Displaying 901 - 920 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 | 3501Z | VITAMIN C 500MG TAB (KWA/ATB) | ATB | 2022-04-07 | 2022-09-30 | B | 100'S | 30 | 7.20 | 2022-04-07 | |||
| 42 | 3541AC | VITAMINS MULTI | TAB (KWA) MINERAL|MULTIVITAMIN | STO | 2026-04-01 | B | 100'S | 0 | 15.60 | Add to Contract as Cat B | 2026-03-02 | |||
| 42 | 5172AN | WORMIZLE 40MG/ML SUSP (HEA) ALBEND (C) | AHI | 2026-04-01 | C | 10ML | 30 | 1.47 | Price Change | 2025-10-31 | |||
| 42 | 5172AQ | WORMIZOLE 40MG/ML SUSP (HEA) ALBEN (C) | CWS | 2026-04-01 | C | 10ML | 30 | 1.47 | Add to Contract as Cat C | 2026-01-26 | |||
| 42 | 5172AR | WORMIZOLE 40MG/ML SUSP (HEA) ALBEN (C) | STO | 2026-04-01 | C | 10ML | 30 | 1.47 | Add to Contract as Cat C | 2026-02-27 | |||
| 40 | 5172U | WORMIZOLE 40MG/ML SUSP (HEA/ATB) ALBENDAZOLE | ATB | 2022-12-07 | 2024-03-31 | A | 10ML | 1.36 | Change Local Agent | 2022-11-25 | |||
| 40 | 51316 | XALACOM 0.005% /0.5% EYE DR (PFI/SBI) LATANOP | SBI | 2022-04-01 | 2024-03-31 | C | 2.5ML | 0 | 37.90 | Price Change | 2022-05-05 | ||
| 40 | 51311 | XALACOM 0.005% /0.5% EYE DR (PFI/STO) LATANOP | STO | 2022-07-27 | 2024-03-31 | C | 2.5ML | 0 | 37.89 | Price Change | 2022-07-26 | ||
| 41 | A531BF | XALATAN 0.005% EYE DR (PFI) LATANOPROST | COL | 2024-04-01 | 2026-03-31 | A | 2.5ML | 2 | 8.86 | 2025-04-01 | |||
| 40 | A531H | XALATAN 0.005% EYE DR (PFI/SBI) LATANOPROST | SBI | 2022-04-01 | 2024-03-31 | A | 2.5ML | 1 | 11.66 | Price Change | 2022-05-03 | ||
| 40 | A5311 | XALATAN 0.005% EYE DR (PFI/STO) LATANOPROST | STO | 2022-04-01 | 2024-03-31 | A | 2.5ML | 1 | 11.66 | Price Change | 2022-05-03 | ||
| 41 | B4622 | XIGDUO 10MG|1G TAB (AZN) DAPAGLIFLOZIN|METFORMIN | COL | 2024-04-01 | 2024-06-30 | A | 30'S | 30 | 61.6 | 2024-03-13 | |||
| 41 | B4622 | XIGDUO 10MG|1G TAB (AZN) DAPAGLIFLOZIN|METFORMIN | COL | 2024-08-16 | 2026-03-31 | B | 30'S | 30 | 61.6 | 2024-08-16 | |||
| 41 | B4612 | XIGDUO 5MG|1G TAB (AZN) DAPAGLIFLOZIN|METFORMIN | COL | 2024-04-01 | 2024-06-30 | A | 30'S | 30 | 39.36 | 2024-03-13 | |||
| 41 | B4612 | XIGDUO 5MG|1G TAB (AZN) DAPAGLIFLOZIN|METFORMIN | COL | 2024-08-16 | 2026-03-31 | B | 30'S | 30 | 39.36 | 2024-08-16 | |||
| 40 | 2373S | XYLOMETAZOLINE 0.05% NASAL DR (CIR/AHI) | AHI | 2022-04-01 | 2022-09-30 | A | 10ML | 1 | 2.31 | 2022-03-29 | |||
| 40 | 23717 | XYLOMETAZOLINE 0.1% NASAL DR (CIR/AHI) | AHI | 2022-04-01 | 2022-09-30 | A | 10ML | 1 | 2.66 | 2022-03-29 | |||
| 42 | 2371P | XYLOMETAZOLINE 0.1% NASAL DR (FSB) | STO | 2026-04-01 | A | 15ML | 1 | 1.50 | Add to Contract as Cat A | 2026-03-05 | |||
| 42 | 2372X | XYLOMETAZOLINE 0.1% NASAL SP (FSB) | STO | 2026-04-01 | A | 10ML | 1 | 2.42 | Add to Contract as Cat A | 2026-03-05 | |||
| 40 | 4463F | YASNAL Q 5MG TAB (KRK/AHI) DONEPEZIL | AHI | 2022-06-17 | 2022-09-30 | A | 28'S | 30 | 30.09 | 2022-06-17 | |||