Displaying 681 - 700 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 | 2961Z | NORETHISTERONE 5MG TAB (KWA/ATB) | ATB | 2022-04-21 | 2022-09-30 | A | 100'S | 90 | 8.26 | 2022-04-21 | |||
| 40 | 2961AC | NORETHISTERONE 5MG TAB (RYV/ATB) | ATB | 2022-09-27 | 2024-03-31 | A | 100'S | 90 | 8.34 | Price Change | 2022-07-26 | ||
| 41 | B2223 | NOVOLIN-R 100U/ML INJ (NOV) INSULIN SHORT ACTING | COL | 2024-04-01 | 2026-03-31 | A | 10ML VIAL | 5 | 11.96 | 2024-04-01 | |||
| 41 | B2256 | NOVOMIX 70|30 FLEXPENS 100U/ML INJ (NOV) ASPART | COL | 2024-04-01 | 2026-03-31 | A | 5X3ML | 2 | 122.32 | 2024-03-05 | |||
| 42 | B2214 | NOVORAPID FLEXPENS 100U/ML INJ (NOV) INSULIN ASPART | COL | 2026-04-01 | A | 5X3ML | 2 | 88.35 | Amend Protocol Quantity | 2026-04-21 | |||
| 42 | 0102AB | NYSTATIN 100,000U/ML SUSP (FSB) | STO | 2026-04-01 | A | 60ML | 180 | 5.14 | Add to Contract as Cat A | 2026-03-05 | |||
| 42 | 0102AA | NYSTATIN 100,000U/ML SUSP (HEA) | CWS | 2026-04-01 | A | 60ML | 180 | 5.65 | Add to Contract as Cat A | 2026-01-26 | |||
| 42 | 0102AC | NYSTATIN 100,000U/ML SUSP (HEA) | STO | 2026-04-01 | A | 60ML | 180 | 5.65 | Add to Contract as Cat A | 2026-02-26 | |||
| 42 | 0102Z | NYSTATIN 100,000U/ML SUSP (HEA) | AHI | 2026-04-01 | A | 60ML | 180 | 5.65 | Price Change | 2025-10-31 | |||
| 40 | 0102V | NYSTATIN 100,000U/ML SUSP (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 60ML | 5.71 | Change Local Agent | 2022-11-25 | |||
| 40 | 6631R | OLEO-LAX 10MG/ML (ABB/PHA) PROPOFOL (C) | PHA | 2022-04-01 | 2023-03-31 | C | 5X20ML | 44.17 | Delete from contract | 2023-03-07 | |||
| 40 | B041NJ | OMEPRAZOLE 20MG CAP (FSB/ATB) | ATB | 2022-04-01 | 2024-03-31 | A | 100'S | 30 | 6.80 | Add to Contract as Cat A | 2021-12-03 | ||
| 42 | B041QJ | OMEPRAZOLE 20MG CAP (HEA) | AHI | 2026-04-01 | A | 3X10 | 60 | 2.20 | Price Change | 2025-10-31 | |||
| 42 | B041QT | OMEPRAZOLE 20MG CAP (HEA) | CWS | 2026-04-01 | A | 3X10 | 60 | 2.20 | Add to Contract as Cat A | 2026-01-26 | |||
| 42 | B041QU | OMEPRAZOLE 20MG CAP (HEA) | STO | 2026-04-01 | A | 30'S | 60 | 2.20 | Add to Contract as Cat A | 2026-02-27 | |||
| 40 | B041EL | OMEPRAZOLE 20MG CAP (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 30'S | 1.9 | Change Local Agent | 2022-11-25 | |||
| 42 | 2962AC | ONE PILL 1.5MG TAB (HEA) LEVONORGESTREL | AHI | 2026-04-01 | C | 1'S | 1 | 3.21 | Price Change | 2025-10-31 | |||
| 42 | 2962AG | ONE PILL 1.5MG TAB (HEA) LEVONORGE (C) | STO | 2026-04-01 | C | 1'S | 1 | 3.21 | Add to Contract as Cat C | 2026-02-27 | |||
| 42 | 2962AF | ONE PILL 1.5MG TAB (HEA) LEVONORGESTREL | CWS | 2026-04-01 | C | 1'S | 1 | 3.21 | Add to Contract as Cat C | 2026-01-26 | |||
| 40 | 2962EA | ONE PILL 1.5MG TAB (HEA/ATB) LEVONORGESTREL(B) | ATB | 2022-12-07 | 2024-03-31 | B | 1'S | 3.81 | Change Local Agent | 2022-11-25 | |||