Displaying 3621 - 3640 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 5561AD CANESTEN-3 2% VAG CR (BSP) CLOTRIMAZOLE CLOTRIMAZOLE CANESTEN-3 20G A 9.6 9.5957 TUBE 1 BOX BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 081408 AZOLES 2024-04-01 2026-03-31 VAGINAL 0 AZOLES
42 5561AD CANESTEN-3 2% VAG CR (BSP) CLOTRIMAZOLE CLOTRIMAZOLE CANESTEN-3 20G C 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 5561AG CANESTEN-6 1% VAG CR (BSP/AHI) CLOTRIMAZOLE CLOTRIMAZOLE CANESTEN-6 35G A 9.7 9.7 VAGINAL CREA TUBE BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 81408 AZOLES 2023-02-24 2024-03-31 Add to Contract as Cat A VAGINAL 0 AZOLES 2023-02-24
41 5561AG CANESTEN-6 1% VAG CR (BSP) CLOTRIMAZOLE CLOTRIMAZOLE CANESTEN-6 35G A 8.73 8.7258 TUBE 1 TUBE BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 081408 AZOLES 2024-04-01 2026-03-31 VAGINAL 0 AZOLES
42 5561AG CANESTEN-6 1% VAG CR (BSP) CLOTRIM (C) CLOTRIMAZOLE CANESTEN-6 35G C 13.59 13.59 TUBE 1 TUBE BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 081408 AZOLES 2026-04-01 2028-03-31 VAGINAL 0 AZOLES 2026-02-11
40 5561AV MICOPSEC 2% VAG CR (CAR/COL) MICONAZOLE MICONAZOLE MICOPSEC 45G A 15.22 15.22 VAGINAL CREA 1 TUBE CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 081408 AZOLES 2022-04-01 2024-03-31 VAGINAL 0 ANTI-INFECTIVE AGENTS
41 5561AV MICOPSEC 2% VAG CR (CAR) MICONAZOLE MICONAZOLE MICOPSEC 45G A 17.67 17.6691 TUBE 1 BOX CAR CARLISLE LABORATORIES LTD COL COLLINS LTD 081408 AZOLES 2024-04-01 2026-03-31 VAGINAL 0 AZOLES
42 5561AV MICOPSEC 2% VAG CR (CAR) MICONAZOLE MICONAZOLE MICOPSEC 45G C 17.67 17.67 TUBE 1 BOX CAR CARLISLE LABORATORIES LTD COL AVENTA BARBADOS 081408 AZOLES 2026-04-01 2028-03-31 VAGINAL 0 AZOLES
42 5561BF CANDID 500MG OVULE (GLP) CLOTRIMAZO CLOTRIMAZOLE CANDID 1'S A 8.16 8.15 PACK 1 BOX GLP GLENMARK PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 081408 AZOLES 2026-04-01 2028-03-31 VAGINAL 0 AZOLES
40 5561CK CLOTRI-DENK 100MG VAG OV (EDK/COL) CLOTRIMAZO CLOTRIMAZOLE CLOTRI-DENK 6'S A 4.35 4.35 VAGINAL OVUL 1 PACK EDK DENK PHARMA GMBH & CO. KG. COL COLLINS LTD 081408 AZOLES 2022-04-01 2024-03-31 VAGINAL 0 ANTI-INFECTIVE AGENTS
40 5561CL CANESTEN-6 100MG VAG OV (BSP/COL) CLOTRIMAZOL CLOTRIMAZOLE CANESTEN-6 6'S C 9.60 9.60 VAGINAL OVUL 0 PACK BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 081408 AZOLES 2022-04-01 2024-03-31 VAGINAL 0 ANTI-INFECTIVE AGENTS
41 5561CL CANESTEN-6 100MG VAG OV (BSP) CLOTR (C) CLOTRIMAZOLE CANESTEN-6 6'S C 8.92 8.9161 PACK 1 BOX BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 081408 AZOLES 2024-04-01 2026-03-31 VAGINAL 0 AZOLES
42 5561CL CANESTEN-6 100MG VAG OV (BSP) CLOTR CLOTRIMAZOLE CANESTEN-6 6'S C 7.01 7.01 PACK 1 BOX BSP BAYER SCHERING PHARMA AG. COL AVENTA BARBADOS 081408 AZOLES 2026-04-01 2028-03-31 VAGINAL 0 AZOLES
40 5561CM CANDID V 2% VAG CR (GLP/ALI) CLOTRIMAZOLE CLOTRIMAZOLE CANDID V 30G A 6.80 6.80 VAGINAL CREA 1 PACK GLP GLENMARK PHARMACEUTICALS LTD ALI ALL HEALTH INC 081408 AZOLES 2022-04-01 2022-03-22 Delete from contract VAGINAL 0 ANTI-INFECTIVE AGENTS 2022-03-22
40 5561CP CANDID V 2% VAG CR (GLP/ATB) CLOTRIMAZOLE CLOTRIMAZOLE CANDID V 30G A 6.80 6.80 VAGINAL CREA 1 PACK GLP GLENMARK PHARMACEUTICALS LTD ATB ANSA TRADING BARBADOS LTD 081408 AZOLES 2022-04-01 2024-03-31 Change Local Agent VAGINAL 0 ANTI-INFECTIVE AGENTS 2022-03-22
41 5561CR CLOTRI-DENK 100MG VAG OV (EDK) CLOTRIMAZOLE CLOTRIMAZOLE CLOTRI-DENK 6'S A 4.35 4.3493 PACK 1 BOX EDK DENK PHARMA GMBH & CO. KG. SBI MASSY DISTRIBUTION (BDOS) LTD 081408 AZOLES 2024-04-01 2026-03-31 VAGINAL 0 AZOLES
42 5561DA CANDID V6 2% GEL (GLP) CLOTRIMAZOLE CLOTRIMAZOLE CANDID V6 30G A 6.80 6.80 TUBE 1 TUBE GLP GLENMARK PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 081408 AZOLES 2026-04-01 2028-03-31 VAGINAL 0 AZOLES
42 5561DB CANDID V3 200MG PESS (GLP) CLOTRIMAZOLE CLOTRIMAZOLE CANDID V3 3'S A 3.53 3.53 PACK 1 BLIS GLP GLENMARK PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 081408 AZOLES 2026-04-01 2028-03-31 VAGINAL 0 AZOLES
42 5561DC CANDID V6 100MG VAG PESS (GLP) CLOTRIMAZOLE CLOTRIMAZOLE CANDID V6 6'S A 3.53 3.53 PACK 1 BLIS GLP GLENMARK PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 081408 AZOLES 2026-04-01 2028-03-31 VAGINAL 0 AZOLES
42 5561DD CLOTRIMAZOLE 200MG PESS (GLP) CLOTRIMAZOLE CANDID 3'S A 3.53 3.53 PACK 1 BLIS GLP GLENMARK PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 081408 AZOLES 2026-04-01 2028-03-31 VAGINAL 0 AZOLES