Displaying 421 - 440 of 673
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
41 2451AQ LOPERAMIDE 2MG CAP (TEV) COL 2024-12-17 2026-03-31 A 30'S 30 4.57 2024-11-26
41 0012FP LORATADINE 10MG TAB (MCP) AHI 2024-12-28 2026-03-31 A 10X10 14 7.85 2024-12-27
40 0013PF LORATADINE 1MG/ML SYRUP (HEA/ATB) ATB 2022-12-07 2024-03-31 A 100 ML 3.13 Change Local Agent 2022-11-25
40 4622U LORAZEPAM 2MG/ML INJ (FSB/ATB) ATB 2022-05-27 2024-03-31 B 1ML VIAL 0 4.02 Price Change 2022-05-27
40 4622S LORAZEPAM 2MG/ML INJ (KWA/ATB) ATB 2022-04-01 2024-03-31 B 10X1ML 0 38.19 2022-03-30
40 A501EK LOSARTAN 50MG TAB (HEA/ATB) ATB 2022-12-07 2024-03-31 A 30'S 2.15 Change Local Agent 2022-11-25
40 A531AH LOUTEN EMULSION 0.005% EYE DR (LPO/COL) LATAN COL 2022-04-01 2024-03-31 A 2.5ML 1 9.08 2022-02-18
41 19415 MEDI-TEST COMBI 10 STRP (SCN) DIAGNOSTIC URINE (B) PHA 2024-04-01 2026-03-31 B 100'S 0 25.1 2023-10-05
40 19415 MEDI-TEST COMBI 10 STRP (SCN/PHA) DIAGNOSTIC URINE PHA 2022-07-19 2024-03-31 B 100'S 0 20.44 Price Change 2022-07-18
40 0211Y MEROPENEM 500MG INJ (ABB/PHA) (BQ) PHA 2022-04-01 2023-03-31 BQ 500MG VIAL 11.5 Delete from contract 2023-03-02
40 1351E METAMIZOL 500MG TAB (HEA/ATB) ATB 2022-12-07 2024-03-31 A 250'S 17.53 Change Local Agent 2022-11-25
40 28439 METFORMIN 1G TAB (APL/AHI) AHI 2022-04-01 2024-03-31 A 100'S 90 10.76 Amend Protocol Quantity 2022-08-15
40 2841BX METFORMIN XR ATB 2022-12-07 2024-03-31 A 100'S 120 7.48 ADD AS CAT A BENEFIT 2022-12-07
40 2841BX METFORMIN XR 500MG TAB (HEA/ATB) ATB 2022-12-07 2024-03-31 A 10X10 7.48 Change Local Agent 2022-11-25
40 2841BM METFORMIN XR 500MG TAB (HEA/RXP) RXP 2022-04-01 2022-12-07 A 10X10 120 7.48 DEL 2022-12-07
40 0631Y METHOTREXATE 2.5MG TAB (FSB/ATB) ATB 2022-04-01 2022-09-30 A 100'S 32 7.48 2022-03-30
40 4121B METHYLPREDNISOLONE SODIUM SUCCINATE 500MG INJ (KWA/ATB) ATB 2022-04-01 2022-09-30 B 500MG VIAL 0 15.36 2022-03-30
40 7621BE MIA 3MG D/0.02MG EE TAB (ABB/PHA) DROSP/EE (C) PHA 2022-04-01 2023-03-31 C 28'S 19.52 Delete from contract 2023-03-07
40 7621BD MIA 3MG D/0.03MG EE TAB (ABB/PHA) DROSP/EE (C) PHA 2022-04-01 2023-03-31 C 28'S 21.34 Delete from contract 2023-03-02
41 52354 MICOGEL 2% GEL (ARP) MICONAZOLE AHI 2024-04-01 2026-03-31 B 15G 2 5.36 2023-11-21