Displaying 4141 - 4160 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 6031P GYNOLAX 50MG TAB (ABB/PHA) CLOMIPHENE (C) CLOMIPHENE GYNOLAX 10'S C 5.74 0.574 TABLET IMMED ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 681612 ESTROGEN AGONIST-ANTAGONIST 2022-04-01 2023-03-31 Delete from contract Oral 0 ESTROGEN AGONIST-ANTAGONIST 2023-03-02
40 6031Q REJUN 50MG TAB (SGL/AHI) CLOMIPHENE CLOMIPHENE REJUN 10'S C 4.21 0.42 TABLET 0 TAB SGL STERIL-GENE LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 681612 ESTROGEN AGONIST-ANTAGONIST 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 6031R REJUN 50MG TAB (TMP) CLOMIPHENE CLOMIPHENE REJUN 10'S C 4.29 0.4295 TAB 0 BOX TMP THE MADRAS PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 681612 ESTROGEN AGONIST-ANTAGONIST 2024-04-01 2026-03-31 ORAL 0 ESTROGEN AGONIST-ANTAGONIST
42 6031S FERTOMID 50MG TAB (CIP) CLOMIPHENE (C) CLOMIPHENE FERTOMID 500'S C 268.49 0.54 TAB 0 BLIS CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 681612 ESTROGEN AGONIST-ANTAGONIST 2026-04-01 ORAL 0 ESTROGEN AGONIST-ANTAGONIST
41 60614 PMS-AMANTADINE 100MG CAP (PMS) (C) AMANTADINE PMS-AMANTADINE 100'S C 42.41 0.4241 CAP 0 BOTT PMS PHARMASCIENCE COL COLLINS LTD 081804 ADAMANTANES 2024-04-01 2026-03-31 ORAL 0 ADAMANTANES
42 60614 PMS-AMANTADINE 100MG CAP (PMS) (C) AMANTADINE PMS-AMANTADINE 100'S C 40.77 0.41 CAP 0 BLIS PMS PHARMASCIENCE COL AVENTA BARBADOS 081804 ADAMANTANES 2026-04-01 ORAL 0 ADAMANTANES
40 6061B AMANTADINE 100MG CAP (CAM/AHI) AMANTADINE AMANTADINE 56'S C 65.78 1.17 CAPSULE 0 CAP CAM MORNINGSIDE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 081804 ADAMANTANES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
42 60717 KLION D 100MG|100MG VAG OV (CHW) METRONI METRONIDAZOLE|MICONAZOLE KLION D 10'S A 11.15 11.15 PACK 1 BLIS CHW CHEMICAL WORKS OF GEDEON RICHTER LTD AHI ARMSTRONG HEALTHCARE INC 081492 ANTIFUNGALS, MISCELLANEOUS 2026-04-01 VAGINAL 0 ANTIFUNGALS, MISCELLANEOUS
41 6071B GYNOTRAN 750MG|200MG OV (EXE) METRONIDAZOLE|MICONAZOLE METRONIDAZOLE|MICONAZOLE GYNOTRAN 7'S A 22.13 22.1272 PACK 1 BOX EXE EXELTIS ILAC COL COLLINS LTD 9244 IMMUNOSUPPRESSIVE AGENTS 2024-04-01 2026-03-31 Vaginal 0 IMMUNOSUPPRESSIVE AGENTS
42 6071B GYNOTRAN 750MG|200MG OV (EXE) METRONIDAZOLE|MICONAZOLE METRONIDAZOLE|MICONAZOLE GYNOTRAN 7'S A 22.13 22.13 PACK 1 BLIS EXE EXELTIS ILAC COL AVENTA BARBADOS 9244 IMMUNOSUPPRESSIVE AGENTS 2026-04-01 VAGINAL 0 IMMUNOSUPPRESSIVE AGENTS
42 6071C DREZ-V 1%|2% GEL (STA) METRONIDAZOLE|MICONAZOLE METRONIDAZOLE|MICONAZOLE DREZ-V 30G A 6.85 6.85 TUBE 1 TUBE STA STEDMAN PHARMACEUTICALS PVT LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081492 ANTIFUNGALS, MISCELLANEOUS 2026-04-01 VAGINAL 0 ANTIFUNGALS, MISCELLANEOUS
40 60914 AAP-PENTOXIFYLLINE SR 400MG TAB (APO/COL) PENTOXIFYLLINE AAP-PENTOXIFYLLINE SR 100'S C 23.65 0.24 TABLET 0 TAB APO APOTEX INC. COL COLLINS LTD 2024 HEMORRHEOLOGICS 2022-04-01 2024-03-31 Name Change Oral 0 BLOOD FORMATION, COAGULATION AND THROMBOSIS 2022-04-04
42 60914 AAP-PENTOXIFYLLINE SR 400MG TAB (APO) PENTOXIFYLLINE AAP-PENTOXIFYLLINE SR 100'S A 21.75 0.22 TAB 90 BOTT APO APOTEX INC. COL AVENTA BARBADOS 2024 HEMORRHEOLOGICS 2026-04-01 ORAL 6 HEMORRHEOLOGICS
40 60917 PENTOXIFYLLINE 400MG TAB (HEA/RXP) PENTOXIFYLLINE PENTOXIFYLLINE 10X10 A 21.18 0.21 TABLET 90 TAB HEA HEALTH 2000 INC RXP RX PRO INC 2024 HEMORRHEOLOGICS 2022-04-01 2024-03-31 Oral 6 BLOOD FORMATION, COAGULATION AND THROMBOSIS
41 6091B AAP-PENTOXIFYLLINE SR 400MG TAB (APO) PENTOXIFYLLINE AAP-PENTOXIFYLLINE 100'S A 19.11 0.1911 TAB 90 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 2024 HEMORRHEOLOGICS 2024-04-01 2026-03-31 ORAL 6 HEMORRHEOLOGICS
40 6091F PENTOXIFYLLINE 400MG TAB (KWA/ATB) PENTOXIFYLLINE PENTOXIFYLLINE 10X10 A 18.73 0.19 TABLET 90 TAB KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 2024 HEMORRHEOLOGICS 2022-04-01 2024-03-31 Oral 6 BLOOD FORMATION, COAGULATION AND THROMBOSIS
41 6091F PENTOXIFYLLINE 400MG TAB (KWA) PENTOXIFYLLINE PENTOXIFYLLINE 10X10 A 23.57 0.2357 TAB 90 BOX KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 2024 HEMORRHEOLOGICS 2024-04-01 2026-03-31 ORAL 6 HEMORRHEOLOGICS
40 6091G PENTOXIFYLLINE 400MG TAB (HEA/ATB) PENTOXIFYLLINE PENTOXIFYLLINE 10X10 A 21.18 0.2118 TABLET IMMED 90 HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 2024 HEMORRHEOLOGICS 2022-07-12 2024-03-31 la oral 6 HEMORRHEOLOGICS 2022-11-25
41 6091G PENTOXIFYLLINE 400MG TAB (HEA) PENTOXIFYLLINE PENTOXIFYLLINE 10X10 A 27.51 0.2751 TAB 90 BOX HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 2024 HEMORRHEOLOGICS 2024-04-01 2026-03-31 ORAL 6 HEMORRHEOLOGICS
42 6091L TRENTAL 400MG TAB (GRM) PENTOXIFYLLINE PENTOXIFYLLINE TRENTAL 2X10 C 26.91 1.35 TAB 90 BLIS GRM GRIMANN S.A DE C.V. AHI ARMSTRONG HEALTHCARE INC 2024 HEMORRHEOLOGICS 2026-04-01 ORAL 6 HEMORRHEOLOGICS