Displaying 61 - 80 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 42 | 55318 | AMLOSHIP-VL 5MG|80MG TAB (FSB) AMLODIPINE|VALSARTAN | STO | 2026-04-01 | A | 10X10 | 60 | 8.92 | Add to Contract as Cat A | 2026-03-05 | |||
| 40 | B5931 | AMLOTENSIVE CT 10MG | 25MG TAB (CAR/COL) AMLODIPINE | CHLORTHALIDONE | COL | 2022-07-11 | 2024-03-31 | A | 210'S | 30 | 26.26 | Add to Contract as Cat A | 2022-07-11 | ||
| 40 | B5941 | AMLOTENSIVE CT 10MG | 50MG TAB (CAR/COL) AMLODIPINE | CHLORTHALIDONE | COL | 2022-07-11 | 2022-03-31 | A | 210'S | 30 | 35.90 | Add to Contract as Cat A | 2022-07-11 | ||
| 40 | B5921 | AMLOTENSIVE CT 5MG | 50MG TAB (CAR/COL) AMLODIPINE | CHLORTHALIDONE | COL | 2022-07-11 | 2024-03-31 | A | 210'S | 30 | 35.90 | Add to Contract as Cat A | 2022-07-11 | ||
| 42 | 0152C | AMOXICILLIN 25MG/ML SUSP (FSB) | STO | 2026-04-01 | A | 100ML | 300 | 1.25 | Add to Contract as Cat A | 2026-03-05 | |||
| 41 | 0152BQ | AMOXICILLIN 25MG/ML SUSP (MCP) | AHI | 2024-12-28 | 2026-03-31 | A | 100ML | 300 | 2.04 | 2024-12-27 | |||
| 41 | 0153DH | AMOXICILLIN 500MG TAB (MCP) | AHI | 2024-04-01 | 2024-12-27 | A | 10X10 | 28 | 10.03 | 2023-10-30 | |||
| 41 | 0153DH | AMOXICILLIN 500MG TAB (MCP) | AHI | 2024-12-28 | 2026-03-31 | A | 10X10 | 28 | 11.4 | 2024-12-27 | |||
| 40 | 7726CK | AMOXICILLIN | CLAVULANIC ACID 1G | 0.2G INJ (CHC/ATB) | ATB | 2022-04-01 | 2024-03-31 | B | 1.2G VIAL | 0 | 3.23 | Price Change | 2021-12-03 | ||
| 40 | 7722BV | AMOXICILLIN | CLAVULANIC ACID 875MG | 125MG TAB (KWA/ATB) | ATB | 2022-04-01 | 2022-09-30 | B | 2X10 | 14 | 7.75 | 2022-03-30 | |||
| 42 | 7722DR | AMOXICILLIN|CLAVULANIC ACID 500MG|125MG TAB (KWA) | STO | 2026-04-01 | B | 20'S | 30 | 5.08 | Add to Contract as Cat B | 2026-03-02 | |||
| 42 | 7722DQ | AMOXICILLIN|CLAVULANIC ACID 875MG|125MG TAB (KWA) | STO | 2026-04-01 | B | 2X10 | 21 | 6.69 | Add to Contract as Cat B | 2026-03-02 | |||
| 41 | 7722CP | AMOXICILLIN|CLAVULANIC ACID 875MG|125MG TAB (MCP) (B) | AHI | 2024-12-28 | 2026-03-31 | B | 2X10 | 21 | 8.09 | 2024-12-27 | |||
| 42 | 0081AK | AMPHIZOME 50MG INJ (FSB) AMPHOTERICIN B | STO | 2026-04-01 | BQ | 5ML | 21 | 12.53 | Add to Contract | 2026-03-05 | |||
| 40 | 0164AU | AMPICILLIN 500MG INJ (CHC/ATB) | ATB | 2022-04-01 | 2024-03-31 | BQ | 500MG VIAL | 0 | 0.82 | Price Change | 2021-12-03 | ||
| 40 | 0164AM | AMPICILLIN 500MG INJ (KWA/ATB) | ATB | 2022-04-01 | 2022-09-30 | BQ | 500MG VIAL | 0 | 0.90 | 2022-03-30 | |||
| 41 | B5012 | ANORO ELLIPTA 55MCG|22MCG INHR (GSK) UMECLIDINIUM|VILANTEROL (BQ) | COL | 2024-04-01 | 2024-07-16 | BQ | 30 DOSES | 1 | 108.68 | 2024-07-16 | |||
| 41 | B5012 | ANORO ELLIPTA 55MCG|22MCG INHR (GSK) UMECLIDINIUM|VILANTEROL (BQ) | COL | 2024-07-17 | 2026-03-31 | BQ | 30 DOSES | 1 | 163.94 | 2024-07-17 | |||
| 42 | 4061H | ANTAZOLINE|NAPHAZOLINE 0.5%|0.05% EYE DR (FSB) | STO | 2026-04-01 | A | 10ML | 1 | 6.14 | Add to Contract as Cat A | 2026-03-05 | |||
| 40 | 3921K | ANTIPLAR 75MG TAB (EMC/COL) CLOPIDOGREL | COL | 2022-05-31 | 2022-12-31 | A | 100'S | 30 | 9.51 | 2022-05-31 | |||