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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 61111 OVOL 40MG/ML DROPS (CDC/COL) SIMETHICONE SIMETHICONE OVOL 15ML A 6.80 6.80 DROPS 1 BOTT CDC CHURCH & DWIGHT CANADA CORP COL COLLINS LTD 5610 ANTIFLATULENTS 2022-04-01 2024-03-31 Oral 6 GASTROINTESTINAL DRUGS
41 61111 OVOL 40MG/ML DROPS (CDC) SIMETHICONE SIMETHICONE OVOL 15ML A 6.96 6.9589 BOTT 1 BOTT CDC CHURCH & DWIGHT CANADA CORP COL COLLINS LTD 5610 ANTIFLATULENTS 2024-04-01 2026-03-31 ORAL 6 ANTIFLATULENTS
42 61111 OVOL 40MG/ML DROPS (CDC) SIMETHICONE SIMETHICONE OVOL 15ML A 7.99 7.99 BOTT 1 BOTT CDC CHURCH & DWIGHT CANADA CORP COL AVENTA BARBADOS 5610 ANTIFLATULENTS 2026-04-01 ORAL 6 ANTIFLATULENTS
40 61114 OVOL 40MG/ML DROPS (CDC/COL) SIMETHICONE SIMETHICONE OVOL 30ML C 8.56 8.56 DROPS 0 BOTT CDC CHURCH & DWIGHT CANADA CORP COL COLLINS LTD 5610 ANTIFLATULENTS 2022-04-01 2024-03-31 Oral 0 GASTROINTESTINAL DRUGS
41 61114 OVOL 40MG/ML DROPS (CDC) SIMETHICONE (C) SIMETHICONE OVOL 30ML C 8.67 8.6715 BOTT 1 BOTT CDC CHURCH & DWIGHT CANADA CORP COL COLLINS LTD 5610 ANTIFLATULENTS 2024-04-01 2026-03-31 ORAL 6 ANTIFLATULENTS
40 6111A SIMETHICONE 40MG/ML SYR (KWA/ATB) SIMETHICONE SIMETHICONE 30ML C 8.02 8.02 SYRUP 0 BOTT KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 5610 ANTIFLATULENTS 2022-04-01 2024-03-31 Oral 0 GASTROINTESTINAL DRUGS
40 68911 E-Z-GAS II (EZM/COL) SOD BIC/CIT ACID/SIMET CITRIC ACID|SIMETHICONE|SODIUM BICARBONATE E-Z-GAS II 50X4G BQ 462.12 9.24 0 SACH EZM E-Z-EM INC. COL COLLINS LTD 3668 ROENTGENOGRAPHY 2022-04-01 2024-03-31 Oral 0 DIAGNOSTIC AGENTS
41 68911 E-Z-GAS II (EZM) SOD BIC/CIT ACID/SIME (BQ) CITRIC ACID|SIMETHICONE|SODIUM BICARBONATE E-Z-GAS II 50X4G BQ 508.33 10.1665 SACH 0 BOX EZM E-Z-EM INC. COL COLLINS LTD 3668 ROENTGENOGRAPHY 2024-04-01 2026-03-31 ORAL 0 ROENTGENOGRAPHY
42 68911 E-Z-GAS II (EZM) SOD BIC/CIT ACID/SIME CITRIC ACID|SIMETHICONE|SODIUM BICARBONATE E-Z-GAS II 50X4G BQ 532.79 10.66 SACH 0 BOX EZM E-Z-EM INC. COL AVENTA BARBADOS 3668 ROENTGENOGRAPHY 2026-04-01 ORAL 0 ROENTGENOGRAPHY