Displaying 101 - 120 of 674
| 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 | 43536 | BOTTLE, GLASS RX, 100ML FLAT (BEA/COL) BOT | COL | 2022-04-01 | 2024-03-31 | B | 90'S | 0 | 87.45 | Price Change | 2022-05-09 | ||
| 41 | 43574 | BOTTLE, GLASS RX, 150ML AMBER (BEA) | COL | 2024-04-01 | 2025-01-28 | B | 84'S | 4 | 41.97 | 2024-12-17 | |||
| 40 | 43574 | BOTTLE, GLASS RX, 150ML AMBER (BEA/COL) BOT | COL | 2022-04-01 | 2024-03-31 | B | 84'S | 0 | 42.19 | Price Change | 2022-05-09 | ||
| 41 | 4352A | BOTTLE, GLASS RX, 60ML AMBER (BEA) BOTTLES | COL | 2024-12-17 | 2026-03-31 | B | 81'S | 4 | 32.28 | 2024-12-17 | |||
| 41 | 43528 | BOTTLE, GLASS RX, 60ML AMBER EACH (BEA) | COL | 2024-04-01 | 2025-01-28 | B | 132'S | 4 | 52.6 | 2024-12-17 | |||
| 40 | 43528 | BOTTLE, GLASS RX, 60ML AMBER EACH (BEA/COL) | COL | 2022-04-01 | 2024-03-31 | B | 132'S | 0 | 52.60 | Price Change | 2022-05-09 | ||
| 41 | 43579 | BOTTLES, GLASS RX, 150ML AMBER (BEA) | COL | 2024-12-17 | 2026-03-31 | B | 81'S | 4 | 40.48 | 2024-12-17 | |||
| 40 | A671BA | BREATHEZY 10MG TAB (MSN/AHI) MONTELUKAST | AHI | 2022-04-01 | 2022-09-30 | A | 3X10 | 30 | 5.44 | 2022-03-29 | |||
| 40 | A671AZ | BREATHEZY CHEWABLE 4MG TAB (MSN/AHI) MONTELUK | AHI | 2022-04-01 | 2022-09-30 | A | 3X10 | 30 | 2.72 | 2022-03-29 | |||
| 40 | A671AY | BREATHEZY CHEWABLE 5MG TAB (MSN/AHI) MONTELUK | AHI | 2022-04-01 | 2022-09-30 | A | 3X10 | 30 | 3.13 | 2022-03-29 | |||
| 40 | 3002Y | BUPIVACAINE 0.25% INJ (KWA/ATB) | ATB | 2022-04-01 | 2024-03-31 | BQ | 20ML | 0 | 8.56 | Add to Contract as Cat B | 2021-07-20 | ||
| 40 | 0752L | BUSCOPAN 20MG/ML INJ (SFA/COL) HYOSCINE BUTYL (C) | COL | 2022-12-10 | 2024-03-31 | C | 10X1ML | 26.37 | Price Change | 2022-12-09 | |||
| 41 | 5261Z | CALCITRIOL 0.25MCG CAP (MCP) | AHI | 2024-04-01 | 2026-03-31 | A | 5X10 | 120 | 14.24 | 2023-10-30 | |||
| 40 | 5232AZ | CANDID 1% EAR DR (GLP/ALI) CLOTRIMAZOLE | ALI | 2022-04-01 | 2022-03-22 | A | 15ML | 1 | 6.80 | Delete from contract | 2022-03-22 | ||
| 40 | 5232BN | CANDID 1% EAR DR (GLP/ATB) CLOTRIMAZOLE | ATB | 2022-04-01 | 2024-03-31 | A | 15ML | 1 | 6.80 | Change Local Agent | 2022-03-22 | ||
| 40 | 5233AD | CANDID 1% PWDR (GLP/ALI) CLOTRIMAZOLE | ALI | 2022-04-01 | 2022-03-22 | A | 100G | 1 | 7.61 | Delete from contract | 2022-03-22 | ||
| 40 | 5233AF | CANDID 1% PWDR (GLP/ATB) CLOTRIMAZOLE | ATB | 2022-04-01 | 2024-03-31 | A | 100G | 1 | 7.61 | Change Local Agent | 2022-03-22 | ||
| 40 | 5232ZA | CANDID MOUTH PAINT 1% SOLN (GLP/ALI) CLOTRIMA | ALI | 2022-04-01 | 2022-03-22 | A | 20ML | 2 | 6.80 | Delete from contract | 2022-03-22 | ||
| 40 | 5232BP | CANDID MOUTH PAINT 1% SOLN (GLP/ATB) CLOTRIMA | ATB | 2022-04-01 | 2024-03-31 | A | 20ML | 2 | 6.80 | Change Local Agent | 2022-03-22 | ||
| 40 | 5561CM | CANDID V 2% VAG CR (GLP/ALI) CLOTRIMAZOLE | ALI | 2022-04-01 | 2022-03-22 | A | 30G | 1 | 6.80 | Delete from contract | 2022-03-22 | ||