Displaying 2121 - 2140 of 5993
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
41 30317 ADRENALINE|LIDOCAINE 0.001%|1% INJ (KWA) ADRENALINE|LIDOCAINE ADRENALINE|LIDOCAINE 30ML B 7.4754 7.4754 VIAL 0 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 7200 LOCAL ANESTHETICS 2024-04-01 2026-03-31 IV 0 LOCAL ANESTHETICS
40 3032C ADRENALINE | LIDOCAINE 0.001% | 2% INJ (FSB/ATB) ADRENALINE|LIDOCAINE ADRENALINE|LIDOCAINE 30ML B 4.08 4.08 INJECTION 0 BOTT 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
42 3051AB OXYTOCIN 10U/ML INJ (LAF) OXYTOCIN OXYTOCIN 100X1ML BQ 86.04 0.86 VIAL 0 VIAL LAF LABORATORIOS ALFA AHI ARMSTRONG HEALTHCARE INC 7600 OXYTOCICS 2026-04-01 2028-03-31 IV 0 OXYTOCICS
40 3051E OXYTOCIN 10U/ML INJ (RTM/PHA) OXYTOCIN OXYTOCIN 10X1ML BQ 9.68 0.97 INJECTION 0 AMP RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 7600 OXYTOCICS 2022-04-01 2022-05-31 IV 0 OXYTOCICS
40 3051E OXYTOCIN 10U/ML INJ (RTM/PHA) OXYTOCIN OXYTOCIN 10X1ML BQ 12.40 1.24 INJECTION 0 AMP RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 7600 OXYTOCICS 2022-06-01 2024-03-31 Price Change IV 0 OXYTOCICS 2022-05-31
41 3051E OXYTOCIN 10U/ML INJ (RTM) (BQ) OXYTOCIN OXYTOCIN 10X1ML BQ 10.33 1.033 AMP 0 BOX RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 7600 OXYTOCICS 2024-04-01 2026-03-31 IV 0 OXYTOCICS
42 3051E OXYTOCIN 10U/ML INJ (RTM) OXYTOCIN OXYTOCIN 10X1ML BQ 10.33 1.03 AMPG 0 BOX RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 7600 OXYTOCICS 2026-04-01 2028-03-31 IV 0 OXYTOCICS
40 3051M DURATOCIN 100MCG/ML INJ (FER/STO) CARBETOCIN CARBETOCIN DURATOCIN 5X1ML BQ 259.25 51.85 INJECTION 0 AMP FER FERRING PHARMACEUTICALS LTD STO BRYDEN STOKES LTD 7600 OXYTOCICS 2022-04-01 2024-03-31 IV 0 OXYTOCICS
41 3051M DURATOCIN 100MCG/ML INJ (FER) CARBETOCIN (BQ) CARBETOCIN DURATOCIN 5X1ML BQ 273.41 54.6818 AMP 50 BOX FER FERRING PHARMACEUTICALS LTD STO BRYDEN STOKES LTD 7600 OXYTOCICS 2024-04-01 2026-03-31 IV 0 OXYTOCICS
42 3051M DURATOCIN 100MCG/ML INJ (FER) CARBETOCIN CARBETOCIN DURATOCIN 5X1ML BQ 306.46 61.29 AMPG 50 BOX FER FERRING PHARMACEUTICALS LTD STO BRYDEN STOKES LTD 7600 OXYTOCICS 2026-04-01 2028-03-31 IV 0 OXYTOCICS
41 3051W OXYTOCIN 10U/ML INJ (KWA) (BQ) OXYTOCIN OXYTOCIN 10X1ML BQ 8.32 0.8318 AMP 0 BOX KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 7600 OXYTOCICS 2024-04-01 2026-03-31 IV 0 OXYTOCICS
40 30612 RHOPHYLAC 300MCG INJ (CSL/AHI) ANTI-D IMMUNOG ANTI-D IMMUNOGLOBULIN RHOPHYLAC 2ML AMP BQ 108.73 108.73 INJECTION 0 AMP CSL CSL BEHRING AG AHI ARMSTRONG HEALTHCARE INC 8004 SERUMS 2022-04-01 2024-03-31 IV 0 SERUMS, TOXOIDS AND VACCINES
41 30612 RHOPHYLAC 300MCG INJ (CSL) ANTI-D IMMUNO ANTI-D IMMUNOGLOBULIN RHOPHYLAC 2ML AMP BQ 122.32 122.3246 AMP 2 AMP CSL CSL BEHRING AG AHI ARMSTRONG HEALTHCARE INC 8004 SERUMS 2024-04-01 2026-03-31 IV 0 SERUMS
40 3061B HYPERRHOD 300MCG INJ (GRB/COL) ANTI D IMMUNOG ANTI-D IMMUNOGLOBULIN HYPERRHOD 300MCG VL BQ 250.09 250.09 INJECTION 0 VIAL GRB GRIFOLS BIOLOGICALS INC COL COLLINS LTD 8004 SERUMS 2022-04-01 2024-03-31 IV 0 SERUMS, TOXOIDS AND VACCINES
42 3061E RHOPHYLAC 150MCG/ML PREFIL SYRN (CSL) IMMUNOGLOBULIN ANTI-D IMMUNOGLOBULIN ANTI-D RHOPHYLAC 1X2ML PFS BQ 122.32 122.32 PFS 0 PFS CSL CSL BEHRING AG AHI ARMSTRONG HEALTHCARE INC 8004 SERUMS 2026-04-01 2028-03-31 IV/IM 0 SERUMS 2025-11-10
40 3081Y IMMUNOREL 5% INJ (RLS/AHI) IMMUNOGLOBULIN IMMUNOGLOBULIN HUMAN IMMUNOREL 100ML BQ 657.29 657.29 INJECTION 0 BOTT RLS RELIANCE LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 8004 SERUMS 2022-04-01 2024-03-31 IV 0 SERUMS, TOXOIDS AND VACCINES
41 3081Y IMMUNOREL 5% INJ (RLS) IMMUNOGLOBUL (BQ) IMMUNOGLOBULIN HUMAN IMMUNOREL 100ML BQ 807.34 807.3422 BOTT 0 BOTT RLS RELIANCE LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 8004 SERUMS 2024-04-01 2026-03-31 IV 0 SERUMS
42 3081Y IMMUNOREL 5% INJ (RLS) IMMUNOGLOBUL IMMUNOGLOBULIN HUMAN IMMUNOREL 100ML BQ 807.34 807.34 BOTT 0 VIAL RLS RELIANCE LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 8004 SERUMS 2026-04-01 2028-03-31 IV 0 SERUMS
40 30827 PRIVIGEN 10% INJ (CSL/AHI) IMMUNOGLOBULIN IMMUNOGLOBULIN HUMAN PRIVIGEN 50ML BQ 951.41 951.41 INJECTION 0 BOTT CSL CSL BEHRING AG AHI ARMSTRONG HEALTHCARE INC 8004 SERUMS 2022-04-01 2024-03-31 IV 0 SERUMS, TOXOIDS AND VACCINES
41 30827 PRIVIGEN 10% INJ (CSL) IMMUNOGLOBULIN (BQ) IMMUNOGLOBULIN HUMAN PRIVIGEN 50ML BQ 883.46 883.4553 BOTT 50 BOTT CSL CSL BEHRING AG AHI ARMSTRONG HEALTHCARE INC 8004 SERUMS 2024-04-01 2026-03-31 IV 0 SERUMS