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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 1306AS ASPIRIN E.C. 81MG TAB (REL/PHA) ASPIRIN ASPIRIN E.C. 1000'S A 25.50 0.03 TABLET 60 TAB REL RELIABLE-1 PHA PHARMACY SALES CARIBBEAN 28080424 SALICYLATES 2022-04-01 2022-07-18 Price Change Oral 6 CENTRAL NERVOUS SYSTEM DRUGS 2021-11-10
40 1306AS ASPIRIN E.C. 81MG TAB (REL/PHA) ASPIRIN ASPIRIN E.C. 1000'S A 20.97 0.02 TABLET 60 TAB REL RELIABLE-1 PHA PHARMACY SALES CARIBBEAN 28080424 SALICYLATES 2022-07-19 2024-03-31 Price Change Oral 6 CENTRAL NERVOUS SYSTEM DRUGS 2022-07-18
41 1306AS ASPIRIN E.C. 81MG TAB (REL) ASPIRIN ASPIRIN E.C. 1000'S A 24.36 0.0244 TAB 60 BOX REL RELIABLE-1 PHA PHARMACY SALES CARIBBEAN 28080424 SALICYLATES 2024-04-01 2026-03-31 ORAL 6 SALICYLATES