Displaying 481 - 500 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 | 1161AD | HYDRALLAZINE 25MG TAB (FSB) | STO | 2026-04-01 | A | 10X10 | 120 | 6.14 | Add to Contract as Cat A | 2026-03-05 | |||
| 42 | 1162AB | HYDRALLAZINE 50MG TAB (FSB) | STO | 2026-04-01 | A | 10X10 | 60 | 8.29 | Add to Contract as Cat A | 2026-03-05 | |||
| 40 | 2683AJ | HYDROCORTISONE 1% CR (KWA/ATB) | ATB | 2022-04-01 | 2022-09-30 | A | 15G | 2 | 3.26 | 2022-03-30 | |||
| 40 | 26848 | HYDROCORTISONE 1% OINT (KWA/ATB) | ATB | 2022-04-01 | 2022-09-30 | A | 15G | 2 | 3.26 | 2022-03-30 | |||
| 41 | 2681A | HYDROCORTISONE 10MG TAB (TEV) | COL | 2024-12-17 | 2026-03-31 | A | 30'S | 120 | 17.59 | 2024-11-26 | |||
| 41 | 26827 | HYDROCORTISONE 20MG TAB (TEV) | COL | 2024-12-17 | 2026-03-31 | A | 30'S | 120 | 19.95 | 2024-11-26 | |||
| 42 | 2691AU | HYDROCORTISONE SOD SUCC 100MG INJ (FSB) | STO | 2026-04-01 | B | 100MG VIAL | 0 | 0.71 | Add to Contract as Cat B | 2026-03-05 | |||
| 40 | 50512 | HYDROGEN PEROXIDE 6% (FED/ATB) | ATB | 2022-05-11 | 2024-03-31 | B | 150ML | 0 | 2.58 | Change Local Agent | 2022-05-11 | ||
| 40 | 50514 | HYDROGEN PEROXIDE 6% (FED/RXP) | RXP | 2022-04-01 | 2022-05-11 | B | 150ML | 0 | 2.58 | Delete from contract | 2022-05-11 | ||
| 42 | 4811Q | HYDROXYCOBALAMINE 1MG/ML INJ (FSB) | STO | 2026-04-01 | B | 10X1ML | 3 | 16.72 | Add to Contract as Cat B | 2026-03-05 | |||
| 40 | 0751J | HYOSCINE BUTYLBROMIDE 10MG TAB (KWA/ATB) | ATB | 2022-04-01 | 2022-09-30 | A | 10X10 | 120 | 20.80 | 2022-03-30 | |||
| 40 | 57522 | HYTRIN 2MG TAB (ABB/PHA) TERAZOSIN (C) | PHA | 2022-04-01 | 2023-03-31 | C | 28'S | 6.33 | Delete from contract | 2023-03-07 | |||
| 40 | 57536 | HYTRIN 5MG TAB (ABB/PHA) TERAZOSIN (C) | PHA | 2022-04-01 | 2023-03-31 | C | 28'S | 6.33 | Delete from contract | 2023-03-02 | |||
| 42 | 4141SY | IBUPROFEN 400MG TAB (HEA) | AHI | 2026-04-01 | C | 10X10 | 120 | 8.89 | Price Change | 2025-10-31 | |||
| 42 | 4141TH | IBUPROFEN 400MG TAB (HEA) | CWS | 2026-04-01 | C | 10X10 | 120 | 8.89 | Add to Contract as Cat C | 2026-01-26 | |||
| 42 | 4141TK | IBUPROFEN 400MG TAB (HEA) (C) | STO | 2026-04-01 | C | 10X10 | 120 | 8.89 | Add to Contract as Cat C | 2026-02-27 | |||
| 40 | 4141KX | IBUPROFEN 400MG TAB (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 10X10 | 8.97 | Change Local Agent | 2022-11-25 | |||
| 40 | A6611 | IMIGRAN 100MG TAB (GSK/COL) SUMATRIPTAN | COL | 2022-04-01 | 2022-05-31 | C | 2'S | 0 | 49.47 | Delete from contract | 2022-04-19 | ||
| 40 | A6612 | IMIGRAN 50MG TAB (GSK/COL) SUMATRIPTAN | COL | 2022-04-01 | 2022-05-31 | C | 2'S | 0 | 33.92 | Delete from contract | 2022-04-19 | ||
| 41 | 0212BQ | IMIPENEM/CILASTATIN |500MG INJ (LDP) CILASTATIN|IMIPENEM | AHI | 2024-04-03 | 2026-03-31 | BQ | 1 DOSE | 27.56 | 2024-04-03 | ||||