Displaying 481 - 500 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
40 2961Z NORETHISTERONE 5MG TAB (KWA/ATB) ATB 2022-04-21 2022-09-30 A 100'S 90 8.26 2022-04-21
40 2961AC NORETHISTERONE 5MG TAB (RYV/ATB) ATB 2022-09-27 2024-03-31 A 100'S 90 8.34 Price Change 2022-07-26
41 B2223 NOVOLIN-R 100U/ML INJ (NOV) INSULIN SHORT ACTING COL 2024-04-01 2026-03-31 A 10ML VIAL 5 11.96 2024-04-01
41 B2256 NOVOMIX 70|30 FLEXPENS 100U/ML INJ (NOV) ASPART COL 2024-04-01 2026-03-31 A 5X3ML 2 122.32 2024-03-05
40 0102V NYSTATIN 100,000U/ML SUSP (HEA/ATB) ATB 2022-12-07 2024-03-31 A 60ML 5.71 Change Local Agent 2022-11-25
40 6631R OLEO-LAX 10MG/ML (ABB/PHA) PROPOFOL (C) PHA 2022-04-01 2023-03-31 C 5X20ML 44.17 Delete from contract 2023-03-07
40 B041NJ OMEPRAZOLE 20MG CAP (FSB/ATB) ATB 2022-04-01 2024-03-31 A 100'S 30 6.80 Add to Contract as Cat A 2021-12-03
40 B041EL OMEPRAZOLE 20MG CAP (HEA/ATB) ATB 2022-12-07 2024-03-31 A 30'S 1.9 Change Local Agent 2022-11-25
40 2962EA ONE PILL 1.5MG TAB (HEA/ATB) LEVONORGESTREL(B) ATB 2022-12-07 2024-03-31 B 1'S 3.81 Change Local Agent 2022-11-25
41 0124Y OPTICHLOR 0.5% EYE DR (SHC) CHLORAMPHENICOL PSB 2024-04-01 2024-08-01 A 10ML 1 2.61 2024-06-20
41 0125M OPTICHLOR SL 1% EYE OINT (SPC) CHLORAMPHENICOL PSB 2024-04-01 2026-03-31 A 5G 1 3.26 2024-06-18
40 0125M OPTICHLOR SL 1% EYE OINTMENT PSB 2023-06-01 2024-03-31 A 5G 1 $4.35 2023-06-09
40 7912E ORPHENADRINE 30MG/ML INJ (AKI/AHI) AHI 2022-04-01 2022-09-30 C 10X2ML 0 690.07 2022-03-29
40 37419 OSMITROL 10% INJ (BAX/STO) MANNITOL STO 2022-04-01 2024-03-31 B 500ML 0 12.75 Add to Contract as Cat B 2022-04-01
40 2791D OVESTIN 1MG VAG CR (ASP/STO) ESTRIOL STO 2022-04-01 2024-03-31 A 15G 1 41.59 Add to Contract as Cat A 2021-12-06
40 3051E OXYTOCIN 10U/ML INJ (RTM/PHA) PHA 2022-06-01 2024-03-31 BQ 10X1ML 0 12.40 Price Change 2022-05-31
40 1422BJ PANADOL 32MG/ML SYR (GSK/COL) PARACETAMOL COL 2022-04-01 2024-03-31 C 90ML 300 6.33 Package Size Change 2022-02-28
40 B0427 PANTOPRAZOLE 40MG INJ (CIP/AHI) AHI 2022-04-01 2022-09-30 B 40MG VIAL 0 2.61 2022-03-29
40 1421BW PARACETAMOL 500MG TAB (FSB/ATB) ATB 2022-04-04 2024-03-31 A 10X10 180 4.05 Add to Contract as Cat A 2022-04-04
40 1421W PARACETAMOL 500MG TAB (HEA/ATB) (C) ATB 2022-07-12 2022-10-25 C 100X10 0 32.35 la 2022-11-25