Displaying 3041 - 3060 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 4582A BERIATE 500IU INJ (CSL) FACTOR VIII (BQ) FACTOR VIII BERIATE 10ML VIAL BQ 244.65 244.6492 VIAL 12 VIAL CSL CSL BEHRING AG AHI ARMSTRONG HEALTHCARE INC 202816 HEMOSTATICS 2024-04-01 2026-03-31 IV 0 HEMOSTATICS
40 4582P HEMOREL A 500IU INJ (RLS/AHI) FACTOR VIII FACTOR VIII HEMOREL A 500IU VIAL BQ 330.28 330.28 INJECTION 0 VIAL RLS RELIANCE LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 202816 HEMOSTATICS 2022-04-01 2024-03-31 IV 0 BLOOD FORMATION, COAGULATION AND THROMBOSIS
41 4582P HEMOREL A 500IU INJ (RLS) FACTOR VI (BQ) FACTOR VIII HEMOREL A 500IU VIAL BQ 305.81 305.8115 VIAL 12 VIAL RLS RELIANCE LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 202816 HEMOSTATICS 2024-04-01 2026-03-31 IV 0 HEMOSTATICS
42 4582P HEMOREL A 500IU INJ (RLS) FACTOR VI FACTOR VIII HEMOREL A 500IU VIAL BQ 309.48 309.48 VIAL 12 VIAL RLS RELIANCE LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 202816 HEMOSTATICS 2026-04-01 2028-03-31 IV 0 HEMOSTATICS
41 4582Q XYNTHA 500IU INJ (PFI) FACTOR VIII (C) FACTOR VIII XYNTHA 500IU VIAL C 1065.88 1065.882 VIAL 12 VIAL PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 202816 HEMOSTATICS 2024-04-01 2026-03-31 IV 0 HEMOSTATICS
42 4582T BERIATE 500IU INJ (CSL) FACTOR VIII FACTOR VIII BERIATE 500IU VIAL BQ 244.65 244.65 VIAL 12 VIAL CSL CSL BEHRING AG AHI ARMSTRONG HEALTHCARE INC 202816 HEMOSTATICS 2026-04-01 2028-03-31 IV 0 HEMOSTATICS 2025-11-10
40 46121 IMOVAX POLIO (AVP/COL) POLIOMYELITIS POLIOMYELITIS IMOVAX POLIO 1 DOSE B 24.46 24.46 INJECTION 0 PFS AVP SANOFI PASTEUR COL COLLINS LTD 8012 VACCINES 2022-04-01 2024-03-31 IM 0 SERUMS, TOXOIDS AND VACCINES
41 46121 IMOVAX POLIO (AVP) POLIOMYELITIS POLIOMYELITIS IMOVAX POLIO 1 DOSE B 24.46 24.4649 PFS 1 BOX AVP SANOFI PASTEUR COL COLLINS LTD 8012 VACCINES 2024-04-01 2024-10-21 IM 0 VACCINES 2024-09-09
40 4621BC XANAX 0.5MG TAB (PFI/SBI) ALPRAZOLAM ALPRAZOLAM XANAX 100'S C 47.49 0.47 TABLET 0 TAB PFI PFIZER CORPORATION SBI MASSY DISTRIBUTION (BDOS) LTD 282408 BENZODIAZEPINES (SEDATIVES) 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
41 4621BC XANAX 0.5MG TAB (PFI) ALPRAZOLAM (C) ALPRAZOLAM XANAX 100'S C 48.36 0.4836 TAB 30 BOX PFI PFIZER CORPORATION SBI MASSY DISTRIBUTION (BDOS) LTD 282408 BENZODIAZEPINES (SEDATIVES) 2024-04-01 2026-03-31 ORAL 6 BENZODIAZEPINES (SEDATIVES)
42 4621CQ XANAX 0.5MG TAB (PFI) ALPRAZOLAM (C) ALPRAZOLAM XANAX 10X10 C 48.36 0.48 TAB 30 BLIS PFI PFIZER CORPORATION COL AVENTA BARBADOS 282408 BENZODIAZEPINES (SEDATIVES) 2026-04-01 2028-03-31 ORAL 6 BENZODIAZEPINES (SEDATIVES)
40 4621L XANAX 0.5MG TAB (PFI/STO) ALPRAZOLAM ALPRAZOLAM XANAX 100'S C 47.49 0.47 TABLET 0 TAB PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 282408 BENZODIAZEPINES (SEDATIVES) 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
41 4621L XANAX 0.5MG TAB (PFI) ALPRAZOLAM (C) ALPRAZOLAM XANAX 100'S C 48.36 0.4836 TAB 30 BOX PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 282408 BENZODIAZEPINES (SEDATIVES) 2024-04-01 2026-03-31 ORAL 6 BENZODIAZEPINES (SEDATIVES)
40 4621R APO-ALPRAZ 0.5MG TAB (APO/COL) ALPRAZOLAM APO-ALPRAZ 1000'S A 36.97 0.04 TABLET 30 TAB APO APOTEX INC. COL COLLINS LTD 282408 BENZODIAZEPINES (SEDATIVES) 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS
42 4621R APO-ALPRAZ 0.5MG TAB (APO) ALPRAZOLAM APO-ALPRAZ 1000'S A 51.29 0.05 TAB 30 BOTT APO APOTEX INC. COL AVENTA BARBADOS 282408 BENZODIAZEPINES (SEDATIVES) 2026-04-01 2028-03-31 ORAL 6 BENZODIAZEPINES (SEDATIVES)
41 4621V APO-ALPRAZ 0.5MG TAB (APO) ALPRAZOLAM APO-ALPRAZ 1000'S A 37.7 0.0377 TAB 30 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 282408 BENZODIAZEPINES (SEDATIVES) 2024-04-01 2026-03-31 ORAL 6 BENZODIAZEPINES (SEDATIVES)
40 4622S LORAZEPAM 2MG/ML INJ (KWA/ATB) LORAZEPAM LORAZEPAM 10X1ML B 38.19 3.82 INJECTION 0 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 282408 BENZODIAZEPINES (SEDATIVES) 2022-04-01 2024-03-31 IM 0 CENTRAL NERVOUS SYSTEM DRUGS 2022-03-30
41 4622S LORAZEPAM 2MG/ML INJ (KWA) (B) LORAZEPAM LORAZEPAM 10X1ML B 30.91 3.0907 VIAL 1 BOX KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 282408 BENZODIAZEPINES (SEDATIVES) 2024-04-01 2026-03-31 IM 0 BENZODIAZEPINES (SEDATIVES)
40 4622U LORAZEPAM 2MG/ML INJ (FSB/ATB) LORAZEPAM LORAZEPAM 1ML VIAL B 4.02 4.02 INJECTION 0 VIAL FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 282408 BENZODIAZEPINES (SEDATIVES) 2022-05-27 2024-03-31 Price Change IV 0 CENTRAL NERVOUS SYSTEM DRUGS 2022-05-27
40 46241 APO-ALPRAZ 0.25MG TAB (APO/COL) ALPRAZOLAM APO-ALPRAZ 100'S A 4.76 0.05 TABLET 30 TAB APO APOTEX INC. COL COLLINS LTD 282408 BENZODIAZEPINES (SEDATIVES) 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS