Displaying 201 - 220 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 | 0013BL | DPH ELIXIR 2.5MG/ML SYR (FED/ATB) DIPHENHYDRA | ATB | 2022-05-11 | 2024-03-31 | A | 120ML | 120 | 4.08 | Change Local Agent | 2022-05-11 | ||
| 40 | 0013BH | DPH ELIXIR 2.5MG/ML SYR (FED/RXP) DIPHENHYDRA | RXP | 2022-04-01 | 2022-05-11 | A | 120ML | 120 | 4.08 | Delete from contract | 2022-05-11 | ||
| 40 | 4211BC | ECONAZOLE | HYDROCORTISONE 1% | 1% CR (KWA/ATB) | ATB | 2022-04-01 | 2022-09-30 | A | 15G | 2 | 4.08 | 2022-03-30 | |||
| 40 | A322KV | EFFEXOR XR 150MG CAP (PFI/SBI) VENLAFAXINE | SBI | 2022-04-01 | 2024-03-31 | C | 14'S | 0 | 67.80 | Price Change | 2022-04-01 | ||
| 40 | A322GA | EFFEXOR XR 150MG CAP (PFI/STO) VENLAFAXINE | STO | 2022-04-01 | 2022-08-23 | C | 14'S | 0 | 67.80 | Delete from contract | 2022-07-12 | ||
| 40 | A322KX | EFFEXOR XR 150MG CAP (PFI/STO) VENLAFAXINE | STO | 2022-07-12 | 2024-03-31 | C | 28'S | 0 | 135.59 | Package Size Change | 2022-07-12 | ||
| 40 | A322GB | EFFEXOR XR 75MG CAP (PFI/STO) VENLAFAXINE | STO | 2022-04-01 | 2022-08-23 | C | 14'S | 0 | 67.80 | Delete from contract | 2022-07-12 | ||
| 40 | A322KY | EFFEXOR XR 75MG CAP (PFI/STO) VENLAFAXINE | STO | 2022-07-12 | 2024-03-31 | C | 28'S | 0 | 135.59 | Package Size Change | 2022-07-12 | ||
| 40 | B041LQ | EMEP 40MG CAP (ARP/AHI) ESOMEPRAZOLE | AHI | 2022-04-01 | 2024-03-31 | C | 40'S | 0 | 16.36 | Add to Contract as Cat C | 2022-03-10 | ||
| 40 | 5841F | ENALAPRIL 10MG TAB (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 10X10 | 4.21 | Change Local Agent | 2022-11-25 | |||
| 40 | 5842GM | ENALAPRIL 20MG TAB (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 10X10 | 6.25 | Change Local Agent | 2022-11-25 | |||
| 40 | 5843CS | ENALAPRIL 5MG TAB (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 10X10 | 3.29 | Change Local Agent | 2022-11-25 | |||
| 40 | 2551F | ENEMA-LAX ADULT 7G | 19G ENEMA (LAF/AHI) SODIUM BIPHOSPHATE | SODIUM PHOSPHATE | AHI | 2022-04-01 | 2024-03-31 | A | 133ML | 2 | 3.89 | Change Local Agent | 2022-02-03 | ||
| 40 | 25528 | ENEMA-LAX CHILD 9.5G | 3.5G ENEMA (LAF/AHI) SODIUM BIPHOSPHATE | SODIUM PHOSPHAT More ... | AHI | 2022-04-01 | 2024-03-31 | A | 66ML | 2 | 3.89 | Change Local Agent | 2022-02-03 | ||
| 40 | A472X | ENOXAPARIN 40MG INJ (GLN/AHI) | AHI | 2022-04-01 | 2022-05-10 | B | 2X40MG | 30 | 15.09 | 2022-03-29 | |||
| 40 | A472X | ENOXAPARIN 40MG INJ (GLN/AHI) | AHI | 2022-06-13 | 2024-03-31 | B | 2X40MG | 30 | 18.70 | Price Change | 2022-06-13 | ||
| 40 | A472Y | ENOXAPARIN 60MG INJ (GLN/AHI) | AHI | 2022-06-13 | 2024-03-31 | B | 2X60MG | 30 | 24.33 | Price Change | 2022-06-13 | ||
| 40 | A473L | ENOXAPARIN 80MG INJ (GLN/AHI) | AHI | 2022-04-01 | 2022-09-30 | B | 2X80MG | 30 | 26.26 | 2022-03-29 | |||
| 40 | 0813C | EPHEDRINE HCL 50MG/ML INJ (VEV/AHI) | AHI | 2022-04-01 | 2022-09-30 | B | 10X1ML | 0 | 268.43 | 2022-03-29 | |||
| 40 | 6691AJ | ESTROTAB 1MG PACK (ABB/PHA) OESTRADIOL (C) | PHA | 2022-04-01 | 2023-03-31 | C | 30'S | 10.33 | Change Local Agent | 2023-03-07 | |||