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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 0071G APO-ZOLPIDEM 5MG TAB (APO/COL) ZOLPIDEM APO-ZOLPIDEM 30'S C 17.81 0.59 TABLET 0 TAB APO APOTEX INC. COL COLLINS LTD 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
42 0071G APO-ZOLPIDEM 5MG TAB (APO) ZOLPIDEM ZOLPIDEM APO-ZOLPIDEM 30'S C 18.16 0.61 TAB 0 BOTT APO APOTEX INC. COL AVENTA BARBADOS 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2026-04-01 ORAL 0 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCEL
41 0071H APO-ZOLPIDEM 5MG TAB (APO) ZOLPIDEM ZOLPIDEM APO-ZOLPIDEM 30'S C 18.16 0.6053 TAB 0 BOX APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 0 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCEL
42 0071J PMS-ZOLPIDEM 5MG TAB (PMS) ZOLPIDEM PMS-ZOLPIDEM 3X10 C 16.31 0.54 TAB 0 BLIS PMS PHARMASCIENCE COL AVENTA BARBADOS 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2026-04-01 ORAL 0 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCEL
40 0072D ZOLPIDEM 10MG TAB (RYV/ALW) ZOLPIDEM ZOLPIDEM 30'S C 18.62 0.62 TABLET 0 TAB RYV RYVIS PHARMA PVT. LTD ALW ALTIMAR WHOLESALERS INC 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
41 0072D ZOLPIDEM 10MG TAB (RYV) (C) ZOLPIDEM ZOLPIDEM 30'S C 18.62 0.6207 TAB 0 BOX RYV RYVIS PHARMA PVT. LTD ALW ALTIMAR WHOLESALERS INC 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 0 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCEL
41 0072E APO-ZOLPIDEM 10MG TAB (APO) ZOLPIDE (C) ZOLPIDEM APO-ZOLPIDEM 30'S C 20.39 0.6796 TAB 0 BOX APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 0 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCEL
40 0072K APO-ZOLPIDEM 10MG TAB (APO/COL) ZOLPIDEM APO-ZOLPIDEM 30'S C 19.98 0.67 TABLET 0 TAB APO APOTEX INC. COL COLLINS LTD 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
42 0072K APO-ZOLPIDEM 10MG TAB (APO) ZOLPIDE ZOLPIDEM APO-ZOLPIDEM 30'S C 20.39 0.68 TAB 0 BOTT APO APOTEX INC. COL AVENTA BARBADOS 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2026-04-01 ORAL 0 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCEL
42 0072L PMS-ZOLPIDEM 10MG OD TAB (PMS) ZOLPIDEM PMS-ZOLPIDEM 3X10 C 24.46 0.82 TABODT 0 BOTT PMS PHARMASCIENCE COL AVENTA BARBADOS 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2026-04-01 ORAL 0 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCEL