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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 0692H NEOSTIGMINE 2.5MG/ML INJ (SGH/COL) NEOSTIGMINE NEOSTIGMINE 10X1ML BQ 17.13 1.71 INJECTION 0 AMP SGH SEIGFRIED-HAMELN COL COLLINS LTD 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2022-04-01 2024-03-31 IV 0 AUTONOMIC DRUGS
40 1331M FENTANYL CITRATE 50MCG/ML INJ (SGH/COL) FENTANYL CITRATE FENTANYL CITRATE 10X2ML BQ 13.59 1.36 INJECTION 0 AMP SGH SEIGFRIED-HAMELN COL COLLINS LTD 280808 OPIATE AGONISTS 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
40 3442E AMINOPHYLLINE 25MG/ML INJ (SGH/COL) AMINOPHYLLINE AMINOPHYLLINE 10X10ML B 28.00 2.80 INJECTION 0 AMP SGH SEIGFRIED-HAMELN COL COLLINS LTD 4818 RESPIRATORY SMOOTH MUSCLE RELAXANTS 2022-04-01 2024-03-31 IV 0 RESPIRATORY TRACT AGENTS
40 47127 ERGOMETRINE MALEATE 500MCG/ML INJ (SGH/COL) ERGOMETRINE MALEATE ERGOMETRINE MALEATE 1ML AMP BQ 67.96 67.96 INJECTION 0 AMP SGH SEIGFRIED-HAMELN COL COLLINS LTD 7600 OXYTOCICS 2022-04-01 2024-03-31 IV 0 OXYTOCICS