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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 0981AU FERROUS SULPHATE 200MG TAB (BNP/PHA) FERROUS SULPHATE FERROUS SULPHATE 1000'S A 18.62 0.02 TABLET 90 TAB BNP BIO NOVA PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 200404 IRON PREPARATIONS 2022-04-01 2024-03-31 Oral 6 BLOOD FORMATION, COAGULATION AND THROMBOSIS
41 0981AU FERROUS SULPHATE 200MG TAB (BNP) FERROUS SULPHATE FERROUS SULPHATE 1000'S A 22.1 0.0221 TAB 90 BOTT BNP BIO NOVA PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 200404 IRON PREPARATIONS 2024-04-01 2026-03-31 ORAL 6 IRON PREPARATIONS 2023-09-12
40 0991V FERROUS SULPHATE | FOLIC ACID 200MG | 0.4MG TAB (BNP/PHA) FERROUS SULPHATE|FOLIC ACID FERROUS SULPHATE|FOLIC ACID 1000'S A 34.37 0.03 TABLET 90 TAB BNP BIO NOVA PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 2004 ANTIANEMIA DRUGS 2022-06-02 2024-03-31 Add to Contract as Cat A Oral 6 BLOOD FORMATION, COAGULATION AND THROMBOSIS 2022-06-02