Displaying 201 - 220 of 486
| 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 | 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 | |||
| 40 | 6691AH | ESTROTAB 2MG TAB (ABB/PHA) OESTRADIOL (C) | PHA | 2022-04-01 | 2023-03-31 | C | 30'S | 12.91 | Delete from contract | 2023-03-07 | |||
| 40 | A831EX | ETOVAN 90MG TAB (ARP/AHI) ETORICOXIB | AHI | 2022-07-14 | 2024-03-31 | C | 2X15 | 0 | 16.55 | Price Change | 2022-07-13 | ||
| 40 | 0141HA | EZECURE 500MG TAB (EMC/COL) AZITHROMYCIN | COL | 2022-08-10 | 2024-03-31 | A | 60'S | 7 | 27.80 | Package Size Change | 2022-08-10 | ||
| 40 | 1331K | FENTANYL CITRATE 50MCG/ML INJ (KWA/ATB) | ATB | 2022-04-01 | 2022-09-30 | BQ | 10X2ML | 0 | 25.17 | 2022-03-30 | |||
| 40 | 0981AT | FERROUS FUMARATE 200MG TAB (MBL/AHI) | AHI | 2022-04-01 | 2022-09-30 | A | 100'S | 90 | 4.89 | 2022-03-29 | |||
| 40 | 0991V | FERROUS SULPHATE | FOLIC ACID 200MG | 0.4MG TAB (BNP/PHA) | PHA | 2022-06-02 | 2024-03-31 | A | 1000'S | 90 | 34.37 | Add to Contract as Cat A | 2022-06-02 | ||
| 40 | 0991W | FERROUS SULPHATE | FOLIC ACID 200MG | 0.4MG TAB (FSB/ATB) | ATB | 2022-09-02 | 2024-03-31 | A | 1000'S | 90 | 17.94 | Name Change | 2022-08-17 | ||
| 40 | 49511 | FERRUM FOL CHEWABLE 100/350 TAB (VFI/AHI) IRO | AHI | 2022-04-01 | 2022-09-30 | C | 30'S | 0 | 33.87 | 2022-03-29 | |||