Displaying 621 - 640 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 | 2841BX | METFORMIN XR | ATB | 2022-12-07 | 2024-03-31 | A | 100'S | 120 | 7.48 | ADD AS CAT A BENEFIT | 2022-12-07 | ||
| 40 | 2841BX | METFORMIN XR 500MG TAB (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 10X10 | 7.48 | Change Local Agent | 2022-11-25 | |||
| 40 | 2841BM | METFORMIN XR 500MG TAB (HEA/RXP) | RXP | 2022-04-01 | 2022-12-07 | A | 10X10 | 120 | 7.48 | DEL | 2022-12-07 | ||
| 42 | 5962C | METFORMIN|VILDAGLIPTIN 850MG|50MG TAB (CHC) | STO | 2026-04-01 | B | 60'S | 60 | 21.31 | Add to Contract as Cat B | 2026-03-05 | |||
| 40 | 0631Y | METHOTREXATE 2.5MG TAB (FSB/ATB) | ATB | 2022-04-01 | 2022-09-30 | A | 100'S | 32 | 7.48 | 2022-03-30 | |||
| 40 | 4121B | METHYLPREDNISOLONE SODIUM SUCCINATE 500MG INJ (KWA/ATB) | ATB | 2022-04-01 | 2022-09-30 | B | 500MG VIAL | 0 | 15.36 | 2022-03-30 | |||
| 42 | 0481BC | METROZOLE 250MG TAB (HEA) METRONIDAZOLE | AHI | 2026-04-01 | A | 10X10 | 90 | 5.30 | Price Change | 2025-10-31 | |||
| 40 | 7621BE | MIA 3MG D/0.02MG EE TAB (ABB/PHA) DROSP/EE (C) | PHA | 2022-04-01 | 2023-03-31 | C | 28'S | 19.52 | Delete from contract | 2023-03-07 | |||
| 40 | 7621BD | MIA 3MG D/0.03MG EE TAB (ABB/PHA) DROSP/EE (C) | PHA | 2022-04-01 | 2023-03-31 | C | 28'S | 21.34 | Delete from contract | 2023-03-02 | |||
| 41 | 52354 | MICOGEL 2% GEL (ARP) MICONAZOLE | AHI | 2024-04-01 | 2026-03-31 | B | 15G | 2 | 5.36 | 2023-11-21 | |||
| 41 | 6211D | MIDAZOLAM 5MG/ML INJ (RTM) (B) | PHA | 2024-05-25 | 2026-03-31 | B | 10X3ML | 0 | 36.5 | 2024-04-01 | |||
| 40 | 6211D | MIDAZOLAM 5MG/ML INJ (RTM/PHA) | PHA | 2022-04-01 | 2024-03-31 | B | 10X3ML | 0 | $36.50 | PRICE CHANGE | 0000-00-00 | ||
| 40 | 3912F | MINOXIDIL 10MG TAB (KWA/ATB) | ATB | 2022-04-03 | 2024-03-31 | A | 10X10 | 120 | 93.13 | Price Change | 2022-06-14 | ||
| 40 | 3911C | MINOXIDIL 2.5MG TAB (KWA/ATB) | ATB | 2022-04-03 | 2024-03-31 | A | 10X10 | 120 | 56.79 | Price Change | 2022-06-14 | ||
| 41 | A041Q | MOFILET 500MG TAB (EMC) MYCOPHENOLATE | COL | 2024-04-01 | 2026-03-31 | BQ | 60'S | 180 | 61.98 | 2024-03-07 | |||
| 40 | 3653CK | MOMETASONE 50MCG NASAL SP (BCH/COL) | COL | 2022-04-01 | 2024-03-31 | A | 140 DOSES | 1 | 9.08 | Add to Contract as Cat A | 2021-07-29 | ||
| 40 | 1381C | MORPHINE 10MG/ML INJ (MTP/COL) | COL | 2022-07-15 | 2024-03-31 | B | 10X1ML | 0 | 12.64 | Price Change | 2022-07-14 | ||
| 40 | 1382G | MORPHINE 15MG/ML INJ (MTP/COL) | COL | 2022-07-15 | 2024-03-31 | B | 10X1ML | 0 | 13.84 | Price Change | 2022-07-14 | ||
| 40 | 13842 | MORPHINE 2MG/ML SOLN (MTP/COL) | COL | 2022-07-15 | 2024-03-31 | B | 500ML | 0 | 33.44 | Price Change | 2022-07-14 | ||
| 40 | 5281BB | MOXICIP 0.5% EYE DR (CIP/AHI) MOXIFLOXACIN | AHI | 2022-04-01 | 2022-09-30 | BQ | 5ML | 0 | 10.60 | 2022-03-29 | |||