Displaying 2421 - 2440 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
41 3742E OSMITROL (2D5632Q) 20% INJ (BAX) MANNITOL MANNITOL OSMITROL (2D5632Q) 250ML BQ 19.98 19.9797 BAG 0 BAG BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 402812 OSMOTIC DIURETICS 2024-04-01 2026-03-31 IV 0 OSMOTIC DIURETICS
42 3742E OSMITROL (2D5632Q) 20% INJ (BAX) MANNITOL MANNITOL OSMITROL (2D5632Q) 250ML BQ 22.51 22.51 BAG 0 BAG BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 402812 OSMOTIC DIURETICS 2026-04-01 2028-03-31 IV 0 OSMOTIC DIURETICS
40 375A1 DIANEAL (L5B5193) 1.5% INJ (BAX/STO) DIALYSIS SOLN DIALYSIS SOLN DIANEAL (L5B5193) 2X5 LITRES B 36.04 18.02 INJECTION 0 BAG BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4036 IRRIGATING SOLUTIONS 2022-04-01 2024-03-31 Add to Contract as Cat B IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE 2021-12-30
41 375A1 DIANEAL (L5B5193) 1.5% INJ (BAX) DIALYSIS SOLN DIALYSIS SOLN DIANEAL (L5B5193) 2X5 LITRES B 43.28 21.6378 BAG 100 BOX BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4036 IRRIGATING SOLUTIONS 2024-04-01 2026-03-31 IV 0 IRRIGATING SOLUTIONS
42 375A1 DIANEAL (L5B5193) 1.5% INJ (BAX) DIALYSIS SOLN DIALYSIS SOLN DIANEAL (L5B5193) 2X5 LITRES BQ 64.75 32.38 BAG 100 BOX BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4036 IRRIGATING SOLUTIONS 2026-04-01 2028-03-31 IV 0 IRRIGATING SOLUTIONS 2026-01-28
42 375A4 DIANEAL (L5B5193) 1.5% INJ (BAX) DIALYSIS SOLN DIALYSIS SOLN DIANEAL(L5B5193) 2X5 LITRES BQ 64.75 32.38 BAG 100 BOX BAX BAXTER EXPORT CORP. AHI ARMSTRONG HEALTHCARE INC 4036 IRRIGATING SOLUTIONS 2026-04-01 2028-03-31 IV 0 IRRIGATING SOLUTIONS 2026-01-29
40 375B1 DIANEAL (L5B5194) 2.5% INJ (BAX/STO) DIALYSIS SOLN DIALYSIS SOLN DIANEAL (L5B5194) 2X5 LITRES B 36.04 18.02 INJECTION 0 BAG BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4036 IRRIGATING SOLUTIONS 2022-04-01 2024-03-31 IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE
41 375B1 DIANEAL (L5B5194) 2.5% INJ (BAX) DIALYSIS SOLN DIALYSIS SOLN DIANEAL (L5B5194) 2X5 LITRES B 43.28 21.6378 BAG 100 BOX BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4036 IRRIGATING SOLUTIONS 2024-04-01 2026-03-31 IV 0 IRRIGATING SOLUTIONS
42 375B1 DIANEAL (L5B5194) 2.5% SOLN (BAX) DIALYSIS SOLN DIALYSIS SOLN DIANEAL (L5B5194) 2X5 LITRES BQ 64.75 32.38 BAG 0 BOX BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4036 IRRIGATING SOLUTIONS 2026-04-01 2028-03-31 IV 0 IRRIGATING SOLUTIONS 2026-01-28
42 375B3 DIANEAL (L5B5194) 2.5% SOLN (BAX) DIALYSIS SOLN DIALYSIS SOLN DIANEAL(L5B5194) 2X5 LITRES BQ 64.75 32.38 BAG 0 BOX BAX BAXTER EXPORT CORP. AHI ARMSTRONG HEALTHCARE INC 4036 IRRIGATING SOLUTIONS 2026-04-01 2028-03-31 IV 0 IRRIGATING SOLUTIONS 2026-01-29
40 375C1 DIANEAL (L5B5195) 4.25% INJ (BAX/STO) DIALYSIS SOLN DIALYSIS SOLN DIANEAL (L5B5195) 2X5 LITRES B 36.04 18.02 INJECTION 0 BAG BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4036 IRRIGATING SOLUTIONS 2022-04-01 2024-03-31 IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE
41 375C1 DIANEAL (L5B5195) 4.25% INJ (BAX) DIALYSIS SOLN DIALYSIS SOLN DIANEAL (L5B5195) 2X5 LITRES B 43.28 21.6378 BAG 100 BOX BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4036 IRRIGATING SOLUTIONS 2024-04-01 2026-03-31 IV 0 IRRIGATING SOLUTIONS
42 375C1 DIANEAL (L5B5195) 4.25% SOLN (BAX) DIALYSIS SOLN DIALYSIS SOLN DIANEAL (L5B5195) 2X5 LITRES BQ 67.69 33.85 BAG 0 BOX BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4036 IRRIGATING SOLUTIONS 2026-04-01 2028-03-31 IV 0 IRRIGATING SOLUTIONS 2026-01-28
42 375C3 DIANEAL (L5B5195) 4.25% SOLN (BAX) DIALYSIS SOLN DIALYSIS SOLN DIANEAL(L5B5195) 2X5 LITRES BQ 67.69 33.85 BAG 0 BOX BAX BAXTER EXPORT CORP. AHI ARMSTRONG HEALTHCARE INC 4036 IRRIGATING SOLUTIONS 2026-04-01 2028-03-31 IV 0 IRRIGATING SOLUTIONS 2026-01-29
40 375D1 DIANEAL (5B9866) 1.5% INJ (BAX/STO) DIALYSIS SOLN DIALYSIS SOLN DIANEAL (5B9866) 6X2L B 110.91 18.49 INJECTION 0 BOTT BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4036 IRRIGATING SOLUTIONS 2022-04-01 2024-03-31 IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE
41 375D1 DIANEAL (5B9866) 1.5% INJ (BAX) DIALYSIS SOLN DIALYSIS SOLN DIANEAL (5B9866) 6X2L B 133.2 22.2 BAG 100 BOX BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4036 IRRIGATING SOLUTIONS 2024-04-01 2026-03-31 IV 0 IRRIGATING SOLUTIONS
42 375D1 DIANEAL (5B9866) 1.5% SOLN (BAX) DIALYSIS SOLN DIALYSIS SOLN DIANEAL (5B9866) 6X2L BQ 208.41 34.74 BAG 0 BOX BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4036 IRRIGATING SOLUTIONS 2026-04-01 2028-03-31 IV 0 IRRIGATING SOLUTIONS 2026-01-28
42 375D6 DIANEAL (5B9866) 1.5% SOLN (BAX) DIALYSIS SOLN DIALYSIS SOLN DIANEAL(5B9866) 6X2 LITRE BQ 208.41 34.74 BAG 0 BOX BAX BAXTER EXPORT CORP. AHI ARMSTRONG HEALTHCARE INC 4036 IRRIGATING SOLUTIONS 2026-04-01 2028-03-31 IV 0 IRRIGATING SOLUTIONS 2026-01-29
40 375E1 DIANEAL (5B9876) 2.5% INJ (BAX/STO) DIALYSIS SOLN DIALYSIS SOLN DIANEAL (5B9876) 6X2L B 110.91 18.49 INJECTION 0 BOTT BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4036 IRRIGATING SOLUTIONS 2022-04-01 2024-03-31 IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE
41 375E1 DIANEAL (5B9876) 2.5% INJ (BAX) DIALYSIS SOLN DIALYSIS SOLN DIANEAL (5B9876) 6X2L B 133.2 22.2 BAG 100 BOX BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4036 IRRIGATING SOLUTIONS 2024-04-01 2026-03-31 IV 0 IRRIGATING SOLUTIONS