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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
41 0012BK REMIDINE 10MG TAB (REM/SBI) LORATADINE LORATADINE REMIDINE 2x10 A 1.69 0.0843 TAB 14 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 0408 SECOND GENERATION ANTIHISTAMINES ORAL 0 ANTIHISTAMINICS
40 0012BK REMIDINE 10MG TAB (REM/SBI) LORATADINE LORATADINE REMIDINE 2x10 A 1.74 0.09 TABLET 14 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
41 00527 KAPETRAL 500MG TAB (REM/SBI) CAPECITABINE CAPECITABINE KAPETRAL 120'S BQ 83.62 0.6968 TAB 60 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 1000 ANTINEOPLASTICS ORAL 6 ANTINEOPLASTICS
40 00527 KAPETRAL 500MG TAB (REM/SBI) CAPECITABINE CAPECITABINE KAPETRAL 120'S BQ 103.41 0.86 TABLET 0 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
41 00915 GRISEOFULVIN 125MG TAB (REM/SBI) GRISEOFULVIN GRISEOFULVIN 10x10 A 14.08 0.1408 TAB 60 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081492 ANTIFUNGALS, MISCELLANEOUS ORAL 6 ANTI-INFECTIVE AGENTS
40 00915 GRISEOFULVIN 125MG TAB (REM/SBI) GRISEOFULVIN GRISEOFULVIN 10x10 A 17.37 0.17 TABLET 60 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081492 ANTIFUNGALS, MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 ANTI-INFECTIVE AGENTS
41 00923 GRISEOFULVIN 500MG TAB (REM/SBI) GRISEOFULVIN GRISEOFULVIN 10X10 A 27.43 0.2743 TAB 60 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081492 ANTIFUNGALS, MISCELLANEOUS ORAL 6 ANTI-INFECTIVE AGENTS
40 00923 GRISEOFULVIN 500MG TAB (REM/SBI) GRISEOFULVIN GRISEOFULVIN 10X10 A 28.27 0.28 TABLET 60 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081492 ANTIFUNGALS, MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 ANTI-INFECTIVE AGENTS
41 0131DU KLARICID 50MG/ML SUSP (ABB/SBI) CLARITHROMYCIN CLARITHROMYCIN KLARICID 60ML C 19 0.3167 SUSP 60 ML ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES ORAL 0 ANTI-INFECTIVE AGENTS
41 0131DV KLARICID 25MG/ML SUSP (ABB/SBI) CLARITHROMYCIN CLARITHROMYCIN KLARICID 60ML C 14.22 0.2369 SUSP 100 ML ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES ORAL 0 ANTI-INFECTIVE AGENTS
41 0141CL CLAREM 500MG TAB (REM/SBI) CLARITHROMYCIN CLARITHROMYCIN CLAREM 2X7'S C 10.98 0.7844 TAB 14 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES ORAL 0 ANTI-INFECTIVE AGENTS
41 0141HG KLARICID 500MG TAB (ABB/SBI) CLARITHROMYCIN CLARITHROMYCIN KLARICID 10'S C 11.96 1.1961 TAB 14 TAB ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES ORAL 0 ANTI-INFECTIVE AGENTS
41 0141HH KLARICID XL 500MG ER TAB (ABB/SBI) CLARITHROMYCIN CLARITHROMYCIN KLARICID XL 10'S C 17.34 1.7343 0 TABE ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES ORAL 0 ANTI-INFECTIVE AGENTS
40 0141M CLAREM 250MG TAB (REM/SBI) CLARITHROMYCIN CLARITHROMYCIN CLAREM 100'S A 7.99 0.08 TABLET 14 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 0141T CLAREM 250MG TAB (REM/SBI) CLARITHROMYCIN CLARITHROMYCIN CLAREM 2X7'S C 7.42 0.5301 TAB 14 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 08121292 OTHER MACROLIDES ORAL 0 ANTI-INFECTIVE AGENTS
41 0153BK AMOXAPEN 500MG CAP (REM/SBI) AMOXICILLIN AMOXICILLIN AMOXAPEN 100X10 A 121.78 0.1218 CAP 56 CAP REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081216 PENICILLINS ORAL 0 ANTI-INFECTIVE AGENTS
40 0153C AMOXAPEN 500MG CAP (REM/SBI) AMOXICILLIN AMOXICILLIN AMOXAPEN 100x10 C 115.83 0.12 CAPSULE 0 CAP REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081216 PENICILLINS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 0153CW AMOXAPEN 500MG CAP (REM/SBI) AMOXICILLIN AMOXICILLIN AMOXAPEN 10x10 A 12.64 0.1264 CAP 56 CAP REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 0812 ANTIBACTERIALS ORAL 0 ANTI-INFECTIVE AGENTS
40 0153CW AMOXAPEN 500MG CAP (REM/SBI) AMOXICILLIN AMOXICILLIN AMOXAPEN 10x10 C 10.14 0.10 CAPSULE 0 CAP REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081216 PENICILLINS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 02223 CLOXACILLIN 500MG CAP (REM/SBI) CLOXACILLIN CLOXACILLIN 10x10 A 16.39 0.16 CAPSULE 28 CAP REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081216 PENICILLINS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS 2021-12-03