Displaying 2101 - 2120 of 5993
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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
42 3004K BUPIVACAINE 0.5% INJ (BRA) BUPIVACAINE BUPIVACAINE 20ML BQ 3.21 3.21 VIAL 2 BOTT BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL AVENTA BARBADOS 7200 LOCAL ANESTHETICS 2026-04-01 2028-03-31 IV 0 LOCAL ANESTHETICS
40 30214 LIDOCAINE 1% INJ (BRA/COL) LIDOCAINE LIDOCAINE 20X20ML B 23.51 1.18 INJECTION 0 VIAL BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 7200 LOCAL ANESTHETICS 2022-04-01 2024-03-31 IV 0 LOCAL ANESTHETICS
41 30214 LIDOCAINE 1% INJ (BRA) (B) LIDOCAINE LIDOCAINE 20X20ML B 23.54 1.177 VIAL 0 BOX BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 7200 LOCAL ANESTHETICS 2024-04-01 2026-03-31 IV 0 LOCAL ANESTHETICS
42 30214 LIDOCAINE 1% INJ (BRA) LIDOCAINE LIDOCAINE 20X20ML B 75.03 3.75 VIAL 0 VIAL BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL AVENTA BARBADOS 7200 LOCAL ANESTHETICS 2026-04-01 2028-03-31 IV 0 LOCAL ANESTHETICS
40 3021X LIDOCAINE 1% INJ (CIR/AHI) LIDOCAINE LIDOCAINE 50ML VIAL B 4.70 4.70 INJECTION 0 VIAL CIR CIRON PHARMA AHI ARMSTRONG HEALTHCARE INC 7200 LOCAL ANESTHETICS 2022-04-01 2024-03-31 Add to Contract as Cat B IV 0 LOCAL ANESTHETICS 2021-12-16
40 3021Y LIDOCAINE 1% INJ (BRA/COL) LIDOCAINE LIDOCAINE 20X10ML B 11.31 0.57 INJECTION 0 VIAL BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 7200 LOCAL ANESTHETICS 2022-04-01 2024-03-31 Package Size Change IV 0 LOCAL ANESTHETICS 2022-03-18
41 3021Z LIDOCAINE 1% INJ (KWA) (B) LIDOCAINE LIDOCAINE 50ML VIAL B 3.83 3.8328 VIAL 0 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 7200 LOCAL ANESTHETICS 2024-04-01 2026-03-31 IV/IM 0 LOCAL ANESTHETICS
41 3023AE LIDOCAINE 2% INJ (KWA) (B) LIDOCAINE LIDOCAINE 50ML VIAL B 4.54 4.5396 VIAL 0 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 7200 LOCAL ANESTHETICS 2024-04-01 2026-03-31 IV/IM 0 LOCAL ANESTHETICS
40 3023L LIDOCAINE 2% INJ (BRA/COL) LIDOCAINE LIDOCAINE 20X20ML B 22.62 1.13 INJECTION 0 VIAL BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 7200 LOCAL ANESTHETICS 2022-04-01 2024-03-31 IV 0 LOCAL ANESTHETICS
41 3023L LIDOCAINE 2% INJ (BRA) (B) LIDOCAINE LIDOCAINE 20X20ML B 30.99 1.5494 VIAL 0 BOX BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 7200 LOCAL ANESTHETICS 2024-04-01 2026-03-31 IV 0 LOCAL ANESTHETICS
42 3023L LIDOCAINE 2% INJ (BRA) LIDOCAINE LIDOCAINE 20X20ML B 42.41 2.12 VIAL 0 VIAL BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL AVENTA BARBADOS 7200 LOCAL ANESTHETICS 2026-04-01 2028-03-31 IV 0 LOCAL ANESTHETICS
40 3023U LIDOCAINE 2% INJ (RTM/PHA) LIDOCAINE LIDOCAINE 50ML VIAL C 2.99 2.99 INJECTION 0 VIAL RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 7200 LOCAL ANESTHETICS 2022-04-01 2024-03-31 IV 0 LOCAL ANESTHETICS
42 30242 LIDOCAINE 2% JELLY (PDN) LIDOCAINE LIDOCAINE 50X30G B 3.64 0.07 TUBE 0 TUBE PDN PHARMA DANICA A/S PHA PHARMACY SALES CARIBBEAN 7200 LOCAL ANESTHETICS 2026-04-01 2028-03-31 TOPICAL 0 LOCAL ANESTHETICS
40 30247 LIDOCAINE 2% GEL (CAD/PHA) LIDOCAINE LIDOCAINE 30G B 3.02 3.02 GEL 0 TUBE CAD CADILA PHA PHARMACY SALES CARIBBEAN 7200 LOCAL ANESTHETICS 2022-04-01 2022-07-18 TOPICAL 0 LOCAL ANESTHETICS
40 30247 LIDOCAINE 2% GEL (CAD/PHA) LIDOCAINE LIDOCAINE 30G B 3.18 3.18 GEL 0 TUBE CAD CADILA PHA PHARMACY SALES CARIBBEAN 7200 LOCAL ANESTHETICS 2022-07-19 2024-03-31 Price Change TOPICAL 0 LOCAL ANESTHETICS 2022-07-18
41 30247 LIDOCAINE 2% GEL (CAD) LIDOCAINE LIDOCAINE 30G B 4.0231 4.0231 TUBE 0 BOX CAD CADILA PHA PHARMACY SALES CARIBBEAN 7200 LOCAL ANESTHETICS 2024-04-01 2026-03-31 TOPICAL 0 LOCAL ANESTHETICS
42 30276 XYLOCAINE 5% OINT (ZYD) LIDOCAINE (C) LIDOCAINE XYLOCAINE 50G TUBE B 6.61 6.61 TUBE 2 TUBE ZYD ZYDUS AHI ARMSTRONG HEALTHCARE INC 7200 LOCAL ANESTHETICS 2026-04-01 2028-03-31 TOPICAL 6 LOCAL ANESTHETICS
41 30287 LIDPCAINE 2% SPRAY (AKI) LIDOCAINE (B) LIDOCAINE LIDPCAINE 100ML B 38.49 38.4915 BOTT 1 BOTT AKI AKORN INC. AHI ARMSTRONG HEALTHCARE INC 7200 LOCAL ANESTHETICS 2024-04-01 2026-03-31 TOPICAL 0 LOCAL ANESTHETICS
42 30289 XYLOCAINE 10% SPRAY (ZYD) LIDOCAINE LIDOCAINE XYLOCAINE 50ML B 33.82 33.82 CNN 2 CNN ZYD ZYDUS AHI ARMSTRONG HEALTHCARE INC 7200 LOCAL ANESTHETICS 2026-04-01 2028-03-31 TOPICAL 6 LOCAL ANESTHETICS
40 30316 ADRENALINE | LIDOCAINE 0.001% | 1% INJ (FSB/ATB) ADRENALINE|LIDOCAINE ADRENALINE|LIDOCAINE 30ML B 3.94 3.94 INJECTION 0 VIAL FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 7200 LOCAL ANESTHETICS 2022-04-01 2024-03-31 Add to Contract as Cat B IV 0 LOCAL ANESTHETICS 2021-11-18