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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 A6219 TRANEXAMIC ACID 500MG TAB (REM/SBI) TRANEXAMIC ACID TRANEXAMIC ACID 2x10 BQ 14.76 0.74 TABLET 0 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 2028 ANTIHEMORRHAGIC AGENTS 2022-04-01 2024-03-31 Oral 0 BLOOD FORMATION, COAGULATION AND THROMBOSIS
41 A6219 TRANEXAMIC ACID 500MG TAB (REM) (BQ) TRANEXAMIC ACID TRANEXAMIC ACID 2x10 BQ 11.96 0.598 TAB 30 BOX REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 2028 ANTIHEMORRHAGIC AGENTS 2024-04-01 2026-03-31 ORAL 6 ANTIHEMORRHAGIC AGENTS
40 A621D PAUSE 500MG TAB (EMC/COL) TRANEXAMIC ACID TRANEXAMIC ACID PAUSE 30'S BQ 14.27 0.48 TABLET 0 TAB EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 2028 ANTIHEMORRHAGIC AGENTS 2022-04-01 2024-03-31 Oral 0 BLOOD FORMATION, COAGULATION AND THROMBOSIS
41 A621D PAUSE 500MG TAB (EMC) TRANEXAMIC ACID (BQ) TRANEXAMIC ACID PAUSE 30'S BQ 17.67 0.589 TAB 30 BOX EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 2028 ANTIHEMORRHAGIC AGENTS 2024-04-01 2026-03-31 ORAL 6 ANTIHEMORRHAGIC AGENTS
40 A622A TRANEXAMIC ACID 100MG/ML INJ (SLS/AHI) TRANEXAMIC ACID TRANEXAMIC ACID 25X5ML BQ 76.74 3.07 INJECTION 0 VIAL SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 2028 ANTIHEMORRHAGIC AGENTS 2022-04-01 2022-06-30 IV 0 BLOOD FORMATION, COAGULATION AND THROMBOSIS 2022-03-29
41 A622A TRANEXAMIC ACID 100MG/ML INJ (SLS) (BQ) TRANEXAMIC ACID TRANEXAMIC ACID 25X5ML BQ 63.72 2.5487 VIAL 15 BOX SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 2028 ANTIHEMORRHAGIC AGENTS 2024-04-01 2026-03-31 IV 6 ANTIHEMORRHAGIC AGENTS
40 A622B TRANEXAMIC ACID 100MG/ML INJ (MON/PHA) TRANEXAMIC ACID TRANEXAMIC ACID 5X5ML BQ 9.79 1.96 INJECTION 0 AMP MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 2028 ANTIHEMORRHAGIC AGENTS 2022-04-01 2024-03-31 IV 0 BLOOD FORMATION, COAGULATION AND THROMBOSIS