Displaying 161 - 180 of 486
| 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 | 37882 | DEXTROSE | SODIUM CHLORIDE 5% | 0.45% INJ (CSC/PHA) | PHA | 2022-04-01 | 2022-06-15 | B | 500ML | 0 | 2.50 | Price Change | 2021-11-10 | ||
| 40 | 37882 | DEXTROSE | SODIUM CHLORIDE 5% | 0.45% INJ (CSC/PHA) | PHA | 2022-06-16 | 2024-03-31 | B | 500ML | 0 | 2.80 | Price Change | 2022-06-15 | ||
| 40 | 37896 | DEXTROSE | SODIUM CHLORIDE 5% | 0.45% INJ (CSC/PHA) | PHA | 2022-04-01 | 2022-06-15 | B | 1 LITRE | 0 | 3.30 | Price Change | 2021-11-10 | ||
| 40 | 37896 | DEXTROSE | SODIUM CHLORIDE 5% | 0.45% INJ (CSC/PHA) | PHA | 2022-06-16 | 2022-07-18 | B | 1 LITRE | 0 | 4.14 | Price Change | 2022-06-15 | ||
| 40 | 37896 | DEXTROSE | SODIUM CHLORIDE 5% | 0.45% INJ (CSC/PHA) | PHA | 2022-07-19 | 2024-03-31 | B | 1 LITRE | 0 | 3.92 | Price Change | 2022-07-18 | ||
| 40 | 3785G | DEXTROSE | SODIUM CHLORIDE 5% | 0.9% INJ (CSC/PHA) | PHA | 2022-04-01 | 2022-06-15 | B | 500ML | 0 | 2.85 | Price Change | 2021-11-10 | ||
| 40 | 3785G | DEXTROSE | SODIUM CHLORIDE 5% | 0.9% INJ (CSC/PHA) | PHA | 2022-06-16 | 2024-03-31 | B | 500ML | 0 | 3.79 | Price Change | 2022-06-15 | ||
| 40 | 3786F | DEXTROSE | SODIUM CHLORIDE 5% | 0.9% INJ (CSC/PHA) | PHA | 2022-04-01 | 2022-06-18 | B | 1 LITRE | 0 | 3.15 | Price Change | 2021-11-10 | ||
| 40 | 3786F | DEXTROSE | SODIUM CHLORIDE 5% | 0.9% INJ (CSC/PHA) | PHA | 2022-06-19 | 2022-07-18 | B | 1 LITRE | 0 | 4.23 | Price Change | 2022-06-15 | ||
| 40 | 3786F | DEXTROSE | SODIUM CHLORIDE 5% | 0.9% INJ (CSC/PHA) | PHA | 2022-07-19 | 2024-03-31 | B | 1 LITRE | 0 | 4.00 | Price Change | 2022-07-18 | ||
| 40 | 2832AT | DIAMICROM MR 60MG TAB (SER/COL) GLICLAZIDE | COL | 2022-04-01 | 2024-03-31 | A | 30'S | 60 | 7.18 | Contract Extended | 2022-03-21 | ||
| 40 | 28321 | DIAMICRON MR 60MG TAB (SER/STO) GLICLAZIDE | STO | 2022-04-01 | 2024-03-31 | A | 30'S | 60 | 7.18 | contract extended | 2022-05-27 | ||
| 40 | 375A1 | DIANEAL (L5B5193) 1.5% INJ (BAX/STO) DIALYSIS SOLN | STO | 2022-04-01 | 2024-03-31 | B | 2X5 LITRES | 0 | 36.04 | Add to Contract as Cat B | 2021-12-30 | ||
| 40 | 16058 | DIAZEPAM 5MG/ML IV/IM INJ (RTM/PHA) | PHA | 2022-06-01 | 2024-03-31 | B | 10X2ML | 0 | 21.96 | Price Change | 2022-05-31 | ||
| 40 | 4141TV | DICLOFENAC SOD 50MG TAB (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 10X10 | 2.64 | Change Local Agent | 2022-11-25 | |||
| 40 | 4144CX | DICLOFENAC SOD SR 100MG TAB (HEA/ATB) | ATB | 2022-12-07 | 2024-03-31 | A | 10X10 | 6.12 | Change Local Agent | 2022-11-25 | |||
| 40 | 4144PA | DICLOFENAC SOD SR 75MG TAB (HEA/ATB) (C) | ATB | 2022-12-07 | 2024-03-31 | C | 10'S | 1.5 | Change Local Agent | 2022-11-25 | |||
| 40 | 2561S | DIMENHYDRINATE 50MG TAB (FSB/ATB) | ATB | 2022-04-01 | 2022-09-30 | A | 10X10 | 180 | 5.08 | 2022-03-30 | |||
| 40 | 2565Y | DIMENHYDRINATE 50MG/ML INJ (LAF/AHI) | AHI | 2022-04-01 | 2024-03-31 | B | 100X1ML | 0 | 142.41 | Change Local Agent | 2022-02-03 | ||
| 40 | 2565T | DIMENHYDRINATE 50MG/ML IV/IM INJ (MON/PHA) | PHA | 2022-04-01 | 2024-03-31 | B | 5ML | 0 | 2.20 | 2021-12-17 | |||