Displaying 181 - 200 of 948
| 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 | 55618 | CANESTEN-3 200MG VAG. P (BSP/AHI) CLOTRIMAZOL | AHI | 2022-04-01 | 2024-03-31 | C | 3'S | 1 | 9.27 | 2022-03-29 | |||
| 42 | 5561AG | CANESTEN-6 1% VAG CR (BSP) CLOTRIM (C) | AHI | 2026-04-01 | C | 35G | 1 | 13.59 | Add to Contract as Cat C | 2026-02-11 | |||
| 40 | 5561AG | CANESTEN-6 1% VAG CR (BSP/AHI) CLOTRIMAZOLE | AHI | 2023-02-24 | 2024-03-31 | A | 35G | 9.7 | Add to Contract as Cat A | 2023-02-24 | |||
| 42 | 5561L | CANESTEN-6 100MG VAG OV (BSP) CLOTRIMAZOLE (C) | AHI | 2026-04-01 | C | 6'S | 1 | 8.56 | Add to Contract as Cat C | 2026-02-11 | |||
| 40 | 5561L | CANESTEN-6 100MG VAG PESS (BSP/AHI) CLOTRIMAZ | AHI | 2022-04-01 | 2022-09-30 | C | 6'S | 0 | 9.00 | 2022-03-29 | |||
| 41 | 0052HF | CAPETAZ 500MG TAB (ZUV) CAPECITABINE | PHA | 2024-04-11 | 2026-03-31 | BQ | 30'S | 60 | 31.57 | 2024-04-11 | |||
| 41 | 0052AH | CAPETAZ 500MG TAB (ZUV) CAPECITABINE (BQ) | PHA | 2024-04-01 | 2024-05-20 | BQ | 120'S | 60 | 41.1 | 2024-04-08 | |||
| 42 | 2971AE | CARBIMAZOLE 5MG TAB (FSB) | STO | 2026-04-01 | A | 10X10 | 360 | 5.30 | Add to Contract as Cat A | 2026-03-05 | |||
| 42 | 7091V | CARBOPLATIN 150MG INJ (FSB) | STO | 2026-04-01 | BQ | 150MG VIAL | 10 | 33.44 | Add to Contract | 2026-03-05 | |||
| 42 | 4701BR | CARBOXYMETHYLCELLULOSE 0.5% EYE DR (CHC) | STO | 2026-04-01 | A | 15ML | 1 | 2.75 | Add to Contract as Cat A | 2026-03-05 | |||
| 40 | A412AM | CARCA 12.5MG TAB (INP/AAL) CARVEDILOL | AAL | 2022-05-31 | 2024-03-31 | A | 30'S | 60 | 1.52 | 2022-05-31 | |||
| 40 | A411AN | CARCA 25MG TAB (INP/AAL) CARVEDILOL | AAL | 2022-05-31 | 2024-03-31 | A | 30'S | 60 | 2.17 | 2022-05-31 | |||
| 40 | A413AJ | CARCA 6.25MG TAB (INP/AAL) CARVEDILOL | AAL | 2022-05-31 | 2024-03-31 | A | 30'S | 60 | 1.22 | 2022-05-31 | |||
| 42 | 1306BF | CARDIOASPIRIN 81MG TAB (BSP) (C) | AHI | 2026-04-01 | C | 30'S | 60 | 7.07 | Add to Contract as Cat C | 2026-02-11 | |||
| 40 | 1306BF | CARDIOASPIRIN 81MG TAB (BSP/AHI) | AHI | 2023-02-23 | 2024-03-31 | C | 30'S | 8.15 | Add to Contract as Cat A | 2023-02-23 | |||
| 41 | 7351M | CARDIZINE 20MG TAB (AUR) TRIMETAZID | AHI | 2024-04-01 | 2024-07-17 | A | 60'S | 90 | 6.39 | 2024-06-05 | |||
| 41 | 7351M | CARDIZINE 20MG TAB (AUR) TRIMETAZID | AHI | 2024-11-11 | 2026-03-31 | A | 60'S | 90 | 6.12 | 2024-11-11 | |||
| 41 | 20935 | CARLIDONE 12.5MG TAB (CAR) CHLORTHALIDONE | COL | 2024-04-01 | 2026-03-31 | A | 125'S | 60 | 10.2 | 2024-03-20 | |||
| 40 | 20926 | CARLIDONE 25MG TAB (CAR/COL) CHLORTHALIDONE | COL | 2022-04-01 | 2024-03-31 | A | 125's | 60 | 15.60 | Package Size Change | 2022-05-05 | ||
| 40 | 2091B | CARLIDONE 50MG TAB (CAR/COL) CHLORTHALIDONE | COL | 2022-05-05 | 2024-03-31 | A | 125's | 30 | 15.60 | Add to Contract as Cat A | 2022-05-05 | ||