Displaying 821 - 840 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 | 2003B | SODIUM LACTATE INJ (CSC/PHA) | PHA | 2022-06-16 | 2022-07-18 | B | 1 LITRE | 0 | 6.70 | Price Change | 2022-06-15 | ||
| 40 | 2003B | SODIUM LACTATE INJ (CSC/PHA) | PHA | 2022-07-19 | 2024-03-31 | B | 1 LITRE | 0 | 3.56 | Price Change | 2022-07-18 | ||
| 40 | 2002A | SODIUM LACTATE CO. INJ (CSC/PHA) | PHA | 2022-04-01 | 2022-06-15 | B | 500ML | 0 | 2.50 | Price Change | 2021-11-10 | ||
| 40 | 2002A | SODIUM LACTATE CO. INJ (CSC/PHA) | PHA | 2022-06-16 | 2024-03-31 | B | 500ML | 0 | 3.35 | Price Change | 2022-06-15 | ||
| 41 | 2141X | SPIROLON 25MG TAB (REM) SPIRONOLACTONE | SBI | 2024-04-01 | 2026-03-31 | A | 1000'S | 120 | 74.86 | 2023-10-27 | |||
| 40 | 2141AK | SPIRONOLACTONE 25MG TAB (KWA/ATB) | ATB | 2022-04-01 | 2022-09-30 | A | 10X10 | 120 | 7.45 | 2022-03-30 | |||
| 42 | 0981AW | STALFER 200MG TAB (STL) | SBI | 2026-04-01 | 2028-03-31 | A | 1000'S | 90 | 19.49 | Name Change | 2025-12-04 | ||
| 42 | 4144EA | STALOGESIC 75MG SR TAB (STL) DICLOFENAC SODIUM | SBI | 2026-04-01 | 2028-03-31 | A | 1X10 | 28 | 0.27 | Name Change | 2025-12-04 | ||
| 41 | 63416 | STAMARIL (AVP) YELLOW FEVER | COL | 2024-04-01 | 2024-10-21 | B | 1 DS VIAL | 20 | 53.82 | 2024-09-09 | |||
| 40 | 4253P | SUPIROCIN 2% OINT (GLP/ALI) MUPIROCIN | ALI | 2022-04-01 | 2022-03-22 | BQ | 15G | 0 | 5.44 | Delete from contract | 2022-03-22 | ||
| 40 | 4253AV | SUPIROCIN 2% OINT (GLP/ATB) MUPIROCIN | ATB | 2022-04-01 | 2024-03-31 | BQ | 15G | 0 | 5.44 | Change Local Agent | 2022-03-22 | ||
| 40 | 2991Q | SYNTHROID 0.1MG TAB (ABB/PHA) THYROXINE (C) | PHA | 2022-04-01 | 2002-03-31 | C | 30'S | 7.75 | Delete from contract | 2023-03-02 | |||
| 40 | 2993A | SYNTHROID 25MCG TAB (ABB/PHA) THYROXINE (C) | PHA | 2022-04-01 | 2023-03-31 | C | 30'S | 5.71 | Delete from contract | 2023-03-02 | |||
| 40 | 29948 | SYNTHROID 50MCG TAB (ABB/PHA) THYROXINE (C) | PHA | 2022-04-01 | 2023-03-31 | C | 30'S | 7.29 | Delete from contract | 2023-03-02 | |||
| 40 | 29957 | SYNTHROID 75MCG TAB (ABB/PHA) THYROXINE (C) | PHA | 2022-04-01 | 2023-03-31 | C | 30'S | 7.39 | Delete from contract | 2023-03-02 | |||
| 40 | 5282F | T-MYCIN 0.3% OINT (ARP/AHI) TOBRAMYCIN | AHI | 2022-04-01 | 2022-09-30 | BH | 3G | 0 | 10.00 | 2022-03-29 | |||
| 40 | 1431BL | TADOL RETARD 100MG TAB (KRK/AHI) TRAMADOL | AHI | 2022-04-01 | 2022-09-30 | A | 30'S | 28 | 16.31 | 2022-03-29 | |||
| 42 | A941CH | TAMSULOSIN 0.4MG MR TAB (FSB) | STO | 2026-04-01 | A | 100'S | 60 | 8.26 | Add to Contract as Cat A | 2026-03-05 | |||
| 40 | A941BG | TAMSULOSIN MR 0.4MG CAP (MCP/AHI) | AHI | 2022-04-01 | 2024-03-31 | A | 3X10 | 30 | $2.65 | PRICE CHANGE | 0000-00-00 | ||
| 40 | A941BK | TAMSULOSIN MR 0.4MG TAB (HEA/ATB) (C) | ATB | 2022-12-07 | 2024-03-31 | C | 30'S | 7.96 | Change Local Agent | 2022-11-25 | |||