Displaying 221 - 240 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 42 | 72713 | CHROMIUM 4MCG/ML INJ (KWA) | STO | 2026-04-01 | BQ | 10ML | 0 | 459.75 | Add to Contract | 2026-03-02 | |||
| 40 | 7621AZ | CICLOTAB 20MCG|75MCG TAB (ABB/PHA) ETHINYLESTRADIOL|GESTODENE (C) | PHA | 2022-04-01 | 2023-03-31 | C | 21'S | 15.98 | Delete from contract | 2023-03-02 | |||
| 40 | 7621BB | CICLOTAB 30MCG|75MCG TAB (ABB/PHA) ETHINYLESTRADIOL|GESTODENE (C) | PHA | 2022-04-01 | 2023-03-31 | C | 21'S | 15.98 | Delete from contract | 2023-03-07 | |||
| 40 | 1184M | CILENOL 10MG TAB (CIR) BISOPROLOL | AHI | 2023-06-06 | 2024-03-31 | A | 30'S | 30 | $4.05 | 2023-06-09 | |||
| 40 | 1181EV | CILENOL 2.5MG TAB (CIR/AHI) BISOPROLOL | AHI | 2022-04-01 | 2022-09-30 | A | 30'S | 30 | 2.75 | 2022-03-29 | |||
| 42 | 6711MS | CIPROFLOXACIN 500MG TAB (HEA) | AHI | 2026-04-01 | A | 10X10 | 14 | 15.74 | Price Change | 2025-10-31 | |||
| 42 | 6711NK | CIPROFLOXACIN 500MG TAB (HEA) | CWS | 2026-04-01 | A | 10X10 | 14 | 15.74 | Add to Contract as Cat A | 2026-01-26 | |||
| 42 | 6711NL | CIPROFLOXACIN 500MG TAB (HEA) | STO | 2026-04-01 | A | 10X10 | 14 | 15.74 | Add to Contract as Cat A | 2026-02-27 | |||
| 40 | 6711HB | CIPROFLOXACIN 500MG TAB (HEA/ATB) | ATB | 2022-07-12 | 2024-03-31 | A | 10X10 | 14 | 14.81 | la | 2022-11-25 | ||
| 42 | 7111AD | CISPLATIN 1MG/ML INJ (FSB) | STO | 2026-04-01 | BQ | 50MG VIAL | 50 | 13.89 | Add to Contract | 2026-03-05 | |||
| 41 | 0012EP | CLARITINE 10MG TAB (BSP) LORATADINE (C) | AHI | 2024-08-09 | 2026-03-31 | C | 30'S | 14 | 31.8 | 2024-08-09 | |||
| 40 | 0013BP | CLARITINE 10MG TAB (BSP/AHI) LORATADINE (C) | AHI | 2023-02-21 | 2023-04-07 | C | 30'S | 9.51 | Add to Contract as Cat C | 2023-02-24 | |||
| 40 | 14717 | CLONOTRIL 0.5MG TAB (REM/SBI) CLONAZEPAM | SBI | 2022-04-01 | 2022-06-22 | A | 100'S | 240 | 3.43 | Delete from contract | 2022-05-11 | ||
| 40 | 1471G | CLONOTRIL 0.5MG TAB (REM/SBI) CLONAZEPAM | SBI | 2022-05-11 | 2024-03-31 | A | 30'S | 240 | 1.03 | Package Size Change | 2022-05-11 | ||
| 40 | 3921BS | CLOPIDOGREL 75MG TAB (KWA/ATB) | ATB | 2022-04-01 | 2024-03-31 | A | 100'S | 30 | 8.07 | 2022-06-02 | |||
| 40 | 5231EK | CLOTRIMAZOLE 1% CR (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 15G | 1.44 | Change Local Agent | 2022-11-25 | |||
| 40 | 02223 | CLOXACILLIN 500MG CAP (REM/SBI) | SBI | 2022-04-01 | 2024-03-31 | A | 10x10 | 28 | 16.39 | 2021-12-03 | |||
| 40 | 65712 | CLOZAPINE 25MG TAB (APL/AHI) | AHI | 2022-04-01 | 2022-07-30 | BP | 100'S | 270 | 97.32 | 2022-03-29 | |||
| 42 | 0451CA | CO-TRIMOXAZOLE 400MG|80MG TAB (HEA) SULFAMETHOXAZOLE|TRIMETH | CWS | 2026-04-01 | A | 10X10 | 56 | 7.12 | Add to Contract as Cat A | 2026-01-26 | |||
| 42 | 0451CB | CO-TRIMOXAZOLE 400MG|80MG TAB (HEA) SULFAMETHOXAZOLE|TRIMETH | STO | 2026-04-01 | A | 10X10 | 56 | 7.12 | Add to Contract as Cat A | 2026-02-27 | |||