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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
42 0362K ETHAMBUTOL 400MG TAB (CAD) ETHAMBUTOL ETHAMBUTOL 100'S A 18.62 0.19 EACH 150 BOX CAD CADILA AHI ARMSTRONG HEALTHCARE INC 081604 ANTITUBERCULOSIS AGENTS 2026-04-01 ORAL 6 ANTITUBERCULOSIS AGENTS
40 30247 LIDOCAINE 2% GEL (CAD/PHA) LIDOCAINE LIDOCAINE 30G B 3.02 3.02 GEL 0 TUBE CAD CADILA PHA PHARMACY SALES CARIBBEAN 7200 LOCAL ANESTHETICS 2022-04-01 2022-07-18 TOPICAL 0 LOCAL ANESTHETICS
40 30247 LIDOCAINE 2% GEL (CAD/PHA) LIDOCAINE LIDOCAINE 30G B 3.18 3.18 GEL 0 TUBE CAD CADILA PHA PHARMACY SALES CARIBBEAN 7200 LOCAL ANESTHETICS 2022-07-19 2024-03-31 Price Change TOPICAL 0 LOCAL ANESTHETICS 2022-07-18
41 30247 LIDOCAINE 2% GEL (CAD) LIDOCAINE LIDOCAINE 30G B 4.0231 4.0231 TUBE 0 BOX CAD CADILA PHA PHARMACY SALES CARIBBEAN 7200 LOCAL ANESTHETICS 2024-04-01 2026-03-31 TOPICAL 0 LOCAL ANESTHETICS
42 6781Y POSID 20MG/ML INJ (CAD) ETOPOSIDE ETOPOSIDE POSID 5ML VIAL BQ 8.75 8.75 VIAL 40 VIAL CAD CADILA AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2026-04-01 IV 0 ANTINEOPLASTICS
42 B531A CASPOCAD 50MG INJ (CAD) CASPOFUNGIN CASPOFUNGIN CASPOCAD 50ML BQ 155.79 155.79 VIAL 16 VIAL CAD CADILA AHI ARMSTRONG HEALTHCARE INC 081492 ANTIFUNGALS, MISCELLANEOUS 2026-04-01 IV 0 ANTIFUNGALS, MISCELLANEOUS