Displaying 2761 - 2780 of 5993
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 4181BE KEYTRUDA 25MG/ML INJ (MSD) PEMBROLI (C) PEMBROLIZUMAB KEYTRUDA 4ML VIAL C 9766.5 9766.5032 VIAL 0 VIAL MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 IV 0 ANTINEOPLASTICS
42 4181BE KEYTRUDA 25MG/ML INJ (MSD) PEMBROLI PEMBROLIZUMAB KEYTRUDA 4ML VIAL BQ 9,766.50 9,766.50 VIAL 0 VIAL MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 1000 ANTINEOPLASTICS 2026-04-01 2028-03-31 IV 0 ANTINEOPLASTICS
40 4181BH BEMABIX 25MG/ML INJ (ABB/PHA) BEVACIZUMAB BEVACIZUMAB BEMABIX 4ML VIAL C 856.27 856.27 INJECTION 0 VIAL ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 4181BH BEMABIX 25MG/ML INJ (ABB/PHA) BEVACIZUMAB (C) BEVACIZUMAB BEMABIX 4ML VIAL C 856.27 856.27 INJECTION ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 1000 ANTINEOPLASTICS 2022-04-01 2023-04-18 Delete from contract IV 0 ANTINEOPLASTICS 2023-03-07
40 4181BJ BEMABIX 25MG/ML INJ (ABB/PHA) BEVACIZUMAB BEVACIZUMAB BEMABIX 16ML VIAL C 3,811.28 3,811.28 INJECTION 0 VIAL ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 4181BJ BEMABIX 25MG/ML INJ (ABB/PHA) BEVACIZUMAB (C) BEVACIZUMAB BEMABIX 16ML VIAL C 3811.28 3811.28 INJECTION ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 1000 ANTINEOPLASTICS 2022-04-01 2023-03-31 Delete from contract IV 0 ANTINEOPLASTICS 2023-03-07
40 4181BK INFLIXIRIL 100MG INJ (RLS/AHI) INFLIXIMAB INFLIXIMAB INFLIXIRIL 100ML C 1,058.52 1,058.52 INJECTION 0 VIAL RLS RELIANCE LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
41 4181BL PHESGO 60MG/ML|60MG/ML INJ (ROC) PERTUZUMAB|TRASTUZUMAB (C) PERTUZUMAB|TRASTUZUMAB PHESGO 10ML C 12626.62 12626.62 VIAL 0 VIAL ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 9244 IMMUNOSUPPRESSIVE AGENTS 2024-04-01 2026-03-31 SC 0 IMMUNOSUPPRESSIVE AGENTS
42 4181BL PHESGO 60MG/ML|60MG/ML INJ (ROC) PERTUZUMAB|TRASTUZUMAB PERTUZUMAB|TRASTUZUMAB PHESGO 10ML BQ 12,029.26 12,029.26 VIAL 0 VIAL ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 9244 IMMUNOSUPPRESSIVE AGENTS 2026-04-01 2028-03-31 SC 0 IMMUNOSUPPRESSIVE AGENTS
41 4181BR BEVACIREL 25MG/ML INJ (RLS) BEVACIZUMAB (C) BEVACIZUMAB BEVACIREL 4ML VIAL C 430.58 430.5825 VIAL 0 VIAL RLS RELIANCE LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 IV 0 ANTINEOPLASTICS
41 4181BS BEVIXA 25MG/ML INJ (INC) BEVACIZUMAB (C) BEVACIZUMAB BEVIXA 4ML VIAL C 925.75 925.7524 VIAL 0 VIAL INC INCEPTA PHARMACEUTICALS LIMITED AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 IV 0 ANTINEOPLASTICS
41 4181BW PHESGO 1200MG|600MG INJ (ROC) PERTUZUMAB|TRASTUZUMAB (C) PERTUZUMAB|TRASTUZUMAB PHESGO 15ML VIAL C 21270.89 21270.885 VIAL 0 VIAL ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 SC 0 ANTINEOPLASTICS
42 4181BY KESIMPTA 20MG INJ (NVS) OFATUMUMAB OFATUMUMAB KESIMPTA 0.4ML VIAL BQ 3,794.29 3,794.29 VIAL 0 VIAL NVS NOVARTIS CARIBE SA COL AVENTA BARBADOS 1000 ANTINEOPLASTICS 2026-04-01 2028-03-31 SC 0 ANTINEOPLASTICS
40 4181C ACTEMRA 20MG/ML INJ (ROC/AHI) TOCILIZUMAB TOCILIZUMAB ACTEMRA 10ML VIAL C 706.76 706.76 INJECTION 0 VIAL ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
41 4181C ACTEMRA 20MG/ML INJ (ROC) TOCILIZUMAB (C) TOCILIZUMAB ACTEMRA 10ML VIAL C 706.76 706.7642 VIAL 0 VIAL ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 9236 DISEASE MODIFYING ANTIRHEUMATIC AGENTS 2024-04-01 2026-03-31 IV 0 DISEASE MODIFYING ANTIRHEUMATIC AGENTS
42 4181C ACTEMRA 20MG/ML INJ (ROC) TOCILIZUMAB TOCILIZUMAB ACTEMRA 10ML VIAL C 706.76 706.76 VIAL 0 VIAL ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 9236 DISEASE MODIFYING ANTIRHEUMATIC AGENTS 2026-04-01 2028-03-31 IV 0 DISEASE MODIFYING ANTIRHEUMATIC AGENTS
42 4181CN REMSIMA 100MG INJ (CET) INFLIXIMAB INFLIXIMAB REMSIMA 100MG VIAL BQ 842.68 842.68 VIAL 0 VIAL CET CELLTRION SBI MASSY DISTRIBUTION (BDOS) LTD 1000 ANTINEOPLASTICS 2026-04-01 2028-03-31 IV 0 ANTINEOPLASTICS
40 4181D ACTEMRA 20MG/ML INJ (ROC/AHI) TOCILIZUMAB TOCILIZUMAB ACTEMRA 4ML VIAL C 282.71 282.71 INJECTION 0 VIAL ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
41 4181D ACTEMRA 20MG/ML INJ (ROC) TOCILIZUMAB (C) TOCILIZUMAB ACTEMRA 4ML VIAL C 282.71 282.7057 VIAL 0 VIAL ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 9236 DISEASE MODIFYING ANTIRHEUMATIC AGENTS 2024-04-01 2026-03-31 IV 0 DISEASE MODIFYING ANTIRHEUMATIC AGENTS
42 4181D ACTEMRA 20MG/ML INJ (ROC) TOCILIZUMAB TOCILIZUMAB ACTEMRA 4ML VIAL C 282.71 282.71 VIAL 0 VIAL ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 9236 DISEASE MODIFYING ANTIRHEUMATIC AGENTS 2026-04-01 2028-03-31 IV 0 DISEASE MODIFYING ANTIRHEUMATIC AGENTS