Displaying 941 - 948 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 | 4101A | ZOLENDRONIC ACID 4MG INJ (SLS) (BQ) | AHI | 2024-04-01 | 2024-05-27 | BQ | 4MG VIAL | 2 | 30.42 | 2024-04-15 | |||
| 40 | 4101A | ZOLENDRONIC ACID 4MG INJ (SLS/AHI) | AHI | 2022-04-01 | 2022-09-30 | BQ | 4MG VIAL | 0 | 38.95 | 2022-03-29 | |||
| 42 | 56944 | ZOVIRAX 5% CR (GSK) ACYCLOVIR | COL | 2026-04-01 | C | 5G | 2 | 25.50 | Price Change | 2026-02-16 | |||
| 41 | 67827 | ZUVITOP 50MG CAP (ZUV) ETOPOSIDE | PHA | 2024-04-01 | 2024-05-17 | BQ | 20'S | 10 | 32.18 | 2024-04-05 | |||
| 41 | 67828 | ZUVITOP 50MG TAB (ZUV) ETOPOSIDE | PHA | 2024-04-05 | 2026-03-31 | BQ | 8'S | 10 | 26.34 | 2024-04-05 | |||
| 42 | 0012Y | ZYRTEC 10MG TAB (GSK) CETIRIZINE | COL | 2026-04-01 | C | 20'S | 14 | 25.23 | Price Change | 2026-02-16 | |||
| 42 | 0013T | ZYRTEC 1MG/ML SYR (GSK) CETIRIZINE | COL | 2026-04-01 | C | 60ML | 60 | 13.67 | Price Change | 2026-02-16 | |||
| 41 | 3791K | ZYRTEC-D 5MG|120MG TAB (GSK) CETIRIZINE|PSEUDOEPHEDRINE (C) | COL | 2024-04-01 | 2025-02-18 | C | 10'S | 0 | 16.31 | 2025-01-07 | |||