Displaying 561 - 580 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 41 | 5201GM | LIFESTYLE SKYN ELITE (ANS) CONDOM | SBI | 2024-04-01 | 2024-07-22 | C | 3'S | 0 | 5.1648 | 2024-07-22 | |||
| 41 | 5201GM | LIFESTYLE SKYN ELITE (ANS) CONDOM | SBI | 2024-07-23 | 2026-03-31 | C | 3'S | 0 | 6.05 | 2024-07-22 | |||
| 41 | 5201FU | LIFESTYLE SKYN LRG (ANS) CONDOM | SBI | 2024-04-01 | 2024-07-22 | C | 3'S | 0 | 5.0289 | 2024-07-22 | |||
| 41 | 5201FU | LIFESTYLE SKYN LRG (ANS) CONDOM | SBI | 2024-07-23 | 2026-03-31 | C | 3'S | 0 | 5.89 | 2024-07-22 | |||
| 40 | 5201FU | LIFESTYLE SKYN LRG (ANS/SBI) CONDOM | SBI | 2022-06-14 | 2024-03-31 | C | 3'S | 0 | 5.98 | Price Change | 2022-06-13 | ||
| 41 | 5201GN | LIFESTYLE WET RIDER (ANS) CONDOM | SBI | 2024-04-01 | 2024-07-22 | C | 3'S | 0 | 1.4679 | 2024-07-22 | |||
| 41 | 5201GN | LIFESTYLE WET RIDER (ANS) CONDOM | SBI | 2024-07-23 | 2026-03-31 | C | 3'S | 0 | 1.72 | 2024-07-22 | |||
| 40 | 5201FW | LIFESTYLES SENSITIVE VARIETY (ANS/SBI) CON | SBI | 2022-06-14 | 2024-03-31 | C | 3'S | 0 | 5.77 | Price Change | 2022-06-13 | ||
| 41 | 5201Q | LIFESTYLES BARE RIDER (ANS) CONDOM | SBI | 2024-04-01 | 2024-07-22 | C | 3'S | 0 | 1.4679 | 2024-07-22 | |||
| 41 | 5201Q | LIFESTYLES BARE RIDER (ANS) CONDOM | SBI | 2024-07-23 | 2026-03-31 | C | 3'S | 0 | 1.72 | 2024-07-22 | |||
| 40 | 5201Q | LIFESTYLES BARE RIDER (ANS/SBI) CONDOM | SBI | 2022-06-10 | 2024-03-31 | C | 3'S | 0 | 1.25 | Price Change | 2022-06-13 | ||
| 40 | 5201GA | LIFESTYLES KYNG GOLD (ANS/SBI) CONDOM | SBI | 2022-06-13 | 2024-03-31 | C | 3'S | 0 | 5.77 | Price Change | 2022-06-13 | ||
| 41 | 5201FT | LIFESTYLES SKYN ORIGINAL (ANS) CO | SBI | 2024-04-01 | 2024-07-22 | C | 3'S | 0 | 5.0289 | 2024-07-22 | |||
| 41 | 5201FT | LIFESTYLES SKYN ORIGINAL (ANS) CO | SBI | 2024-07-23 | 2026-03-31 | C | 3'S | 0 | 5.89 | 2024-07-22 | |||
| 40 | 5201FT | LIFESTYLES SKYN ORIGINAL (ANS/SBI) CONDOM | SBI | 2022-06-14 | 2024-03-31 | C | 3'S | 0 | 5.98 | Price Change | 2022-06-13 | ||
| 40 | 5201FV | LIFESTYLES SKYN SELLECTION (ANS/SBI) CONDOM | SBI | 2022-04-01 | 2022-07-25 | C | 3'S | 0 | 4.24 | Delete from contract | 2022-06-13 | ||
| 40 | 5201N | LIFESTYLES STUDDED (ANS/SBI) CONDOM | SBI | 2022-06-14 | 2024-03-31 | C | 3'S | 0 | 6.16 | Price Change | 2022-06-13 | ||
| 40 | 5201GC | LIFESTYLES ULTRA RIBBED (ANS/SBI) CONDOM | SBI | 2022-06-13 | 2024-03-31 | C | 3'S | 0 | 2.10 | Price Change | 2022-06-13 | ||
| 41 | 5201FZ | LIFESTYLES ULTRA SENSITIVE (ANS) | SBI | 2024-04-01 | 2024-07-22 | C | 3'S | 0 | 2.0116 | 2024-07-22 | |||
| 41 | 5201FZ | LIFESTYLES ULTRA SENSITIVE (ANS) | SBI | 2024-07-23 | 2026-03-31 | C | 3'S | 0 | 2.36 | 2024-07-22 | |||