Displaying 401 - 420 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 | A0825 | PREVNAR 13 16MCG INJ (PFI/STO) PNEUMOCOCCAL | STO | 2022-06-22 | 2024-03-31 | B | 1 DOSE | 0 | 223.12 | Price Change | 2022-06-22 | ||
| 40 | 7621BF | PRIMAFEN 30MCG|150MCG TAB (ABB/PHA) ETHINYLESTRADIOL|LEVONORGESTRE (C) | PHA | 2022-04-01 | 2023-03-31 | C | 21'S | 4.57 | Delete from contract | 2023-03-02 | |||
| 40 | 30828 | PRIVIGEN 10% INJ (CSL/AHI) IMMUNOGLOBULIN | AHI | 2022-04-01 | 2022-05-10 | BQ | 100ML | 0 | 1,413.53 | 2022-03-29 | |||
| 40 | 59314 | PROCORALAN 5MG TAB (SER/COL) IVABRADINE | COL | 2022-04-13 | 2024-03-31 | C | 28'S | 0 | 60.87 | Add to Contract as Cat C | 2022-04-13 | ||
| 40 | 59311 | PROCORALAN 5MG TAB (SER/STO) IVABRADINE | STO | 2022-04-06 | 2024-03-31 | C | 28'S | 0 | 60.87 | Package Size Change | 2022-04-06 | ||
| 40 | 59323 | PROCORALAN 7.5MG TAB (SER/COL) IVABRADINE | COL | 2022-04-13 | 2024-03-31 | C | 28'S | 0 | 60.87 | Add to Contract as Cat C | 2022-04-13 | ||
| 40 | 59321 | PROCORALAN 7.5MG TAB (SER/STO) IVABRADINE | STO | 2022-04-01 | 2024-03-31 | C | 28'S | 0 | 60.87 | Package Size Change | 2022-04-06 | ||
| 40 | 1763L | PROMETHAZINE 25MG/ML INJ (ROL/AHI) | AHI | 2022-04-01 | 2022-09-30 | B | 25X1ML | 0 | 204.04 | 2022-03-29 | |||
| 40 | 7811AC | PROTRIDE 5MG TAB (HEA/ATB) FINASTERIDE | ATB | 2022-12-07 | 2024-03-31 | A | 3X10 | 6.77 | Change Local Agent | 2022-11-25 | |||
| 40 | 0884BD | PULMICORT 0.25MG/ML RESP SOL (AZN/COL) BUDESO | COL | 2022-04-13 | 2024-03-31 | A | 20X2ML | 20 | 40.77 | Add to Contract as Cat A | 2022-04-13 | ||
| 40 | 0884BE | PULMICORT 0.5MG/ML RESP SOL (AZN/COL) BUDESON | COL | 2022-04-13 | 2024-03-31 | A | 20X2ML | 20 | 46.21 | Add to Contract as Cat A | 2022-04-13 | ||
| 40 | A771Q | QUETIDIN 100MG TAB (ABB/PHA) QUETIAPINE (BP) | PHA | 2022-04-01 | 2023-03-31 | BP | 30'S | 13.4 | Delete from contract | 2023-03-07 | |||
| 40 | A772Z | QUETIDIN 200MG TAB (ABB/PHA) QUETIAPINE (BP) | PHA | 2022-04-01 | 2023-03-31 | BP | 30'S | 27.26 | Delete from contract | 2023-03-07 | |||
| 40 | A773Q | QUETIDIN 25MG TAB (ABB/PHA) QUETIAPINE (BP) | PHA | 2022-04-01 | 2023-03-31 | BP | 30'S | 12.8 | Delete from contract | 2023-03-07 | |||
| 40 | A774U | QUETIDIN 300MG TAB (ABB/PHA) QUETIAPINE (BP) | PHA | 2022-04-01 | 2023-03-31 | BP | 30'S | 35.66 | Delete from contract | 2023-03-07 | |||
| 40 | A772AK | QUETIDIN XR 200MG TAB (ABB/PHA) QUETIAPINE XR (BP) | PHA | 2022-04-01 | 2023-03-31 | BP | 30'S | 62.17 | Delete from contract | 2023-03-07 | |||
| 40 | A774R | QUETIDIN XR 300MG TAB (ABB/PHA) QUETIAPINE XR (BP) | PHA | 2022-04-01 | 2023-03-31 | BP | 30'S | 80.44 | Delete from contract | 2023-03-07 | |||
| 40 | A7757 | QUETIDIN XR 50MG TAB (ABB/PHA) QUETIAPINE XR (BP) | PHA | 2022-04-01 | 2023-03-31 | BP | 30'S | 47.22 | Delete from contract | 2023-03-07 | |||
| 40 | 5843EM | RAMIPRIL 2.5MG TAB (HEA/ATB) SCORED | ATB | 2022-12-07 | 2024-03-31 | A | 10X10 | 6.12 | Change Local Agent | 2022-11-25 | |||
| 40 | 5841HP | RAMIPRIL 5MG TAB (HEA/ATB) SCORED | ATB | 2022-07-12 | 2024-03-31 | A | 10X10 | 45 | 7.88 | la | 2022-11-25 | ||