Displaying 141 - 160 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 40 | 20926 | CARLIDONE 25MG TAB (CAR/COL) CHLORTHALIDONE | COL | 2022-04-01 | 2024-03-31 | A | 125's | 60 | 15.60 | Package Size Change | 2022-05-05 | ||
| 40 | 2091B | CARLIDONE 50MG TAB (CAR/COL) CHLORTHALIDONE | COL | 2022-05-05 | 2024-03-31 | A | 125's | 30 | 15.60 | Add to Contract as Cat A | 2022-05-05 | ||
| 40 | A412AT | CARVEDILOL 12.5MG TAB (MCP) | AHI | 2023-06-06 | 2024-03-31 | A | 30'S | $2.26 | 2023-06-09 | ||||
| 41 | 66721 | CATAFLAM 1.8MG/ML SUSP (NVS) DICLOFENAC (C) | COL | 2024-04-01 | 2025-01-20 | C | 120ML | 120 | 9.62 | 2024-12-09 | |||
| 40 | 0113AG | CEFAZOLIN 1G IV/IM INJ (KWA/ATB) | ATB | 2022-04-01 | 2022-09-30 | B | 1G VIAL | 0 | 4.02 | 2022-03-30 | |||
| 40 | 5641EC | CEFTRIAXONE 1G IV/IM INJ (KWA/ATB) | ATB | 2022-04-01 | 2022-09-30 | B | 1G VIAL | 0 | 2.12 | 2022-03-30 | |||
| 41 | 5641FJ | CEFTRIAXONE 1G IV/IM INJ (MCP) (B) | AHI | 2024-12-28 | 2026-03-31 | B | 1G VIAL | 28 | 1.48 | 2024-12-27 | |||
| 40 | 5231DU | CELAMINA 1% CR (GLP/ALI) CICLOPIROX OLAMINE | ALI | 2022-04-01 | 2022-03-22 | A | 20G | 2 | 6.80 | Delete from contract | 2022-03-22 | ||
| 40 | 5231EV | CELAMINA 1% CR (GLP/ATB) CICLOPIROX OLAMINE | ATB | 2022-04-01 | 2024-03-31 | A | 20G | 2 | 6.80 | Change Local Agent | 2022-03-22 | ||
| 40 | 1422BL | CETAMOL 32MG/ML SYR (FED/ATB) PARACETAMOL | ATB | 2022-05-11 | 2024-03-31 | A | 120ML | 300 | 3.15 | Change Local Agent | 2022-05-11 | ||
| 40 | 1422BC | CETAMOL 32MG/ML SYR (FED/RXP) PARACETAMOL | RXP | 2022-04-01 | 2022-05-11 | A | 120ML | 300 | 3.15 | Delete from contract | 2022-05-11 | ||
| 40 | 0012VB | CETIRIZINE 10MG TAB (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 1X10 | 0.95 | Change Local Agent | 2022-11-25 | |||
| 40 | 0013KA | CETIRIZINE 1MG/ML SYR (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 60ML | 2.69 | Change Local Agent | 2022-11-25 | |||
| 40 | 05616 | CHLORAMBUCIL 2MG TAB (KWA/ATB) | ATB | 2022-05-27 | 2024-03-31 | A | 3X10 | 240 | 176.69 | Package Size Change | 2022-05-27 | ||
| 40 | 0411K | CHLOROQUINE SULPHATE 250MG TAB (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 40'S | 24.33 | Change Local Agent | 2022-11-25 | |||
| 40 | 7621AZ | CICLOTAB 20MCG|75MCG TAB (ABB/PHA) ETHINYLESTRADIOL|GESTODENE (C) | PHA | 2022-04-01 | 2023-03-31 | C | 21'S | 15.98 | Delete from contract | 2023-03-02 | |||
| 40 | 7621BB | CICLOTAB 30MCG|75MCG TAB (ABB/PHA) ETHINYLESTRADIOL|GESTODENE (C) | PHA | 2022-04-01 | 2023-03-31 | C | 21'S | 15.98 | Delete from contract | 2023-03-07 | |||
| 40 | 1184M | CILENOL 10MG TAB (CIR) BISOPROLOL | AHI | 2023-06-06 | 2024-03-31 | A | 30'S | 30 | $4.05 | 2023-06-09 | |||
| 40 | 1181EV | CILENOL 2.5MG TAB (CIR/AHI) BISOPROLOL | AHI | 2022-04-01 | 2022-09-30 | A | 30'S | 30 | 2.75 | 2022-03-29 | |||
| 40 | 6711HB | CIPROFLOXACIN 500MG TAB (HEA/ATB) | ATB | 2022-07-12 | 2024-03-31 | A | 10X10 | 14 | 14.81 | la | 2022-11-25 | ||