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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 9991N THYMOL MOUTHWASH (CAR/COL) THYMOL MOUTHWASH THYMOL MOUTHWASH 2 LITRES B 40.50 0.02 0 ML CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 5228 MOUTH WASHES AND GARGLES 2022-04-01 2024-03-31 TOPICAL 0 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 9991N THYMOL MOUTHWASH (CAR) (B) THYMOL MOUTHWASH THYMOL MOUTHWASH 2 LITRES B 42.84 0.0214 ML 500 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 5228 MOUTH WASHES AND GARGLES 2024-04-01 2026-03-31 TOPICAL 6 MOUTH WASHES AND GARGLES
42 9991N THYMOL MOUTHWASH (CAR) THYMOL MOUTHWASH THYMOL MOUTHWASH 2 LITRES B 42.84 0.02 ML 500 BOTT CAR CARLISLE LABORATORIES LTD COL AVENTA BARBADOS 5228 MOUTH WASHES AND GARGLES 2026-04-01 TOPICAL 6 MOUTH WASHES AND GARGLES