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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 07027 MESTINON 60MG TAB (VCL/COL) PYRIDOSTIGMINE PYRIDOSTIGMINE MESTINON 100'S C 217.47 2.17 TABLET 0 TAB VCL VALEANT CANADA LTD COL COLLINS LTD 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2022-04-01 2024-03-31 Oral 0 AUTONOMIC DRUGS
41 07027 MESTINON 60MG TAB (VCL) PYRIDOSTIGMINE (C) PYRIDOSTIGMINE MESTINON 100'S C 217.47 2.1747 TAB 180 BOX VCL VALEANT CANADA LTD COL COLLINS LTD 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2024-04-01 2026-03-31 ORAL 6 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS