Displaying 861 - 880 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 | 7351V | TRIMETAZIDINE 20MG TAB (HEA) | AHI | 2026-04-01 | A | 10X10 | 90 | 9.68 | Price Change | 2025-10-31 | |||
| 42 | 7351W | TRIMETAZIDINE 20MG TAB (HEA) | CWS | 2026-04-01 | A | 10X10 | 90 | 9.68 | Add to Contract as Cat A | 2026-01-26 | |||
| 42 | 7351X | TRIMETAZIDINE 20MG TAB (HEA) | STO | 2026-04-01 | A | 10X10 | 90 | 9.68 | Add to Contract as Cat A | 2026-02-27 | |||
| 40 | 7351Q | TRIMETAZIDINE 20MG TAB (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 10X10 | 9.79 | Change Local Agent | 2022-11-25 | |||
| 42 | B441M | TRIVERAM 10MG|20MG|10MG TAB (SER) (C) | STO | 2026-04-01 | C | 30'S | 69.93 | Add to Contract as Cat C | 2026-04-07 | ||||
| 42 | B441P | TRIVERAM 5MG|10MG|5MG TAB (SER) AM (C) | STO | 2026-04-01 | C | 30'S | 60.82 | Add to Contract as Cat C | 2026-04-07 | ||||
| 42 | B441N | TRIVERAM 5MG|20MG|10MG TAB (SER) A (C) | STO | 2026-04-01 | C | 30'S | 66.70 | Add to Contract as Cat C | 2026-04-07 | ||||
| 42 | B441L | TRIVERAM 5MG|20MG|5MG TAB (SER) AM (C) | STO | 2026-04-01 | C | 30'S | 63.76 | Add to Contract as Cat C | 2026-04-07 | ||||
| 40 | A3711 | TRUSOPT 2% EYE DR (MSD/STO) DORZOLAMIDE (C) | STO | 2022-04-01 | 2022-12-31 | C | 5ML | 0 | 28.54 | Del | 2022-12-31 | ||
| 40 | A3711 | TRUSOPT 2% EYE DR (MSD/STO) DORZOLAMIDE (C) | STO | 2022-04-04 | 2022-12-31 | C | 5ML | 28.54 | Delete from contract | 2022-12-31 | |||
| 41 | 1972Z | TUMS EX ASSORTED 750MG TAB (GSK) C (C) | COL | 2024-04-01 | 2026-03-31 | C | 48'S | 0 | 4.43 | 2024-04-09 | |||
| 41 | 37617 | TYPHIM V1 (AVP) TYPHOID | COL | 2024-04-01 | 2024-10-21 | B | 1 DS VIAL | 1 | 33.41 | 2024-09-09 | |||
| 42 | 9991CJ | UREA|GLYCERINE 10%|5% CR (CHC) GLYCERINE|UREA | STO | 2026-04-01 | B | 50G TUBE | 0 | 2.50 | Add to Contract as Cat B | 2026-03-05 | |||
| 42 | 9991AF | UREA|GLYCERINE 5%|10% CR (CHC) GLYCERINE|UREA | STO | 2026-04-01 | B | 50G TUBE | 1 | 2.50 | Add to Contract as Cat B | 2026-03-05 | |||
| 41 | 39635 | VALEX 199.8MG|87MG CR TAB (INC) SODIUM VALPROATE|VALPROIC AC | AHI | 2024-04-01 | 2026-03-31 | A | 3X10 | 90 | 13.16 | 2023-10-03 | |||
| 40 | 39635 | VALEX 199.8MG|87MG CR TAB(INC) SODIUM VALPROATE|VALPROIC AC | AHI | 0000-00-00 | 0000-00-00 | A | 30 | 150 | $12.18 | 0000-00-00 | |||
| 42 | 3961BG | VALSONIM 133.2MG|58MG CR TAB (ANC) SODIUM VALPROATE|VALPROIC | SBI | 2026-04-01 | A | 100'S | 150 | 8.92 | Add to Contract as Cat A | 2026-01-30 | |||
| 42 | 3963A | VALSONIM 199.8MG|87MG CR TAB (ANC) SODIUM VALPROATE|VALPROIC | SBI | 2026-04-01 | A | 100'S | 150 | 10.52 | Add to Contract as Cat A | 2026-01-30 | |||
| 42 | 3965G | VALSONIM 500MG TAB (ANC) VALPROIC ACID | SBI | 2026-04-01 | A | 100'S | 120 | 19.03 | Price Change | 2026-02-05 | |||
| 41 | 42931 | VANCOMYCIN 1G INJ (KWA) (BQ) | ATB | 2024-05-25 | 2026-03-31 | BQ | 1G VIAL | 28 | 10.85 | 2024-05-24 | |||