Displaying 2461 - 2480 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 37862 DEXTROSE|SODIUM CHLORIDE 5%|0.9% INJ (BAX) (B) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 1 LITRE B 5.6 5.5997 BAG 100 BAG BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4020 CALORIC AGENTS 2024-04-01 2026-03-31 IV 0 CALORIC AGENTS
42 37862 DEXTROSE|SODIUM CHLORIDE 5%|0.9% INJ (BAX) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 1 LITRE B 6.25 6.25 BAG 100 BAG BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4020 CALORIC AGENTS 2026-04-01 2028-03-31 IV 0 CALORIC AGENTS
40 3786F DEXTROSE | SODIUM CHLORIDE 5% | 0.9% INJ (CSC/PHA) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 1 LITRE B 3.15 3.15 INJECTION 0 BOTT CSC FORSURE MEDICAL PHA PHARMACY SALES CARIBBEAN 4020 CALORIC AGENTS 2022-04-01 2022-06-18 Price Change IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE 2021-11-10
40 3786F DEXTROSE | SODIUM CHLORIDE 5% | 0.9% INJ (CSC/PHA) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 1 LITRE B 4.23 4.23 INJECTION 0 BOTT CSC FORSURE MEDICAL PHA PHARMACY SALES CARIBBEAN 4020 CALORIC AGENTS 2022-06-19 2022-07-18 Price Change IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE 2022-06-15
40 3786F DEXTROSE | SODIUM CHLORIDE 5% | 0.9% INJ (CSC/PHA) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 1 LITRE B 4.00 4.00 INJECTION 0 BOTT CSC FORSURE MEDICAL PHA PHARMACY SALES CARIBBEAN 4020 CALORIC AGENTS 2022-07-19 2024-03-31 Price Change IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE 2022-07-18
41 3786F DEXTROSE|SODIUM CHLORIDE 5%|0.9% INJ (CSC) (B) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 1 LITRE B 3.72 3.7241 BAG 100 BAG CSC FORSURE MEDICAL PHA PHARMACY SALES CARIBBEAN 4020 CALORIC AGENTS 2024-04-01 2026-03-31 IV 0 CALORIC AGENTS
40 37882 DEXTROSE | SODIUM CHLORIDE 5% | 0.45% INJ (CSC/PHA) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 500ML B 2.50 2.50 INJECTION 0 BAG CSC FORSURE MEDICAL PHA PHARMACY SALES CARIBBEAN 4020 CALORIC AGENTS 2022-04-01 2022-06-15 Price Change IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE 2021-11-10
40 37882 DEXTROSE | SODIUM CHLORIDE 5% | 0.45% INJ (CSC/PHA) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 500ML B 2.80 2.80 INJECTION 0 BAG CSC FORSURE MEDICAL PHA PHARMACY SALES CARIBBEAN 4020 CALORIC AGENTS 2022-06-16 2024-03-31 Price Change IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE 2022-06-15
41 37882 DEXTROSE|SODIUM CHLORIDE 5%|0.45% INJ (CSC) (B) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 500ML B 2.45 2.4465 BAG 50 BAG CSC FORSURE MEDICAL PHA PHARMACY SALES CARIBBEAN 4020 CALORIC AGENTS 2024-04-01 2026-03-31 IV 0 CALORIC AGENTS
40 3788D DEXTROSE | SODIUM CHLORIDE 5% | 0.45% INJ (BAX/STO) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 500ML B 2.58 2.58 INJECTION 0 BOTT BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4020 CALORIC AGENTS 2022-04-01 2024-03-31 IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE
41 3788D DEXTROSE|SODIUM CHLORIDE 5%|0.45% INJ (BAX) (B) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 500ML B 5.03 5.0289 BAG 50 BAG BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4020 CALORIC AGENTS 2024-04-01 2026-03-31 IV 0 CALORIC AGENTS
42 3788D DEXTROSE|SODIUM CHLORIDE 5%|0.45% INJ (BAX) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 500ML B 6.25 6.25 BAG 50 BAG BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4020 CALORIC AGENTS 2026-04-01 2028-03-31 IV 0 CALORIC AGENTS
40 37891 DEXTROSE | SODIUM CHLORIDE 5% | 0.45% INJ (BAX/STO) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 1 LITRE B 3.32 3.32 INJECTION 0 BOTT BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4020 CALORIC AGENTS 2022-04-01 2024-03-31 IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE
41 37891 DEXTROSE|SODIUM CHLORIDE 5%|0.45% INJ (BAX) (B) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 1 LITRE B 5.49 5.491 BAG 50 BAG BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4020 CALORIC AGENTS 2024-04-01 2026-03-31 IV 0 CALORIC AGENTS
42 37891 DEXTROSE|SODIUM CHLORIDE 5%|0.45% INJ (BAX) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 1 LITRE B 6.23 6.22 BAG 50 BAG BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4020 CALORIC AGENTS 2026-04-01 2028-03-31 IV 0 CALORIC AGENTS
40 37896 DEXTROSE | SODIUM CHLORIDE 5% | 0.45% INJ (CSC/PHA) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 1 LITRE B 3.30 3.30 INJECTION 0 BOTT CSC FORSURE MEDICAL PHA PHARMACY SALES CARIBBEAN 4020 CALORIC AGENTS 2022-04-01 2022-06-15 Price Change IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE 2021-11-10
40 37896 DEXTROSE | SODIUM CHLORIDE 5% | 0.45% INJ (CSC/PHA) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 1 LITRE B 4.14 4.14 INJECTION 0 BOTT CSC FORSURE MEDICAL PHA PHARMACY SALES CARIBBEAN 4020 CALORIC AGENTS 2022-06-16 2022-07-18 Price Change IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE 2022-06-15
40 37896 DEXTROSE | SODIUM CHLORIDE 5% | 0.45% INJ (CSC/PHA) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 1 LITRE B 3.92 3.92 INJECTION 0 BOTT CSC FORSURE MEDICAL PHA PHARMACY SALES CARIBBEAN 4020 CALORIC AGENTS 2022-07-19 2024-03-31 Price Change IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE 2022-07-18
41 37896 DEXTROSE|SODIUM CHLORIDE 5%|0.45% INJ (CSC) (B) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 1 LITRE B 3.72 3.7241 BAG 50 BAG CSC FORSURE MEDICAL PHA PHARMACY SALES CARIBBEAN 4020 CALORIC AGENTS 2024-04-01 2026-03-31 IV 0 CALORIC AGENTS
40 3791J ALLEGRA -D 120MG F/60MG P TAB (SFA/COL) FEXOF FEXOFENADINE|PSEUDOEPHEDRINE ALLEGRA -D 10'S C 11.15 1.12 TABLET 0 TAB SFA SANOFI AVENTIS COL COLLINS LTD 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS