Displaying 3601 - 3620 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 55511 THALIDOMIDE 50MG CAP (DIL/AHI) THALIDOMIDE THALIDOMIDE 30'S C 62.25 2.08 CAPSULE 0 CAP DIL FRESENIUS KABI AHI ARMSTRONG HEALTHCARE INC 9220 BIOLOGIC RESPONSE MODIFIER 2022-04-01 2024-03-31 Oral 0 UNCLASSIFIED THERAPEUTIC AGENTS
42 55511 THALIDOMIDE 50MG CAP (DIL) THALIDOMIDE THALIDOMIDE 30'S C 48.11 1.60 CAP 0 BLIS DIL FRESENIUS KABI AHI ARMSTRONG HEALTHCARE INC 9220 BIOLOGIC RESPONSE MODIFIER 2026-04-01 2028-03-31 ORAL 0 BIOLOGIC RESPONSE MODIFIER
40 55521 THALIDOMIDE 100MG CAP (DIL/AHI) THALIDOMIDE THALIDOMIDE 30'S C 110.50 3.68 CAPSULE 0 CAP DIL FRESENIUS KABI AHI ARMSTRONG HEALTHCARE INC 9220 BIOLOGIC RESPONSE MODIFIER 2022-04-01 2024-03-31 Oral 0 UNCLASSIFIED THERAPEUTIC AGENTS
42 55521 THALIX 100MG CAP (DIL) THALIDOMIDE THALIDOMIDE THALIX 30'S C 60.18 2.01 CAP 0 BLIS DIL FRESENIUS KABI AHI ARMSTRONG HEALTHCARE INC 9220 BIOLOGIC RESPONSE MODIFIER 2026-04-01 2028-03-31 ORAL 0 BIOLOGIC RESPONSE MODIFIER
40 5552D THALIDOMIDE 100MG CAP (SLS/AHI) THALIDOMIDE THALIDOMIDE 30'S C 93.78 3.13 CAPSULE 0 CAP SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 9220 BIOLOGIC RESPONSE MODIFIER 2022-04-01 2024-03-31 Add to Contract as Cat C Oral 0 UNCLASSIFIED THERAPEUTIC AGENTS 2021-12-16
41 5552D THALIDOMIDE 100MG CAP (SLS) THALIDOMIDE THALIDOMIDE 30'S C 63.5 2.1167 CAP 0 BOX SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 9220 BIOLOGIC RESPONSE MODIFIER 2024-04-01 2026-03-31 ORAL 0 BIOLOGIC RESPONSE MODIFIER
40 55618 CANESTEN-3 200MG VAG. P (BSP/AHI) CLOTRIMAZOL CLOTRIMAZOLE CANESTEN-3 3'S C 9.27 10.19 VAGINAL PESS 1 PACK BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 081408 AZOLES 2022-04-01 2024-03-31 VAGINAL 0 ANTI-INFECTIVE AGENTS 2022-03-29
40 55618 CANESTEN-3 200MG VAG PESS (BSP/AHI) CLOTRIMAZOLE CLOTRIMAZOLE CANESTEN-3 3'S A 10.19 10.19 VAGINAL PESS BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 81408 AZOLES 2023-02-21 2024-03-31 Add to Contract as Cat A VAGINAL 0 AZOLES 2023-02-21
41 55618 CANESTEN-3 200MG VAG PESS (BSP) CLOTRIMAZOLE CLOTRIMAZOLE CANESTEN-3 3'S A 9.19 9.1879 PACK 1 BOX BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 081408 AZOLES 2024-04-01 2026-03-31 VAGINAL 0 AZOLES
42 55618 CANESTEN-3 200MG VAG OV (BSP) CLOT (C) CLOTRIMAZOLE CANESTEN-3 3'S C 9.19 9.19 PACK 1 BOX BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 081408 AZOLES 2026-04-01 2028-03-31 VAGINAL 0 AZOLES 2026-02-11
40 5561AA CANESTEN-3 200MG VAG OV (BSP/COL) CLOTRIMAZOLE CLOTRIMAZOLE CANESTEN-3 3'S A 9.87 9.87 VAGINAL OVUL 1 PACK BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 081408 AZOLES 2022-04-01 2024-03-31 VAGINAL 0 ANTI-INFECTIVE AGENTS
41 5561AA CANESTEN-3 200MG VAG OV (BSP) CLOTRIMAZOLE CLOTRIMAZOLE CANESTEN-3 3'S A 9.19 9.1879 PACK 1 BOX BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 081408 AZOLES 2024-04-01 2026-03-31 VAGINAL 0 AZOLES
42 5561AA CANESTEN-3 200MG VAG OV (BSP) CLOTRIMAZOLE CLOTRIMAZOLE CANESTEN-3 3'S C 7.23 7.23 PACK 1 BOX BSP BAYER SCHERING PHARMA AG. COL AVENTA BARBADOS 081408 AZOLES 2026-04-01 2028-03-31 VAGINAL 0 AZOLES
40 5561AB CANESTEN 500MG VAG OV (BSP/COL) CLOTRIMAZOLE CLOTRIMAZOLE CANESTEN 1'S A 11.88 11.88 VAGINAL OVUL 1 PACK BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 081408 AZOLES 2022-04-01 2024-03-31 VAGINAL 0 ANTI-INFECTIVE AGENTS
41 5561AB CANESTEN 500MG VAG OV (BSP) CLOTRIMAZOLE CLOTRIMAZOLE CANESTEN 1'S A 11.04 11.0364 PACK 1 BOX BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 081408 AZOLES 2024-04-01 2026-03-31 VAGINAL 0 AZOLES
42 5561AB CANESTEN 500MG VAG OV (BSP) CLOTRIMAZOLE CLOTRIMAZOLE CANESTEN-1 1'S C 10.03 10.03 PACK 1 BOX BSP BAYER SCHERING PHARMA AG. COL AVENTA BARBADOS 081408 AZOLES 2026-04-01 2028-03-31 VAGINAL 0 AZOLES
40 5561AC CANESTEN-6 1% VAG CR (BSP/COL) CLOTRIMAZOLE CLOTRIMAZOLE CANESTEN-6 35G A 9.41 9.41 VAGINAL CREA 1 TUBE BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 081408 AZOLES 2022-04-01 2024-03-31 VAGINAL 0 ANTI-INFECTIVE AGENTS
41 5561AC CANESTEN-6 1% VAG CR (BSP) CLOTRIMAZOLE CLOTRIMAZOLE CANESTEN-6 35G A 8.73 8.7258 TUBE 1 BOX BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 081408 AZOLES 2024-04-01 2026-03-31 VAGINAL 0 AZOLES
42 5561AC CANESTEN-6 1% VAG CR (BSP) CLOTRIMAZOLE CLOTRIMAZOLE CANESTEN-6 35G A 11.15 11.15 TUBE 1 BOX BSP BAYER SCHERING PHARMA AG. COL AVENTA BARBADOS 081408 AZOLES 2026-04-01 2028-03-31 VAGINAL 0 AZOLES
40 5561AD CANESTEN-3 2% VAG CR (BSP/COL) CLOTRIMAZOLE CLOTRIMAZOLE CANESTEN-3 20G C 10.36 10.36 VAGINAL CREA 0 TUBE BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 081408 AZOLES 2022-04-01 2024-03-31 VAGINAL 0 ANTI-INFECTIVE AGENTS