Displaying 1 - 20 of 508
| Contract Number | Brand Code | Drug | LAgent Code | Drug Contract Start Date | Drug Contract End Date | Formulary Category | Package Size | Protocol Monthly Max | Package Price | Contract Changed | Change Date | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 40 | 41519 | AAP-BROMOCRIPTINE 2.5MG TAB (APO/COL) | COL | 2022-04-01 | 2024-03-31 | C | 100'S | 0 | 44.28 | Name Change | 2022-04-04 | ||
| 40 | 60914 | AAP-PENTOXIFYLLINE SR 400MG TAB (APO/COL) | COL | 2022-04-01 | 2024-03-31 | C | 100'S | 0 | 23.65 | Name Change | 2022-04-04 | ||
| 40 | 17026 | AAP-TRIFLUOPERAZINE 5MG TAB (APO/COL) | COL | 2022-04-01 | 2024-03-31 | A | 100'S | 180 | 6.25 | NAME CHANGED TO AAP | 2022-12-31 | ||
| 40 | 17026 | AAP-TRIFLUOPERAZINE 5MG TAB (APO/COL) | COL | 2022-04-01 | 2024-03-31 | A | 100'S | 6.25 | Name Change | 2023-02-01 | |||
| 40 | 22819 | ACETAZOLAMIDE 250MG TAB (KWA/ATB) | ATB | 2022-04-01 | 2024-03-31 | A | 10X10 | 120 | 80.79 | 2022-03-30 | |||
| 40 | 22826 | ACETAZOLAMIDE 500MG INJ (XGE/AHI) | AHI | 2022-04-01 | 2022-09-30 | BQ | 1DOSE SYRN | 0 | 165.44 | 2022-03-29 | |||
| 40 | 7722CM | ACUCLAV 500MG/125MG TAB (MCP/AHI) | AHI | 2023-06-06 | 2024-03-31 | B | 20's | 21 | $3.54 | B | 2023-06-09 | ||
| 40 | 5694Z | ACYCLOVIR 5% CR (HEA/ATB) | ATB | 2022-07-12 | 2024-03-31 | A | 5G | 2 | 2.58 | la | 2022-11-25 | ||
| 40 | 5691M | ACYCLOVIR 50MG/ML INJ (CHC/ATB) | ATB | 2022-04-01 | 2024-03-31 | BQ | 10ML | 0 | 9.05 | Price Change | 2021-12-03 | ||
| 40 | 5696AB | ACYCLOVIR DISP 400MG TAB (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 1X10 | 3.67 | Change Local Agent | 2022-11-25 | |||
| 40 | 5698AC | ACYCLOVIR DISP 800MG TAB (HEA/ATB) (C) | ATB | 2022-12-07 | 2024-03-31 | C | 1X10 | 7 | Change Local Agent | 2022-11-25 | |||
| 40 | 0791X | ADRENALINE 1MG/ML IV/IM INJ (LAF/AHI) | AHI | 2022-04-01 | 2024-03-31 | B | 100X1ML | 0 | 99.38 | Change Local Agent | 2022-02-03 | ||
| 40 | 07918 | ADRENALINE 1MG/ML IV/IM INJ (RTM/PHA) | PHA | 2022-06-01 | 2024-03-31 | B | 10X1ML | 0 | 35.01 | Price Change | 2022-05-31 | ||
| 40 | 30316 | ADRENALINE | LIDOCAINE 0.001% | 1% INJ (FSB/ATB) | ATB | 2022-04-01 | 2024-03-31 | B | 30ML | 0 | 3.94 | Add to Contract as Cat B | 2021-11-18 | ||
| 40 | 3032C | ADRENALINE | LIDOCAINE 0.001% | 2% INJ (FSB/ATB) | ATB | 2022-04-01 | 2024-03-31 | B | 30ML | 0 | 4.08 | Add to Contract as Cat B | 2021-11-18 | ||
| 40 | 91341 | ALCOHOL LARGE (WIR/WIR) | WIR | 2022-04-01 | 2022-09-30 | B | 1 LITRE | 0 | 6.20 | Price Change | 2021-11-10 | ||
| 40 | 91331 | ALCOHOL SMALL (WIR/WIR) | WIR | 2022-04-01 | 2024-03-31 | B | 1 LITRE | 0 | 6.20 | Price Change | 2021-11-10 | ||
| 40 | 4142MB | ALEVE 220MG CAPLET (BSP/AHI) NAPROXEN (C) | AHI | 2023-02-21 | 2024-03-31 | C | 36'S | 6.8 | Add to Contract as Cat C | 2023-02-21 | |||
| 40 | 3791J | ALLEGRA -D 120MG F/60MG P TAB (SFA/COL) FEXOF (C) | COL | 2022-12-10 | 2024-03-31 | C | 10'S | 14.54 | Price Change | 2022-12-09 | |||
| 40 | 0012AB | ALLEGRA 120MG TAB (SFA/COL) FEXOFENADIN (C) | COL | 2022-12-10 | 2024-03-31 | C | 10'S | 16.31 | Price Change | 2022-12-09 | |||