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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 9991CA ZINC OXIDE | CASTOR OIL 100% | 2% CR (GNT/AHI) ZINC OXIDE ZINC OXIDE|CASTOR OIL 100G B 7.67 7.67 CREAM 0 BOTT GNT GENETHICS LTD AHI ARMSTRONG HEALTHCARE INC 8424 EMOLLIENTS, DEMULCENTS AND PROTECTANTS 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
41 9991CH ZINC OXIDE 8.5% CR (FSB) (B) ZINC OXIDE ZINC OXIDE 100G B 14.95 14.9508 TUBE 0 TUBE FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 8424 EMOLLIENTS, DEMULCENTS AND PROTECTANTS 2024-04-01 2026-03-31 TOPICAL 0 EMOLLIENTS, DEMULCENTS AND PROTECTANTS