Displaying 2261 - 2278 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 B4624 SYNJARDY 12.5/1 G TAB (STO/BOE) EMPAGLIFLOZIN/METFORMIN SYNJARDY 60'S A $67.25 $1.120 TABLET 60 TAB BOE BOEHRINGER INGELHEIM STO BRYDENSTOKES LTD B 682018 SODIUM-GLUCOSE CO-TRANSPORTER HIBITOR/BIGUANIDE 2022-10-31 2024-03-31 ORAL 6 HORMONES AND SYNTHETIC SUBSTITUTES
40 B4811 VYMADA 24MG | 26MG TAB (NVS/COL) SACUBITRIL | VALSARTAN SACUBITRIL|VALSARTAN VYMADA 28'S B $70.68 $2.52 TABLET 0 TAB NVS NOVARTIS CARIBE SA COL COLLINS LTD 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
40 B4812 VYMADA 49MG | 51MG TAB (NVS/COL) SACUBITRIL | VALSARTAN SACUBITRIL|VALSARTAN VYMADA 28'S B $70.68 $2.52 TABLET 0 TAB NVS NOVARTIS CARIBE SA COL COLLINS LTD 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
40 B4813 VYMADA 97MG | 103MG TAB (NVS/COL) SACUBITRIL | VALSARTAN SACUBITRIL|VALSARTAN VYMADA 28'S B $70.68 $2.52 TABLET 0 TAB NVS NOVARTIS CARIBE SA COL COLLINS LTD 243208 ANGIOTENSIN II RECEPTOR ANTAGONIST 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
40 B4911 XOLAIR 150MG INJ (NVS/COL) OMALIZUMAB OMALIZUMAB XOLAIR 150MG VIAL C 1,304.93 1,304.93 INJECTION 0 VIAL NVS NOVARTIS CARIBE SA COL COLLINS LTD 4810 RESPIRATORY INFLAMMATORY AGENTS 2022-04-01 2024-03-31 IV 0 RESPIRATORY TRACT AGENTS
40 B4913 OMALIREL 150MG INJ (RLS/AHI) OMALIZUMAB OMALIZUMAB OMALIREL 150MG VIAL C $844.86 $844.86 INJECTION 0 VIAL RLS RELIANCE LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 4810 RESPIRATORY INFLAMMATORY AGENTS 2022-04-01 2024-03-31 IV 0 RESPIRATORY TRACT AGENTS
40 B5012 ANORO ELLIPTA 55/22 INHR (GSK/COL) UMECLIDINI UMECLIDINIUM|VILANTEROL ANORO ELLIPTA 30 DOSES BQ $141.60 $141.60 INHALER 1 INHR GSK GLAXOSMITHKLINE COL COLLINS LTD 4892 RESPIRATORY AGENTS MISCELLANEOUS 2022-04-01 2024-03-31 ORAL INHALATION 6 RESPIRATORY TRACT AGENTS
40 B521E SAFEBO 62.5MG TAB (MSN/ATB) BOSENTAN SAFEBO 60'S BQ $163.10 $2.72 TABLET 0 TAB MSN MSN LABS ATB ANSA TRADING BARBADOS LTD 4848 VASODILATING AGENTS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 RESPIRATORY TRACT AGENTS
40 B521F PMS-BOSENTAN 125MG TAB (PMS/COL) BOSENTAN PMS-BOSENTAN 60'S BQ $339.79 $5.66 TABLET 0 TAB PMS PHARMASCIENCE COL COLLINS LTD 4848 VASODILATING AGENTS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 RESPIRATORY TRACT AGENTS
40 B5312 CANCIDAS 50MG INJ (MSD/STO) CASPOFUNGIN CASPOFUNGIN CANCIDAS 50MG VIAL C $712.77 $712.77 INJECTION 0 VIAL MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 081416 ECHINOCANDINS 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
40 B5319 CASPOGIN 50MG INJ (CIP/AHI) CASPOFUNGIN CASPOFUNGIN CASPOGIN 10ML VIAL BQ $335.28 $335.28 INJECTION 0 VIAL CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 081416 ECHINOCANDINS 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
40 B5831 APO-NABILONE 1MG CAP (APO/COL) NABILONE APO-NABILONE 50'S A $66.00 $1.32 CAPSULE 30 CAP APO APOTEX INC. COL COLLINS LTD 9200 UNCLASSIFIED THERAPEUTIC AGENTS 2022-04-01 2024-03-31 Oral 6 UNCLASSIFIED THERAPEUTIC AGENTS
40 B5832 APO-NABILONE 0.25MG CAP (APO/COL) NABILONE APO-NABILONE 50'S A $23.05 $0.46 CAPSULE 30 CAP APO APOTEX INC. COL COLLINS LTD 9200 UNCLASSIFIED THERAPEUTIC AGENTS 2022-04-01 2024-03-31 Oral 6 UNCLASSIFIED THERAPEUTIC AGENTS
40 B5911 AMLOTENSIVE CT 5MG | 25MG TAB (CAR/COL) AMLODIPINE | CHLORTHALIDONE AMLODIPINE|CHLORTHALIDONE AMLOTENSIVE CT 210'S A $26.26 $0.13 TABLET 60 TAB CAR CARLISLE LABORATORIES LTD COL COLLINS LTD B 240892 HYPOTENSIVE AGENTS, MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
40 B5921 AMLOTENSIVE CT 5MG | 50MG TAB (CAR/COL) AMLODIPINE | CHLORTHALIDONE AMLODIPINE|CHLORTHALIDONE AMLOTENSIVE CT 210'S A $35.90 $0.17 TABLET 30 TAB CAR CARLISLE LABORATORIES LTD COL COLLINS LTD B 240892 HYPOTENSIVE AGENTS, MISCELLANEOUS 2022-07-11 2024-03-31 Add to Contract as Cat A Oral 6 CARDIOVASCULAR DRUGS 2022-07-11
40 B5931 AMLOTENSIVE CT 10MG | 25MG TAB (CAR/COL) AMLODIPINE | CHLORTHALIDONE AMLODIPINE|CHLORTHALIDONE AMLOTENSIVE CT 210'S A $26.26 $0.13 TABLET 30 TAB CAR CARLISLE LABORATORIES LTD COL COLLINS LTD B 240892 HYPOTENSIVE AGENTS, MISCELLANEOUS 2022-07-11 2024-03-31 Add to Contract as Cat A oral 6 CARDIOVASCULAR DRUGS 2022-07-11
40 B5941 AMLOTENSIVE CT 10MG | 50MG TAB (CAR/COL) AMLODIPINE | CHLORTHALIDONE AMLODIPINE|CHLORTHALIDONE AMLOTENSIVE CT 210'S A $35.90 $0.17 TABLET 30 TAB CAR CARLISLE LABORATORIES LTD COL COLLINS LTD B 240892 HYPOTENSIVE AGENTS, MISCELLANEOUS 2022-07-11 2022-03-31 Add to Contract as Cat A oral 6 CARDIOVASCULAR DRUGS 2022-07-11
0 Brand C Brand Name Active Ingredient Trade Name Package Si Fo Pkg Price Unit Pric Unit Descrip Pack Man Manufacturer Name Age Agent Name B Therapeu Therapeutic Desc Status Description Default Route 0 Therapeutic Head