Displaying 4221 - 4240 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 64212 NEORAL 100MG/ML SOLN (NVS) CYCLOSPORIN CYCLOSPORIN NEORAL 50ML BQ 475.71 475.7067 BOTT 0 BOTT NVS NOVARTIS CARIBE SA COL COLLINS LTD 9244 IMMUNOSUPPRESSIVE AGENTS 2024-04-01 2026-03-31 ORAL 0 IMMUNOSUPPRESSIVE AGENTS
42 64212 NEORAL 100MG/ML SOLN (NVS) CYCLOSPORIN CYCLOSPORIN NEORAL 50ML BQ 475.71 475.71 BOTT 0 BOTT NVS NOVARTIS CARIBE SA COL AVENTA BARBADOS 9244 IMMUNOSUPPRESSIVE AGENTS 2026-04-01 ORAL 0 IMMUNOSUPPRESSIVE AGENTS
40 64225 NEORAL 25MG TAB (NVS/COL) CYCLOSPORIN CYCLOSPORIN NEORAL 50'S BQ 135.18 2.70 TABLET 0 TAB NVS NOVARTIS CARIBE SA COL COLLINS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
41 64225 NEORAL 25MG TAB (NVS) CYCLOSPORIN (BQ) CYCLOSPORIN NEORAL 50'S BQ 135.18 2.7036 TAB 0 BOX NVS NOVARTIS CARIBE SA COL COLLINS LTD 9244 IMMUNOSUPPRESSIVE AGENTS 2024-04-01 2026-03-31 ORAL 0 IMMUNOSUPPRESSIVE AGENTS
42 64225 NEORAL 25MG TAB (NVS) CYCLOSPORIN CYCLOSPORIN NEORAL 50'S BQ 135.18 2.70 TAB 0 BLIS NVS NOVARTIS CARIBE SA COL AVENTA BARBADOS 9244 IMMUNOSUPPRESSIVE AGENTS 2026-04-01 ORAL 0 IMMUNOSUPPRESSIVE AGENTS
40 6422B NEORAL 100MG TAB (NVS/COL) CYCLOSPORIN CYCLOSPORIN NEORAL 50'S BQ 529.88 10.60 TABLET 0 TAB NVS NOVARTIS CARIBE SA COL COLLINS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
41 6422B NEORAL 100MG TAB (NVS) CYCLOSPORIN (BQ) CYCLOSPORIN NEORAL 50'S BQ 529.88 10.5977 TAB 0 BOX NVS NOVARTIS CARIBE SA COL COLLINS LTD 9244 IMMUNOSUPPRESSIVE AGENTS 2024-04-01 2026-03-31 ORAL 0 IMMUNOSUPPRESSIVE AGENTS
42 6422B NEORAL 100MG TAB (NVS) CYCLOSPORIN CYCLOSPORIN NEORAL 50'S BQ 529.88 10.60 TAB 0 BLIS NVS NOVARTIS CARIBE SA COL AVENTA BARBADOS 9244 IMMUNOSUPPRESSIVE AGENTS 2026-04-01 ORAL 0 IMMUNOSUPPRESSIVE AGENTS
40 64231 RESTASIS 0.05% EYE (ALL/COL) CYCLOSPORIN CYCLOSPORIN RESTASIS 30X0.4ML C 67.96 2.27 EYE DROP 0 AMP ALL ALLERGAN INTERNATIONAL COL COLLINS LTD 520892 EENT ANTI INFLAMMATORY AGENTS MISCELLANEOUS 2022-04-01 2024-03-31 OPHTHALMIC 0 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 64231 RESTASIS 0.05% EYE DR (ALL) CYCLOSP (C) CYCLOSPORIN RESTASIS 30X0.4ML C 67.96 2.2653 AMPP 0 BOX ALL ALLERGAN INTERNATIONAL COL COLLINS LTD 520892 EENT ANTI INFLAMMATORY AGENTS MISCELLANEOUS 2024-04-01 2026-03-31 OPHTHALMIC 0 EENT ANTI INFLAMMATORY AGENTS MISCELLANEOUS
42 64231 RESTASIS 0.05% EYE DR (ALL) CYCLOSPORIN CYCLOSPORIN RESTASIS 30X0.4ML C 67.96 2.27 AMPP 0 BOX ALL ALLERGAN INTERNATIONAL COL AVENTA BARBADOS 520892 EENT ANTI INFLAMMATORY AGENTS MISCELLANEOUS 2026-04-01 OPHTHALMIC 0 EENT ANTI INFLAMMATORY AGENTS MISCELLANEOUS
41 64235 CLOSPORIL 0.1% EYE DR (LPO) CYCLOSPORIN (C) CYCLOSPORIN CLOSPORIL 5ML C 10.06 10.0578 BOTT 0 BOTT LPO LABORATORIOS POEN S.A. COL COLLINS LTD 520892 EENT ANTI INFLAMMATORY AGENTS MISCELLANEOUS 2024-04-01 2026-03-31 OPHTHALMIC 0 EENT ANTI INFLAMMATORY AGENTS MISCELLANEOUS
42 64235 CLOSPORIL 0.1% EYE DR (LPO) CYCLOSPORIN CYCLOSPORIN CLOSPORIL 5ML C 16.31 16.31 BOTT 0 BOTT LPO LABORATORIOS POEN S.A. COL AVENTA BARBADOS 520892 EENT ANTI INFLAMMATORY AGENTS MISCELLANEOUS 2026-04-01 OPHTHALMIC 0 EENT ANTI INFLAMMATORY AGENTS MISCELLANEOUS
41 6432D FOLINIC ACID 50MG INJ (ZUV) CALCIUM FOLI (BQ) CALCIUM FOLINATE FOLINIC ACID 50MG VIAL BQ 5.57 5.5726 VIAL 0 VIAL ZUV ZUVIUS PHA PHARMACY SALES CARIBBEAN 9212 ANTIDOTES 2024-04-01 2026-03-31 INJ 0 ANTIDOTES
42 6432D FOLINIC ACID 50MG INJ (ZUV) CALCIUM FOLI CALCIUM FOLINATE FOLINIC ACID 50MG VIAL BQ 4.65 4.65 VIAL 0 VIAL ZUV ZUVIUS PHA PHARMACY SALES CARIBBEAN 9212 ANTIDOTES 2026-04-01 INJ 0 ANTIDOTES
40 6432G LEUCOVORIN 50MG INJ (SLS/AHI) LEUCOVORIN LEUCOVORIN 10ML VIAL BQ 22.29 22.29 INJECTION 0 VIAL SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 9212 ANTIDOTES 2022-04-01 2024-03-31 IV 0 UNCLASSIFIED THERAPEUTIC AGENTS
40 6432H LEUCOVORIN 50MG INJ (SLS/AHI) LEUCOVORIN LEUCOVORIN 5ML BQ 12.45 12.45 INJECTION 0 VIAL SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 9212 ANTIDOTES 2022-04-01 2022-09-30 IV 0 UNCLASSIFIED THERAPEUTIC AGENTS 2022-03-29
42 64356 FOLINIC ACID 15MG TAB (ZUV) FOLINIC ACID FOLINIC ACID 10'S BQ 16.80 1.68 TAB 0 BLIS ZUV ZUVIUS PHA PHARMACY SALES CARIBBEAN 9212 ANTIDOTES 2026-04-01 ORAL 0 ANTIDOTES
40 64358 LEUCOVORIN 15MG TAB (SLS/AHI) LEUCOVORIN LEUCOVORIN 20'S BQ 95.28 4.76 TABLET 0 TAB SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 9212 ANTIDOTES 2022-04-01 2024-03-31 Oral 0 UNCLASSIFIED THERAPEUTIC AGENTS
41 64358 LEUCOVORIN 15MG TAB (SLS) LEUCOVORIN LEUCOVORIN 20'S BQ 97.89 4.8943 TAB 0 BOX SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 9212 ANTIDOTES 2024-04-01 2026-03-31 ORAL 0 ANTIDOTES