Displaying 61 - 80 of 507
| 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 | 0314L | BACTIGRAS 10CMX10CM (SMN/IMS) CHLORHEXIDINE | IMS | 2022-04-06 | 2024-03-31 | A | 10'S | 10 | 29.00 | Add to Contract as Cat A | 2022-04-06 | ||
| 40 | 4253U | BANEOCIN 250IU | 5MG OINT (BCH/COL) BACITRACIN | NEOMYCIN | COL | 2022-04-01 | 2022-05-24 | A | 20G | 2 | 5.25 | Delete from contract | 2022-04-12 | ||
| 40 | 15029 | BARBIFED 30MG TAB (FED/ATB) PHENOBARBITONE | ATB | 2022-05-11 | 2024-03-31 | A | 500'S | 180 | 22.75 | Change Local Agent | 2022-05-11 | ||
| 40 | 15024 | BARBIFED 30MG TAB (FED/RXP) PHENOBARBITONE | RXP | 2022-04-01 | 2022-05-11 | A | 500'S | 180 | 22.75 | Delete from contract | 2022-05-11 | ||
| 40 | 4181BH | BEMABIX 25MG/ML INJ (ABB/PHA) BEVACIZUMAB (C) | PHA | 2022-04-01 | 2023-04-18 | C | 4ML VIAL | 856.27 | Delete from contract | 2023-03-07 | |||
| 40 | 4181BJ | BEMABIX 25MG/ML INJ (ABB/PHA) BEVACIZUMAB (C) | PHA | 2022-04-01 | 2023-03-31 | C | 16ML VIAL | 3811.28 | Delete from contract | 2023-03-07 | |||
| 40 | 26517 | BETAMETHASONE 0.5MG TAB (LAF/AHI) | AHI | 2022-04-01 | 2024-03-31 | A | 100'S | 240 | 56.38 | Change Local Agent | 2022-02-03 | ||
| 40 | 6801G | BETASERC 16MG TAB (ABB/PHA) BETAHISTINE (C) | PHA | 2022-04-01 | 2023-03-31 | C | 20'S | 12.56 | Delete from contract | 2023-03-02 | |||
| 40 | 6691AF | BILIVE 1MG E/2MG D TAB (ABB/PHA) ESTRADIOL/DR (C) | PHA | 2022-04-01 | 2023-04-13 | C | 30'S | 29.98 | Delete from contract | 2023-03-02 | |||
| 41 | A531AW | BIMATOPROST 0.01% EYE DR (CIR/AHI) | AHI | A | 2.5ML | 1 | 9.24 | 2024-09-10 | |||||
| 40 | 1184K | BISOPROLOL 10MG TAB (RYV/ATB) | ATB | 2022-07-20 | 2024-03-31 | A | 100'S | 30 | 8.57 | Price Change | 2022-07-19 | ||
| 40 | 1181EF | BISOPROLOL 2.5MG TAB (FSB/ATB) | ATB | 2022-04-07 | 2022-09-30 | A | 10X10 | 30 | 3.70 | 2022-04-07 | |||
| 40 | 1181FD | BISOPROLOL 2.5MG TAB (RYV/ATB) | ATB | 2022-07-27 | 2024-03-31 | A | 100'S | 30 | 4.55 | Price Change | 2022-07-26 | ||
| 40 | 1182ED | BISOPROLOL 5MG TAB (FSB/ATB) | ATB | 2022-04-07 | 2022-09-30 | A | 10X10 | 30 | 4.46 | 2022-04-07 | |||
| 40 | 1182EU | BISOPROLOL 5MG TAB (RYV/ATB) | ATB | 2022-07-27 | 2024-03-31 | A | 100'S | 30 | 5.15 | Price Change | 2022-07-26 | ||
| 40 | 43536 | BOTTLE, GLASS RX, 100ML FLAT (BEA/COL) BOT | COL | 2022-04-01 | 2024-03-31 | B | 90'S | 0 | 87.45 | Price Change | 2022-05-09 | ||
| 40 | 43574 | BOTTLE, GLASS RX, 150ML AMBER (BEA/COL) BOT | COL | 2022-04-01 | 2024-03-31 | B | 84'S | 0 | 42.19 | Price Change | 2022-05-09 | ||
| 40 | 43528 | BOTTLE, GLASS RX, 60ML AMBER EACH (BEA/COL) | COL | 2022-04-01 | 2024-03-31 | B | 132'S | 0 | 52.60 | Price Change | 2022-05-09 | ||
| 40 | A671BA | BREATHEZY 10MG TAB (MSN/AHI) MONTELUKAST | AHI | 2022-04-01 | 2022-09-30 | A | 3X10 | 30 | 5.44 | 2022-03-29 | |||
| 40 | A671AZ | BREATHEZY CHEWABLE 4MG TAB (MSN/AHI) MONTELUK | AHI | 2022-04-01 | 2022-09-30 | A | 3X10 | 30 | 2.72 | 2022-03-29 | |||