250ML BQ 197.87 197.8668 BOTT 30 BOTT BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 280416 INHALATION ANAESTHETICS 2024-04-01 2026-03-31 INHALATION 0 INHALATION ANAESTHETICS
40 1261L ULTANE (4456-02) (ABB/PHA) SEVOFLURANE SEVOFLURANE ULTANE (4456-02) 250ML BQ 265.04 265.04 SOLUTION 0 BOTT ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 280416 INHALATION ANAESTHETICS 2022-04-01 2024-03-31 INHALATION 0 CENTRAL NERVOUS SYSTEM DRUGS
41 1261L ULTANE (4456-02) (ABB) SEVOFLURANE (BQ) SEVOFLURANE ULTANE (4456-02) 250ML BQ 264.74 264.7376 BOTT 30 BOTT ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 280416 INHALATION ANAESTHETICS 2024-04-01 2026-03-31 INHALATION 0 INHALATION ANAESTHETICS
42 1261L ULTANE (4456-02) BOTTLE (ABB) SEVO SEVOFLURANE ULTANE (4456-02) 250ML BQ 244.65 244.65 BOTT 30 BOTT ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 280416 INHALATION ANAESTHETICS 2026-04-01 INHALATION 0 INHALATION ANAESTHETICS