Displaying 2341 - 2360 of 5993
  • Print
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 3633AG METOCLOPRAMIDE 5MG/ML IV/IM INJ (MO METOCLOPRAMIDE METOCLOPRAMIDE 10X2ML B 6.47 0.65 AMPG 0 BOX MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 5632 GI PROKINETIC AGENTS 2026-04-01 2028-03-31 IV/IM 0 GI PROKINETIC AGENTS
41 3633AV METOCLOPRAMIDE 5MG/ML IV/IM INJ (FSB) (B) METOCLOPRAMIDE METOCLOPRAMIDE 10X2ML B 4.32 0.4322 AMP 0 BOX FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 5632 GI PROKINETIC AGENTS 2024-04-01 2026-03-31 IV/IM 0 GI PROKINETIC AGENTS
40 3653AJ RYNASE AQ 64MCG NASAL SP (CAR/COL) BUDESONIDE BUDESONIDE RYNASE AQ 240 DOSES A 15.98 15.98 NASAL SPRAY 1 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 5208 EENT ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 NASAL 6 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 3653AJ RYNASE AQ 64MCG NASAL SP (CAR) BUDESONID BUDESONIDE RYNASE AQ 240 DOSES A 16.26 16.2556 BOTT 1 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 5208 EENT ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 NASAL 6 EENT ANTI-INFLAMMATORY AGENTS
42 3653AJ RYNASE AQ 64MCG NASAL SP (CAR) BUDESONID BUDESONIDE RYNASE AQ 240 DOSES A 16.26 16.26 BOTT 1 BOTT CAR CARLISLE LABORATORIES LTD COL AVENTA BARBADOS 5208 EENT ANTI-INFLAMMATORY AGENTS 2026-04-01 2028-03-31 NASAL 6 EENT ANTI-INFLAMMATORY AGENTS
40 3653BJ AVAMYS 27.5MCG NASAL SP (GSK/COL) FLUTICASONE FLUTICASONE AVAMYS 120 DOSES C 25.14 25.14 NASAL SPRAY 0 BOTT GSK GLAXOSMITHKLINE COL COLLINS LTD 5208 EENT ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 NASAL 0 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 3653BJ AVAMYS 27.5MCG NASAL SP (GSK) FLUTICASON (C) FLUTICASONE AVAMYS 120 DOSES C 26.67 26.6668 BOTT 1 BOTT GSK GLAXOSMITHKLINE COL COLLINS LTD 5208 EENT ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 NASAL 6 EENT ANTI-INFLAMMATORY AGENTS
42 3653BJ AVAMYS 27.5MCG NASAL SP (GSK) FLUTICASONE FLUTICASONE AVAMYS 120 DOSES C 29.33 29.33 BOTT 1 BOTT GSK GLAXOSMITHKLINE COL AVENTA BARBADOS 5208 EENT ANTI-INFLAMMATORY AGENTS 2026-04-01 2028-03-31 NASAL 6 EENT ANTI-INFLAMMATORY AGENTS
40 3653BK RYNASE AQ 32MCG NASAL SP (CAR/COL) BUDESONIDE BUDESONIDE RYNASE AQ 120 DOSES C 8.15 8.15 NASAL SPRAY 0 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 5208 EENT ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 NASAL 0 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 3653BK RYNASE AQ 32MCG NASAL SP (CAR) BUDESONID (C) BUDESONIDE RYNASE AQ 120 DOSES C 8.43 8.4268 BOTT 1 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 5208 EENT ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 NASAL 6 EENT ANTI-INFLAMMATORY AGENTS
40 3653C NASASONE MF 50MCG NASAL SP (CAR/COL) MOMETASO MOMETASONE NASASONE MF 140 DOSES C 9.65 9.65 NASAL SPRAY 0 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 5208 EENT ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 NASAL 0 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 3653C NASASONE MF 50MCG NASAL SP (CAR) MOMETAS MOMETASONE NASASONE MF 140 DOSES A 9.24 9.2423 BOTT 1 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 5208 EENT ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 NASAL 6 EENT ANTI-INFLAMMATORY AGENTS
42 3653C NASASONE MF 50MCG NASAL SP (CAR) MOMETAS MOMETASONE NASASONE MF 140 DOSES C 9.24 9.24 BOTT 1 BOTT CAR CARLISLE LABORATORIES LTD COL AVENTA BARBADOS 5208 EENT ANTI-INFLAMMATORY AGENTS 2026-04-01 2028-03-31 NASAL 6 EENT ANTI-INFLAMMATORY AGENTS
42 3653CD BUDESONIDE 64MCG NASAL SP (CIR) BUDESONIDE BUDESONIDE 200 DOSES A 14.43 14.43 BOTT 1 BOTT CIR CIRON PHARMA AHI ARMSTRONG HEALTHCARE INC 5208 EENT ANTI-INFLAMMATORY AGENTS 2026-04-01 2028-03-31 NASAL 6 EENT ANTI-INFLAMMATORY AGENTS
40 3653CE FLUTICASONE 27.5MCG NASAL SP (CIR/AHI) FLUTICASONE FLUTICASONE 200 DOSES A 14.68 14.68 NASAL SPRAY 1 BOTT CIR CIRON PHARMA AHI ARMSTRONG HEALTHCARE INC 5208 EENT ANTI-INFLAMMATORY AGENTS 2022-04-01 2022-09-30 NASAL 6 EYE, EAR, NOSE AND THROAT PREPARATIONS 2022-03-29
41 3653CE FLUTICASONE 27.5MCG NASAL SP (CIR) FLUTICASONE FLUTICASONE 200 DOSES A 14.14 14.1353 BOTT 1 BOTT CIR CIRON PHARMA AHI ARMSTRONG HEALTHCARE INC 5208 EENT ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 NASAL 6 EENT ANTI-INFLAMMATORY AGENTS
40 3653CF FLUTICASONE 50MCG NASAL SP (CIR/AHI) FLUTICASONE FLUTICASONE 200 DOSES A 14.08 14.08 NASAL SPRAY 1 BOTT CIR CIRON PHARMA AHI ARMSTRONG HEALTHCARE INC 5208 EENT ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 NASAL 6 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 3653CF FLUTICASONE 50MCG NASAL SP (CIR) FLUTICASONE FLUTICASONE 200 DOSES A 15.28 15.277 BOTT 1 BOTT CIR CIRON PHARMA AHI ARMSTRONG HEALTHCARE INC 5208 EENT ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 NASAL 6 EENT ANTI-INFLAMMATORY AGENTS
40 3653CK MOMETASONE 50MCG NASAL SP (BCH/COL) MOMETASONE MOMETASONE 140 DOSES A 9.08 9.08 NASAL SPRAY 1 BOTT BCH SANDOZ COL COLLINS LTD 5208 EENT ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 Add to Contract as Cat A NASAL 6 EYE, EAR, NOSE AND THROAT PREPARATIONS 2021-07-29
40 3653CS FLUTICASONE 27.5MCG NASAL SP (ARP/AHI) FLUTICASONE FLUTICASONE 120 DOSES A 12.99 12.99 NASAL SPRAY 1 BOTT ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 5208 EENT ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 NASAL 6 EYE, EAR, NOSE AND THROAT PREPARATIONS