Displaying 841 - 860 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 41 | 5861LB | TERBINAFINE 250MG TAB (MPI) | AHI | 2024-10-29 | 2026-03-31 | A | 50'S | 28 | 22.97 | 2024-08-20 | |||
| 42 | 3091J | TETAGAM P 250IU/ML PREFIL SYRN (CSL) IMMUNOGLOBULIN HUMAN | AHI | 2026-04-01 | B | 4X1ML PFS | 0 | 108.73 | Add to Contract | 2025-11-10 | |||
| 40 | 5552D | THALIDOMIDE 100MG CAP (SLS/AHI) | AHI | 2022-04-01 | 2024-03-31 | C | 30'S | 0 | 93.78 | Add to Contract as Cat C | 2021-12-16 | ||
| 42 | 2971AA | THYCARZOL 5MG TAB (HEA) CARBIMAZOLE | AHI | 2026-04-01 | A | 10X10 | 360 | 5.90 | Price Change | 2025-10-31 | |||
| 42 | 2971AC | THYCARZOL 5MG TAB (HEA) CARBIMAZOLE | CWS | 2026-04-01 | A | 10X10 | 360 | 5.90 | Add to Contract as Cat A | 2026-01-26 | |||
| 42 | 2971AD | THYCARZOL 5MG TAB (HEA) CARBIMAZOLE | STO | 2026-04-01 | A | 10X10 | 360 | 5.90 | Add to Contract as Cat A | 2026-02-27 | |||
| 40 | 2971K | THYCARZOL 5MG TAB (HEA/ATB) CARBIMAZOLE | ATB | 2022-12-07 | 2024-03-31 | A | 10X10 | 5.95 | Change Local Agent | 2022-11-25 | |||
| 42 | 4074AH | TIMOLOL 0.25% EYE DR (FSB) | STO | 2026-04-01 | A | 10ML | 1 | 1.36 | Add to Contract as Cat A | 2026-03-05 | |||
| 40 | 4074AG | TIMOLOL 0.25% EYE DR (FSB/ATB) | ATB | 2022-04-01 | 2024-03-31 | A | 10ML | 1 | 1.60 | Price Change | 2021-12-08 | ||
| 40 | 40712 | TIMOLOL EX 0.25% EYE DR (FSB/ATB) | ATB | 2022-04-01 | 2024-03-31 | A | 5ML | 1 | 1.09 | Price Change | 2021-12-08 | ||
| 40 | 5481Q | TINIDAZOLE 500MG TAB (LAF/AHI) | AHI | 2022-04-01 | 2024-03-31 | A | 40'S | 8 | 38.65 | Change Local Agent | 2022-02-03 | ||
| 41 | 7283G | TOPIRAMATE 100MG TAB (CIP) (BP) | AHI | 2024-04-01 | 2025-03-10 | BP | 60'S | 120 | 9.49 | 2025-01-27 | |||
| 41 | 7283T | TOPIRAMATE 100MG TAB (ZYD) | AHI | 2025-01-27 | 2026-03-31 | BP | 60'S | 120 | 9.49 | 2025-01-27 | |||
| 40 | 72849 | TOPIRAMATE 50MG TAB (CIP/AHI) | AHI | 2022-04-01 | 2022-09-30 | BP | 60'S | 0 | 7.04 | 2022-03-29 | |||
| 40 | 1431BX | TRAMADOL 50MG TAB (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 10X10 | 6.55 | Change Local Agent | 2022-11-25 | |||
| 40 | 1431BF | TRAMADOL 50MG TAB (KWA/ATB) | ATB | 2022-04-21 | 2022-09-30 | A | 9X10 | 56 | 14.38 | 2022-04-21 | |||
| 42 | 1432BB | TRAMADOL 50MG/ML INJ (FSB) | STO | 2026-04-01 | B | 10X1ML | 30 | 8.37 | Add to Contract as Cat B | 2026-03-05 | |||
| 40 | 1432T | TRAMADOL 50MG/ML INJ (RTM/PHA) | PHA | 2022-06-13 | 2024-03-31 | B | 10X2ML | 0 | 24.65 | Add to Contract as Cat B | 2022-06-13 | ||
| 40 | A622A | TRANEXAMIC ACID 100MG/ML INJ (SLS/AHI) | AHI | 2022-04-01 | 2022-06-30 | BQ | 25X5ML | 0 | 76.74 | 2022-03-29 | |||
| 42 | 2362A | TRIASOL 1% EYE DR (ASL) TROPICAMIDE | PHA | 2026-04-01 | B | 10ML | 1 | 11.55 | Add to Contract as Cat B | 2025-12-04 | |||