Displaying 801 - 820 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 | 5821BE | SILVER SULPHADIAZINE 1% CR (CHC) | STO | 2026-04-01 | B | 400G | 1 | 15.60 | Add to Contract as Cat B | 2026-03-05 | |||
| 40 | 5821AZ | SILVER SULPHADIAZINE 1% CR (FSB/ATB) | ATB | 2022-04-01 | 2024-03-31 | B | 400G | 0 | 16.23 | Price Change | 2021-12-03 | ||
| 40 | 0131DT | SKAZI 40MG/ML SUSP (SKH) | ATB | A | 15ML | 30 | $4.89 | 0000-00-00 | |||||
| 41 | 0131DT | SKAZI 40MG/ML SUSP (SKH) AZITHROMYCIN | ATB | 2024-06-05 | 2026-03-31 | A | 15ML | 30 | 4.95 | 2024-06-05 | |||
| 42 | 35833 | SODIUM BICARBONATE 8.4% INJ (FSB) | STO | 2026-04-01 | B | 10ML | 70 | 1.09 | Add to Contract as Cat B | 2026-03-05 | |||
| 42 | 3582G | SODIUM BICARBONATE 8.4% INJ (KWA) | STO | 2026-04-01 | B | 50ML | 70 | 5.03 | Add to Contract as Cat B | 2026-03-02 | |||
| 40 | 19932 | SODIUM CHLORIDE 0.45% INJ (CSC/PHA) | PHA | 2022-04-01 | 2022-06-15 | B | 1 LITRE | 0 | 4.15 | Price Change | 2021-11-10 | ||
| 40 | 19932 | SODIUM CHLORIDE 0.45% INJ (CSC/PHA) | PHA | 2022-06-16 | 2022-07-18 | B | 1 LITRE | 0 | 5.30 | Price Change | 2022-06-15 | ||
| 40 | 19932 | SODIUM CHLORIDE 0.45% INJ (CSC/PHA) | PHA | 2022-07-19 | 2024-03-31 | B | 1 LITRE | 0 | 3.77 | Price Change | 2022-07-18 | ||
| 40 | 19944 | SODIUM CHLORIDE 0.45% INJ (CSC/PHA) | PHA | 2022-04-01 | 2022-06-15 | B | 500ML | 0 | 3.50 | Price Change | 2021-11-10 | ||
| 40 | 19944 | SODIUM CHLORIDE 0.45% INJ (CSC/PHA) | PHA | 2022-06-16 | 2024-03-31 | B | 500ML | 0 | 4.48 | Price Change | 2022-06-15 | ||
| 40 | 19958 | SODIUM CHLORIDE 0.9% INJ (CSC/PHA) | PHA | 2022-04-01 | 2022-06-15 | B | 250ML | 0 | 2.10 | Price Change | 2021-11-10 | ||
| 40 | 19958 | SODIUM CHLORIDE 0.9% INJ (CSC/PHA) | PHA | 2022-06-16 | 2022-07-18 | B | 250ML | 0 | 2.64 | Price Change | 2022-06-15 | ||
| 40 | 19958 | SODIUM CHLORIDE 0.9% INJ (CSC/PHA) | PHA | 2022-07-19 | 2024-03-31 | B | 250ML | 0 | 2.09 | Price Change | 2022-07-18 | ||
| 40 | 1996H | SODIUM CHLORIDE 0.9% INJ (CSC/PHA) | PHA | 2022-04-01 | 2022-06-15 | B | 500ML | 0 | 2.40 | Price Change | 2021-11-10 | ||
| 40 | 1996H | SODIUM CHLORIDE 0.9% INJ (CSC/PHA) | PHA | 2022-06-16 | 2022-07-27 | B | 500ML | 0 | 3.22 | Price Change | 2022-06-15 | ||
| 40 | 1996H | SODIUM CHLORIDE 0.9% INJ (CSC/PHA) | PHA | 2022-07-19 | 2024-03-31 | B | 500ML | 0 | 2.53 | Price Change | 2022-07-18 | ||
| 40 | 1997E | SODIUM CHLORIDE 0.9% INJ (CSC/PHA) | PHA | 2022-04-01 | 2022-06-15 | B | 1 LITRE | 0 | 2.85 | Price Change | 2021-11-10 | ||
| 40 | 1997E | SODIUM CHLORIDE 0.9% INJ (CSC/PHA) | PHA | 2022-06-16 | 2022-07-18 | B | 1 LITRE | 0 | 4.82 | Price Change | 2022-06-15 | ||
| 40 | 1997E | SODIUM CHLORIDE 0.9% INJ (CSC/PHA) | PHA | 2022-07-19 | 2024-03-31 | B | 1 LITRE | 0 | 3.79 | Price Change | 2022-07-18 | ||