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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 07027 MESTINON 60MG TAB (VCL/COL) PYRIDOSTIGMINE PYRIDOSTIGMINE MESTINON 100'S C 217.47 2.17 TABLET 0 TAB VCL VALEANT CANADA LTD COL COLLINS LTD 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2022-04-01 2024-03-31 Oral 0 AUTONOMIC DRUGS
41 07027 MESTINON 60MG TAB (VCL) PYRIDOSTIGMINE (C) PYRIDOSTIGMINE MESTINON 100'S C 217.47 2.1747 TAB 180 BOX VCL VALEANT CANADA LTD COL COLLINS LTD 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2024-04-01 2026-03-31 ORAL 6 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS
42 07027 MESTINON 60MG TAB (VCL) PYRIDOSTIGMINE PYRIDOSTIGMINE MESTINON 100'S C 217.47 2.17 TAB 180 BLIS VCL VALEANT CANADA LTD COL AVENTA BARBADOS 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2026-04-01 ORAL 6 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS
40 33812 PURILON | GEL (CLP/IMS) ALGINATE | CARBOXYMETHYLCELLULOSE ALGINATE|CARBOXYMETHYLCELLULOSE PURILON 10X25G B 133.50 13.35 GEL 0 TUBE CLP COLOPLAST A/S IMS ISLANDS MEDICAL SUPPLIES INC 8436 MUCOUS-SKIN PREPARATIONS,MISCE LLANEOUS 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS