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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 19412 URS-11 STRP (TED/COL) DIAGNOSTIC URINE DIAGNOSTIC URINE URS-11 100'S B 28.54 28.54 STRIP 0 BOTT TED TECO DIAGNOSTICS COL COLLINS LTD 3688 URINE CONTENTS 2022-04-01 2024-03-31 0 DIAGNOSTIC AGENTS
41 19412 URS-11 STRP (TED) DIAGNOSTIC URINE (B) DIAGNOSTIC URINE URS-11 100'S B 40.77 40.7749 BOTT 0 BOTT TED TECO DIAGNOSTICS COL COLLINS LTD 3688 URINE CONTENTS 2024-04-01 2026-03-31 0 URINE CONTENTS
42 19412 URS-11 STRP (TED) DIAGNOSTIC URINE DIAGNOSTIC URINE URS-11 100'S C 40.77 40.77 BOTT 0 BOTT TED TECO DIAGNOSTICS COL AVENTA BARBADOS 3688 URINE CONTENTS 2026-04-01 0 URINE CONTENTS