Displaying 3081 - 3100 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 | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 40 | 4631B | AQUAGEL (ECO/COL) LUBRICATING JELLY | GLYCERINE | AQUAGEL | 82G | B | 3.29 | 3.29 | 0 | TUBE | ECO | ECOLAB LTD | COL | COLLINS LTD | 8436 | MUCOUS-SKIN PREPARATIONS,MISCE LLANEOUS | 2022-04-01 | 2024-03-31 | TOPICAL | 0 | SKIN-MUCOUS MEMBRANE PREPARATIONS | ||||||
| 40 | 4631N | DESIRE JELLY (HEA/ATB) LUBRICATING JELLY(B) | LUBRICATING JELLY | DESIRE JELLY | 82G | B | 3.26 | 3.26 | CREAM | HEA | HEALTH 2000 INC | ATB | ANSA TRADING BARBADOS LTD | 8436 | MUCOUS-SKIN PREPARATIONS,MISCE LLANEOUS | 2022-12-07 | 2024-03-31 | Change Local Agent | Topical | 0 | MUCOUS-SKIN PREPARATIONS,MISCE LLANEOUS | 2022-11-25 | |||||
| 41 | 4631N | DESIRE JELLY (HEA) LUBRICATING JELLY (B) | LUBRICATING JELLY | DESIRE JELLY | 82G | B | 3.32 | 3.3164 | TUBE | 0 | BOX | HEA | HEALTH 2000 INC | ATB | ANSA TRADING BARBADOS LTD | 8436 | MUCOUS-SKIN PREPARATIONS,MISCE LLANEOUS | 2024-04-01 | 2026-03-31 | Topical | 0 | MUCOUS-SKIN PREPARATIONS,MISCE LLANEOUS | |||||
| 40 | 4631Y | DESIRE JELLY (HEA/RXP) LUBRICATING JELLY | GLYCERINE | DESIRE | 82G | B | 3.26 | 3.26 | JELLY | 0 | TUBE | HEA | HEALTH 2000 INC | RXP | RX PRO INC | 8436 | MUCOUS-SKIN PREPARATIONS,MISCE LLANEOUS | 2022-04-01 | 2024-03-31 | TOPICAL | 0 | SKIN-MUCOUS MEMBRANE PREPARATIONS | |||||
| 40 | 47014 | REFRESH LIQUIGEL 1% EYE DR (ALL/COL) HYPROMEL | CARBOXYMETHYLCELLULOSE | REFRESH LIQUIGEL | 15ML | A | 11.55 | 11.55 | EYE DROP | 1 | BOTT | ALL | ALLERGAN INTERNATIONAL | COL | COLLINS LTD | 5292 | EENT DRUGS MISCELLANEOPUS | 2022-04-01 | 2024-03-31 | OPHTHALMIC | 6 | EYE, EAR, NOSE AND THROAT PREPARATIONS | |||||
| 41 | 47014 | REFRESH LIQUIGEL 1% EYE DR (ALL) HYPROME (B) | CARBOXYMETHYLCELLULOSE | REFRESH LIQUIGEL | 15ML | B | 11.55 | 11.5529 | BOTT | 1 | BOTT | ALL | ALLERGAN INTERNATIONAL | COL | COLLINS LTD | 5292 | EENT DRUGS MISCELLANEOPUS | 2024-04-01 | 2026-03-31 | OPHTHALMIC | 6 | EENT DRUGS MISCELLANEOPUS | |||||
| 42 | 47014 | REFRESH LIQUIGEL 1% EYE DR (ALL) HYPROME | CARBOXYMETHYLCELLULOSE | REFRESH LIQUIGEL | 15ML | B | 11.55 | 11.55 | BOTT | 1 | BOTT | ALL | ALLERGAN INTERNATIONAL | COL | AVENTA BARBADOS | 5292 | EENT DRUGS MISCELLANEOPUS | 2026-04-01 | 2028-03-31 | OPHTHALMIC | 6 | EENT DRUGS MISCELLANEOPUS | |||||
| 40 | 4701AP | TEARS NATURALE FORTE EYE DR (ALC/AHI) DEXTRAN | GLYCERINE | HYPROMELLOSE | DEXTRAN|GLYCERINE|HYPROMELLOSE | TEARS NATURALE FORTE | 15ML | C | 13.32 | 13.32 | EYE DROP | 0 | BOTT | ALC | ALCON LABORATORIES INC. | AHI | ARMSTRONG HEALTHCARE INC | 5292 | EENT DRUGS MISCELLANEOPUS | 2022-04-01 | 2024-03-31 | Ophthalmic | 0 | EYE, EAR, NOSE AND THROAT PREPARATIONS | |||||
| 40 | 4701AQ | TEARS NATURALE II 0.1% | 0.3% EYE DR (ALC/AHI) DEXTRAN | HYPROMELLOSE | DEXTRAN 70|HYPROMELLOSE | TEARS NATURALE II | 15ML | C | 12.67 | 12.67 | EYE DROP | 0 | BOTT | ALC | ALCON LABORATORIES INC. | AHI | ARMSTRONG HEALTHCARE INC | 5292 | EENT DRUGS MISCELLANEOPUS | 2022-04-01 | 2024-03-31 | Ophthalmic | 0 | EYE, EAR, NOSE AND THROAT PREPARATIONS | |||||
| 41 | 4701AQ | TEARS NATURALE II 0.1%|0.3% EYE DR (ALC) DEXTRAN|HYPROMELLOS (C) | DEXTRAN 70|HYPROMELLOSE | TEARS NATURALE II | 15ML | C | 17.89 | 17.8866 | BOTT | 1 | BOTT | ALC | ALCON LABORATORIES INC. | AHI | ARMSTRONG HEALTHCARE INC | 5292 | EENT DRUGS MISCELLANEOPUS | 2024-04-01 | 2026-03-31 | OPHTHALMIC | 6 | EENT DRUGS MISCELLANEOPUS | |||||
| 42 | 4701AQ | TEARS NATURALE II 0.1%|0.3% EYE DR (ALC) DEXTRAN 70|HYPROMEL | DEXTRAN 70|HYPROMELLOSE | TEARS NATURALE II | 15ML | C | 16.31 | 16.31 | BOTT | 0 | BOTT | ALC | ALCON LABORATORIES INC. | AHI | ARMSTRONG HEALTHCARE INC | 5292 | EENT DRUGS MISCELLANEOPUS | 2026-04-01 | 2028-03-31 | OPHTHALMIC | 0 | EENT DRUGS MISCELLANEOPUS | |||||
| 40 | 4701AR | SYSTANE 0.4% | 0.3% EYE DR (ALC/AHI) POLYETHYLENE GLYCOL 400 | PROPYLENE GLYCOL | POLYETHYLENE GLYCOL 400|PROPYLENE GLYCOL | SYSTANE | 15ML | C | 17.75 | 17.75 | EYE DROP | 0 | BOTT | ALC | ALCON LABORATORIES INC. | AHI | ARMSTRONG HEALTHCARE INC | 5292 | EENT DRUGS MISCELLANEOPUS | 2022-04-01 | 2024-03-31 | Ophthalmic | 0 | EYE, EAR, NOSE AND THROAT PREPARATIONS | |||||
| 41 | 4701AR | SYSTANE 0.4%|0.3% EYE DR (ALC) POLYETHYLENE GLYCOL 400|PROPY (C) | POLYETHYLENE GLYCOL 400|PROPYLENE GLYCOL | SYSTANE | 15ML | C | 20.25 | 20.2515 | BOTT | 1 | BOTT | ALC | ALCON LABORATORIES INC. | AHI | ARMSTRONG HEALTHCARE INC | 5292 | EENT DRUGS MISCELLANEOPUS | 2024-04-01 | 2026-03-31 | OPHTHALMIC | 6 | EENT DRUGS MISCELLANEOPUS | |||||
| 42 | 4701AR | SYSTANE 0.4%|0.3% EYE DR (ALC) POLYETHYLENE GLYCOL 400|PROPY | POLYETHYLENE GLYCOL 400|PROPYLENE GLYCOL | SYSTANE | 15ML | C | 18.89 | 18.89 | BOTT | 1 | BOTT | ALC | ALCON LABORATORIES INC. | AHI | ARMSTRONG HEALTHCARE INC | A | 5292 | EENT DRUGS MISCELLANEOPUS | 2026-04-01 | 2028-03-31 | OPHTHALMIC | 6 | EENT DRUGS MISCELLANEOPUS | ||||
| 40 | 4701AS | SYSTANE GEL DROPS 0.4% | 0.3% EYE DR (ALC/AHI) | POLYETHYLENE GLYCOL 400|PROPYLENE GLYCOL | SYSTANE GEL DROPS | 10ML | C | 16.26 | 16.26 | EYE DROP | 0 | BOTT | ALC | ALCON LABORATORIES INC. | AHI | ARMSTRONG HEALTHCARE INC | 5292 | EENT DRUGS MISCELLANEOPUS | 2022-04-01 | 2024-03-31 | Ophthalmic | 0 | EYE, EAR, NOSE AND THROAT PREPARATIONS | |||||
| 41 | 4701AS | SYSTANE GEL DROPS 0.4%|0.3% EYE DR (ALC) (C) | POLYETHYLENE GLYCOL 400|PROPYLENE GLYCOL | SYSTANE GEL DROPS | 10ML | C | 18.54 | 18.539 | BOTT | 1 | BOTT | ALC | ALCON LABORATORIES INC. | AHI | ARMSTRONG HEALTHCARE INC | 5292 | EENT DRUGS MISCELLANEOPUS | 2024-04-01 | 2026-03-31 | OPHTHALMIC | 6 | EENT DRUGS MISCELLANEOPUS | |||||
| 42 | 4701AS | SYSTANE GEL DROPS 0.4%|0.3% EYE DR | POLYETHYLENE GLYCOL 400|PROPYLENE GLYCOL | SYSTANE GEL DROPS | 10ML | C | 17.67 | 17.67 | BOTT | 1 | BOTT | ALC | ALCON LABORATORIES INC. | AHI | ARMSTRONG HEALTHCARE INC | A | 5292 | EENT DRUGS MISCELLANEOPUS | 2026-04-01 | 2028-03-31 | OPHTHALMIC | 6 | EENT DRUGS MISCELLANEOPUS | ||||
| 40 | 4701AT | SYSTANE ULTRA 0.4% | 0.3% EYE DR (ALC/AHI) POLYETHYLENE GLYCOL 400 | PROPYLENE G More ... | POLYETHYLENE GLYCOL 400|PROPYLENE GLYCOL | SYSTANE ULTRA | 10ML | C | 12.64 | 12.64 | EYE DROP | 0 | BOTT | ALC | ALCON LABORATORIES INC. | AHI | ARMSTRONG HEALTHCARE INC | 5292 | EENT DRUGS MISCELLANEOPUS | 2022-04-01 | 2024-03-31 | Ophthalmic | 0 | EYE, EAR, NOSE AND THROAT PREPARATIONS | |||||
| 41 | 4701AT | SYSTANE ULTRA 0.4%|0.3% EYE DR (ALC) POLYETHYLENE GLYCOL 400 (C) | POLYETHYLENE GLYCOL 400|PROPYLENE GLYCOL | SYSTANE ULTRA | 10ML | C | 15.33 | 15.3313 | BOTT | 1 | BOTT | ALC | ALCON LABORATORIES INC. | AHI | ARMSTRONG HEALTHCARE INC | 5292 | EENT DRUGS MISCELLANEOPUS | 2024-04-01 | 2026-03-31 | OPHTHALMIC | 6 | EENT DRUGS MISCELLANEOPUS | |||||
| 42 | 4701AT | SYSTANE ULTRA 0.4%|0.3% EYE DR (ALC) POLYETHYLENE GLYCOL 400 | POLYETHYLENE GLYCOL 400|PROPYLENE GLYCOL | SYSTANE ULTRA | 10ML | C | 15.33 | 15.33 | BOTT | 1 | BOTT | ALC | ALCON LABORATORIES INC. | AHI | ARMSTRONG HEALTHCARE INC | A | 5292 | EENT DRUGS MISCELLANEOPUS | 2026-04-01 | 2028-03-31 | OPHTHALMIC | 6 | EENT DRUGS MISCELLANEOPUS | ||||