Displaying 581 - 600 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 | 5201FZ | LIFESTYLES ULTRA SENSITIVE (ANS/SBI) CONDOM | SBI | 2022-06-14 | 2024-03-31 | C | 3'S | 0 | 2.10 | Price Change | 2022-06-13 | ||
| 40 | 5201FS | LIFESTYLES ULTRA THIN (ANS/SBI) CONDOM | SBI | 2022-06-14 | 2024-03-31 | C | 3'S | 0 | 5.77 | Price Change | 2022-06-13 | ||
| 40 | 1131FW | LIPITAS 10MG TAB (INP/AHI) ATORVASTATIN | AHI | 2023-03-20 | 2024-03-31 | A | 30'S | 3.56 | Add to Contract as Cat A | 2023-01-04 | |||
| 40 | 1132HE | LIPITAS 20MG TAB (INP/AHI) ATORVASTATIN | AHI | 2023-03-20 | 2024-03-31 | A | 30'S | 30 | 4.32 | Add to Contract as Cat A | 2023-01-04 | ||
| 40 | 1133FV | LIPITAS 40MG TAB (INP/AHI) ATORVASTATIN | AHI | 2023-03-20 | 2024-03-31 | A | 30'S | 30 | 5.41 | Add to Contract as Cat A | 2023-01-04 | ||
| 42 | 5841JM | LISINOPRIL 10MG TAB (HEA) | AHI | 2026-04-01 | A | 10X10 | 120 | 6.71 | Price Change | 2025-10-31 | |||
| 42 | 5841JV | LISINOPRIL 10MG TAB (HEA) | CWS | 2026-04-01 | A | 10X10 | 120 | 6.71 | Add to Contract as Cat A | 2026-01-26 | |||
| 42 | 5841JX | LISINOPRIL 10MG TAB (HEA) | STO | 2026-04-01 | A | 10X10 | 120 | 6.71 | Add to Contract as Cat A | 2026-02-27 | |||
| 42 | 5842JL | LISINOPRIL 20MG TAB (HEA) | AHI | 2026-04-01 | A | 10X10 | 60 | 7.88 | Price Change | 2025-10-31 | |||
| 42 | 5842JT | LISINOPRIL 20MG TAB (HEA) | CWS | 2026-04-01 | A | 10X10 | 60 | 7.88 | Add to Contract as Cat A | 2026-01-26 | |||
| 42 | 5842JV | LISINOPRIL 20MG TAB (HEA) | STO | 2026-04-01 | A | 10X10 | 60 | 7.88 | Add to Contract as Cat A | 2026-02-27 | |||
| 40 | 5842GV | LISINOPRIL 20MG TAB (KWA/ATB) | ATB | 2022-04-01 | 2022-09-30 | A | 10X10 | 60 | 6.90 | 2022-03-30 | |||
| 40 | 5842HN | LISINOPRIL 20MG TAB (RYV/ATB) | ATB | 2022-04-01 | 2022-07-04 | A | 100'S | 60 | 7.04 | Delete from contract | 2022-05-23 | ||
| 40 | 5843DU | LISINOPRIL 5MG TAB (FSB/ATB) | ATB | 2022-04-01 | 2022-09-30 | A | 10X10 | 60 | 4.76 | 2022-03-30 | |||
| 41 | 2451AQ | LOPERAMIDE 2MG CAP (TEV) | COL | 2024-12-17 | 2026-03-31 | A | 30'S | 30 | 4.57 | 2024-11-26 | |||
| 41 | 0012FP | LORATADINE 10MG TAB (MCP) | AHI | 2024-12-28 | 2026-03-31 | A | 10X10 | 14 | 7.85 | 2024-12-27 | |||
| 42 | 0013BY | LORATADINE 1MG/ML SYR (HEA) | CWS | 2026-04-01 | A | 100ML | 120 | 3.10 | Add to Contract as Cat A | 2026-01-26 | |||
| 42 | 0013CA | LORATADINE 1MG/ML SYR (HEA) | STO | 2026-04-01 | A | 100ML | 120 | 3.10 | Add to Contract as Cat A | 2026-02-26 | |||
| 40 | 0013PF | LORATADINE 1MG/ML SYRUP (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 100 ML | 3.13 | Change Local Agent | 2022-11-25 | |||
| 40 | 4622U | LORAZEPAM 2MG/ML INJ (FSB/ATB) | ATB | 2022-05-27 | 2024-03-31 | B | 1ML VIAL | 0 | 4.02 | Price Change | 2022-05-27 | ||