Displaying 2701 - 2720 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 4144DA DICLO-SR 75MG SR TAB (RYV) DICLOFENAC SODIUM DICLOFENAC SODIUM DICLO-SR 100'S A 8.1 0.081 TABSR 28 BOX RYV RYVIS PHARMA PVT. LTD ALW ALTIMAR WHOLESALERS INC 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
42 4144DA DICLO-SR 75MG SR TAB (RYV) DICLOFENAC SODIUM DICLOFENAC SODIUM DICLO-SR 100'S A 8.10 0.08 TAB 28 BLIS RYV RYVIS PHARMA PVT. LTD ALW ALTIMAR WHOLESALERS INC 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2026-04-01 2028-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
40 4144DG DICLORAN SR 75MG TAB (UNI/AHI) DICLOFENAC SOD DICLOFENAC SODIUM DICLORAN SR 10X10 A 6.74 0.07 TABLET 28 TAB UNI UNIQUE PHARMACEUTICAL LABORATORIES AHI ARMSTRONG HEALTHCARE INC 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
41 4144DP DICLOFENAC SODIUM 100MG SR TAB (FSB) DICLOFENAC SODIUM DICLOFENAC SODIUM 10X10 A 5.19 0.0519 TABSR 14 BOX FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
41 4144DS DICLOFENAC 75MG SR TAB (LDP) DICLOFENAC SODIUM DICLOFENAC 10'S A 0.73 0.0734 TABSR 28 BOX LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
41 4144DT DICLOFENAC SODIUM 100MG SR TAB (MCP) DICLOFENAC SODIUM DICLOFENAC 10X10 A 6.22 0.0622 TABSR 14 BOX MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
42 4144EA STALOGESIC 75MG SR TAB (STL) DICLOFENAC SODIUM DICLOFENAC SODIUM STALOGESIC 1X10 A 0.27 0.03 TAB 28 BLIS STL STALLION LABORATORIES SBI MASSY DISTRIBUTION (BDOS) LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2026-04-01 2028-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2025-12-04
42 4144EB DICLOFENAC SODIUM 100MG SR TAB (HEA) DICLOFENAC SODIUM DICLOFENAC SODIUM 10X10 A 7.39 0.07 TAB 14 BLIS HEA HEALTH 2000 INC AHI ARMSTRONG HEALTHCARE INC 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2026-04-01 2028-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2025-10-31
42 4144EE DICLOFENAC SODIUM 75MG SR TAB (HEA) DICLOFENAC SODIUM DICLOFENAC SODIUM 1X10 A 0.82 0.08 TAB 28 BLIS HEA HEALTH 2000 INC AHI ARMSTRONG HEALTHCARE INC 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2026-04-01 2028-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
42 4144EF DICLOFENAC SODIUM 100MG SR TAB (HEA) DICLOFENAC SODIUM DICLOFENAC 10X10 A 7.39 0.07 TAB 14 BLIS HEA HEALTH 2000 INC CWS CAPSULE WHOLESALE 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2026-04-01 2028-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2026-01-26
42 4144EG DICLOFENAC SODIUM 75MG SR TAB (HEA) DICLOFENAC SODIUM DICLOFENAC 10'S A 0.82 0.08 TAB 28 BLIS HEA HEALTH 2000 INC CWS CAPSULE WHOLESALE 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2026-04-01 2028-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2026-01-26
42 4144EH DICLOFENAC 100MG SR TAB (HEA) DICLOFENAC SODIUM DICLOFENAC 10X10 A 7.39 0.07 TAB 14 HEA HEALTH 2000 INC STO BRYDEN STOKES LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2026-04-01 2028-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2026-02-27
42 4144EJ DICLOFENAC 75MG SR TAB (HEA) DICLOFENAC SODIUM DICLOFENAC 10'S A 0.82 0.08 TAB 28 HEA HEALTH 2000 INC STO BRYDEN STOKES LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2026-04-01 2028-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2026-02-27
40 4144G VOLTAREN SR 75MG TAB (NVS/COL) DICLOFENAC SOD DICLOFENAC SODIUM VOLTAREN SR 100'S C 137.71 1.38 TABLET 0 TAB NVS NOVARTIS CARIBE SA COL COLLINS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
41 4144G VOLTAREN SR 75MG TAB (NVS) DICLOFENAC SO (C) DICLOFENAC SODIUM VOLTAREN 100'S C 137.71 1.3771 TABSR 28 BOX NVS NOVARTIS CARIBE SA COL COLLINS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
42 4144G VOLTAREN 75MG SR TAB (NVS) DICLOFENAC SODIUM DICLOFENAC SODIUM VOLTAREN 100'S C 137.71 1.38 TABSR 28 BLIS NVS NOVARTIS CARIBE SA COL AVENTA BARBADOS 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2026-04-01 2028-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
40 4144P DICLOFENAC SOD SR 75MG TAB (HEA/RXP) DICLOFENAC SODIUM DICLOFENAC SODIUM SR 10'S C 0.79 0.08 TABLET 0 TAB HEA HEALTH 2000 INC RXP RX PRO INC 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
40 4144PA DICLOFENAC SOD SR 75MG TAB (HEA/ATB) (C) DICLOFENAC SODIUM DICLOFENAC SOD SR 10'S C 1.5 0.15 TABLET SUSTA HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2022-12-07 2024-03-31 Change Local Agent oral 0 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2022-11-25
41 4144PA DICLOFENAC SODIUM 75MG SR TAB (HEA) (C) DICLOFENAC SODIUM DICLOFENAC SODIUM 10'S C 0.92 0.0924 TABSR 28 BOX HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 ORAL 6 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS
40 4144V VOLTAREN SR 75MG TAB (NVS/COL) DICLOFENAC SOD DICLOFENAC SODIUM VOLTAREN SR 20'S C 27.73 1.39 TABLET 0 TAB NVS NOVARTIS CARIBE SA COL COLLINS LTD 28080492 OTHER NONSTEROIDAL ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS