Displaying 4421 - 4440 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 6712C AVELOX 400MG INJ (BSP) MOXIFLOXACIN MOXIFLOXACIN AVELOX 250ML C 32.05 32.05 VIAL 0 VIAL BSP BAYER SCHERING PHARMA AG. COL AVENTA BARBADOS 081218 QUINOLONES 2026-04-01 2028-03-31 IV 0 QUINOLONES
41 6712CC LEVOFLOX DENK 5MG/ML INJ (EDK) LEVOFLOXACIN (BQ) LEVOFLOXACIN LEVOFLOX-DENK 100ML BQ 14.81 14.8149 VIAL 14 VIAL EDK DENK PHARMA GMBH & CO. KG. COL COLLINS LTD 081218 QUINOLONES 2024-04-01 2026-03-31 IV 0 QUINOLONES
41 6712CD LEVOFLOX DENK 5MG/ML INJ (EDK) LEVOFLOXACIN (BQ) LEVOFLOXACIN LEVOFLOX 100ML BQ 15.63 15.6304 VIAL 14 VIAL EDK DENK PHARMA GMBH & CO. KG. SBI MASSY DISTRIBUTION (BDOS) LTD 081218 QUINOLONES 2024-04-01 2026-03-31 0 QUINOLONES
42 6712CF GLEVO 5MG/ML INJ (GLP) LEVOFLOXACIN LEVOFLOXACIN GLEVO 100ML B 6.80 6.80 BOTT 14 BOTT GLP GLENMARK PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 081218 QUINOLONES 2026-04-01 2028-03-31 IV 0 QUINOLONES
42 6712CG GLEVO 5MG/ML INJ (GLP) LEVOFLOXACIN LEVOFLOXACIN GLEVO 100ML B 6.60 6.60 BOTT 14 AMP GLP GLENMARK PHARMACEUTICALS LTD CWS CAPSULE WHOLESALE 081218 QUINOLONES 2026-04-01 2028-03-31 IV 0 QUINOLONES
42 6712CH MOXIGET 400MG INJ (GET) MOXIFLOXACIN MOXIFLOXACIN MOXIGET 10ML BQ 8.73 8.73 VIAL 0 VIAL GET GETZ PHARMA (PVT) LIMITED AHI ARMSTRONG HEALTHCARE INC 081218 QUINOLONES 2026-04-01 2028-03-31 IV 0 QUINOLONES
40 6712T AVELOX 400MG INJ (BSP/AHI) MOXIFLOXACIN MOXIFLOXACIN AVELOX 250ML C 50.70 50.70 INJECTION 0 VIAL BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 081218 QUINOLONES 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
41 6712T AVELOX 400MG INJ (BSP) MOXIFLOXACIN (C) MOXIFLOXACIN AVELOX 250ML C 50.7 50.6967 VIAL 0 VIAL BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 081218 QUINOLONES 2024-04-01 2026-03-31 IV 0 QUINOLONES
42 6712T AVELOX 400MG INJ (BSP) MOXIFLOXACIN MOXIFLOXACIN AVELOX 250ML C 35.20 35.20 VIAL 0 VIAL BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 081218 QUINOLONES 2026-04-01 2028-03-31 IV 0 QUINOLONES
41 6712U CIPROXINA 400MG INJ (BSP) CIPROFLOXACIN (C) CIPROFLOXACIN CIPROXINA 200ML C 70.68 70.6764 VIAL 0 VIAL BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 081218 QUINOLONES 2024-04-01 2026-03-31 IV 0 QUINOLONES
40 6712V CIPROXINA 200MG INJ (BSP/AHI) CIPROFLOXACIN CIPROFLOXACIN CIPROXINA 100ML C 55.73 55.73 INJECTION 0 VIAL BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 081218 QUINOLONES 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
41 6712V CIPROXINA 200MG INJ (BSP) CIPROFLOXACIN (C) CIPROFLOXACIN CIPROXINA 100ML C 55.73 55.7256 VIAL 56 VIAL BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 081218 QUINOLONES 2024-04-01 2026-03-31 IV 0 QUINOLONES
42 6712V CIPROXINA 200MG INJ (BSP) CIPROFLOXACIN CIPROFLOXACIN CIPROXINA 100ML C 38.74 38.74 VIAL 56 VIAL BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 081218 QUINOLONES 2026-04-01 2028-03-31 IV 0 QUINOLONES
40 67325 ULTRAVIST 300MG/ML INJ (BSP/AHI) IOPROMIDE IOPROMIDE ULTRAVIST 50ML BQ 34.31 34.31 INJECTION 0 VIAL BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 3668 ROENTGENOGRAPHY 2022-04-01 2024-03-31 IV 0 DIAGNOSTIC AGENTS
41 67325 ULTRAVIST 300MG/ML INJ (BSP) IOPROMIDE (BQ) IOPROMIDE ULTRAVIST 50ML BQ 37.46 37.4585 BOTT 7 BOTT BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 3668 ROENTGENOGRAPHY 2024-04-01 2026-03-31 IV 0 ROENTGENOGRAPHY
42 67325 ULTRAVIST 300MG/ML INJ (BSP) IOPROMIDE IOPROMIDE ULTRAVIST 50ML BQ 37.46 37.46 BOTT 7 BOTT BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 3668 ROENTGENOGRAPHY 2026-04-01 2028-03-31 IV 0 ROENTGENOGRAPHY
40 6732T ULTRAVIST 300 INJ (BSP/COL) IOPROMIDE IOPROMIDE ULTRAVIST 50ML BQ 34.31 34.31 INJECTION 0 BOTT BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 3668 ROENTGENOGRAPHY 2022-04-01 2024-03-31 IV 0 DIAGNOSTIC AGENTS
41 6732T ULTRAVIST 300 INJ (BSP) IOPROMIDE (BQ) IOPROMIDE ULTRAVIST 50ML BQ 37.46 37.4585 BOTT 0 BOTT BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 3668 ROENTGENOGRAPHY 2024-04-01 2026-03-31 IV 0 ROENTGENOGRAPHY
42 6732T ULTRAVIST 300 INJ (BSP) IOPROMIDE IOPROMIDE ULTRAVIST 50ML BQ 34.09 34.09 BOTT 0 BOTT BSP BAYER SCHERING PHARMA AG. COL AVENTA BARBADOS 3668 ROENTGENOGRAPHY 2026-04-01 2028-03-31 IV 0 ROENTGENOGRAPHY
40 6732U ULTRAVIST 300 INJ (BSP/COL) IOPROMIDE IOPROMIDE ULTRAVIST 100ML BQ 68.61 68.61 INJECTION 0 BOTT BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 3668 ROENTGENOGRAPHY 2022-04-01 2024-03-31 IV 0 DIAGNOSTIC AGENTS