Displaying 261 - 280 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 | 57522 | HYTRIN 2MG TAB (ABB/PHA) TERAZOSIN (C) | PHA | 2022-04-01 | 2023-03-31 | C | 28'S | 6.33 | Delete from contract | 2023-03-07 | |||
| 40 | 57536 | HYTRIN 5MG TAB (ABB/PHA) TERAZOSIN (C) | PHA | 2022-04-01 | 2023-03-31 | C | 28'S | 6.33 | Delete from contract | 2023-03-02 | |||
| 40 | 4141KX | IBUPROFEN 400MG TAB (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 10X10 | 8.97 | Change Local Agent | 2022-11-25 | |||
| 40 | A6611 | IMIGRAN 100MG TAB (GSK/COL) SUMATRIPTAN | COL | 2022-04-01 | 2022-05-31 | C | 2'S | 0 | 49.47 | Delete from contract | 2022-04-19 | ||
| 40 | A6612 | IMIGRAN 50MG TAB (GSK/COL) SUMATRIPTAN | COL | 2022-04-01 | 2022-05-31 | C | 2'S | 0 | 33.92 | Delete from contract | 2022-04-19 | ||
| 40 | 2451U | IMODIUM 2MG TAB (JAC/STO) LOPERAMIDE | STO | 2022-04-01 | 2022-05-24 | C | 60'S | 0 | 66.79 | Delete from contract | 2022-04-12 | ||
| 40 | 3544D | IN FUVITE PAED INJ (BAX/STO) MULTIVITAMINS | STO | 2022-04-01 | 2024-03-31 | B | 5 PAIRS | 0 | 180.22 | Price Change | 2022-05-11 | ||
| 40 | 6651AL | INALIX SR 1.5MG TAB (HEA/ATB) INDAPAMIDE (C) | ATB | 2022-12-07 | 2024-03-31 | C | 3X10 | 2.91 | Change Local Agent | 2022-11-25 | |||
| 40 | 35453 | INFUVITE ADULT INJ (BAX/STO) MULTIVITAMINS | STO | 2022-04-01 | 2024-03-31 | B | 5 PAIRS | 0 | 201.16 | Price Change | 2022-05-11 | ||
| 40 | 0211T | INVANZ 1G INJ (MSD/STO) ERTAPENEM | STO | 2023-02-22 | 2024-03-31 | C | 1G VIAL | 0 | 92.42 | PACKAGE SIZE CHANGE | 2023-02-22 | ||
| 40 | 0211T | INVANZ 1G INJ (MSD/STO) ERTAPENEM (C) | STO | 2023-03-20 | 2024-03-31 | C | 1GM | 92.42 | Add to Contract as Cat C | 2023-02-22 | |||
| 40 | 5811CQ | ISOPTIN 80MG TAB (ABB/PHA) VERAPAMIL (C) | PHA | 2022-04-01 | 2023-03-31 | C | 50'S | 8.62 | Delete from contract | 2023-03-02 | |||
| 40 | 5811FS | ISOPTIN RETARD 120MG TAB (ABB/PHA) VERAPAMIL (C) | PHA | 2022-04-01 | 2023-03-31 | C | 20'S | 10.06 | Delete from contract | 2023-03-02 | |||
| 40 | 5813BH | ISOPTIN SR 240MG TAB (ABB/PHA) VERAPAMIL (C) | PHA | 2022-04-01 | 2023-03-31 | C | 20'S | 19.3 | Delete from contract | 2023-03-02 | |||
| 40 | A483F | ISOSORBIDE MONONITRATE 60MG TAB (KWA/ATB) | ATB | 2022-04-01 | 2022-09-30 | A | 3X10 | 60 | 4.08 | 2022-03-30 | |||
| 40 | 1271A | KETAMINE 50MG/ML INJ (RTM/PHA) | PHA | 2022-06-01 | 2024-03-31 | BQ | 10ML VIAL | 0 | 11.34 | Price Change | 2022-05-31 | ||
| 40 | 1271D | KETAMINE 50MG/ML INJ (STP/COL) | COL | 2022-04-01 | 2022-05-13 | BQ | 100X10ML | 0 | 339.79 | Delete from contract | 2022-04-01 | ||
| 40 | 1271P | KETAMINE 50MG/ML INJ (STP/COL) | COL | 2022-04-01 | 2024-03-31 | BQ | 10X10ML | 0 | 33.98 | Package Size Change | 2022-03-28 | ||
| 40 | 5231CC | KETOCONAZOLE 2% CR (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 15G | 1.9 | Change Local Agent | 2022-11-25 | |||
| 40 | 5232ZZ | KETOCONAZOLE 2% SHAMP (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 100 ML | 4.84 | Change Local Agent | 2022-11-25 | |||