Displaying 4461 - 4480 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 67351 ULTRAVIST 370 INJ (BSP) IOPROMIDE (BQ) IOPROMIDE ULTRAVIST 100ML BQ 112.59 112.593 BOTT 7 BOTT BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 3668 ROENTGENOGRAPHY 2024-04-01 2026-03-31 IV 0 ROENTGENOGRAPHY
42 67351 ULTRAVIST 370 INJ (BSP) IOPROMIDE IOPROMIDE ULTRAVIST 100ML BQ 112.59 112.59 BOTT 7 BOTT BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 3668 ROENTGENOGRAPHY 2026-04-01 2028-03-31 IV 0 ROENTGENOGRAPHY
40 67358 ULTRAVIST 370 INJ (BSP/COL) IOPROMIDE IOPROMIDE ULTRAVIST 100ML BQ 103.05 103.05 INJECTION 0 BOTT BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 3668 ROENTGENOGRAPHY 2022-04-01 2024-03-31 IV 0 DIAGNOSTIC AGENTS
41 67358 ULTRAVIST 370 INJ (BSP) IOPROMIDE (BQ) IOPROMIDE ULTRAVIST 100ML BQ 112.59 112.593 BOTT 7 BOTT BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 3668 ROENTGENOGRAPHY 2024-04-01 2026-03-31 IV 0 ROENTGENOGRAPHY
42 67358 ULTRAVIST 370 INJ (BSP) IOPROMIDE IOPROMIDE ULTRAVIST 100ML BQ 102.45 102.45 BOTT 7 BOTT BSP BAYER SCHERING PHARMA AG. COL AVENTA BARBADOS 3668 ROENTGENOGRAPHY 2026-04-01 2028-03-31 IV 0 ROENTGENOGRAPHY
40 6735E XULVARIO 350MG/ML INJ (UNI/AHI) IOHEXOL IOHEXOL XULVARIO 100ML BQ 55.62 55.62 INJECTION 0 BOTT UNI UNIQUE PHARMACEUTICAL LABORATORIES AHI ARMSTRONG HEALTHCARE INC 3668 ROENTGENOGRAPHY 2022-04-01 2024-03-31 IV 0 DIAGNOSTIC AGENTS
40 6781R ETOPOSIDE 20MG/ML INJ (INP/AHI) ETOPOSIDE ETOPOSIDE 5ML VIAL BQ 17.21 17.21 INJECTION 0 VIAL INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
41 6781W ZUVITOP 20MG/ML INJ (ZUV) ETOPOSIDE ETOPOSIDE ZUVITOP 5ML VIAL BQ 12.29 12.2868 VIAL 40 VIAL ZUV ZUVIUS PHA PHARMACY SALES CARIBBEAN 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 IV 0 ANTINEOPLASTICS
42 6781Y POSID 20MG/ML INJ (CAD) ETOPOSIDE ETOPOSIDE POSID 5ML VIAL BQ 8.75 8.75 VIAL 40 VIAL CAD CADILA AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2026-04-01 2028-03-31 IV 0 ANTINEOPLASTICS
41 67827 ZUVITOP 50MG CAP (ZUV) ETOPOSIDE ETOPOSIDE ZUVITOP 20'S BQ 32.18 1.6092 CAP 10 BOTT ZUV ZUVIUS PHA PHARMACY SALES CARIBBEAN 1000 ANTINEOPLASTICS 2024-04-01 2024-05-17 ORAL 6 ANTINEOPLASTICS 2024-04-05
41 67828 ZUVITOP 50MG TAB (ZUV) ETOPOSIDE ETOPOSIDE ZUVITOP 8'S BQ 26.34 3.2925 TAB 10 BOX ZUV ZUVIUS PHA PHARMACY SALES CARIBBEAN 1000 ANTINEOPLASTICS 2024-04-05 2026-03-31 ORAL 6 ANTINEOPLASTICS 2024-04-05
42 67828 ZUVITOP 50MG TAB (ZUV) ETOPOSIDE ETOPOSIDE ZUVITOP 8'S BQ 24.03 3.00 TAB 0 BLIS ZUV ZUVIUS PHA PHARMACY SALES CARIBBEAN 1000 ANTINEOPLASTICS 2026-04-01 2028-03-31 ORAL 0 ANTINEOPLASTICS
40 67911 PHARIXIA 0.15% RINSE (PMS/COL) BENZYDAMINE BENZYDAMINE PHARIXIA 250ML BQ 8.83 8.83 ORAL RINSE 0 BOTT PMS PHARMASCIENCE COL COLLINS LTD 5228 MOUTH WASHES AND GARGLES 2022-04-01 2024-03-31 TOPICAL 0 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 67911 PHARIXIA 0.15% RINSE (PMS) BENZYDAMINE BENZYDAMINE PHARIXIA 250ML BQ 14 13.9994 BOTT 0 BOTT PMS PHARMASCIENCE COL COLLINS LTD 5228 MOUTH WASHES AND GARGLES 2024-04-01 2026-03-31 TOPICAL 0 MOUTH WASHES AND GARGLES
42 67911 PMS-BENZYDAMINE 0.15% RINSE (PMS) BENZYDAMINE PMS-BENZYDAMINE 250ML B 9.51 9.51 BOTT 0 BOTT PMS PHARMASCIENCE COL AVENTA BARBADOS 5228 MOUTH WASHES AND GARGLES 2026-04-01 2028-03-31 TOPICAL 0 MOUTH WASHES AND GARGLES
40 6801F ZEVERT 8MG TAB (INP/AHI) BETAHISTINE BETAHISTINE ZEVERT 120'S A 8.32 0.07 TABLET 90 TAB INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 2412 VASODILATING AGENTS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
40 6801G BETASERC 16MG TAB (ABB/PHA) BETAHISTINE BETAHISTINE BETASERC 20'S C 12.56 0.63 TABLET 0 TAB ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 2412 VASODILATING AGENTS 2022-04-01 2024-03-31 Oral 0 CARDIOVASCULAR DRUGS
40 6801G BETASERC 16MG TAB (ABB/PHA) BETAHISTINE (C) BETAHISTINE BETASERC 20'S C 12.56 0.628 TABLET IMMED ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 2412 VASODILATING AGENTS 2022-04-01 2023-03-31 Delete from contract Oral 0 VASODILATING AGENTS 2023-03-02
41 6801H ZEVERT 16MG TAB (INP) BETAHISTINE BETAHISTINE ZEVERT 5X10 A 7.88 0.1577 TAB 90 BOX INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 2412 VASODILATING AGENTS 2024-04-01 2026-03-31 ORAL 6 VASODILATING AGENTS
42 6801M VERTILINE 16MG TAB (JLP) BETAHISTINE BETAHISTINE VERTILINE 10X10 A 6.80 0.07 TAB 90 BLIS JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 2412 VASODILATING AGENTS 2026-04-01 2028-03-31 ORAL 6 VASODILATING AGENTS