Displaying 2521 - 2540 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
40 3961AP DEPAKOTE 250MG TAB (ABB/PHA) VALPROIC ACID VALPROIC ACID DEPAKOTE 30'S A 21.42 0.71 TABLET 90 TAB ABB ABBOTT PHA PHARMACY SALES CARIBBEAN B 281292 ANTICONVULSANTS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
40 3961AP DEPAKOTE 250MG TAB (ABB/PHA) VALPROIC ACID VALPROIC ACID DEPAKOTE 30'S A 21.42 0.714 TABLET IMMED ABB ABBOTT PHA PHARMACY SALES CARIBBEAN B 281292 ANTICONVULSANTS MISCELLANEOUS 2022-04-01 2023-03-31 Delete from contract Oral 6 ANTICONVULSANTS MISCELLANEOUS 2023-03-07
40 3961AS EPILIM CHRONO 133.2MG | 58MG TAB (SFA/COL) SODI SODIUM VALPROATE|VALPROIC ACID EPILIM CHRONO 30'S A 11.01 0.37 TABLET 150 TAB SFA SANOFI AVENTIS COL COLLINS LTD B 281292 ANTICONVULSANTS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
41 3961AS EPILIM CHRONO 133.2MG|58MG CR TAB (SFA) SODIUM VALPROATE|VAL SODIUM VALPROATE|VALPROIC ACID EPILIM CHRONO 30'S A 11.01 0.367 TABCR 150 BOX SFA SANOFI AVENTIS COL COLLINS LTD B 281292 ANTICONVULSANTS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANTICONVULSANTS MISCELLANEOUS
40 3961AV DEPAKOTE 250MG TAB (ABB) VALPROIC ACID VALPROIC ACID DEPAKOTE 30 A $21.42 0.714 TABLET 90 TAB ABB ABBOTT LABORATORIES SBI MASSY DISTRIBUTION B 281292 ANTICONVULSANTS MISCELLANEOUS 0000-00-00 0000-00-00 CHANGE OF DISTRIBUTOR ORAL 6 ANTICONVULSANTS MISCELLANEOUS 0000-00-00
41 3961AV DEPAKOTE 250MG TAB (ABB) VALPROIC ACID VALPROIC ACID DEPAKOTE 30'S A 22.43 0.7475 TAB 90 BOTT ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD B 281292 ANTICONVULSANTS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANTICONVULSANTS MISCELLANEOUS
41 3961AW DEPAKOTE 250MG ER TAB (ABB) SODIUM VALPROATE VALPROIC ACID DEPAKOTE ER 30'S A 24.22 0.8073 TABER 90 BOTT ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 281292 ANTICONVULSANTS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANTICONVULSANTS MISCELLANEOUS
41 3961AX DEPAKENE 250MG CAP (ABB) VALPROIC ACID (C) VALPROIC ACID DEPAKENE 50'S C 43.36 0.8671 CAP 90 BOTT ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD B 281292 ANTICONVULSANTS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANTICONVULSANTS MISCELLANEOUS
42 3961BB VALEX 133.2MG|58MG CR TAB (INC) SODIUM VALPROATE|VALPROIC AC SODIUM VALPROATE|VALPROIC ACID VALEX 5X10 A 5.33 0.11 TAB 150 BLIS INC INCEPTA PHARMACEUTICALS LIMITED AHI ARMSTRONG HEALTHCARE INC B 281292 ANTICONVULSANTS MISCELLANEOUS 2026-04-01 2028-03-31 ORAL 6 ANTICONVULSANTS MISCELLANEOUS
42 3961BD DEPAKOTE 250MG DR TAB (ABB) VALPROIC ACID VALPROIC ACID DEPAKOTE 30'S A 20.39 0.68 TAB 90 BOTT ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 281292 ANTICONVULSANTS MISCELLANEOUS 2026-04-01 2028-03-31 ORAL 6 ANTICONVULSANTS MISCELLANEOUS
42 3961BG VALSONIM 133.2MG|58MG CR TAB (ANC) SODIUM VALPROATE|VALPROIC SODIUM VALPROATE|VALPROIC ACID VALSONIM 100'S A 8.92 0.09 TAB 150 ANC AEONIM HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD B 281292 ANTICONVULSANTS MISCELLANEOUS 2026-04-01 2028-03-31 ORAL 6 ANTICONVULSANTS MISCELLANEOUS 2026-01-30
42 3961BH LEEPORATE 133.2MG|58MG CR TAB (JLP) SODIUM VALPROATE|VALPROI SODIUM VALPROATE|VALPROIC ACID LEEPORATE 10X10 A 12.64 0.13 TAB 150 JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC B 281292 ANTICONVULSANTS MISCELLANEOUS 2026-04-01 2028-03-31 ORAL 6 ANTICONVULSANTS MISCELLANEOUS 2026-01-30
42 3961Z PMS-VALPROIC ACID 250MG CAP (PMS) VALPROIC ACID PMS-VALPROIC ACID 100'S A 24.46 0.24 CAP 90 BOTT PMS PHARMASCIENCE COL AVENTA BARBADOS B 281292 ANTICONVULSANTS MISCELLANEOUS 2026-04-01 2028-03-31 ORAL 6 ANTICONVULSANTS MISCELLANEOUS
40 39629 EPILIM 40MG/ML SYR (SFA/COL) SODIUM VALPROATE SODIUM VALPROATE EPILIM 300ML A 35.20 0.12 SYRUP 750 ML SFA SANOFI AVENTIS COL COLLINS LTD B 281292 ANTICONVULSANTS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
41 39629 EPILIM 40MG/ML SYR (SFA) SODIUM VALPROATE SODIUM VALPROATE EPILIM 300ML A 35.2 0.1173 ML 750 BOTT SFA SANOFI AVENTIS COL COLLINS LTD B 281292 ANTICONVULSANTS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANTICONVULSANTS MISCELLANEOUS
42 39629 EPILIM 40MG/ML SYR (SFA) SODIUM VALPROATE SODIUM VALPROATE EPILIM 300ML A 35.20 0.12 ML 750 BOTT SFA SANOFI COL AVENTA BARBADOS B 281292 ANTICONVULSANTS MISCELLANEOUS 2026-04-01 2028-03-31 ORAL 6 ANTICONVULSANTS MISCELLANEOUS
40 3962H DEPAKENE 50MG/ML SYR (ABB/PHA) VALPROIC ACID VALPROIC ACID DEPAKENE 240ML A 28.49 0.12 SYRUP 900 ML ABB ABBOTT PHA PHARMACY SALES CARIBBEAN B 281292 ANTICONVULSANTS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
40 3962H DEPAKENE 50MG/ML SYR (ABB/PHA) VALPROIC ACID VALPROIC ACID DEPAKENE 240ML A 28.49 0.1187 SYRUP ABB ABBOTT PHA PHARMACY SALES CARIBBEAN B 281292 ANTICONVULSANTS MISCELLANEOUS 2022-04-01 2023-03-31 Delete from contract Oral 6 ANTICONVULSANTS MISCELLANEOUS 2023-03-02
40 3962R DEPAKENE 50MG/ML SYR (ABB)VALPROIC ACID VALPROIC ACID DEPAKENE SYR 8OZS A $28.48 0.12 SYRUP 900 ML ABB ABBOTT LABORATORIES SBI MASSY DISTRIBUTION B 281292 ANTICONVULSANTS MISCELLANEOUS 0000-00-00 ORAL 6 CENTRAL NERVOUS SYSTEM DRUGS
41 3962R DEPAKENE 50MG/ML SYR (ABB) VALPROIC ACID VALPROIC ACID DEPAKENE 8OZ A 29.85 0.1244 ML 900 BOTT ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD B 281292 ANTICONVULSANTS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANTICONVULSANTS MISCELLANEOUS