Displaying 461 - 480 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 | B4514 | NATRIXAM 10MG|1.5MG MR TAB (SER) AMLODIPINE|INDAPAMIDE (C) | COL | 2024-06-01 | 2026-03-31 | C | 30'S | 30 | 7.39 | 2024-06-01 | |||
| 41 | B4511 | NATRIXAM 5MG|1.5MG MR TAB (SER) AM (C) | STO | 2024-06-01 | 2026-03-31 | C | 30'S | 30 | 7.39 | 2024-06-01 | |||
| 41 | B4513 | NATRIXAM 5MG|1.5MG MR TAB (SER) AM (C) | COL | 2024-06-01 | 2026-03-31 | C | 30'S | 30 | 7.39 | 2024-06-01 | |||
| 41 | B4511 | NATRIXAM 5MG|1.5MG MR TAB (SER) AMLODIPINE|INDAPAMIDE | STO | 2024-04-01 | 2024-05-31 | A | 30'S | 30 | 7.39 | 2024-04-30 | |||
| 41 | B4513 | NATRIXAM 5MG|1.5MG MR TAB (SER) AMLODIPINE|INDAPAMIDE | COL | 2024-04-01 | 2024-05-31 | A | 30'S | 30 | 7.39 | 2024-05-01 | |||
| 41 | 0694B | NEOSTIGMINE 2.5MG/ML INJ (OMG) (BQ) | COL | 2024-04-01 | 2024-07-19 | BQ | 10X5ML | 0 | 101.04 | 2024-07-19 | |||
| 41 | 0694B | NEOSTIGMINE 2.5MG/ML INJ (OMG) (BQ) | COL | 2024-07-20 | 2026-03-31 | BQ | 10X5ML | 0 | 86.64 | 2024-07-19 | |||
| 40 | 7283Q | NEUROTOPREL 100MG TAB (ABB/PHA) TOPIRAMATE (C) | PHA | 2022-04-01 | 2023-03-31 | C | 30'S | 73.12 | Delete from contract | 2023-03-02 | |||
| 40 | 7281K | NEUROTOPREL 25MG TAB (ABB/PHA) TOPIRAMATE (C) | PHA | 2022-04-01 | 2023-03-31 | C | 30'S | 20.12 | Delete from contract | 2023-03-02 | |||
| 40 | 7284E | NEUROTOPREL 50MG TAB (ABB/PHA) TOPIRAMATE (C) | PHA | 2022-04-01 | 2023-03-31 | C | 30'S | 50.26 | Delete from contract | 2023-03-02 | |||
| 40 | B031AP | NEVIRAPINE 200MG TAB (MCP/AHI) | AHI | 2022-05-26 | 2024-03-31 | BL | 60'S | 0 | 9.41 | Package Size Change | 2022-05-26 | ||
| 40 | B042AP | NEXIUM 40MG INJ (AZN/COL) ESOMEPRAZOLE | COL | 2022-04-01 | 2022-06-15 | C | 10X5ML | 0 | 146.79 | Delete from contract | 2022-05-04 | ||
| 40 | B042BL | NEXIUM 40MG INJ (AZN/COL) PANTOPRAZOLE | COL | 2022-05-04 | 2024-03-31 | C | 5ML VIAL | 0 | 14.68 | Package Size Change | 2022-05-04 | ||
| 40 | 5813CY | NIFEDIPINE SR 20MG TAB (HEA/ATB) NIFEDIPINE | ATB | 2022-12-07 | 2024-03-31 | A | 10X10 | 4.05 | Change Local Agent | 2022-11-25 | |||
| 40 | 5813EQ | NIFEDIPINE SR 30MG TAB (HEA/ATB) NIFEDIPINE (C) | ATB | 2022-12-07 | 2024-03-31 | C | 3X10 | 9.38 | Change Local Agent | 2022-11-25 | |||
| 40 | 5813FT | NIFEDIPINE SR 60MG TAB (HEA/ATB) NIFEDIPINE (C) | ATB | 2022-12-07 | 2024-03-31 | C | 3X10 | 16.17 | Change Local Agent | 2022-11-25 | |||
| 40 | 1212G | NITRODERM TTS 10 50MG PATCH (BCH/COL) GLYCERY | COL | 2022-04-01 | 2022-05-24 | BQ | 10'S | 0 | 45.40 | Delete from contract | 2022-04-12 | ||
| 40 | 1212F | NITRODERM TTS 5 25MG PATCH (BCH/COL) GLYCERYL | COL | 2022-04-01 | 2022-05-24 | BQ | 10'S | 0 | 19.68 | Delete from contract | 2022-04-12 | ||
| 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 | |||