Displaying 281 - 300 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 | 0131DJ | KLARICID 25MG/ML SUSP (ABB/PHA) CLARITHROMYCI (C) | PHA | 2022-04-01 | 2023-03-31 | C | 60ML | 11.5 | Delete from contract | 2023-03-02 | |||
| 40 | 4021N | KLARICID 500MG INJ (ABB/PHA) CLARITHROMYCIN (C) | PHA | 2022-04-01 | 2023-03-31 | C | 500MG VIAL | 36.91 | Delete from contract | 2023-03-02 | |||
| 40 | 0141FV | KLARICID 500MG TAB (ABB/PHA) CLARITHROMYCIN | PHA | 2022-04-01 | 2024-03-31 | C | 10'S | 0 | 16.72 | Price Change | 2022-05-05 | ||
| 40 | 0131DH | KLARICID 50MG/ML SUSP (ABB/PHA) CLARITHROMYCI (C) | PHA | 2022-04-01 | 2023-03-31 | C | 60ML | 15.79 | Delete from contract | 2023-03-02 | |||
| 40 | 0141FU | KLARICID XL 500MG TAB (ABB/PHA) CLARITHROMYCI (C) | PHA | 2022-04-01 | 2023-03-31 | C | 10'S | 16.66 | Delete from contract | 2023-03-02 | |||
| 40 | 2511AY | KONSYL DAILY PSYLLIUM FIBER PWDR (C) | COL | 0000-00-00 | 0000-00-00 | C | 360 | $55.05 | CONTRACT AWARDED CAT C | 0000-00-00 | |||
| 40 | B071G | KOPODEX 1G TAB (ABB/PHA) LEVETIRACETAM(B) | PHA | 2022-04-01 | 2023-03-31 | B | 30'S | 68.88 | Delete from contract | 2023-03-02 | |||
| 40 | B071H | KOPODEX 500MG TAB (ABB/PHA) LEVETIRACETAM (C) | PHA | 2022-04-01 | 2023-03-31 | C | 30'S | 58.55 | Delete from contract | 2023-03-02 | |||
| 40 | B071HHH | KOPODEX 500MG TAB (ABB/PHA) LEVETIRACETAM (C) | PHA | 2022-04-01 | 2023-03-31 | C | 30'S | 58.55 | Delete from contract | 2023-03-02 | |||
| 40 | B071HHH | KOPODEX 500MG TAB (ABB/PHA) LEVETIRACETAM (C) | PHA | 2022-04-01 | 2023-03-31 | C | 30'S | 58.55 | Delete from contract | 2023-03-02 | |||
| 40 | B071HHH | KOPODEX 500MG TAB (ABB/PHA) LEVETIRACETAM (C) | PHA | 2022-04-01 | 2023-03-31 | C | 30'S | 58.55 | Delete from contract | 2023-03-02 | |||
| 40 | A102D | LABETALOL 100MG TAB (LDP/AHI) | AHI | 2022-04-01 | 2022-09-30 | A | 100'S | 90 | 67.93 | 2022-03-29 | |||
| 40 | 0225H | LACLOXA 500MG INJ (LDP/AHI) CLOXACILLIN | AHI | 2022-04-01 | 2022-09-30 | B | 500MG VIAL | 0 | 15.41 | 2022-03-29 | |||
| 40 | 2961AB | LANOSTERONE 5MG TAB (LDP/AHI) NORETHISTERONE | AHI | 2022-04-01 | 2022-09-30 | A | 100'S | 90 | 12.37 | 2022-03-29 | |||
| 40 | 0692J | LASTIGMINE 2.5MG/ML INJ (LDP/AHI) | AHI | 2022-04-01 | 2022-09-30 | BQ | 5X1ML | 0 | 16.99 | 2022-03-29 | |||
| 40 | 0694C | LASTIGMINE PLUS 2.5MG/ML INJ (LDP/AHI) | AHI | 2022-04-01 | 2022-09-30 | BQ | 5X5ML | 0 | 26.10 | 2022-03-29 | |||
| 40 | 6432H | LEUCOVORIN 50MG INJ (SLS/AHI) | AHI | 2022-04-01 | 2022-09-30 | BQ | 5ML | 0 | 12.45 | 2022-03-29 | |||
| 40 | 5172T | LEVAM 8MG/ML SYR (FED/ATB) | ATB | 2022-04-01 | 2022-05-11 | C | 30ML | 0 | 3.15 | Delete from contract | 2022-05-11 | ||
| 40 | 5172T | LEVAM 8MG/ML SYR (FED/ATB) | ATB | 2022-05-11 | 2024-03-31 | C | 30ML | 0 | 3.15 | Change Local Agent | 2022-05-11 | ||
| 40 | 3021Y | LIDOCAINE 1% INJ (BRA/COL) | COL | 2022-04-01 | 2024-03-31 | B | 20X10ML | 0 | 11.31 | Package Size Change | 2022-03-18 | ||