Displaying 4061 - 4080 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 58652 VFEND 200MG INJ (PFI) VORICONAZOLE VORICONAZOLE VFEND 100ML C 311.68 311.68 VIAL 28 VIAL PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 081492 ANTIFUNGALS, MISCELLANEOUS 2026-04-01 IV 0 ANTIFUNGALS, MISCELLANEOUS
40 58654 VORIOLE 200MG INJ (MSN/ATB) VORICONAZOLE VORICONAZOLE VORIOLE 200MG VIAL BQ 40.77 40.77 INJECTION 0 VIAL MSN MSN LABS ATB ANSA TRADING BARBADOS LTD 081408 AZOLES 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
40 58811 GLUCOBAY 50MG TAB (BSP/COL) ACARBOSE ACARBOSE GLUCOBAY 84'S C 18.40 0.22 TABLET 0 TAB BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 682002 ALPHA GLUCOSIDASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 58811 GLUCOBAY 50MG TAB (BSP) ACARBOSE (C) ACARBOSE GLUCOBAY 84'S C 18.4 0.2191 TAB 180 BOX BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD B 682002 ALPHA GLUCOSIDASE INHIBITORS 2024-04-01 2024-07-25 ORAL 6 ALPHA GLUCOSIDASE INHIBITORS 2024-06-13
40 58816 GLUCOBAY 50MG TAB (BSP/AHI) ACARBOSE ACARBOSE GLUCOBAY 84'S C 18.40 0.22 TABLET 0 TAB BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 682002 ALPHA GLUCOSIDASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 5881J ACARBOSE 50MG TAB (RYV/ATB) ACARBOSE ACARBOSE 90'S C 16.17 0.18 TABLET 180 TAB RYV RYVIS PHARMA PVT. LTD ATB ANSA TRADING BARBADOS LTD B 682002 ALPHA GLUCOSIDASE INHIBITORS 2022-04-01 2024-03-31 Oral 6 HORMONES AND SYNTHETIC SUBSTITUTES
42 5881N GLUCAR 50MG TAB (GLP) ACARBOSE (C) ACARBOSE GLUCAR 100'S C 1.71 0.02 TAB 180 BLIS GLP GLENMARK PHARMACEUTICALS LTD STO BRYDEN STOKES LTD B 682002 ALPHA GLUCOSIDASE INHIBITORS 2026-04-01 2028-03-31 ORAL 6 ALPHA GLUCOSIDASE INHIBITORS
40 58821 GLUCOBAY 100MG TAB (BSP/COL) ACARBOSE ACARBOSE GLUCOBAY 90'S C 35.77 0.40 TABLET 0 TAB BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 682002 ALPHA GLUCOSIDASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 58821 GLUCOBAY 100MG TAB (BSP) ACARBOSE (C) ACARBOSE GLUCOBAY 90'S C 35.77 0.3975 TAB 90 BOX BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD B 682002 ALPHA GLUCOSIDASE INHIBITORS 2024-04-01 2024-07-25 ORAL 6 ALPHA GLUCOSIDASE INHIBITORS 2024-06-13
40 58824 GLUCOBAY 100MG TAB (BSP/AHI) ACARBOSE ACARBOSE GLUCOBAY 90'S C 35.77 0.40 TABLET 0 TAB BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 682002 ALPHA GLUCOSIDASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 58824 GLUCOBAY 100MG TAB (BSP) ACARBOSE (C) ACARBOSE GLUCOBAY 90'S C 35.77 0.3975 TAB 90 BOX BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC B 682002 ALPHA GLUCOSIDASE INHIBITORS 2024-04-01 2026-03-31 ORAL 6 ALPHA GLUCOSIDASE INHIBITORS
40 5882G ACARBOSE 100MG TAB (LDP/AHI) ACARBOSE ACARBOSE 84'S C 24.06 0.29 TABLET 0 TAB LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 682002 ALPHA GLUCOSIDASE INHIBITORS 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 5921H DANAZOL 200MG TAB (CIP/AHI) DANAZOL DANAZOL 100'S C 645.85 6.46 TABLET 0 TAB CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 6808 ANDROGENS 2022-04-01 2022-09-30 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES 2022-03-29
42 5921L DANOGEN 200MG CAP (CIP) DANAZOL DANAZOL DANOGEN 10X10 C 223.75 2.24 CAP 30 BLIS CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 6808 ANDROGENS 2026-04-01 ORAL 6 ANDROGENS
40 59311 PROCORALAN 5MG TAB (SER/STO) IVABRADINE IVABRADINE PROCORALAN 28'S C 60.87 2.17 TABLET 0 TAB SER LES LABORATOIRES SERVIER STO BRYDEN STOKES LTD 240492 CARDIAC DRUGS MISCELLANEOUS 2022-04-06 2024-03-31 Package Size Change Oral 0 CARDIOVASCULAR DRUGS 2022-04-06
40 59314 PROCORALAN 5MG TAB (SER/COL) IVABRADINE IVABRADINE PROCORALAN 28'S C 60.87 2.17 TABLET 0 TAB SER LES LABORATOIRES SERVIER COL COLLINS LTD 240492 CARDIAC DRUGS MISCELLANEOUS 2022-04-13 2024-03-31 Add to Contract as Cat C Oral 0 CARDIOVASCULAR DRUGS 2022-04-13
40 59319 PROCOROLAN 5MG TAB (SER/COL) IVABRADINE IVABRADINE PROCOROLAN 56'S C 121.73 2.17 TABLET 0 TAB SER LES LABORATOIRES SERVIER COL COLLINS LTD 240492 CARDIAC DRUGS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 CARDIOVASCULAR DRUGS
41 59319 PROCOROLAN 5MG TAB (SER) IVABRADINE (C) IVABRADINE PROCOROLAN 56'S C 109.09 1.948 TAB 0 BOX SER LES LABORATOIRES SERVIER COL COLLINS LTD 240492 CARDIAC DRUGS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 0 CARDIAC DRUGS MISCELLANEOUS
42 59319 PROCOROLAN 5MG TAB (SER) IVABRADINE IVABRADINE PROCOROLAN 56'S C 109.09 1.95 TAB 0 BLIS SER LES LABORATOIRES SERVIER COL AVENTA BARBADOS 240492 CARDIAC DRUGS MISCELLANEOUS 2026-04-01 2028-03-31 ORAL 0 CARDIAC DRUGS MISCELLANEOUS
40 5931A PROCORLAN 5MG TAB (SER/STO) IVABRADINE IVABRADINE PROCORLAN 56'S C 121.73 2.17 TABLET 0 TAB SER LES LABORATOIRES SERVIER STO BRYDEN STOKES LTD 240492 CARDIAC DRUGS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 CARDIOVASCULAR DRUGS