Displaying 2361 - 2380 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
40 3653CT NASONEX 50MCG NASAL SP (MSD/STO) MOMETASONE MOMETASONE NASONEX 120 DOSES C 17.07 17.07 NASAL SPRAY 0 BOTT MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 5208 EENT ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 NASAL 0 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 3653CT NASONEX 50MCG NASAL SP (MSD) MOMETA (C) MOMETASONE NASONEX 120 DOSES C 17.26 17.2614 BOTT 1 BOTT MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 5208 EENT ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 NASAL 6 EENT ANTI-INFLAMMATORY AGENTS
42 3653CT NASONEX 50MCG NASAL SP (MSD) MOMET (C) MOMETASONE NASONEX 120 DOSES C 17.26 17.26 BOTT 1 BOTT MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 5208 EENT ANTI-INFLAMMATORY AGENTS 2026-04-01 2028-03-31 NASAL 6 EENT ANTI-INFLAMMATORY AGENTS
41 3653CW APO-MOMETASONE 50MCG NASAL SP (APO) MOMETASONE APO-MOMETASONE 140 DOSES A 7.83 7.8288 BOTT 1 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 5208 EENT ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 INHALATION 6 EENT ANTI-INFLAMMATORY AGENTS
42 3653DG NEOTISON 27.5MCG NASAL SP (INC) FLUTICASONE FLUTICASONE NEOTISON 120 DOSES A 8.97 8.97 BOTT 1 BOTT INC INCEPTA PHARMACEUTICALS LIMITED AHI ARMSTRONG HEALTHCARE INC 5202 ANTIALLERGIC AGENTS 2026-04-01 2028-03-31 NASAL 6 ANTIALLERGIC AGENTS
42 3653DK FLUBREATH 50MCG NASAL SP (JLP) FLUTICASONE FLUTICASONE FLUBREATH 120 DOSES A 4.57 4.57 BOTT 1 CNN JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 5202 ANTIALLERGIC AGENTS 2026-04-01 2028-03-31 NASAL 6 ANTIALLERGIC AGENTS
42 3653DL NAZERELIEF 50MCG NASAL SP (JLP) MOMETASONE MOMETASONE NAZERELIEF 100 DOSES A 2.20 2.20 BOTT 1 BOTT JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 5202 ANTIALLERGIC AGENTS 2026-04-01 2028-03-31 INHALATION 6 ANTIALLERGIC AGENTS
40 3653P FLIXONASE 50MCG NASAL SP (GSK/COL) FLUTICASON FLUTICASONE FLIXONASE 120 DOSES A 12.91 12.91 NASAL SPRAY 1 BOTT GSK GLAXOSMITHKLINE COL COLLINS LTD 5208 EENT ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 NASAL 6 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 3653P FLIXONASE 50MCG NASAL SP (GSK) FLUTICASO FLUTICASONE FLIXONASE 120 DOSES A 13.67 13.6732 BOTT 1 BOTT GSK GLAXOSMITHKLINE COL COLLINS LTD 5208 EENT ANTI-INFLAMMATORY AGENTS 2024-04-01 2024-07-25 NASAL 6 EENT ANTI-INFLAMMATORY AGENTS 2024-06-13
40 3653T NASACORT AQ 55MCG NASAL SP (SFA/COL) TRIAMCIN TRIAMCINOLONE NASACORT AQ 120 DOSES A 12.23 12.23 NASAL SPRAY 1 BOTT SFA SANOFI AVENTIS COL COLLINS LTD 5208 EENT ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 NASAL 6 EYE, EAR, NOSE AND THROAT PREPARATIONS
40 36551 BRIXIA 0.05% EYE DR (LPO/COL) AZELASTINE AZELASTINE BRIXIA 6ML A 6.25 6.25 EYE DROP 1 BOTT LPO LABORATORIOS POEN S.A. COL COLLINS LTD 5202 ANTIALLERGIC AGENTS 2022-04-01 2024-03-31 OPHTHALMIC 6 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 36551 BRIXIA 0.05% EYE DR (LPO) AZELASTINE AZELASTINE BRIXIA 6ML A 6.88 6.8774 BOTT 1 BOTT LPO LABORATORIOS POEN S.A. COL COLLINS LTD 5202 ANTIALLERGIC AGENTS 2024-04-01 2026-03-31 OPHTHALMIC 6 ANTIALLERGIC AGENTS
42 36551 BRIXIA 0.05% EYE DR (LPO) AZELASTINE AZELASTINE BRIXIA 6ML A 19.03 19.03 BOTT 1 BOTT LPO LABORATORIOS POEN S.A. COL AVENTA BARBADOS 5202 ANTIALLERGIC AGENTS 2026-04-01 2028-03-31 OPHTHALMIC 6 ANTIALLERGIC AGENTS
40 36613 LIPOFUNDIN 20% INJ (BRA/COL) SOYA BEAN OIL SOYA BEAN OIL LIPOFUNDIN 500ML BQ 34.39 34.39 INJECTION 0 BOTT BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 4020 CALORIC AGENTS 2022-04-01 2024-03-31 IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE
41 36613 LIPOFUNDIN 20% INJ (BRA) SOYA BEAN OIL SOYA BEAN OIL LIPOFUNDIN 500ML BQ 41.26 41.2642 BOTT 0 BOTT BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 4020 CALORIC AGENTS 2024-04-01 2026-03-31 IV 0 CALORIC AGENTS
42 36613 LIPOFUNDIN 20% INJ (BRA) SOYA BEAN OIL SOYA BEAN OIL LIPOFUNDIN 500ML BQ 65.24 65.24 BOTT 0 BOTT BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL AVENTA BARBADOS 4020 CALORIC AGENTS 2026-04-01 2028-03-31 IV 0 CALORIC AGENTS
40 3681G NALOXONE 0.4MG/ML INJ (RTM/PHA) NALOXONE NALOXONE 10X1ML BQ 49.25 4.925 INJECTION RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 2810 OPIATE ANTAGONISTS 2022-04-01 2024-03-31 Add to Contract as Cat B IV OPIATE ANTAGONISTS 2023-02-22
41 3681G NALOXONE 0.4MG/ML INJ (RTM) (B) NALOXONE NALOXONE 10X1ML B 57.3 5.7302 AMP 0 BOX RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 2810 OPIATE ANTAGONISTS 2024-04-01 2026-03-31 IV 0 OPIATE ANTAGONISTS
42 3681G NALOXONE 0.4MG/ML INJ (RTM) NALOXONE NALOXONE 10X1ML B 40.77 4.08 AMPG 0 BOX RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 2810 OPIATE ANTAGONISTS 2026-04-01 2028-03-31 IV 0 OPIATE ANTAGONISTS
41 3681Q N-XONE 0.4MG/ML INJ (VEV) NALOXONE (B) NALOXONE N-XONE 10X1ML B 47.3 4.7299 AMP 0 BOX VEV VERVE HUMANCARE LABORATORIES AHI ARMSTRONG HEALTHCARE INC 2810 OPIATE ANTAGONISTS 2024-04-01 2026-03-31 IV 0 OPIATE ANTAGONISTS