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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 3101B TETANUS TOXOID (SII/COL) TETANUS TOXOID TETANUS TOXOID 10 DS VIAL B 25.01 25.01 INJECTION 0 VIAL SII SERUM INSTITUTE OF INDIA PRIVATE LTD COL COLLINS LTD 8008 TOXOIDS 2022-04-01 2024-03-31 IM 0 SERUMS, TOXOIDS AND VACCINES
41 3101B TETANUS TOXOID (SII) TETANUS TOXOID TETANUS TOXOID 10 DS VIAL B 25.01 25.0086 VIAL 40 VIAL SII SERUM INSTITUTE OF INDIA PRIVATE LTD COL COLLINS LTD 8012 VACCINES 2024-04-01 2026-03-31 IM 0 VACCINES
40 3721B DT ADULT (SII/COL) DIPHTHERIA/TETANUS DIPHTHERIA TOXOID|TETANUS TOXOID DT ADULT 1 DS VIAL B 13.32 13.32 INJECTION 0 VIAL SII SERUM INSTITUTE OF INDIA PRIVATE LTD COL COLLINS LTD 8008 TOXOIDS 2022-04-01 2024-03-31 IM 0 SERUMS, TOXOIDS AND VACCINES
41 3721B DT ADULT ≤2IU|≥40IU INJ (SII) DIPHTHERIA TOXOID|TETANUS TOXO (B) DIPHTHERIA TOXOID|TETANUS TOXOID DT ADULT 1 DS VIAL B 13.32 13.3198 VIAL 0 VIAL SII SERUM INSTITUTE OF INDIA PRIVATE LTD COL COLLINS LTD 8012 VACCINES 2024-04-01 2026-03-31 IM 0 VACCINES
40 37314 ADACEL TDaP INJ (AVP/COL) DIP/TET/PERT ACELL ACELLULAR PERTUSSIS|DIPHTHERIA|TETANUS TOXOID ADACEL TDaP 1 DOSE B 41.59 41.59 INJECTION 0 VIAL AVP SANOFI PASTEUR COL COLLINS LTD 8008 TOXOIDS 2022-04-01 2024-03-31 IV 0 SERUMS, TOXOIDS AND VACCINES
41 37314 ADACEL TDaP INJ (AVP) DIP/TET/PERT ACEL (B) ACELLULAR PERTUSSIS|DIPHTHERIA|TETANUS TOXOID ADACEL TDaP 1 DOSE B 39.14 39.1439 VIAL 0 VIAL AVP SANOFI PASTEUR COL COLLINS LTD 8012 VACCINES 2024-04-01 2024-10-21 IV 0 VACCINES 2024-09-09
40 37318 BOOSTRIX PFS 8MCG | 2.5LF | 5LF INJ (GSK/COL) ACELLULAR PERTUSSIS | DIPHTHERIA T More ... ACELLULAR PERTUSSIS|DIPHTHERIA TOXOID|TETANUS TOXOID BOOSTRIX PFS 1 DOSE B 55.45 55.45 INJECTION 0 VIAL GSK GLAXOSMITHKLINE COL COLLINS LTD 8008 TOXOIDS 2022-04-01 2024-03-31 IV 0 SERUMS, TOXOIDS AND VACCINES
41 37318 BOOSTRIX PFS 8MCG|2.5LF|5LF INJ (GSK) ACELLULAR PERTUSSIS|DI (B) ACELLULAR PERTUSSIS|DIPHTHERIA TOXOID|TETANUS TOXOID BOOSTRIX PFS 1 DOSE B 58.77 58.7702 VIAL 0 VIAL GSK GLAXOSMITHKLINE COL COLLINS LTD 8012 VACCINES 2024-04-01 2026-03-31 IV 0 VACCINES
42 37318 BOOSTRIX PFS 8MCG|2.5LF|5LF INJ (GSK) ACELLULAR PERTUSSIS|DI ACELLULAR PERTUSSIS|DIPHTHERIA TOXOID|TETANUS TOXOID BOOSTRIX PFS 1 DOSE B 59.01 59.01 VIAL 0 VIAL GSK GLAXOSMITHKLINE COL AVENTA BARBADOS 8012 VACCINES 2026-04-01 IV 0 VACCINES