Displaying 3301 - 3320 of 5993
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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 5201FW LIFESTYLES SENSITIVE VARIETY (ANS/SBI) CON CONDOM LIFESTYLES SENSITIVE VARIETY 3'S C 5.77 1.92 0 EACH ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2022-06-14 2024-03-31 Price Change IV 0 HORMONES AND SYNTHETIC SUBSTITUTES 2022-06-13
40 5201FX LIFEESTYLES HOT RIDER (ANS/SBI) CONDOM CONDOM LIFEESTYLES HOT RIDER 3'S C 3.59 1.20 0 EACH ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2022-04-01 2024-03-31 IV 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 5201FX LIFEESTYLES HOT RIDER (ANS) CONDO CONDOM LIFEESTYLES HOT RIDER 3'S C 1.4679 0.4893 EACH 0 BOX ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2024-04-01 2026-03-31 IV 0 CONDOMS
40 5201FY LIFESTYLES STUDDED (ANS/SBI) CONDOM CONDOM LIFESTYLES STUDDED 1000'S C 123.52 0.12 0 EACH ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2022-04-01 2024-03-31 IV 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 5201FZ LIFESTYLES ULTRA SENSITIVE (ANS/SBI) CONDOM CONDOM LIFESTYLES ULTRA SENSITIVE 3'S C 2.53 0.84 0 EACH ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2022-04-01 2022-06-12 IV 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 5201FZ LIFESTYLES ULTRA SENSITIVE (ANS/SBI) CONDOM CONDOM LIFESTYLES ULTRA SENSITIVE 3'S C 2.10 0.70 0 EACH ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2022-06-14 2024-03-31 Price Change IV 0 HORMONES AND SYNTHETIC SUBSTITUTES 2022-06-13
41 5201FZ LIFESTYLES ULTRA SENSITIVE (ANS) CONDOM LIFESTYLES ULTRA SENSITIVE 3'S C 2.0116 0.6705 EACH 0 BOX ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2024-04-01 2024-07-22 IV 0 CONDOMS 2024-07-22
41 5201FZ LIFESTYLES ULTRA SENSITIVE (ANS) CONDOM LIFESTYLES ULTRA SENSITIVE 3'S C 2.36 0.7867 EACH 0 BOX ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2024-07-23 2026-03-31 IV 0 CONDOMS 2024-07-22
42 5201FZ LIFESTYLES ULTRA SENSITIVE (ANS) CONDOM LIFESTYLES ULTRA SENSITIVE 3'S C 2.01 0.67 EACH 0 BOX ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2026-04-01 2028-03-31 IV 0 CONDOMS
40 5201GA LIFESTYLES KYNG GOLD (ANS/SBI) CONDOM CONDOM LIFESTYLES KYNG GOLD 3'S C 5.77 1.92 0 EACH ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2022-06-13 2024-03-31 Price Change IV 0 HORMONES AND SYNTHETIC SUBSTITUTES 2022-06-13
40 5201GB LIFESTYLES FLAVORS/COLORS (ANS/SBI) CONDOM CONDOM LIFESTYLES FLAVORS|COLORS 1000'S C 123.52 0.12 0 EACH ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2022-04-01 2024-03-31 IV 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 5201GC LIFESTYLES ULTRA RIBBED (ANS/SBI) CONDOM CONDOM LIFESTYLES ULTRA RIBBED 3'S C 2.53 0.84 0 EACH ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2022-04-01 2022-06-12 IV 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 5201GC LIFESTYLES ULTRA RIBBED (ANS/SBI) CONDOM CONDOM LIFESTYLES ULTRA RIBBED 3'S C 2.10 0.70 0 EACH ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2022-06-13 2024-03-31 Price Change IV HORMONES AND SYNTHETIC SUBSTITUTES 2022-06-13
42 5201GC LIFESTYLES ULTRA RIBBED (ANS) CONDOM CONDOM LIFESTYLES ULTRA RIBBED 3'S C 2.17 0.72 EACH 0 BOX ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2026-04-01 2028-03-31 IV 0 CONDOMS
40 5201GJ DUREX REAL FEEL AVANTI BARE CONDOM (SSA/STO) CONDOM DUREX REAL FEEL AVANTI BARE 3'S C 5.76 1.92 CONDOM 0 EACH SSA SSL AMERICAS INC STO BRYDEN STOKES LTD 6813 CONDOMS 2022-04-01 2024-03-31 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 5201GL LIFESTYLE MIXED RIDER (ANS) CONDOM CONDOM LIFESTYLE MIXED RIDER 3'S C 1.0601 1.0601 PACK 0 ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2024-04-01 2024-07-22 N/A 0 CONDOMS 2024-07-22
41 5201GL LIFESTYLE MIXED RIDER (ANS) CONDOM CONDOM LIFESTYLE MIXED RIDER 3'S C 1.24 1.24 PACK 0 ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2024-07-23 2026-03-31 N/A 0 CONDOMS 2024-07-22
42 5201GL LIFESTYLE MIXED RIDER (ANS) CONDOM CONDOM LIFESTYLE MIXED RIDER 3'S C 1.06 1.06 PACK 0 BOX ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2026-04-01 2028-03-31 N/A 0 CONDOMS
41 5201GM LIFESTYLE SKYN ELITE (ANS) CONDOM CONDOM LIFESTYLE SKYN ELITE 3'S C 5.1648 5.1648 PACK 0 ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2024-04-01 2024-07-22 N/A 0 CONDOMS 2024-07-22
41 5201GM LIFESTYLE SKYN ELITE (ANS) CONDOM CONDOM LIFESTYLE SKYN ELITE 3'S C 6.05 6.05 PACK 0 ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2024-07-23 2026-03-31 N/A 0 CONDOMS 2024-07-22