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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 4331AB SUTENT 12.5MG TAB (PFI/STO) SUNITINIB SUNITINIB SUTENT 28'S C 3,453.88 123.35 TABLET 0 TAB PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 0 ANTINEOPLASTICS
41 4331AB SUTENT 12.5MG TAB (PFI) SUNITINIB (BQ) SUNITINIB SUTENT 28'S BQ 3453.88 123.3527 TAB 0 BOX PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 6 ANTINEOPLASTICS
40 4331AC SUTENT 25MG TAB (PFI/STO) SUNITINIB SUNITINIB SUTENT 28'S C 6,792.60 242.59 TABLET 0 TAB PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 0 ANTINEOPLASTICS
41 4331AC SUTENT 25MG TAB (PFI) SUNITINIB (BQ) SUNITINIB SUTENT 28'S BQ 6792.6 242.5929 TAB 0 BOX PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 6 ANTINEOPLASTICS
40 4331E SUTENT 50MG TAB (PFI/STO) SUNITINIB SUNITINIB SUTENT 28'S C 12,664.1 452.29 TABLET 0 TAB PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 0 ANTINEOPLASTICS
41 4331E SUTENT 50MG TAB (PFI) SUNITINIB (BQ) SUNITINIB SUTENT 28'S BQ 12664.16 452.2913 TAB 0 BOX PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 6 ANTINEOPLASTICS