Displaying 121 - 140 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 | 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 | |||
| 42 | 0742Y | BENZTROPINE 1MG/ML INJ (KWA) | STO | 2026-04-01 | B | 10X2ML | 6 | 23.54 | Add to Contract as Cat B | 2026-03-02 | |||
| 42 | 0741N | BENZTROPINE 2MG TAB (HEA) | AHI | 2026-04-01 | A | 10X10 | 90 | 7.53 | Price Change | 2025-10-31 | |||
| 42 | 0741P | BENZTROPINE 2MG TAB (HEA) | CWS | 2026-04-01 | A | 10X10 | 90 | 7.53 | Add to Contract as Cat A | 2026-01-26 | |||
| 42 | 0741Q | BENZTROPINE 2MG TAB (HEA) | STO | 2026-04-01 | A | 10X10 | 90 | 7.53 | Add to Contract as Cat A | 2026-02-27 | |||
| 42 | 4582T | BERIATE 500IU INJ (CSL) FACTOR VIII | AHI | 2026-04-01 | BQ | 500IU VIAL | 12 | 244.65 | Add to Contract | 2025-11-10 | |||
| 41 | 79913 | BEROTEC N 100MCG INHR (BOE) FENOTEROL | AHI | 2024-11-11 | 2026-03-31 | A | 200 DOSES | 1 | 33.3 | 2024-11-11 | |||
| 42 | 79913 | BEROTEC N 100MCG INHR (BOE) FENOTEROL | AHI | 2026-04-01 | A | 200 DOSES | 1 | 33.30 | Add to Contract as Cat A | 2026-03-18 | |||
| 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 | ||