Displaying 761 - 780 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 | 59323 | PROCORALAN 7.5MG TAB (SER/COL) IVABRADINE | COL | 2022-04-13 | 2024-03-31 | C | 28'S | 0 | 60.87 | Add to Contract as Cat C | 2022-04-13 | ||
| 40 | 59321 | PROCORALAN 7.5MG TAB (SER/STO) IVABRADINE | STO | 2022-04-01 | 2024-03-31 | C | 28'S | 0 | 60.87 | Package Size Change | 2022-04-06 | ||
| 41 | 36223 | PROLOPA 50MG|200MG TAB (ROC) BENSERAZIDE|LEVODOPA | AHI | 2024-09-27 | 2026-03-31 | A | 30'S | 240 | 30.15 | 2024-09-27 | |||
| 40 | 1763L | PROMETHAZINE 25MG/ML INJ (ROL/AHI) | AHI | 2022-04-01 | 2022-09-30 | B | 25X1ML | 0 | 204.04 | 2022-03-29 | |||
| 42 | 7811AJ | PROTRIDE 5MG TAB (HEA) FINASTERIDE | AHI | 2026-04-01 | A | 3X10 | 30 | 6.66 | Price Change | 2025-10-31 | |||
| 42 | 7811AL | PROTRIDE 5MG TAB (HEA) FINASTERIDE | CWS | 2026-04-01 | A | 3X10 | 30 | 6.69 | Add to Contract as Cat A | 2026-01-26 | |||
| 42 | 7811AM | PROTRIDE 5MG TAB (HEA) FINASTERIDE | STO | 2026-04-01 | A | 3X10 | 30 | 6.69 | Add to Contract as Cat A | 2026-02-27 | |||
| 40 | 7811AC | PROTRIDE 5MG TAB (HEA/ATB) FINASTERIDE | ATB | 2022-12-07 | 2024-03-31 | A | 3X10 | 6.77 | Change Local Agent | 2022-11-25 | |||
| 40 | 0884BD | PULMICORT 0.25MG/ML RESP SOL (AZN/COL) BUDESO | COL | 2022-04-13 | 2024-03-31 | A | 20X2ML | 20 | 40.77 | Add to Contract as Cat A | 2022-04-13 | ||
| 40 | 0884BE | PULMICORT 0.5MG/ML RESP SOL (AZN/COL) BUDESON | COL | 2022-04-13 | 2024-03-31 | A | 20X2ML | 20 | 46.21 | Add to Contract as Cat A | 2022-04-13 | ||
| 41 | 3501AW | QC VITAMIN C 500MG TAB (INF) ASCORBIC ACID | RXP | 2024-11-11 | 2025-02-28 | B | 250'S | 22.99 | 2024-11-11 | ||||
| 41 | A772AL | QUETIAPINE 200MG TAB (MCP) (BP) | AHI | 2024-12-28 | 2026-03-31 | BP | 3X10 | 120 | 6.42 | 2024-12-27 | |||
| 41 | A774AC | QUETIAPINE 300MG XR TAB (MCP) | AHI | 2024-04-01 | 2024-12-27 | BP | 6X10 | 0 | 16.85 | 2024-03-07 | |||
| 41 | A774AC | QUETIAPINE 300MG XR TAB (MCP) | AHI | 2024-12-28 | 2026-03-31 | BP | 6X10 | 0 | 19.15 | 2024-12-27 | |||
| 40 | A771Q | QUETIDIN 100MG TAB (ABB/PHA) QUETIAPINE (BP) | PHA | 2022-04-01 | 2023-03-31 | BP | 30'S | 13.4 | Delete from contract | 2023-03-07 | |||
| 40 | A772Z | QUETIDIN 200MG TAB (ABB/PHA) QUETIAPINE (BP) | PHA | 2022-04-01 | 2023-03-31 | BP | 30'S | 27.26 | Delete from contract | 2023-03-07 | |||
| 40 | A773Q | QUETIDIN 25MG TAB (ABB/PHA) QUETIAPINE (BP) | PHA | 2022-04-01 | 2023-03-31 | BP | 30'S | 12.8 | Delete from contract | 2023-03-07 | |||
| 40 | A774U | QUETIDIN 300MG TAB (ABB/PHA) QUETIAPINE (BP) | PHA | 2022-04-01 | 2023-03-31 | BP | 30'S | 35.66 | Delete from contract | 2023-03-07 | |||
| 40 | A772AK | QUETIDIN XR 200MG TAB (ABB/PHA) QUETIAPINE XR (BP) | PHA | 2022-04-01 | 2023-03-31 | BP | 30'S | 62.17 | Delete from contract | 2023-03-07 | |||
| 40 | A774R | QUETIDIN XR 300MG TAB (ABB/PHA) QUETIAPINE XR (BP) | PHA | 2022-04-01 | 2023-03-31 | BP | 30'S | 80.44 | Delete from contract | 2023-03-07 | |||