Displaying 781 - 800 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 | A7757 | QUETIDIN XR 50MG TAB (ABB/PHA) QUETIAPINE XR (BP) | PHA | 2022-04-01 | 2023-03-31 | BP | 30'S | 47.22 | Delete from contract | 2023-03-07 | |||
| 41 | B071D | QUETRA 500MG TAB (REM) LEVETIRACETA | SBI | 2024-04-02 | 2026-03-31 | BQ | 30'S | 120 | 11.77 | 2024-04-02 | |||
| 40 | 5843EM | RAMIPRIL 2.5MG TAB (HEA/ATB) SCORED | ATB | 2022-12-07 | 2024-03-31 | A | 10X10 | 6.12 | Change Local Agent | 2022-11-25 | |||
| 40 | 5841HP | RAMIPRIL 5MG TAB (HEA/ATB) SCORED | ATB | 2022-07-12 | 2024-03-31 | A | 10X10 | 45 | 7.88 | la | 2022-11-25 | ||
| 40 | 5062AJ | REHYDRATION SALTS (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 30'S | 18.62 | Change Local Agent | 2022-11-25 | |||
| 41 | 1351F | RESTRIVA 500MG TAB (TRO) METAMIZOL | AHI | 2024-04-01 | 2026-03-31 | A | 150'S | 30 | 21.77 | 2024-03-11 | |||
| 42 | 3061E | RHOPHYLAC 150MCG/ML PREFIL SYRN (CSL) IMMUNOGLOBULIN ANTI-D | AHI | 2026-04-01 | BQ | 1X2ML PFS | 0 | 122.32 | Add to Contract | 2025-11-10 | |||
| 40 | A712AD | RISPERIDONE 1MG TAB (INP/AHI) | AHI | 2022-04-01 | 2022-09-30 | A | 50'S | 60 | 1.09 | 2022-03-29 | |||
| 40 | A711AB | RISPERIDONE 2MG TAB (INP/AHI) | AHI | 2022-04-01 | 2022-09-30 | A | 50'S | 60 | 1.20 | 2022-03-29 | |||
| 40 | 1132FW | ROSUVASTATIN 10MG TAB (MSN/AHI) | AHI | 2022-04-01 | 2022-09-30 | A | 30'S | 30 | 4.08 | 2022-03-29 | |||
| 40 | 1133EH | ROSUVASTATIN 20MG TAB (MSN/AHI) | AHI | 2022-04-01 | 2022-09-30 | A | 30'S | 30 | 5.16 | 2022-03-29 | |||
| 40 | 1134AD | ROSUVASTATIN 40MG TAB (FSB/ATB) | ATB | 2022-04-01 | 2024-03-31 | A | 20'S | 30 | 3.78 | Add to Contract as Cat A | 2022-06-02 | ||
| 40 | 1134AM | ROSUVASTATIN 40MG TAB (MCP | AHI | 2023-06-19 | 2024-03-31 | A | 30'S | 30 | $5.54 | 2023-06-09 | |||
| 40 | 1131EP | ROSUVASTATIN 5MG TAB (MSN/AHI) | AHI | 2022-04-01 | 2022-09-30 | A | 30'S | 30 | 2.47 | 2022-03-29 | |||
| 40 | 73814 | RYTHMONORM 150MG TAB (ABB/PHA) PROPAFENONE (C) | PHA | 2022-04-01 | 2023-03-31 | C | 30'S | 20.55 | Delete from contract | 2023-03-07 | |||
| 41 | 42117 | SCHEDERMA 1MG|10MG|5MG CR (LEO) DI (C) | COL | 2024-04-25 | 2026-03-31 | C | 15G | 2 | 21.1 | 2024-04-25 | |||
| 40 | 2962S | SEGUIDET 1.5MG TAB (LAF/AHI) LEVONORGESTREL | AHI | 2022-04-01 | 2024-03-31 | C | 1'S | 0 | 5.22 | Change Local Agent | 2022-02-03 | ||
| 40 | A3951 | SERETIDE DISKUS 500MCG | 50MCG INHR (GSK/COL) F | COL | 2022-04-01 | 2024-03-31 | A | 60 DOSES | 0 | 60.97 | CHANGE FROM CAT C -CAT A | 0000-00-00 | ||
| 40 | A771S | SEROQUEL 100MG TAB (AZN/COL) QUETIAPINE | COL | 2022-05-17 | 2024-03-31 | C | 30'S | 30 | 38.36 | Add to Contract as Cat C | 2022-05-17 | ||
| 40 | A7758 | SEROQUEL XR 50MG TAB (AZN/COL) QUETIAPINE XR | COL | 2022-05-17 | 2024-03-31 | C | 30'S | 0 | 52.74 | Add to Contract as Cat C | 2022-05-17 | ||