Displaying 141 - 160 of 495
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 A472AD DALTEPARIN 5000IU INJ (GLN/AHI) AHI 2022-06-30 2024-03-31 B 5000IU 0 24.06 Price Change 2022-06-30
40 5921H DANAZOL 200MG TAB (CIP/AHI) AHI 2022-04-01 2022-09-30 C 100'S 0 645.85 2022-03-29
40 3962H DEPAKENE 50MG/ML SYR (ABB/PHA) VALPROIC ACID PHA 2022-04-01 2023-03-31 A 240ML 28.49 Delete from contract 2023-03-02
40 3961AV DEPAKOTE 250MG TAB (ABB) VALPROIC ACID SBI 0000-00-00 0000-00-00 A 30 90 $21.42 CHANGE OF DISTRIBUTOR 0000-00-00
40 3961AP DEPAKOTE 250MG TAB (ABB/PHA) VALPROIC ACID PHA 2022-04-01 2023-03-31 A 30'S 21.42 Delete from contract 2023-03-07
40 3965C DEPAKOTE 500MG TAB (ABB) SODIUM VALPROIC SBI 0000-00-00 0000-00-00 A 30 90 $45.65 CHANGE OF DISTRIBUTOR 0000-00-00
40 39659 DEPAKOTE 500MG TAB (ABB/PHA) VALPROIC ACID PHA 2022-04-01 2023-03-31 A 30'S 45.67 Delete from contract 2023-03-02
40 3961AD DEPAKOTE ER 250MG TAB (ABB/PHA) VALPROIC ACID PHA 2022-04-01 2023-03-31 A 100'S 71.36 Delete from contract 2023-03-02
40 39654 DEPAKOTE ER 500MG TAB (ABB/PHA) VALPROIC ACID PHA 2022-04-01 2023-03-31 A 100'S 71.36 Delete from contract 2023-03-02
40 A9632 DERIVA 0.1% CR (GLP/ALI) ADAPALENE ALI 2022-04-01 2022-03-22 C 15G 0 16.31 Delete from contract 2022-03-22
40 A9635 DERIVA 0.1% CR (GLP/ATB) ADAPALENE ATB 2022-04-01 2024-03-31 C 15G 0 16.31 Change Local Agent 2022-03-22
40 4631N DESIRE JELLY (HEA/ATB) LUBRICATING JELLY(B) ATB 2022-12-07 2024-03-31 B 82G 3.26 Change Local Agent 2022-11-25
40 20553 DEXTROSE 10% (CSC/PHA) PHA 2022-04-01 2022-06-15 B 250ML 0 2.65 Price Change 2021-11-10
40 20553 DEXTROSE 10% (CSC/PHA) PHA 2022-06-16 2024-03-31 B 250ML 0 3.02 Price Change 2022-06-15
40 20578 DEXTROSE 10% (CSC/PHA) PLASTIC BAG PHA 2022-04-01 2022-06-15 B 1 LITRE 0 4.50 Price Change 2021-11-10
40 20578 DEXTROSE 10% (CSC/PHA) PLASTIC BAG PHA 2022-04-16 2024-03-31 B 1 LITRE 0 5.01 Price Change 2022-06-15
40 2053A DEXTROSE 5% (CSC/PHA) PHA 2022-04-01 2022-06-15 B 500ML 0 2.50 Price Change 2021-11-10
40 2053A DEXTROSE 5% (CSC/PHA) PHA 2022-06-16 2024-03-31 B 500ML 0 2.80 Price Change 2022-06-15
40 2054C DEXTROSE 5% (CSC/PHA) PHA 2022-04-01 2022-06-15 B 1 LITRE 0 3.95 Price Change 2021-11-10
40 2054C DEXTROSE 5% (CSC/PHA) PHA 2022-06-16 2022-07-18 B 1 LITRE 0 4.20 Price Change 2022-06-15