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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 09815 GALFER 305MG CAP (THR/SBI) FERROUS FUMARATE FERROUS FUMARATE GALFER 250'S C 19.71 0.08 CAPSULE 0 CAP THR THORNTON & ROSS LTD SBI MASSY DISTRIBUTION (BDOS) LTD 200404 IRON PREPARATIONS 2022-04-01 2024-03-31 Oral 0 BLOOD FORMATION, COAGULATION AND THROMBOSIS
40 09818 GALFER 305MG CAP (THR/SBI) FERROUS FUMARATE FERROUS FUMARATE GALFER 100'S C 9.87 0.10 CAPSULE 0 CAP THR THORNTON & ROSS LTD SBI MASSY DISTRIBUTION (BDOS) LTD 200404 IRON PREPARATIONS 2022-04-01 2024-03-31 Oral 0 BLOOD FORMATION, COAGULATION AND THROMBOSIS
40 09824 GALFER 28MG/ML SYR (THR/SBI) FERROUS FUMARATE FERROUS FUMARATE GALFER 300ML A 14.49 0.05 SYRUP 300 ML THR THORNTON & ROSS LTD SBI MASSY DISTRIBUTION (BDOS) LTD 200404 IRON PREPARATIONS 2022-04-01 2024-03-31 Oral 6 BLOOD FORMATION, COAGULATION AND THROMBOSIS
40 21912 GALCODEINE 3MG/ML SOLN (THR/SBI) CODEINE GALCODEINE 2 LITRES B 36.78 0.02 SOLUTION 0 ML THR THORNTON & ROSS LTD SBI MASSY DISTRIBUTION (BDOS) LTD 4808 ANTITUSSIVES 2022-04-01 2024-03-31 Oral 0 RESPIRATORY TRACT AGENTS
40 5051H HYDROGEN PEROXIDE 6% (THR/SBI) HYDROGEN PEROXIDE HYDROGEN PEROXIDE 200ML B 1.85 0.01 SOLUTION 0 ML THR THORNTON & ROSS LTD SBI MASSY DISTRIBUTION (BDOS) LTD 5228 MOUTH WASHES AND GARGLES 2022-04-01 2024-03-31 TOPICAL 0 EYE, EAR, NOSE AND THROAT PREPARATIONS
40 5591A CERUMOL EAR DR (THR/SBI) PROPYLENE GLYCOL | TU PROPYLENE GLYCOL|TURPENTINE OIL CERUMOL 11ML A 4.35 4.35 EAR DROP 1 BOTT THR THORNTON & ROSS LTD SBI MASSY DISTRIBUTION (BDOS) LTD 5292 EENT DRUGS MISCELLANEOPUS 2022-04-01 2024-03-31 OTIC 6 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 7723Z AMOXICILLIN|CLAVULANIC ACID 40MG/ML|5.6MG/ML SUSP (THE) (B) AMOXICILLIN|CLAVULANIC ACID AMOXICILLIN|CLAVULANIC ACID 100ML B 6.36 0.0636 ML 140 BOTT THE THEON PHARMACEUTICALS LTD ATB ANSA TRADING BARBADOS LTD 081216 PENICILLINS 2024-04-01 2026-03-31 ORAL 0 PENICILLINS