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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 A6611 IMIGRAN 100MG TAB (GSK/COL) SUMATRIPTAN SUMATRIPTAN IMIGRAN 2'S C 49.47 24.74 TABLET 0 TAB GSK GLAXOSMITHKLINE COL COLLINS LTD 283228 SELECTIVE SEROTONIN AGONIST 2022-04-01 2022-05-31 Delete from contract Oral 0 CENTRAL NERVOUS SYSTEM DRUGS 2022-04-19
40 A6612 IMIGRAN 50MG TAB (GSK/COL) SUMATRIPTAN SUMATRIPTAN IMIGRAN 2'S C 33.92 16.96 TABLET 0 TAB GSK GLAXOSMITHKLINE COL COLLINS LTD 283228 SELECTIVE SEROTONIN AGONIST 2022-04-01 2022-05-31 Delete from contract Oral 0 CENTRAL NERVOUS SYSTEM DRUGS 2022-04-19
40 A661AX SUMATRIPTAN 100MG TAB (DRL/AHI) SUMATRIPTAN SUMATRIPTAN 27'S C 34.44 1.28 TABLET 0 TAB DRL DR. REDDY'S LABORATORIES LTD AHI ARMSTRONG HEALTHCARE INC 283228 SELECTIVE SEROTONIN AGONIST 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
41 A661AY APO-SUMATRIPTAN 50MG TAB (APO) (C) SUMATRIPTAN APO-SUMATRIPTAN 6'S C 4.54 0.7566 TAB 0 BOX APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 283228 SELECTIVE SEROTONIN AGONIST 2024-04-01 2026-03-31 ORAL 0 SELECTIVE SEROTONIN AGONIST
41 A661AZ APO-SUMATRIPTAN 100MG TAB (APO) (C) SUMATRIPTAN APO-SUMATRIPTAN 6'S C 7.99 1.332 TAB 0 BOX APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 283228 SELECTIVE SEROTONIN AGONIST 2024-04-01 2026-03-31 ORAL 0 SELECTIVE SEROTONIN AGONIST
40 A661X APO-SUMATRIPTAN 50MG TAB (APO/COL) SUMATRIPTAN APO-SUMATRIPTAN 6'S C 4.46 0.74 TABLET 0 TAB APO APOTEX INC. COL COLLINS LTD 283228 SELECTIVE SEROTONIN AGONIST 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
42 A661X APO-SUMATRIPTAN 50MG TAB (APO) SUMATRIPTAN APO-SUMATRIPTAN 6'S C 4.54 0.76 TAB 0 BOTT APO APOTEX INC. COL AVENTA BARBADOS 283228 SELECTIVE SEROTONIN AGONIST 2026-04-01 ORAL 0 SELECTIVE SEROTONIN AGONIST
40 A661Y APO-SUMATRIPTAN 100MG TAB (APO/COL) SUMATRIPTAN APO-SUMATRIPTAN 6'S C 7.83 1.31 TABLET 0 TAB APO APOTEX INC. COL COLLINS LTD 283228 SELECTIVE SEROTONIN AGONIST 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
42 A661Y APO-SUMATRIPTAN 100MG TAB (APO) SUMATRIPTAN APO-SUMATRIPTAN 6'S C 7.99 1.33 TAB 0 BOTT APO APOTEX INC. COL AVENTA BARBADOS 283228 SELECTIVE SEROTONIN AGONIST 2026-04-01 ORAL 0 SELECTIVE SEROTONIN AGONIST