Displaying 21 - 40 of 486
| 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 | 0012AQ | ALLEGRA 180MG TAB (SFA/COL) FEXOFENADIN (C) | COL | 2022-12-10 | 2024-03-31 | C | 10'S | 24.19 | Price Change | 2022-12-09 | |||
| 40 | 0013G | ALLEGRA 6MG/ML SUSP (SFA/COL) FEXOFENAD (C) | COL | 2022-12-10 | 2024-03-31 | C | 150ML | 29.36 | Price Change | 2022-12-09 | |||
| 40 | 0114BP | ALTACEF 250MG TAB (GLP/ATB) CEFUROXIME | ATB | 2022-04-01 | 2024-03-31 | BQ | 10'S | 0 | 4.08 | Change Local Agent | 2022-03-22 | ||
| 40 | 5811GW | AMLODIPINE 10MG TAB (HEA/ATB) | ATB | 2022-07-12 | A | 10X10 | 2.36 | la | 2022-11-25 | ||||
| 40 | 5814BZ | AMLODIPINE 5MG TAB (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 10X10 | 2.09 | Change Local Agent | 2022-11-25 | |||
| 40 | 5533H | AMLODIPINE|VALASARTAN 10MG|160MG TAB (MCP) | AHI | 2023-06-06 | 2024-03-31 | A | 10X10 | 30 | $14.98 | A | 2023-06-09 | ||
| 40 | 5532J | AMLODIPINE|VALSARTAN 5MG|160MG TAB (MCP) | AHI | 2023-06-06 | 2024-03-31 | A | 100's | 30 | $14.07 | A | 2023-06-09 | ||
| 40 | 5531N | AMLODIPINE|VALSARTAN 5MG|80MG TAB (MCP) | AHI | 2023-06-06 | 2024-03-31 | A | 100'S | 30 | $8.66 | A | 2023-06-09 | ||
| 40 | B5931 | AMLOTENSIVE CT 10MG | 25MG TAB (CAR/COL) AMLODIPINE | CHLORTHALIDONE | COL | 2022-07-11 | 2024-03-31 | A | 210'S | 30 | 26.26 | Add to Contract as Cat A | 2022-07-11 | ||
| 40 | B5941 | AMLOTENSIVE CT 10MG | 50MG TAB (CAR/COL) AMLODIPINE | CHLORTHALIDONE | COL | 2022-07-11 | 2022-03-31 | A | 210'S | 30 | 35.90 | Add to Contract as Cat A | 2022-07-11 | ||
| 40 | B5921 | AMLOTENSIVE CT 5MG | 50MG TAB (CAR/COL) AMLODIPINE | CHLORTHALIDONE | COL | 2022-07-11 | 2024-03-31 | A | 210'S | 30 | 35.90 | Add to Contract as Cat A | 2022-07-11 | ||
| 40 | 7726CK | AMOXICILLIN | CLAVULANIC ACID 1G | 0.2G INJ (CHC/ATB) | ATB | 2022-04-01 | 2024-03-31 | B | 1.2G VIAL | 0 | 3.23 | Price Change | 2021-12-03 | ||
| 40 | 7722BV | AMOXICILLIN | CLAVULANIC ACID 875MG | 125MG TAB (KWA/ATB) | ATB | 2022-04-01 | 2022-09-30 | B | 2X10 | 14 | 7.75 | 2022-03-30 | |||
| 40 | 0164AU | AMPICILLIN 500MG INJ (CHC/ATB) | ATB | 2022-04-01 | 2024-03-31 | BQ | 500MG VIAL | 0 | 0.82 | Price Change | 2021-12-03 | ||
| 40 | 0164AM | AMPICILLIN 500MG INJ (KWA/ATB) | ATB | 2022-04-01 | 2022-09-30 | BQ | 500MG VIAL | 0 | 0.90 | 2022-03-30 | |||
| 40 | 3921K | ANTIPLAR 75MG TAB (EMC/COL) CLOPIDOGREL | COL | 2022-05-31 | 2022-12-31 | A | 100'S | 30 | 9.51 | 2022-05-31 | |||
| 40 | 7911AA | APO-CYCLOBENZAPRINE 10MG TAB (APO/COL) | COL | 2022-04-01 | 2024-03-31 | A | 500'S | 42 | 271.83 | Package Size Change | 2022-02-28 | ||
| 40 | B011EG | APO-LAMIVUDINE 150MG TAB (APO/COL) | COL | 2022-04-01 | 2024-03-31 | B | 60'S | 83.02 | Add to Contract as Cat B | 2022-12-09 | |||
| 40 | 3621B | APO-LEVOCARB 10MG | 100MG TAB (APO/COL) | COL | 2022-04-01 | 2024-03-31 | A | 100'S | 240 | 17.26 | Add to Contract as Cat A | 2022-04-01 | ||
| 40 | 36227 | APO-LEVOCARB 25MG | 250MG TAB (APO/COL) | COL | 2022-04-01 | 2024-03-31 | A | 100'S | 240 | 27.18 | Add to Contract as Cat A | 2022-04-01 | ||