Displaying 81 - 100 of 673
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 0141HQ AZITHROMYCIN 500MG TAB (MCP) AHI 2024-04-02 2026-03-31 A 3'S 7 1.17 2024-04-02
41 A371V AZOPT 1% DROPS (NVS) BRINZOLAMIDE COL 2024-05-06 2026-03-31 A 5ML BOTT 1 14.61 2024-05-06
41 A371R AZOPT 1% EYE DR (NVS) BRINZOLAMIDE COL 2024-04-01 2024-06-17 A 10ML 1 29.22 2024-05-06
40 0314L BACTIGRAS 10CMX10CM (SMN/IMS) CHLORHEXIDINE IMS 2022-04-06 2024-03-31 A 10'S 10 29.00 Add to Contract as Cat A 2022-04-06
40 4253U BANEOCIN 250IU | 5MG OINT (BCH/COL) BACITRACIN | NEOMYCIN COL 2022-04-01 2022-05-24 A 20G 2 5.25 Delete from contract 2022-04-12
40 15029 BARBIFED 30MG TAB (FED/ATB) PHENOBARBITONE ATB 2022-05-11 2024-03-31 A 500'S 180 22.75 Change Local Agent 2022-05-11
40 15024 BARBIFED 30MG TAB (FED/RXP) PHENOBARBITONE RXP 2022-04-01 2022-05-11 A 500'S 180 22.75 Delete from contract 2022-05-11
40 4181BH BEMABIX 25MG/ML INJ (ABB/PHA) BEVACIZUMAB (C) PHA 2022-04-01 2023-04-18 C 4ML VIAL 856.27 Delete from contract 2023-03-07
40 4181BJ BEMABIX 25MG/ML INJ (ABB/PHA) BEVACIZUMAB (C) PHA 2022-04-01 2023-03-31 C 16ML VIAL 3811.28 Delete from contract 2023-03-07
41 79913 BEROTEC N 100MCG INHR (BOE) FENOTEROL AHI 2024-11-11 2026-03-31 A 200 DOSES 1 33.3 2024-11-11
40 26517 BETAMETHASONE 0.5MG TAB (LAF/AHI) AHI 2022-04-01 2024-03-31 A 100'S 240 56.38 Change Local Agent 2022-02-03
40 6801G BETASERC 16MG TAB (ABB/PHA) BETAHISTINE (C) PHA 2022-04-01 2023-03-31 C 20'S 12.56 Delete from contract 2023-03-02
40 6691AF BILIVE 1MG E/2MG D TAB (ABB/PHA) ESTRADIOL/DR (C) PHA 2022-04-01 2023-04-13 C 30'S 29.98 Delete from contract 2023-03-02
41 A531AW BIMATOPROST 0.01% EYE DR (CIR) AHI 2024-07-23 2025-01-16 A 2.5ML 1 9.24 2024-07-23
41 A531AW BIMATOPROST 0.01% EYE DR (CIR) AHI 2025-01-17 2026-03-31 A 2.5ML 1 12.83 2025-01-17
40 1184K BISOPROLOL 10MG TAB (RYV/ATB) ATB 2022-07-20 2024-03-31 A 100'S 30 8.57 Price Change 2022-07-19
40 1181EF BISOPROLOL 2.5MG TAB (FSB/ATB) ATB 2022-04-07 2022-09-30 A 10X10 30 3.70 2022-04-07
40 1181FD BISOPROLOL 2.5MG TAB (RYV/ATB) ATB 2022-07-27 2024-03-31 A 100'S 30 4.55 Price Change 2022-07-26
40 1182ED BISOPROLOL 5MG TAB (FSB/ATB) ATB 2022-04-07 2022-09-30 A 10X10 30 4.46 2022-04-07
40 1182EU BISOPROLOL 5MG TAB (RYV/ATB) ATB 2022-07-27 2024-03-31 A 100'S 30 5.15 Price Change 2022-07-26