Displaying 321 - 340 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 | 2842AC | GLUCOPHAGE XR 750MG TAB (MEK/COL) METFORMIN | COL | 2022-08-25 | 2024-03-31 | C | 30'S | 0 | 27.18 | Add to Contract as Cat C | 2022-08-25 | ||
| 40 | 40919 | GLYCEROL ADULT 4G SUPPOS (MTP/COL) GLYCERINE | COL | 2022-06-02 | 2024-03-31 | A | 12'S | 12 | 4.62 | Add to Contract as Cat A | 2022-06-02 | ||
| 41 | B6211 | GLYXAMBI 25MG|5MG TAB (BOE) EMPAGL (C) | STO | 2024-04-01 | 2026-03-31 | C | 30'S | 0 | 118.79 | 2024-01-02 | |||
| 41 | 25643 | GRAVOL INFANT 25MG SUPPOS (CDC) DIMENHYD | COL | 2024-04-01 | 2024-12-03 | A | 10'S | 10 | 10.38 | 2024-12-03 | |||
| 41 | 25643 | GRAVOL INFANT 25MG SUPPOS (CDC) DIMENHYD | COL | 2024-12-04 | 2026-03-31 | A | 10'S | 10 | 13.8 | 2024-12-04 | |||
| 40 | 6031P | GYNOLAX 50MG TAB (ABB/PHA) CLOMIPHENE (C) | PHA | 2022-04-01 | 2023-03-31 | C | 10'S | 5.74 | Delete from contract | 2023-03-02 | |||
| 40 | 5581V | HISTAL DM SYR (CAR/COL) GUAIFE/DEXTRO | COL | 2022-05-06 | 2024-03-31 | B | 2 LITRES | 0 | 76.11 | Add to Contract as Cat B | 2022-05-06 | ||
| 40 | 5581A | HISTAL EXPECTORANT 96MG/ML | 2.5MG/ML SYR (CAR/COL) AMMONIUM CHLORIDE | CHLORPHE More ... | COL | 2022-05-06 | 2024-03-31 | B | 2 LITRES | 0 | 52.52 | Add to Contract as Cat B | 2022-05-06 | ||
| 40 | B2234 | HUMILIN-N CARTRIDGE 100U/ML INJ (LIL/STO) ISO | STO | 2022-07-11 | 2024-03-31 | C | 5X3ML | 59.42 | Add to Contract as Cat C | 2022-07-11 | |||
| 41 | B2251 | HUMULIN 70%|30% INJ (LIL) INSULIN ISOPHANE|INSULIN REGULAR | STO | 2024-04-01 | 2024-10-04 | A | 10ML VIAL | 5 | 21.23 | 2024-08-23 | |||
| 40 | B2222 | HUMULIN-R CARTRIDGE INJ (LIL/STO) INSULIN RA | STO | 2022-07-11 | 2024-03-31 | C | 5X3ML | 43.30 | Add to Contract as Cat C | 2022-07-11 | |||
| 40 | 2683AJ | HYDROCORTISONE 1% CR (KWA/ATB) | ATB | 2022-04-01 | 2022-09-30 | A | 15G | 2 | 3.26 | 2022-03-30 | |||
| 40 | 26848 | HYDROCORTISONE 1% OINT (KWA/ATB) | ATB | 2022-04-01 | 2022-09-30 | A | 15G | 2 | 3.26 | 2022-03-30 | |||
| 41 | 2681A | HYDROCORTISONE 10MG TAB (TEV) | COL | 2024-12-17 | 2026-03-31 | A | 30'S | 120 | 17.59 | 2024-11-26 | |||
| 41 | 26827 | HYDROCORTISONE 20MG TAB (TEV) | COL | 2024-12-17 | 2026-03-31 | A | 30'S | 120 | 19.95 | 2024-11-26 | |||
| 40 | 50512 | HYDROGEN PEROXIDE 6% (FED/ATB) | ATB | 2022-05-11 | 2024-03-31 | B | 150ML | 0 | 2.58 | Change Local Agent | 2022-05-11 | ||
| 40 | 50514 | HYDROGEN PEROXIDE 6% (FED/RXP) | RXP | 2022-04-01 | 2022-05-11 | B | 150ML | 0 | 2.58 | Delete from contract | 2022-05-11 | ||
| 40 | 0751J | HYOSCINE BUTYLBROMIDE 10MG TAB (KWA/ATB) | ATB | 2022-04-01 | 2022-09-30 | A | 10X10 | 120 | 20.80 | 2022-03-30 | |||
| 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 | |||