Displaying 3321 - 3340 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 5201GN LIFESTYLE WET RIDER (ANS) CONDOM CONDOM LIFESTYLE WET RIDER 3'S C 1.4679 1.4679 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 5201GN LIFESTYLE WET RIDER (ANS) CONDOM CONDOM LIFESTYLE WET RIDER 3'S C 1.72 1.72 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 5201GN LIFESTYLE WET RIDER (ANS) CONDOM CONDOM LIFESTYLE WET RIDER 3'S C 1.47 1.47 PACK 0 BOX ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2026-04-01 2028-03-31 N/A 0 CONDOMS
42 5201GP LIFESTYLES EVERLAST RIDER (ANS) CONDOM CONDOM LIFESTYLES EVERLAST RIDER 3'S C 1.47 1.47 PACK 0 BOX ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2026-04-01 2028-03-31 0 CONDOMS
42 5201GS LIFESTYLES SKYN ELITE CONDOM (ANS) CONDOM CONDOM LIFESTYLES SKYN ELITE 3'S C 5.16 1.72 EACH 0 BOX ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2026-04-01 2028-03-31 IV 0 CONDOMS
42 5201GT LIFESTYLES MIDNIGHT RIDER (ANS) CONDOM CONDOM LIFESTYLES MIDNIGHT RIDER 3'S C 1.47 0.49 EACH 0 BOX ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2026-04-01 2028-03-31 IV 0 CONDOMS
40 5201N LIFESTYLES STUDDED (ANS/SBI) CONDOM CONDOM LIFESTYLES STUDDED 3'S C 3.59 3.59 0 PACK ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2022-04-01 2022-06-12 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 5201N LIFESTYLES STUDDED (ANS/SBI) CONDOM CONDOM LIFESTYLES STUDDED 3'S C 6.16 6.16 0 PACK ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2022-06-14 2024-03-31 Price Change 0 HORMONES AND SYNTHETIC SUBSTITUTES 2022-06-13
40 5201Q LIFESTYLES BARE RIDER (ANS/SBI) CONDOM CONDOM LIFESTYLES BARE RIDER 3'S C 3.59 3.59 0 PACK ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2022-04-01 IV 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 5201Q LIFESTYLES BARE RIDER (ANS/SBI) CONDOM CONDOM LIFESTYLES BARE RIDER 3'S C 1.25 1.25 0 PACK ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2022-06-10 2024-03-31 Price Change IV 0 HORMONES AND SYNTHETIC SUBSTITUTES 2022-06-13
41 5201Q LIFESTYLES BARE RIDER (ANS) CONDOM CONDOM LIFESTYLES BARE RIDER 3'S C 1.4679 1.4679 PACK 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 5201Q LIFESTYLES BARE RIDER (ANS) CONDOM CONDOM LIFESTYLES BARE RIDER 3'S C 1.72 1.72 PACK 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 5201Q LIFESTYLES BARE RIDER (ANS) CONDOM CONDOM LIFESTYLES BARE RIDER 3'S C 1.47 1.47 PACK 0 BOX ANS ANSELL HEALTHCARE SBI MASSY DISTRIBUTION (BDOS) LTD 6813 CONDOMS 2026-04-01 2028-03-31 IV 0 CONDOMS
40 52217 APO-BACLOFEN 10MG TAB (APO/COL) BACLOFEN APO-BACLOFEN 100'S A 6.12 0.06 TABLET 180 TAB APO APOTEX INC. COL COLLINS LTD 122012 GABA DERIVED SKELETAL MUSCLE RELAXANTS 2022-04-01 2024-03-31 Oral 6 AUTONOMIC DRUGS
42 52217 APO-BACLOFEN 10MG TAB (APO) BACLOFEN APO-BACLOFEN 100'S A 6.25 0.06 TAB 180 BOTT APO APOTEX INC. COL AVENTA BARBADOS 122012 GABA DERIVED SKELETAL MUSCLE RELAXANTS 2026-04-01 2028-03-31 ORAL 6 GABA DERIVED SKELETAL MUSCLE RELAXANTS
41 5221AB APO-BACLOFEN 10MG TAB (APO) BACLOFEN APO-BACLOFEN 100'S A 6.25 0.0625 TAB 180 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 122012 GABA DERIVED SKELETAL MUSCLE RELAXANTS 2024-04-01 2026-03-31 ORAL 6 GABA DERIVED SKELETAL MUSCLE RELAXANTS
41 5221AC BACLOFEN 10MG TAB (FSB) BACLOFEN BACLOFEN 10X10 A 5.46 0.0546 TAB 180 BOTT FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 122012 GABA DERIVED SKELETAL MUSCLE RELAXANTS 2024-04-01 2026-03-31 ORAL 6 GABA DERIVED SKELETAL MUSCLE RELAXANTS
40 5221N PMS-BACLOFEN 10MG TAB (PMS/COL) BACLOFEN PMS-BACLOFEN 100'S A 7.48 0.07 TABLET 180 TAB PMS PHARMASCIENCE COL COLLINS LTD 122012 GABA DERIVED SKELETAL MUSCLE RELAXANTS 2022-04-01 2024-03-31 Oral 6 AUTONOMIC DRUGS
40 5231AD DAKTARIN 2% CR (JAC/STO) MICONAZOLE MICONAZOLE DAKTARIN 30G C 15.41 15.41 CREAM 0 TUBE JAC JANSSEN-CILAG STO BRYDEN STOKES LTD 840408 ANTIFUNGALS TOPICAL 2022-04-01 2022-05-24 Delete from contract TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS 2022-04-12
40 5231AY NIZORAL 2% CR (JAC/STO) KETOCONAZOLE KETOCONAZOLE NIZORAL 40G C 22.26 22.26 CREAM 0 TUBE JAC JANSSEN-CILAG STO BRYDEN STOKES LTD 840408 ANTIFUNGALS TOPICAL 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS