Displaying 361 - 380 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 | 2961K | NORCOLUT 5MG TAB (CHW/AHI) NORETHISTERONE | AHI | 2022-04-01 | 2022-09-30 | A | 2X10 | 90 | 3.21 | 2022-03-29 | |||
| 40 | 2961AD | NORETHISTERONE 5MG TAB (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 10X10 | 8.07 | Change Local Agent | 2022-11-25 | |||
| 40 | 2961Z | NORETHISTERONE 5MG TAB (KWA/ATB) | ATB | 2022-04-21 | 2022-09-30 | A | 100'S | 90 | 8.26 | 2022-04-21 | |||
| 40 | 2961AC | NORETHISTERONE 5MG TAB (RYV/ATB) | ATB | 2022-09-27 | 2024-03-31 | A | 100'S | 90 | 8.34 | Price Change | 2022-07-26 | ||
| 40 | 0102V | NYSTATIN 100,000U/ML SUSP (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 60ML | 5.71 | Change Local Agent | 2022-11-25 | |||
| 40 | 6631R | OLEO-LAX 10MG/ML (ABB/PHA) PROPOFOL (C) | PHA | 2022-04-01 | 2023-03-31 | C | 5X20ML | 44.17 | Delete from contract | 2023-03-07 | |||
| 40 | B041NJ | OMEPRAZOLE 20MG CAP (FSB/ATB) | ATB | 2022-04-01 | 2024-03-31 | A | 100'S | 30 | 6.80 | Add to Contract as Cat A | 2021-12-03 | ||
| 40 | B041EL | OMEPRAZOLE 20MG CAP (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 30'S | 1.9 | Change Local Agent | 2022-11-25 | |||
| 40 | 2962EA | ONE PILL 1.5MG TAB (HEA/ATB) LEVONORGESTREL(B) | ATB | 2022-12-07 | 2024-03-31 | B | 1'S | 3.81 | Change Local Agent | 2022-11-25 | |||
| 40 | 0125M | OPTICHLOR SL 1% EYE OINTMENT | PSB | 2023-06-01 | 2024-03-31 | A | 5G | 1 | $4.35 | 2023-06-09 | |||
| 40 | 7912E | ORPHENADRINE 30MG/ML INJ (AKI/AHI) | AHI | 2022-04-01 | 2022-09-30 | C | 10X2ML | 0 | 690.07 | 2022-03-29 | |||
| 40 | 37419 | OSMITROL 10% INJ (BAX/STO) MANNITOL | STO | 2022-04-01 | 2024-03-31 | B | 500ML | 0 | 12.75 | Add to Contract as Cat B | 2022-04-01 | ||
| 40 | 2791D | OVESTIN 1MG VAG CR (ASP/STO) ESTRIOL | STO | 2022-04-01 | 2024-03-31 | A | 15G | 1 | 41.59 | Add to Contract as Cat A | 2021-12-06 | ||
| 40 | 3051E | OXYTOCIN 10U/ML INJ (RTM/PHA) | PHA | 2022-06-01 | 2024-03-31 | BQ | 10X1ML | 0 | 12.40 | Price Change | 2022-05-31 | ||
| 40 | 1422BJ | PANADOL 32MG/ML SYR (GSK/COL) PARACETAMOL | COL | 2022-04-01 | 2024-03-31 | C | 90ML | 300 | 6.33 | Package Size Change | 2022-02-28 | ||
| 40 | B0427 | PANTOPRAZOLE 40MG INJ (CIP/AHI) | AHI | 2022-04-01 | 2022-09-30 | B | 40MG VIAL | 0 | 2.61 | 2022-03-29 | |||
| 40 | 1421BW | PARACETAMOL 500MG TAB (FSB/ATB) | ATB | 2022-04-04 | 2024-03-31 | A | 10X10 | 180 | 4.05 | Add to Contract as Cat A | 2022-04-04 | ||
| 40 | 1421W | PARACETAMOL 500MG TAB (HEA/ATB) (C) | ATB | 2022-07-12 | 2022-10-25 | C | 100X10 | 0 | 32.35 | la | 2022-11-25 | ||
| 40 | 6561G | PENTASA 500MG TAB (FER/STO) MESALAZINE | STO | 2022-04-01 | 2024-03-31 | BQ | 50'S | 0 | 89.22 | Package Size Change | 2022-03-18 | ||
| 40 | 6091G | PENTOXIFYLLINE 400MG TAB (HEA/ATB) | ATB | 2022-07-12 | 2024-03-31 | A | 10X10 | 90 | 21.18 | la | 2022-11-25 | ||