Displaying 321 - 340 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 | 4622S | LORAZEPAM 2MG/ML INJ (KWA/ATB) | ATB | 2022-04-01 | 2024-03-31 | B | 10X1ML | 0 | 38.19 | 2022-03-30 | |||
| 40 | A501EK | LOSARTAN 50MG TAB (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 30'S | 2.15 | Change Local Agent | 2022-11-25 | |||
| 40 | A531AH | LOUTEN EMULSION 0.005% EYE DR (LPO/COL) LATAN | COL | 2022-04-01 | 2024-03-31 | A | 2.5ML | 1 | 9.08 | 2022-02-18 | |||
| 40 | 19415 | MEDI-TEST COMBI 10 STRP (SCN/PHA) DIAGNOSTIC URINE | PHA | 2022-07-19 | 2024-03-31 | B | 100'S | 0 | 20.44 | Price Change | 2022-07-18 | ||
| 40 | 0211Y | MEROPENEM 500MG INJ (ABB/PHA) (BQ) | PHA | 2022-04-01 | 2023-03-31 | BQ | 500MG VIAL | 11.5 | Delete from contract | 2023-03-02 | |||
| 40 | 1351E | METAMIZOL 500MG TAB (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 250'S | 17.53 | Change Local Agent | 2022-11-25 | |||
| 40 | 28439 | METFORMIN 1G TAB (APL/AHI) | AHI | 2022-04-01 | 2024-03-31 | A | 100'S | 90 | 10.76 | Amend Protocol Quantity | 2022-08-15 | ||
| 40 | 2841BX | METFORMIN XR | ATB | 2022-12-07 | 2024-03-31 | A | 100'S | 120 | 7.48 | ADD AS CAT A BENEFIT | 2022-12-07 | ||
| 40 | 2841BX | METFORMIN XR 500MG TAB (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 10X10 | 7.48 | Change Local Agent | 2022-11-25 | |||
| 40 | 2841BM | METFORMIN XR 500MG TAB (HEA/RXP) | RXP | 2022-04-01 | 2022-12-07 | A | 10X10 | 120 | 7.48 | DEL | 2022-12-07 | ||
| 40 | 0631Y | METHOTREXATE 2.5MG TAB (FSB/ATB) | ATB | 2022-04-01 | 2022-09-30 | A | 100'S | 32 | 7.48 | 2022-03-30 | |||
| 40 | 4121B | METHYLPREDNISOLONE SODIUM SUCCINATE 500MG INJ (KWA/ATB) | ATB | 2022-04-01 | 2022-09-30 | B | 500MG VIAL | 0 | 15.36 | 2022-03-30 | |||
| 40 | 7621BE | MIA 3MG D/0.02MG EE TAB (ABB/PHA) DROSP/EE (C) | PHA | 2022-04-01 | 2023-03-31 | C | 28'S | 19.52 | Delete from contract | 2023-03-07 | |||
| 40 | 7621BD | MIA 3MG D/0.03MG EE TAB (ABB/PHA) DROSP/EE (C) | PHA | 2022-04-01 | 2023-03-31 | C | 28'S | 21.34 | Delete from contract | 2023-03-02 | |||
| 40 | 6211D | MIDAZOLAM 5MG/ML INJ (RTM/PHA) | PHA | 2022-04-01 | 2024-03-31 | B | 10X3ML | 0 | $36.50 | PRICE CHANGE | 0000-00-00 | ||
| 40 | 3912F | MINOXIDIL 10MG TAB (KWA/ATB) | ATB | 2022-04-03 | 2024-03-31 | A | 10X10 | 120 | 93.13 | Price Change | 2022-06-14 | ||
| 40 | 3911C | MINOXIDIL 2.5MG TAB (KWA/ATB) | ATB | 2022-04-03 | 2024-03-31 | A | 10X10 | 120 | 56.79 | Price Change | 2022-06-14 | ||
| 40 | 3653CK | MOMETASONE 50MCG NASAL SP (BCH/COL) | COL | 2022-04-01 | 2024-03-31 | A | 140 DOSES | 1 | 9.08 | Add to Contract as Cat A | 2021-07-29 | ||
| 40 | 1381C | MORPHINE 10MG/ML INJ (MTP/COL) | COL | 2022-07-15 | 2024-03-31 | B | 10X1ML | 0 | 12.64 | Price Change | 2022-07-14 | ||
| 40 | 1382G | MORPHINE 15MG/ML INJ (MTP/COL) | COL | 2022-07-15 | 2024-03-31 | B | 10X1ML | 0 | 13.84 | Price Change | 2022-07-14 | ||