Displaying 3701 - 3720 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
41 5691E ACYCLOVIR 50MG/ML INJ (KWA) (BQ) ACYCLOVIR ACYCLOVIR 10ML VIAL BQ 4.89 4.893 VIAL 15 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 081832 NUCLEOSIDES AND NUCLEOTIDES 2024-04-01 2026-03-31 IV 4 NUCLEOSIDES AND NUCLEOTIDES
40 5691F ZOVIRAX 50MG/ML INJ (GSK/COL) ACYCLOVIR ACYCLOVIR ZOVIRAX 5X5ML BQ 437.87 87.57 INJECTION 0 VIAL GSK GLAXOSMITHKLINE COL COLLINS LTD 081832 NUCLEOSIDES AND NUCLEOTIDES 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
41 5691F ZOVIRAX 50MG/ML INJ (GSK) ACYCLOVIR (C) ACYCLOVIR ZOVIRAX 5X5ML C 481.63 96.3265 VIAL 15 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD 081832 NUCLEOSIDES AND NUCLEOTIDES 2024-04-01 2026-03-31 IV 4 NUCLEOSIDES AND NUCLEOTIDES
40 5691M ACYCLOVIR 50MG/ML INJ (CHC/ATB) ACYCLOVIR ACYCLOVIR 10ML BQ 9.05 9.05 INJECTION 0 VIAL CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD 081832 NUCLEOSIDES AND NUCLEOTIDES 2022-04-01 2024-03-31 Price Change IV 0 ANTI-INFECTIVE AGENTS 2021-12-03
42 5691S SIMPLOVIR 50MG/ML INJ (INC) ACYCLOVIR ACYCLOVIR SIMPLOVIR 500MG VIAL BQ 11.93 11.93 VIAL 15 VIAL INC INCEPTA PHARMACEUTICALS LIMITED AHI ARMSTRONG HEALTHCARE INC 081832 NUCLEOSIDES AND NUCLEOTIDES 2026-04-01 2028-03-31 IV 0 NUCLEOSIDES AND NUCLEOTIDES
42 5691T ACYCLOVIR 50MG/ML INJ (FSB) ACYCLOVIR ACYCLOVIR 10ML BQ 2.36 2.36 VIAL 15 FSB FLAGSHIP BIOTECH STO BRYDEN STOKES LTD 081832 NUCLEOSIDES AND NUCLEOTIDES 2026-04-01 2028-03-31 IV 0 NUCLEOSIDES AND NUCLEOTIDES 2026-03-05
40 5692K ACYCLOVIR 5% OINT (TOR/AHI) ACYCLOVIR ACYCLOVIR 15G C 69.32 69.32 OINT 0 TUBE TOR TORRENT PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 081832 NUCLEOSIDES AND NUCLEOTIDES 2022-04-01 2024-03-31 TOPICAL 0 ANTI-INFECTIVE AGENTS
41 5692K ACYCLOVIR 5% OINT (TOR) ACYCLOVIR ACYCLOVIR 15G C 69.32 69.3173 TUBE 2 BOX TOR TORRENT PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 081832 NUCLEOSIDES AND NUCLEOTIDES 2024-04-01 2026-03-31 TOPICAL 0 NUCLEOSIDES AND NUCLEOTIDES
42 5692N APO-ACYCLOVIR 5% OINT (APO) ACYCLOVIR APO-ACYCLOVIR 4G A 6.39 6.39 TUBE 2 TUBE APO APOTEX INC. COL AVENTA BARBADOS 081832 NUCLEOSIDES AND NUCLEOTIDES 2026-04-01 2028-03-31 TOPICAL 0 NUCLEOSIDES AND NUCLEOTIDES
40 56937 APO-ACYCLOVIR 200MG TAB (APO/COL) ACYCLOVIR APO-ACYCLOVIR 100'S A 14.35 0.14 TABLET 50 TAB APO APOTEX INC. COL COLLINS LTD 081832 NUCLEOSIDES AND NUCLEOTIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
42 56937 APO-ACYCLOVIR 200MG TAB (APO) ACYCLOVIR APO-ACYCLOVIR 100'S A 14.49 0.14 TAB 50 BOTT APO APOTEX INC. COL AVENTA BARBADOS 081832 NUCLEOSIDES AND NUCLEOTIDES 2026-04-01 2028-03-31 ORAL 0 NUCLEOSIDES AND NUCLEOTIDES
40 5693AW VALTREX 500MG TAB (GSK/COL) VALACYCLOVIR VALACYCLOVIR VALTREX 10'S C 61.90 6.19 TABLET 0 TAB GSK GLAXOSMITHKLINE COL COLLINS LTD 081832 NUCLEOSIDES AND NUCLEOTIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 5693AW VALTREX 500MG TAB (GSK) VALACYCLOVIR (C) VALACYCLOVIR VALTREX 10'S C 68.07 6.8067 TAB 42 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD 081832 NUCLEOSIDES AND NUCLEOTIDES 2024-04-01 2026-03-31 ORAL 0 NUCLEOSIDES AND NUCLEOTIDES
41 5693AZ ACYCLOVIR 200MG TAB (CPP) ACYCLOVIR ACYCLOVIR ACYCLOVIR 25'S A 3.18 0.1272 TAB 50 BOX CPP WOCKHARDT UK LTD COL COLLINS LTD 081832 NUCLEOSIDES AND NUCLEOTIDES 2024-04-01 2026-03-31 ORAL 0 NUCLEOSIDES AND NUCLEOTIDES
41 5693CG CYCLOVAX 200MG TAB (REM) ACYCLOVIR (C) ACYCLOVIR CYCLOVAX 3X10 C 4.49 0.1495 TAB 50 BOX REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081832 NUCLEOSIDES AND NUCLEOTIDES 2024-04-01 2026-03-31 ORAL 0 NUCLEOSIDES AND NUCLEOTIDES
40 5693DU PMS-VALACYCLOVIR 500MG CAP (PMS/COL) VALACYCLOVIR PMS-VALACYCLOVIR 100'S A 59.80 0.60 CAPSULE 42 CAP PMS PHARMASCIENCE COL COLLINS LTD 081832 NUCLEOSIDES AND NUCLEOTIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 5693EC ZOVIRAX 200MG TAB (GSK/COL) ACYCLOVIR ACYCLOVIR ZOVIRAX 25'S C 62.90 2.52 TABLET 0 TAB GSK GLAXOSMITHKLINE COL COLLINS LTD 081832 NUCLEOSIDES AND NUCLEOTIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 5693EZ ACYCLOVIR 200MG TAB (CHC/ATB) ACYCLOVIR ACYCLOVIR 100'S A 16.58 0.17 TABLET 50 TAB CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD 081832 NUCLEOSIDES AND NUCLEOTIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 5693FA APO-ACYCLOVIR 200MG TAB (APO) ACYCLOVIR APO-ACYCLOVIR 100'S A 14.49 0.1449 TAB 50 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 081832 NUCLEOSIDES AND NUCLEOTIDES 2024-04-01 2026-03-31 ORAL 0 NUCLEOSIDES AND NUCLEOTIDES
41 5693FB APO-VALCYCLOVIR 500MG TAB (APO) VAL VALACYCLOVIR APO-VALCYCLOVIR 100'S A 67.88 0.6788 TAB 42 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 081832 NUCLEOSIDES AND NUCLEOTIDES 2024-04-01 2026-03-31 ORAL 0 NUCLEOSIDES AND NUCLEOTIDES