Displaying 501 - 520 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 40 | 2451U | IMODIUM 2MG TAB (JAC/STO) LOPERAMIDE | STO | 2022-04-01 | 2022-05-24 | C | 60'S | 0 | 66.79 | Delete from contract | 2022-04-12 | ||
| 41 | 46121 | IMOVAX POLIO (AVP) POLIOMYELITIS | COL | 2024-04-01 | 2024-10-21 | B | 1 DOSE | 1 | 24.46 | 2024-09-09 | |||
| 40 | 3544D | IN FUVITE PAED INJ (BAX/STO) MULTIVITAMINS | STO | 2022-04-01 | 2024-03-31 | B | 5 PAIRS | 0 | 180.22 | Price Change | 2022-05-11 | ||
| 40 | 6651AL | INALIX SR 1.5MG TAB (HEA/ATB) INDAPAMIDE (C) | ATB | 2022-12-07 | 2024-03-31 | C | 3X10 | 2.91 | Change Local Agent | 2022-11-25 | |||
| 40 | 35453 | INFUVITE ADULT INJ (BAX/STO) MULTIVITAMINS | STO | 2022-04-01 | 2024-03-31 | B | 5 PAIRS | 0 | 201.16 | Price Change | 2022-05-11 | ||
| 42 | 1963V | INJECAL 10% INJ (FSB) CALCIUM GLUCONATE | AHI | 2026-04-01 | B | 20X10ML | 10 | 12.78 | Package Size Change | 2026-01-22 | |||
| 42 | 1963W | INJECAL 10% INJ (FSB) CALCIUM GLUCONATE | AHI | 2026-04-01 | B | 2X5X10ML | 10 | 6.39 | Add to Contract as Cat B | 2026-01-22 | |||
| 40 | 0211T | INVANZ 1G INJ (MSD/STO) ERTAPENEM | STO | 2023-02-22 | 2024-03-31 | C | 1G VIAL | 0 | 92.42 | PACKAGE SIZE CHANGE | 2023-02-22 | ||
| 40 | 0211T | INVANZ 1G INJ (MSD/STO) ERTAPENEM (C) | STO | 2023-03-20 | 2024-03-31 | C | 1GM | 92.42 | Add to Contract as Cat C | 2023-02-22 | |||
| 40 | 5811CQ | ISOPTIN 80MG TAB (ABB/PHA) VERAPAMIL (C) | PHA | 2022-04-01 | 2023-03-31 | C | 50'S | 8.62 | Delete from contract | 2023-03-02 | |||
| 40 | 5811FS | ISOPTIN RETARD 120MG TAB (ABB/PHA) VERAPAMIL (C) | PHA | 2022-04-01 | 2023-03-31 | C | 20'S | 10.06 | Delete from contract | 2023-03-02 | |||
| 40 | 5813BH | ISOPTIN SR 240MG TAB (ABB/PHA) VERAPAMIL (C) | PHA | 2022-04-01 | 2023-03-31 | C | 20'S | 19.3 | Delete from contract | 2023-03-02 | |||
| 42 | 1231W | ISOSORBIDE DINITRATE 10MG TAB (FSB) | STO | 2026-04-01 | A | 100'S | 180 | 2.75 | Add to Contract as Cat A | 2026-03-05 | |||
| 41 | A481F | ISOSORBIDE MONONITRATE 10MG TAB (WAT) | AHI | 2024-12-19 | 2026-03-31 | A | 56'S | 90 | 41.97 | 2024-12-19 | |||
| 40 | A483F | ISOSORBIDE MONONITRATE 60MG TAB (KWA/ATB) | ATB | 2022-04-01 | 2022-09-30 | A | 3X10 | 60 | 4.08 | 2022-03-30 | |||
| 42 | 5861MF | ITRACONAZOLE 100MG TAB (FSB) | STO | 2026-04-01 | A | 30'S | 60 | 3.91 | Add to Contract as Cat A | 2026-03-05 | |||
| 41 | 1271A | KETAMINE 50MG/ML INJ (RTM) (BQ) | PHA | 2024-05-22 | 2026-03-31 | BQ | 10ML VIAL | 0 | 15.43 | 2024-05-21 | |||
| 40 | 1271A | KETAMINE 50MG/ML INJ (RTM/PHA) | PHA | 2022-06-01 | 2024-03-31 | BQ | 10ML VIAL | 0 | 11.34 | Price Change | 2022-05-31 | ||
| 40 | 1271D | KETAMINE 50MG/ML INJ (STP/COL) | COL | 2022-04-01 | 2022-05-13 | BQ | 100X10ML | 0 | 339.79 | Delete from contract | 2022-04-01 | ||
| 40 | 1271P | KETAMINE 50MG/ML INJ (STP/COL) | COL | 2022-04-01 | 2024-03-31 | BQ | 10X10ML | 0 | 33.98 | Package Size Change | 2022-03-28 | ||