Displaying 181 - 200 of 2278
Contract Number Brand Code Brand Name Active Ingredient Trade Name Package Size Formulary Category Pkg Price Unit Price Unit Description Max. Reimbursable Quantity / Month Package Description Manufacturer Code Manufacturer Name Agent Code Agent Name Benefit Therapeutic Code Therapeutic Desc Drug Contract Start Date Drug Contract End Date Status Description Default Route Max Repeats Therapeutic Head Amend Date
40 05756 ENDOXAN 1G INJ (BAX/STO) CYCLOPHOSPHAMIDE CYCLOPHOSPHAMIDE ENDOXAN 1G VIAL BQ $15.96 $15.96 INJECTION 0 VIAL BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 0582B CYTARABINE 1G INJ (INP/AHI) CYTARABINE CYTARABINE 1G VIAL BQ $38.46 $38.46 INJECTION 0 VIAL INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 0582D ONCOTAR 1G INJ (UBI/RXP) CYTARABINE CYTARABINE ONCOTAR 1G VIAL BQ $31.26 $31.26 INJECTION 0 VIAL UBI UNITED BIOTECH (P) LIMITED RXP RX PRO INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 06032 FLUOROURACIL 50MG/ML INJ (EBA/COL) FLUOROURACIL FLUOROURACIL 10ML BQ $26.48 $26.48 INJECTION 0 VIAL EBA EBEW ARZNEIMITTLE GES.MBH COL COLLINS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 0611B MELPHALAN 2MG TAB (TPP/AHI) MELPHALAN MELPHALAN 50'S A $75.05 $1.50 TABLET 63 TAB TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
40 0621B MERCAPTOPURINE 50MG TAB (SLS/AHI) MERCAPTOPURINE MERCAPTOPURINE 30'S A $45.64 $1.52 TABLET 60 TAB SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
40 0621C PURINETHOL 50MG TAB (ASG/STO) MERCAPTOPURINE MERCAPTOPURINE PURINETHOL 25'S A $104.38 $4.18 TABLET 60 TAB ASG ASPEN OSD (GLOBAL) STO BRYDEN STOKES LTD B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
40 06319 METHOTREXATE 2.5MG TAB (REM/SBI) METHOTREXATE METHOTREXATE 10X10 A $14.79 $0.15 TABLET 32 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
40 0631AD METHOTREXATE 2.5MG TAB (INP/AHI) METHOTREXATE METHOTREXATE 100'S A $12.72 $0.13 TABLET 32 TAB INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
40 0631Y METHOTREXATE 2.5MG TAB (FSB/ATB) METHOTREXATE METHOTREXATE 100'S A $7.48 $0.07 TABLET 32 TAB FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD B 1000 ANTINEOPLASTICS 2022-04-01 2022-09-30 Oral 6 ANTINEOPLASTICS 2022-03-30
40 0633V METHACOR 25MG/ML INJ (INP/AHI) METHOTREXATE METHOTREXATE METHACOR 2ML VIAL B $8.70 $8.70 INJECTION 0 VIAL INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 0633X UNITREXATE 25MG/ML INJ (UBI/RXP) METHOTREXATE METHOTREXATE UNITREXATE 2ML VIAL B $7.07 $7.07 INJECTION 0 VIAL UBI UNITED BIOTECH (P) LIMITED RXP RX PRO INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 0634M METHOTREXATE 25MG/ML INJ (INP/AHI) METHOTREXATE METHOTREXATE 20ML VIAL BQ $46.43 $46.43 INJECTION 0 VIAL INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 06351 METHOTREXATE 25MG/ML INJ (INP/AHI) METHOTREXATE METHOTREXATE 40ML BQ $82.12 $82.12 INJECTION 0 VIAL INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 06417 ACCORD MITOMYCIN 5MG INJ (INP/AAL) MITOMYCIN MITOMYCIN ACCORD MITOMYCIN 5MG VIAL BQ $203.06 $203.06 INJECTION 0 VIAL INP INTAS PHARMACEUTICALS LTD AAL A. A. LAQUIS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 0671D UNIBLASTIN 10MG INJ (UBI/RXP) VINBLASTINE VINBLASTINE UNIBLASTIN 10MG VIAL BQ $54.37 $54.37 INJECTION 0 VIAL UBI UNITED BIOTECH (P) LIMITED RXP RX PRO INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 0681Q UNICRISTINE 1MG INJ (UBI/RXP) VINCRISTINE VINCRISTINE UNICRISTINE 1MG VIAL BQ $7.07 $7.07 INJECTION 0 VIAL UBI UNITED BIOTECH (P) LIMITED RXP RX PRO INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 0692H NEOSTIGMINE 2.5MG/ML INJ (SGH/COL) NEOSTIGMINE NEOSTIGMINE 10X1ML BQ $17.13 $1.71 INJECTION 0 AMP SGH SEIGFRIED-HAMELN COL COLLINS LTD 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2022-04-01 2024-03-31 IV 0 AUTONOMIC DRUGS
40 0692J LASTIGMINE 2.5MG/ML INJ (LDP/AHI) NEOSTIGMINE LASTIGMINE 5X1ML BQ $16.99 $3.40 INJECTION 0 AMP LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2022-04-01 2022-09-30 IV 0 AUTONOMIC DRUGS 2022-03-29
40 0692L NEOSTIGMINE 2.5MG/ML INJ (MON/PHA) NEOSTIGMINE NEOSTIGMINE 5X1ML BQ $7.83 $1.57 INJECTION 0 AMP MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2022-04-01 2024-03-31 IV 0 AUTONOMIC DRUGS