Displaying 3421 - 3440 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
42 5233C CANDID 1% PWDR (GLP) CLOTRIMAZOLE CLOTRIMAZOLE CANDID 100G A 5.44 5.44 BOTT 1 BOTT GLP GLENMARK PHARMACEUTICALS LTD CWS CAPSULE WHOLESALE 840408 ANTIFUNGALS TOPICAL 2026-04-01 2028-03-31 TOPICAL 0 ANTIFUNGALS TOPICAL
42 5233E CLOTRIFOX 1% PWDR (JLP) CLOTRIMAZOLE CLOTRIMAZOLE CLOTRIFOX 100G A 5.44 5.44 BOTT 1 BOTT JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 840408 ANTIFUNGALS TOPICAL 2026-04-01 2028-03-31 TOPICAL 0 ANTIFUNGALS TOPICAL
40 5233Q MICOSPEC 2% PWDR (CAR/COL) MICONAZOLE MICONAZOLE MICOSPEC 15G A 4.89 4.89 POWDER 2 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 840408 ANTIFUNGALS TOPICAL 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
41 5233Q MICOSPEC 2% POWDER (CAR) MICONAZOLE MICONAZOLE MICOSPEC 15G A 5.11 5.1104 BOTT 2 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 840408 ANTIFUNGALS TOPICAL 2024-04-01 2026-03-31 TOPICAL 0 ANTIFUNGALS TOPICAL
42 5233Q MICOSPEC 2% POWDER (CAR) MICONAZOLE MICONAZOLE MICOSPEC 15G A 5.11 5.11 BOTT 2 BOTT CAR CARLISLE LABORATORIES LTD COL AVENTA BARBADOS 840408 ANTIFUNGALS TOPICAL 2026-04-01 2028-03-31 TOPICAL 0 ANTIFUNGALS TOPICAL
40 52352 DAKTARIN 2% GEL (JAC/STO) MICONAZOLE MICONAZOLE DAKTARIN 78G BQ 28.27 28.27 GEL 0 TUBE JAC JANSSEN-CILAG STO BRYDEN STOKES LTD 840408 ANTIFUNGALS TOPICAL 2022-04-01 2022-05-24 Delete from contract Oral 0 SKIN-MUCOUS MEMBRANE PREPARATIONS 2022-04-12
41 52353 MICOGEL ORAL 2% GEL (CIP) MICONAZOLE MICONAZOLE MICOGEL ORAL 15G B 5.36 5.3551 TUBE 2 BOX CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 840408 ANTIFUNGALS TOPICAL 2024-04-01 2026-03-31 TOPICAL 6 ANTIFUNGALS TOPICAL
41 52354 MICOGEL 2% GEL (ARP) MICONAZOLE MICONAZOLE MICOGEL 15G B 5.36 5.36 TUBE 2 TUBE ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 840408 ANTIFUNGALS TOPICAL 2024-04-01 2026-03-31 ORAL 6 ANTIFUNGALS TOPICAL 2023-11-21
42 52354 MICOGEL ORAL 2% GEL (ARP) MICONAZOLE MICONAZOLE MICOGEL ORAL 15G B 4.65 4.65 TUBE 2 TUBE ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 840408 ANTIFUNGALS TOPICAL 2026-04-01 2028-03-31 ORAL 6 ANTIFUNGALS TOPICAL
40 52424 TRIVASTAL RETARD 50MG TAB (SER/STO) PIRIBEDIL PIRIBEDIL TRIVASTAL RETARD 30'S C 23.46 0.78 TABLET 0 TAB SER LES LABORATOIRES SERVIER STO BRYDEN STOKES LTD 9300 VASOACTIVE DRUGS 2022-04-01 2024-03-31 Oral 0 VASOACTIVE DRUGS
41 52424 TRIVASTAL RETARD 50MG TAB (SER) PIRIBEDIL (C) PIRIBEDIL TRIVASTAL RETARD 30'S C 26.34 0.878 TAB 30 BOX SER LES LABORATOIRES SERVIER STO BRYDEN STOKES LTD 9300 VASOACTIVE DRUGS 2024-04-01 2026-03-31 ORAL 60 VASOACTIVE DRUGS
40 5242H TRIVASTAL RETARD 50MG TAB (SER/COL) PIRIBEDIL PIRIBEDIL TRIVASTAL RETARD 30'S C 23.46 0.78 TABLET 0 TAB SER LES LABORATOIRES SERVIER COL COLLINS LTD 1216 SYMPATHOLYTIC (ADRENERGIC BLOCKING) AGENTS 2022-04-01 2024-03-31 Oral 0 AUTONOMIC DRUGS
41 5242H TRIVASTAL RETARD 50MG TAB (SER) PIRIBEDIL (C) PIRIBEDIL TRIVASTAL RETARD 30'S C 26.34 0.878 TAB 30 BOX SER LES LABORATOIRES SERVIER COL COLLINS LTD 1216 SYMPATHOLYTIC (ADRENERGIC BLOCKING) AGENTS 2024-04-01 2026-03-31 ORAL 60 SYMPATHOLYTIC (ADRENERGIC BLOCKING) AGENTS
40 52614 ONE-ALPHA 0.25MCG CAP (LEO/COL) ALFACALCIDOL ALFACALCIDOL ONE-ALPHA 100'S A 42.13 0.42 CAPSULE 120 CAP LEO LEO LABORATORIES LTD. COL COLLINS LTD 8816 VITAMIN D 2022-04-01 2024-03-31 Oral 6 VITAMINS
42 5261AC CALTROL 0.25MCG CAP (JLP) CALCITRIOL CALCITRIOL CALTROL 100'S A 17.67 0.18 CAP 120 BLIS JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 8816 VITAMIN D 2026-04-01 2028-03-31 ORAL 6 VITAMIN D
42 5261AD CANJOCAL 0.25MCG CAP (JLP) ALFACALCIDOL ALFACALCIDOL CANJOCAL 100'S A 13.59 0.14 CAP 120 BLIS JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 8816 VITAMIN D 2026-04-01 2028-03-31 ORAL 6 VITAMIN D
40 5261W CALCITRIOL 0.25MCG CAP (FSB/ATB) CALCITRIOL CALCITRIOL 100'S A 16.04 0.16 CAPSULE 120 CAP FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 8816 VITAMIN D 2022-04-01 2024-03-31 Oral 6 VITAMINS
41 5261Y CALCITRIOL 0.25MCG CAP (KWA) CALCITRIOL CALCITRIOL 100'S A 13.86 0.1386 CAP 120 BOX KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 8816 VITAMIN D 2024-04-01 2026-03-31 ORAL 6 VITAMIN D
41 5261Z CALCITRIOL 0.25MCG CAP (MCP) CALCITRIOL CALCITRIOL 5X10 A 14.24 0.2848 CAP 120 BOX MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 8816 VITAMIN D 2024-04-01 2026-03-31 ORAL 6 VITAMIN D 2023-10-30
40 52716 APO-PREGABALIN 50MG CAP (APO/COL) PREGABALIN APO-PREGABALIN 100'S B 15.03 0.15 CAPSULE 0 CAP APO APOTEX INC. COL COLLINS LTD 281292 ANTICONVULSANTS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS