Displaying 81 - 100 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 | 7911AA | APO-CYCLOBENZAPRINE 10MG TAB (APO/COL) | COL | 2022-04-01 | 2024-03-31 | A | 500'S | 42 | 271.83 | Package Size Change | 2022-02-28 | ||
| 40 | B011EG | APO-LAMIVUDINE 150MG TAB (APO/COL) | COL | 2022-04-01 | 2024-03-31 | B | 60'S | 83.02 | Add to Contract as Cat B | 2022-12-09 | |||
| 40 | 3621B | APO-LEVOCARB 10MG | 100MG TAB (APO/COL) | COL | 2022-04-01 | 2024-03-31 | A | 100'S | 240 | 17.26 | Add to Contract as Cat A | 2022-04-01 | ||
| 40 | 36227 | APO-LEVOCARB 25MG | 250MG TAB (APO/COL) | COL | 2022-04-01 | 2024-03-31 | A | 100'S | 240 | 27.18 | Add to Contract as Cat A | 2022-04-01 | ||
| 40 | 5842BP | APO-LISINOPRIL 20MG TAB (APO/COL) | COL | 2022-05-23 | 2024-03-31 | A | 100'S | 60 | 8.15 | Add to Contract as Cat A | 2022-05-23 | ||
| 40 | 5843DF | APO-RAMIPRIL 2.5MG CAP (APO/COL) | COL | 2022-07-27 | 2024-03-31 | A | 3X10 | 30 | 2.15 | Price Change | 2022-07-26 | ||
| 40 | 5281BV | APROCIN 0.3% EYE DR (ARP/AHI) CIPROFLOXACIN | AHI | 2022-04-01 | 2022-09-30 | BH | 10ML | 0 | 8.15 | 2022-03-29 | |||
| 40 | 1421CF | ARAMOL 500MG TAB (CAR/COL) PARACETAMOL | COL | 2022-06-30 | 2024-03-31 | A | 500'S | 180 | 14.78 | Add to Contract as Cat A | 2022-06-30 | ||
| 40 | A3939 | AROFLO 125MCG | 25MCG INHR (ARP/AHI) FLUTICASON | AHI | 2022-04-01 | 2022-06-30 | A | 120 DOSES | 1 | 21.67 | 2022-03-29 | |||
| 40 | A396A | AROFLO 250MCG | 25MCG INHR (ARP/AHI) FLUTICASON | AHI | 2022-04-01 | 2022-06-30 | A | 120 DOSES | 1 | 32.27 | 2022-03-29 | |||
| 42 | 1306BR | ASPIRIN 81MG TAB (HEA) | AHI | 2026-04-01 | A | 100X10 | 60 | 33.63 | Price Change | 2025-10-31 | |||
| 42 | 1306BT | ASPIRIN 81MG TAB (HEA) | CWS | 2026-04-01 | A | 1000'S | 60 | 33.63 | Add to Contract as Cat A | 2026-01-26 | |||
| 40 | 13028 | ASPIRIN DISPERSIBLE 300MG TAB (ACD/AHI) | AHI | 2022-04-01 | 2024-03-31 | A | 32'S | 30 | 8.15 | Add to Contract as Cat A | 2022-03-11 | ||
| 40 | 1306AS | ASPIRIN E.C. 81MG TAB (REL/PHA) | PHA | 2022-04-01 | 2022-07-18 | A | 1000'S | 60 | 25.50 | Price Change | 2021-11-10 | ||
| 40 | 1306AS | ASPIRIN E.C. 81MG TAB (REL/PHA) | PHA | 2022-07-19 | 2024-03-31 | A | 1000'S | 60 | 20.97 | Price Change | 2022-07-18 | ||
| 42 | 1306BU | ASPIRIN EC 81MG TAB (HEA) | STO | 2026-04-01 | A | 100X10 | 60 | 33.63 | Add to Contract as Cat A | 2026-02-27 | |||
| 42 | A681JG | ATAZANAVIR|RITONAVIR 300MG|100MG TAB (KWA) | STO | 2026-04-01 | BL | 60'S | 60 | 145.48 | Add to Contract | 2026-03-02 | |||
| 42 | 1131HT | ATOREM 10MG TAB (MSN) ATORVASTATIN | STO | 2026-04-01 | A | 3X10 | 30 | 1.06 | Add to Contract as Cat A | 2026-03-23 | |||
| 42 | 1132KM | ATOREM 20MG TAB (MSN) ATORVASTATIN | STO | 2026-03-24 | A | 3X10 | 30 | 1.60 | Add to Contract as Cat A | 2026-03-23 | |||
| 41 | 1131DW | ATORSTAN 10MG TAB (REM) ATORVASTATI | SBI | 2024-04-01 | 2024-06-30 | A | 3x10 | 30 | 1.6 | 2024-03-25 | |||