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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 0991J FERROUS SULPHATE | FOLIC ACID 200MG | 0.4MG TAB (LRL/COL) FERROUS SULPHATE|FOLIC ACID FERROUS SULPHATE|FOLIC ACID 1000'S A 40.37 0.04 TABLET 90 TAB LRL LOMAPHARM RUDOLF LOHMANN GMBH KG COL COLLINS LTD 200404 IRON PREPARATIONS 2022-04-01 2024-03-31 Oral 6 BLOOD FORMATION, COAGULATION AND THROMBOSIS
41 0991J FERROUS SULPHATE|FOLIC ACID 200MG|0.4MG TAB (LRL) FERROUS SULPHATE|FOLIC ACID FERROUS SULPHATE|FOLIC ACID 1000'S A 28.71 0.0287 TAB 90 BOTT LRL LOMAPHARM RUDOLF LOHMANN GMBH KG COL COLLINS LTD 200404 IRON PREPARATIONS 2024-04-01 2026-03-31 ORAL 6 IRON PREPARATIONS