Displaying 161 - 180 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||
| 40 | 5561CP | CANDID V 2% VAG CR (GLP/ATB) CLOTRIMAZOLE | ATB | 2022-04-01 | 2024-03-31 | A | 30G | 1 | 6.80 | Change Local Agent | 2022-03-22 | ||
| 42 | 5861KK | CANESORAL 150MG CAP (BSP) FLUCONAZ (C) | AHI | 2026-04-01 | C | 1'S | 60 | 4.89 | Add to Contract as Cat C | 2026-02-11 | |||
| 42 | 5231CE | CANESTEN 1% CR (BSP) CLOTRIMAZOLE (C) | AHI | 2026-04-01 | C | 15G | 2 | 8.35 | 2026-02-11 | ||||
| 40 | 5231EF | CANESTEN 1% CR (BSP/AHI) CLOTRIMAZOLE | AHI | 2022-04-01 | 2022-09-30 | C | 20G | 0 | 8.15 | 2022-03-29 | |||
| 40 | 5232BS | CANESTEN 1% CR (BSP/AHI) COTRIMAZOLE | AHI | 2023-02-24 | 2024-03-31 | A | 15G | 9.27 | Add to Contract as Cat A | 2023-02-24 | |||
| 42 | 5561S | CANESTEN-1 500MG VAG OV (BSP) CLOT (C) | AHI | 2026-04-01 | C | 1'S | 1 | 11.04 | Add to Contract as Cat C | 2026-02-11 | |||
| 40 | 5561S | CANESTEN-1 500MG VAG PESS (BSP) CLOTRIMAZOLE | AHI | 2023-06-06 | 2024-03-31 | A | 1'S | 1 | $9.50 | 2023-06-09 | |||
| 40 | 5561S | CANESTEN-1 500MG VAG PESS (BSP/AHI) CLOTRIMAZ | AHI | 2022-04-01 | 2022-09-30 | C | 1'S | 0 | 9.38 | 2022-03-29 | |||
| 42 | 5561Q | CANESTEN-3 2% VAG CR (BSP) CLOTRIM (C) | AHI | 2026-04-01 | C | 20G | 1 | 13.59 | Add to Contract as Cat C | 2026-02-11 | |||
| 40 | 5561Q | CANESTEN-3 2% VAG CR (BSP/AHI) CLOTRIMAZOLE | AHI | 2022-04-01 | 2024-03-31 | C | 20G | 1 | 8.81 | 2022-03-29 | |||
| 40 | 5561Q | CANESTEN-3 2% VAG CR (BSP/AHI) CLOTRIMAZOLE | AHI | 2023-02-21 | 2024-03-31 | A | 20G | 10.68 | Add to Contract as Cat A | 2023-02-21 | |||
| 42 | 55618 | CANESTEN-3 200MG VAG OV (BSP) CLOT (C) | AHI | 2026-04-01 | C | 3'S | 1 | 9.19 | Add to Contract as Cat C | 2026-02-11 | |||
| 40 | 55618 | CANESTEN-3 200MG VAG PESS (BSP/AHI) CLOTRIMAZOLE | AHI | 2023-02-21 | 2024-03-31 | A | 3'S | 10.19 | Add to Contract as Cat A | 2023-02-21 | |||