Displaying 21 - 40 of 948
| 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 42 | 5698AA | ACYCLOVIR 800MG DISP TAB (HEA) | STO | 2026-04-01 | B | 1X10 | 50 | 6.85 | Add to Contract as Cat B | 2026-02-27 | |||
| 42 | 5698M | ACYCLOVIR 800MG DISP TAB (HEA) | AHI | 2026-03-30 | B | 1X10 | 50 | 6.85 | Price Change | 2025-10-31 | |||
| 42 | 5698R | ACYCLOVIR 800MG DISP TAB (HEA) (C) | CWS | 2026-04-01 | B | 1X10 | 50 | 6.85 | Add to Contract as Cat B | 2026-01-26 | |||
| 40 | 5696AB | ACYCLOVIR DISP 400MG TAB (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 1X10 | 3.67 | Change Local Agent | 2022-11-25 | |||
| 40 | 5698AC | ACYCLOVIR DISP 800MG TAB (HEA/ATB) (C) | ATB | 2022-12-07 | 2024-03-31 | C | 1X10 | 7 | Change Local Agent | 2022-11-25 | |||
| 41 | 37314 | ADACEL TDaP INJ (AVP) DIP/TET/PERT ACEL (B) | COL | 2024-04-01 | 2024-10-21 | B | 1 DOSE | 0 | 39.14 | 2024-09-09 | |||
| 40 | 0791X | ADRENALINE 1MG/ML IV/IM INJ (LAF/AHI) | AHI | 2022-04-01 | 2024-03-31 | B | 100X1ML | 0 | 99.38 | Change Local Agent | 2022-02-03 | ||
| 40 | 07918 | ADRENALINE 1MG/ML IV/IM INJ (RTM/PHA) | PHA | 2022-06-01 | 2024-03-31 | B | 10X1ML | 0 | 35.01 | Price Change | 2022-05-31 | ||
| 40 | 30316 | ADRENALINE | LIDOCAINE 0.001% | 1% INJ (FSB/ATB) | ATB | 2022-04-01 | 2024-03-31 | B | 30ML | 0 | 3.94 | Add to Contract as Cat B | 2021-11-18 | ||
| 40 | 3032C | ADRENALINE | LIDOCAINE 0.001% | 2% INJ (FSB/ATB) | ATB | 2022-04-01 | 2024-03-31 | B | 30ML | 0 | 4.08 | Add to Contract as Cat B | 2021-11-18 | ||
| 41 | 5171AJ | ALBENDAZOLE 200MG TAB (LDP) | AHI | 2024-04-01 | 2026-03-31 | A | 2'S | 6 | 3.72 | 2023-11-21 | |||
| 42 | 4941AG | ALBURX 25% INJ (CSL) HUMAN ALBUMIN | AHI | 2026-04-01 | BQ | 50ML VIAL | 0 | 91.06 | Add to Contract | 2025-11-10 | |||
| 40 | 91341 | ALCOHOL LARGE (WIR/WIR) | WIR | 2022-04-01 | 2022-09-30 | B | 1 LITRE | 0 | 6.20 | Price Change | 2021-11-10 | ||
| 40 | 91331 | ALCOHOL SMALL (WIR/WIR) | WIR | 2022-04-01 | 2024-03-31 | B | 1 LITRE | 0 | 6.20 | Price Change | 2021-11-10 | ||
| 40 | 4142MB | ALEVE 220MG CAPLET (BSP/AHI) NAPROXEN (C) | AHI | 2023-02-21 | 2024-03-31 | C | 36'S | 6.8 | Add to Contract as Cat C | 2023-02-21 | |||
| 40 | 3791J | ALLEGRA -D 120MG F/60MG P TAB (SFA/COL) FEXOF (C) | COL | 2022-12-10 | 2024-03-31 | C | 10'S | 14.54 | Price Change | 2022-12-09 | |||
| 40 | 0012AB | ALLEGRA 120MG TAB (SFA/COL) FEXOFENADIN (C) | COL | 2022-12-10 | 2024-03-31 | C | 10'S | 16.31 | Price Change | 2022-12-09 | |||
| 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 | |||
| 42 | 4624E | ALPRAZOLAM 0.25MG TAB (FSB) | STO | 2026-04-01 | A | 100'S | 30 | 4.59 | Add to Contract as Cat A | 2026-03-05 | |||