Displaying 241 - 260 of 4237
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 02335 SYMBICORT TURBU 320MCG | 9MCG INHR (AZN/COL) BUDESONIDE | FORMOTEROL BUDESONIDE|FORMOTEROL SYMBICORT TURBU 60 DOSES A 52.19 52.19 INHALER 1 INHR AZN ASTRAZENECA AB COL COLLINS LTD B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2022-04-01 2024-03-31 ORAL INHALATION 6 RESPIRATORY TRACT AGENTS
41 02335 SYMBICORT TURBU 320MCG|9MCG INHR (AZN) BUDESONIDE|FORMOTEROL BUDESONIDE|FORMOTEROL SYMBICORT TURBU 60 DOSES A 52.19 52.1918 INHR 1 BOX AZN ASTRAZENECA AB COL COLLINS LTD B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL INHALATION 6 RESPIRATORY AGENTS MISCELLANEOUS
40 0292J CLINEX 150MG CAP (ARP/AHI) CLINDAMYCIN HCL CLINDAMYCIN HYDROCHLORIDE CLINEX 3X10 A 9.65 0.32 CAPSULE 28 CAP ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 08122820 LINCOMYCINS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 0292J CLINEX 150MG CAP (ARP) CLINDAMYCIN HCL (C) CLINDAMYCIN HCL CLINEX 3X10 C 10.28 0.3425 CAP 28 BOX ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 08122820 LINCOMYCINS 2024-04-01 2026-03-31 ORAL 0 LINCOMYCINS
41 0292L CLINDAMYCIN 150MG CAP (CAM) CLINDAMYCIN HCL CLINDAMYCIN 100'S A 32.84 0.3284 CAP 28 BOX CAM MORNINGSIDE PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 08122820 LINCOMYCINS 2024-04-01 2026-03-31 ORAL 0 LINCOMYCINS
41 0292R CLINDAVAN 150MG CAP (TPP) CLINDAMYCIN HCL CLINDAMYCIN HCL CLINDAVAN 10X10 A 25.2 0.252 CAP 28 BOX TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 08122820 LINCOMYCINS 2024-04-01 2026-03-31 ORAL 0 LINCOMYCINS
40 0294K CLINEX 300MG CAP (ARP/AHI) CLINDAMYCIN HCL CLINDAMYCIN HYDROCHLORIDE CLINEX 30'S A 18.76 0.63 CAPSULE 28 CAP ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 08122820 LINCOMYCINS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 0294K CLINEX 300MG CAP (ARP) CLINDAMYCIN HCL (C) CLINDAMYCIN HCL CLINEX 30'S C 18.76 0.6252 CAP 28 BOX ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 08122820 LINCOMYCINS 2024-04-01 2026-03-31 ORAL 0 LINCOMYCINS
41 0294M CLINDAMYCIN HCL 300MG CAP (KWA) CLINDAMYCIN HCL CLINDAMYCIN HCL 100'S A 38.82 0.3882 CAP 28 BOX KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 08122820 LINCOMYCINS 2024-04-01 2026-03-31 ORAL 0 LINCOMYCINS
41 0294S CLINDAVAN 300MG CAP (TPP) CLINDAMYCIN HCL CLINDAMYCIN HCL CLINDAVAN 10X10 A 47.38 0.4738 CAP 28 BOX TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 081228 ANTIBACTERIALS, MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 0 ANTIBACTERIALS, MISCELLANEOUS
40 0301Q CLINDATECH 150MG/ML INJ (UBI/RXP) CLINDAMYCIN CLINDAMYCIN PHOSPHATE CLINDATECH 2ML AMP BQ 6.12 6.12 INJECTION 0 AMP UBI UNITED BIOTECH (P) LIMITED RXP RX PRO INC 08122820 LINCOMYCINS 2022-04-01 2024-03-31 IV 6 ANTI-INFECTIVE AGENTS
41 0301S CLINDAMYCIN PHOSPHATE 150MG/ML INJ (FSB) (B) CLINDAMYCIN PHOSPHATE CLINDAMYCIN PHOSPHATE 10X2ML B 29.96 2.9956 AMP 112 BOX FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 08122820 LINCOMYCINS 2024-04-01 2026-03-31 IV/IM 0 LINCOMYCINS
40 0302AA LACLIDA 150MG/ML INJ (LDP/AHI) CLINDAMYCIN PH CLINDAMYCIN PHOSPHATE LACLIDA 10X4ML BQ 79.86 7.99 INJECTION 0 AMP LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 08122820 LINCOMYCINS 2022-04-01 2024-03-31 IV 6 ANTI-INFECTIVE AGENTS
41 0302AB CLINDAMYCIN PHOSPHATE 150MG/ML INJ (FSB) (B) CLINDAMYCIN PHOSPHATE CLINDAMYCIN PHOSPHATE 10X4ML B 51.7 5.1702 AMP 0 BOX FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 08122820 LINCOMYCINS 2024-04-01 2026-03-31 IV/IM 0 LINCOMYCINS
40 0314B FUSIDIC ACID DRESSING 1% (LDP/AHI) FUSIDIC ACID FUSIDIC ACID DRESSING 10'S A 19.14 19.14 10 BOX LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 840404 ANTIBIOTICS TOPICAL 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
41 0314B FUSIDIC ACID DRESSING 1% DRESSING (LDP) FUSIDIC ACID FUSIDIC ACID DRESSING 10'S A 18.97 1.8974 EACH 10 BOX LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 840404 ANTIBIOTICS TOPICAL 2024-04-01 2026-03-31 TOPICAL 6 ANTIBIOTICS TOPICAL
40 0314L BACTIGRAS 10CMX10CM (SMN/IMS) CHLORHEXIDINE CHLORHEXIDINE BACTIGRAS 10'S A 29.00 2.90 10 EACH SMN SMITH & NEPHEW PHARMACEUTICALS IMS ISLANDS MEDICAL SUPPLIES INC 840492 ANTI-INFECTIVES TOPICAL MISCELLANEOUS 2022-04-06 2024-03-31 Add to Contract as Cat A TOPICAL 6 SKIN-MUCOUS MEMBRANE PREPARATIONS 2022-04-06
41 0314L BACTIGRAS 10CMX10CM (SMN) CHLORHEXIDINE CHLORHEXIDINE BACTIGRAS 10'S A 31.75 3.175 EACH 10 BOX SMN SMITH & NEPHEW PHARMACEUTICALS IMS ISLANDS MEDICAL SUPPLIES INC 840492 ANTI-INFECTIVES TOPICAL MISCELLANEOUS 2024-04-01 2026-03-31 TOPICAL 0 ANTI-INFECTIVES TOPICAL MISCELLANEOUS
40 0321AB GENTAMICIN 40MG/ML IV/IM INJ (RTM/PHA) GENTAMICIN GENTAMICIN 10X2ML B 12.48 1.25 INJECTION 0 AMP RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 081202 AMINOGLYCOSIDES 2022-04-01 2022-05-31 IV/IM 6 ANTI-INFECTIVE AGENTS
40 0321AB GENTAMICIN 40MG/ML IV/IM INJ (RTM/PHA) GENTAMICIN GENTAMICIN 10X2ML B 19.27 1.93 INJECTION 0 AMP RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 081202 AMINOGLYCOSIDES 2022-06-01 2024-03-31 Price Change IV/IM 6 ANTI-INFECTIVE AGENTS 2022-05-31