Displaying 301 - 320 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 04826 METRONIDAZOLE + HANGERS 0.5% INJ (BRA/COL) METRONIDAZOLE METRONIDAZOLE 100ML B 1.85 1.85 INJECTION 0 BOTT BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 083092 ANTIPROTOZOALS, MISCELLANEOUS 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
41 04826 METRONIDAZOLE + HANGERS 0.5% INJ (BRA) (B) METRONIDAZOLE METRONIDAZOLE 100ML B 1.96 1.9572 BOTT 0 BOTT BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 083092 ANTIPROTOZOALS, MISCELLANEOUS 2024-04-01 2026-03-31 IV 0 ANTIPROTOZOALS, MISCELLANEOUS
41 0482AF METRONIDAZOLE 0.5% INJ (UNI) (B) METRONIDAZOLE METRONIDAZOLE 100ML B 1.88 1.8756 BOTT 0 BOTT UNI UNIQUE PHARMACEUTICAL LABORATORIES AHI ARMSTRONG HEALTHCARE INC 083092 ANTIPROTOZOALS, MISCELLANEOUS 2024-04-01 2026-03-31 IV 0 ANTIPROTOZOALS, MISCELLANEOUS
40 04861 EPAQ 0.75% VAG CR (PMA/AHI) METRONIDAZOLE METRONIDAZOLE EPAQ 40G A 27.46 27.46 VAGINAL CREA 1 TUBE PMA MORE PHARMA CORPORATION AHI ARMSTRONG HEALTHCARE INC 083092 ANTIPROTOZOALS, MISCELLANEOUS 2022-04-01 2024-03-31 VAGINAL 0 ANTI-INFECTIVE AGENTS
41 04862 EPAQ 0.75% VAG CR (PMA) METRONIDAZOLE METRONIDAZOLE EPAQ 40G A 16.99 16.9895 TUBE 1 BOX PMA MORE PHARMA CORPORATION AHI ARMSTRONG HEALTHCARE INC 083092 ANTIPROTOZOALS, MISCELLANEOUS 2024-04-01 2026-03-31 VAGINAL 0 ANTIPROTOZOALS, MISCELLANEOUS
41 0487B METRONIDAZOLE 0.75% GEL (GLP) (C) METRONIDAZOLE METRONIDAZOLE 30G C 26.5852 26.5852 TUBE 0 TUBE GLP GLENMARK PHARMACEUTICALS LTD CWS CAPSULE WHOLESALE 0832 TRICHOMONACIDES 2024-04-01 2026-03-31 TOPICAL 0 TRICHOMONACIDES
40 04935 HIPREX 1G TAB (PMA/AHI) HEXAMINE MANDELATE HEXAMINE MANDELATE HIPREX 20'S C 53.82 2.69 TABLET 0 TAB PMA MORE PHARMA CORPORATION AHI ARMSTRONG HEALTHCARE INC 0836 URINARY ANTI-INFECTIVES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 04935 HIPREX 1G TAB (PMA) HEXAMINE MANDELATE HEXAMINE MANDELATE HIPREX 20'S C 37.24 1.862 TAB 0 BOX PMA MORE PHARMA CORPORATION AHI ARMSTRONG HEALTHCARE INC 0836 URINARY ANTI-INFECTIVES 2024-04-01 2026-03-31 ORAL 0 URINARY ANTI-INFECTIVES
40 05027 AAP-NITROFURANTOIN 100MG TAB (APO/COL) NITROFURANTOIN AAP-NITROFURANTOIN 100'S A 17.86 0.18 TABLET 56 TAB APO APOTEX INC. COL COLLINS LTD 0836 URINARY ANTI-INFECTIVES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0502H PMS-NITROFURANTOIN 100MG TAB (PMS/COL) NITROFURANTOIN PMS-NITROFURANTOIN 100'S C 48.93 0.49 TABLET 0 TAB PMS PHARMASCIENCE COL COLLINS LTD 0836 URINARY ANTI-INFECTIVES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 0502J AAP-NITROFURANTOIN 100MG TAB (APO) NITROFURANTOIN AAP-NITROFURANTOIN 100'S A 18.21 0.1821 TAB 56 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 0836 URINARY ANTI-INFECTIVES 2024-04-01 2026-03-31 ORAL 0 URINARY ANTI-INFECTIVES
40 05216 ACTINOMYCIN D 500MCG INJ (KWA/ATB) ACTINOMYCIN D ACTINOMYCIN D 500MCG VIA BQ 36.70 36.70 INJECTION 0 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 05217 DACTINOTEC 500MCG INJ (UBI/RXP) ACTINOMYCIN D ACTINOMYCIN D DACTINOTEC 500MCG BQ 31.26 31.26 INJECTION 0 VIAL UBI UNITED BIOTECH (P) LIMITED RXP RX PRO INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 05218 ACTINOMYCIN D 500MCG INJ (CHC/ATB) ACTINOMYCIN D ACTINOMYCIN D 500MCG VIA BQ 33.16 33.16 INJECTION 0 VIAL CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
41 05219 ACTINOMYCIN D 500MCG INJ (ZUV) (BQ) ACTINOMYCIN D ACTINOMYCIN 500MCG BQ 14.71 14.7061 VIAL 10 VIAL ZUV ZUVIUS PHA PHARMACY SALES CARIBBEAN 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 IV 6 ANTINEOPLASTICS
40 05313 APO-AZATHIOPRINE 50MG TAB (APO/COL) AZATHIOPRINE APO-AZATHIOPRINE 100'S A 28.60 0.29 TABLET 180 TAB APO APOTEX INC. COL COLLINS LTD B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
40 0531A AZATHIOPRINE 50MG TAB (RPG/AHI) AZATHIOPRINE AZATHIOPRINE 100'S A 28.27 0.28 TABLET 180 TAB RPG RPG LIFE SCIENCES LTD AHI ARMSTRONG HEALTHCARE INC B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
41 0531C IMUPRIN 50MG TAB (REM) AZATHIOPRINE AZATHIOPRINE IMUPRIN 10X10 A 9.84 0.0984 TAB 180 BOTT REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD B 9244 IMMUNOSUPPRESSIVE AGENTS 2024-04-01 2026-03-31 ORAL 6 IMMUNOSUPPRESSIVE AGENTS
40 0531V IMURAN 50MG TAB (ASG/STO) AZATHIOPRINE AZATHIOPRINE IMURAN 100'S C 174.27 1.74 TABLET 0 TAB ASG ASPEN OSD (GLOBAL) STO BRYDEN STOKES LTD B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 0 ANTINEOPLASTICS
40 05415 BLEOMYCIN SULPHATE 15MG INJ (CIP/AHI) BLEOMYCIN SULPHATE BLEOMYCIN SULPHATE 15MG VIAL BQ 44.85 44.85 INJECTION 0 VIAL CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS