Displaying 261 - 280 of 674
| 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 | 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 | ||
| 41 | 3301BC | ELOCOM 0.1% CR (MSD) MOMETASONE | STO | 2024-04-01 | 2024-07-18 | A | 15G | 2 | 10.22 | 2024-06-06 | |||
| 41 | 3301BC | ELOCOM 0.1% CR (MSD) MOMETASONE (C) | STO | 2024-07-19 | 2026-03-31 | C | 15G | 2 | 10.22 | 2024-06-06 | |||
| 41 | 3302BC | ELOCON 0.1% OINT (MSD) MOMETASONE | STO | 2024-04-01 | 2024-07-18 | A | 15G | 2 | 12.04 | 2024-06-07 | |||
| 41 | 3302BC | ELOCON 0.1% OINT (MSD) MOMETASONE (C) | STO | 2024-07-19 | 2026-03-31 | C | 15G | 2 | 12.04 | 2024-06-07 | |||
| 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 | |||
| 41 | 5841HY | ENALAPRIL 10MG TAB (MCP) | AHI | 2024-12-28 | 2026-03-31 | A | 10X10 | 90 | 5.1 | 2024-12-27 | |||
| 40 | 5842GM | ENALAPRIL 20MG TAB (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 10X10 | 6.25 | Change Local Agent | 2022-11-25 | |||
| 41 | 5842JE | ENALAPRIL 20MG TAB (MCP) | AHI | 2025-01-15 | 2026-03-31 | A | 30'S | 60 | 2.16 | 2025-01-15 | |||
| 40 | 5843CS | ENALAPRIL 5MG TAB (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 10X10 | 3.29 | Change Local Agent | 2022-11-25 | |||
| 41 | 5843EV | ENALAPRIL 5MG TAB (MCP) | AHI | 2024-12-28 | 2026-03-31 | A | 10X10 | 60 | 4.02 | 2024-12-27 | |||
| 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 | |||