Displaying 1 - 9 of 9
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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
41 A992P TOLTERODINE XL 2MG SR TAB (TEV) (C) TOLTERODINE TOLTERODINE XL 28'S C 12.56 0.4485 TABSR 0 BOTT TEV TEVA UK LTD. COL COLLINS LTD 1208 ANTICHOLINERGIC AGENTS 2024-04-01 2026-03-31 ORAL 0 ANTICHOLINERGIC AGENTS
40 A992Q DETRUSITOL SR 2MG TAB (PFI/STO) TOLTERODINE TOLTERODINE DETRUSITOL SR 30'S C 66.54 2.22 TABLET 0 TAB PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 120808 ANTIMUSCARINICS/ANTISPASMODICS 2022-04-01 2024-03-31 Oral 0 AUTONOMIC DRUGS
41 A992Q DETRUSITOL 2MG SR TAB (PFI) TOLTERODINE (C) TOLTERODINE DETRUSITOL 30'S C 67.14 2.2381 TABSR 0 BOX PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 1208 ANTICHOLINERGIC AGENTS 2024-04-01 2026-03-31 ORAL 0 ANTICHOLINERGIC AGENTS
40 A992R DETRUSITOL SR 2MG TAB (PFI/SBI) TOLTERODINE TOLTERODINE DETRUSITOL SR 30'S C 66.54 2.22 TABLET 0 TAB PFI PFIZER CORPORATION SBI MASSY DISTRIBUTION (BDOS) LTD 120808 ANTIMUSCARINICS/ANTISPASMODICS 2022-04-01 2024-03-31 Oral 0 AUTONOMIC DRUGS
41 A992R DETRUSITOL 2MG SR TAB (PFI) TOLTERODINE (C) TOLTERODINE DETRUSITOL 30'S C 67.14 2.2381 TABSR 0 BOX PFI PFIZER CORPORATION SBI MASSY DISTRIBUTION (BDOS) LTD 1208 ANTICHOLINERGIC AGENTS 2024-04-01 2026-03-31 ORAL 0 ANTICHOLINERGIC AGENTS
40 A9933 DETRUSITOL SR 4MG TAB (PFI/SBI) TOLTERODINE TOLTERODINE DETRUSITOL SR 30'S C 133.06 4.44 TABLET 0 TAB PFI PFIZER CORPORATION SBI MASSY DISTRIBUTION (BDOS) LTD 120808 ANTIMUSCARINICS/ANTISPASMODICS 2022-04-01 2024-03-31 Oral 0 AUTONOMIC DRUGS
40 A993G DETRUSITOL 4MG TAB (PFI/STO) TOLTERODINE TOLTERODINE DETRUSITOL 30'S C 133.06 4.44 TABLET 0 TAB PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 120808 ANTIMUSCARINICS/ANTISPASMODICS 2022-04-01 2024-03-31 Oral 0 AUTONOMIC DRUGS
41 A993G DETRUSITOL 4MG TAB (PFI) TOLTERODINE (C) TOLTERODINE DETRUSITOL 30'S C 134.26 4.4753 TAB 0 BOX PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 1208 ANTICHOLINERGIC AGENTS 2024-04-01 2026-03-31 ORAL 0 ANTICHOLINERGIC AGENTS
41 A993H DETRUSITOL LA 4MG CAP (PFI) TOLTERODINE (C) TOLTERODINE DETRUSITOL LA 30'S C 134.26 4.4753 CAP 0 BOX PFI PFIZER CORPORATION SBI MASSY DISTRIBUTION (BDOS) LTD 1208 ANTICHOLINERGIC AGENTS 2024-04-01 2026-03-31 ORAL 0 ANTICHOLINERGIC AGENTS