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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 5821AP SILVER SULPHADIAZINE 1% CR (KWA) (B) SILVER SULPHADIAZINE SILVER SULPHADIAZINE 400G B 12.75 12.7489 JAR 1 BOX KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 840492 ANTI-INFECTIVES TOPICAL MISCELLANEOUS 2024-04-01 2026-03-31 TOPICAL 0 ANTI-INFECTIVES TOPICAL MISCELLANEOUS
40 5821AZ SILVER SULPHADIAZINE 1% CR (FSB/ATB) SILVER SULPHADIAZINE SILVER SULPHADIAZINE 400G B 16.23 16.23 CREAM 0 JAR FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 840492 ANTI-INFECTIVES TOPICAL MISCELLANEOUS 2022-04-01 2024-03-31 Price Change TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS 2021-12-03
41 5821BB SILVERKANT 1% CR (SKH) SILVER SULPHADIAZINE SILVER SULPHADIAZINE SILVERKANT 30G A 3.26 3.262 TUBE 1 BOX SKH S. KANT HEALTHCARE LTD ATB ANSA TRADING BARBADOS LTD 840492 ANTI-INFECTIVES TOPICAL MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 0 ANTI-INFECTIVES TOPICAL MISCELLANEOUS
42 5821BE SILVER SULPHADIAZINE 1% CR (CHC) SILVER SULPHADIAZINE SILVER SULPHADIAZINE 400G B 15.60 15.60 JAR 1 CHC CARITAS HEALTHCARE PVT LTD STO BRYDEN STOKES LTD 840492 ANTI-INFECTIVES TOPICAL MISCELLANEOUS 2026-04-01 Add to Contract as Cat B TOPICAL 0 ANTI-INFECTIVES TOPICAL MISCELLANEOUS 2026-03-05
40 5821M SILVERKANT 1% CR (SKH/RXP) SILVER SULPHADIAZI SILVER SULPHADIAZINE SILVERKANT 30G A 3.21 3.21 CREAM 1 TUBE SKH S. KANT HEALTHCARE LTD RXP RX PRO INC 840492 ANTI-INFECTIVES TOPICAL MISCELLANEOUS 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS