Displaying 4601 - 4620 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 7351M CARDIZINE 20MG TAB (AUR) TRIMETAZID TRIMETAZIDINE CARDIZINE 60'S A 6.39 0.1065 TAB 90 BOX AUR AUROCHEM LABORATORIES AHI ARMSTRONG HEALTHCARE INC 240404 ANTIARRHYTHMIC AGENTS 2024-04-01 2024-07-17 ORAL 6 ANTIARRHYTHMIC AGENTS 2024-06-05
41 7351M CARDIZINE 20MG TAB (AUR) TRIMETAZID TRIMETAZIDINE CARDIZINE 60'S A 6.12 0.102 TAB 90 BOX AUR AUROCHEM LABORATORIES AHI ARMSTRONG HEALTHCARE INC 240404 ANTIARRHYTHMIC AGENTS 2024-11-11 2026-03-31 ORAL 6 ANTIARRHYTHMIC AGENTS 2024-11-11
40 7351Q TRIMETAZIDINE 20MG TAB (HEA/ATB) TRIMETAZIDINE TRIMETAZIDINE 10X10 A 9.79 0.0979 TABLET IMMED HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 240404 ANTIARRHYTHMIC AGENTS 2022-12-07 2024-03-31 Change Local Agent oral 6 ANTIARRHYTHMIC AGENTS 2022-11-25
42 7351V TRIMETAZIDINE 20MG TAB (HEA) TRIMETAZIDINE TRIMETAZIDINE 10X10 A 9.68 0.10 TAB 90 BLIS HEA HEALTH 2000 INC AHI ARMSTRONG HEALTHCARE INC 240404 ANTIARRHYTHMIC AGENTS 2026-04-01 2028-03-31 ORAL 6 ANTIARRHYTHMIC AGENTS 2025-10-31
42 7351W TRIMETAZIDINE 20MG TAB (HEA) TRIMETAZIDINE TRIMETAZIDINE 10X10 A 9.68 0.10 TAB 90 BLIS HEA HEALTH 2000 INC CWS CAPSULE WHOLESALE 240404 ANTIARRHYTHMIC AGENTS 2026-04-01 2028-03-31 ORAL 6 ANTIARRHYTHMIC AGENTS 2026-01-26
42 7351X TRIMETAZIDINE 20MG TAB (HEA) TRIMETAZIDINE TRIMETAZIDINE 10X10 A 9.68 0.10 TAB 90 HEA HEALTH 2000 INC STO BRYDEN STOKES LTD 240404 ANTIARRHYTHMIC AGENTS 2026-04-01 2028-03-31 ORAL 6 ANTIARRHYTHMIC AGENTS 2026-02-27
40 73619 RECORMON PREFILL 4000U INJ (ROC/AHI) EPOIETIN EPOIETIN BETA RECORMON PREFILL 6X4000U BQ 217.41 36.24 INJECTION 0 VIAL ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 2016 HEMATOPOIETIC 2022-04-01 2024-03-31 IV 0 BLOOD FORMATION, COAGULATION AND THROMBOSIS
41 73619 RECORMON PREFILL 4000U INJ (ROC) EPOIE B (BQ) EPOIETIN BETA RECORMON PREFILL 6X4000U BQ 217.41 36.2353 VIAL 7 BOX ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 2016 HEMATOPOIETIC 2024-04-01 2026-03-31 IV 0 HEMATOPOIETIC
40 7361E MIRCERA PREFILL 100MCG INJ (ROC/AHI) EPOIETIN EPOIETIN BETA MIRCERA PREFILL 100MCG SYN BQ 342.51 342.51 INJECTION 0 PFS ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 2016 HEMATOPOIETIC 2022-04-01 2024-03-31 IV 0 BLOOD FORMATION, COAGULATION AND THROMBOSIS
41 7361E MIRCERA PREFILL 100MCG INJ (ROC) EPOIETI (BQ) EPOIETIN BETA MIRCERA PREFILL 100MCG SYN BQ 342.51 342.5088 PFS 7 BOX ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 2016 HEMATOPOIETIC 2024-04-01 2026-03-31 IV 0 HEMATOPOIETIC
42 7361E MIRCERA PREFILL 100MCG INJ (ROC) EPOIETI EPOIETIN BETA MIRCERA PREFILL 100MCG SYN B 342.51 342.51 PFS 7 BOX ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 2016 HEMATOPOIETIC 2026-04-01 2028-03-31 IV 0 HEMATOPOIETIC
40 7361Q BINOCRIT 4000U INJ (BCH/COL) EPOIETIN ALPHA EPOIETIN ALPHA BINOCRIT 6X4000U BQ 125.70 20.95 INJECTION 0 VIAL BCH SANDOZ COL COLLINS LTD 2016 HEMATOPOIETIC 2022-04-01 2024-03-31 IV 0 BLOOD FORMATION, COAGULATION AND THROMBOSIS
41 7361Q BINOCRIT 4000U INJ (BCH) EPOIETIN ALPHA (BQ) EPOIETIN ALPHA BINOCRIT 6X4000U BQ 126.67 21.1123 VIAL 7 BOX BCH SANDOZ COL COLLINS LTD 2016 HEMATOPOIETIC 2024-04-01 2026-03-31 SC 0 HEMATOPOIETIC
42 7361Q BINOCRIT 4000U INJ (BCH) EPOIETIN ALPHA EPOIETIN ALPHA BINOCRIT 6X4000U B 143.94 23.99 VIAL 7 VIAL BCH SANDOZ COL AVENTA BARBADOS 2016 HEMATOPOIETIC 2026-04-01 2028-03-31 SC 0 HEMATOPOIETIC
40 7362B MIRCERA PREFILL 75MCG INJ (ROC/AHI) EPOIETIN BETA EPOIETIN BETA MIRCERA PREFILL 75MCG SYRN BQ 244.65 244.65 INJECTION 0 PFS ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 2016 HEMATOPOIETIC 2022-04-01 2024-03-31 IV 0 BLOOD FORMATION, COAGULATION AND THROMBOSIS
41 7362B MIRCERA PREFILL 75MCG INJ (ROC) EPOIETIN BETA (BQ) EPOIETIN BETA MIRCERA PREFILL 75MCG SYRN BQ 244.65 244.6492 PFS 7 BOX ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 2016 HEMATOPOIETIC 2024-04-01 2026-03-31 IV 6 HEMATOPOIETIC
42 7362B MIRCERA PREFILL 75MCG INJ (ROC) EPOIETIN BETA EPOIETIN BETA MIRCERA PREFILL 75MCG SYRN B 244.65 244.65 PFS 7 BOX ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 2016 HEMATOPOIETIC 2026-04-01 2028-03-31 IV 6 HEMATOPOIETIC
40 7362F MIRCERA PREFILL 50MCG INJ (ROC/AHI) EPOIETIN EPOIETIN BETA MIRCERA PREFILL 50MCG SYRN BQ 171.25 171.25 INJECTION 0 PFS ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 2016 HEMATOPOIETIC 2022-04-01 2024-03-31 IV 0 BLOOD FORMATION, COAGULATION AND THROMBOSIS
41 7362F MIRCERA PREFILL 50MCG INJ (ROC) EPOIETIN (BQ) EPOIETIN BETA MIRCERA PREFILL 50MCG SYRN BQ 171.25 171.2544 PFS 7 BOX ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 2016 HEMATOPOIETIC 2024-04-01 2026-03-31 IV 0 HEMATOPOIETIC
42 7362F MIRCERA PREFILL 50MCG INJ (ROC) EPOIETIN EPOIETIN BETA MIRCERA PREFILL 50MCG SYRN B 171.25 171.25 PFS 7 BOX ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 2016 HEMATOPOIETIC 2026-04-01 2028-03-31 IV 0 HEMATOPOIETIC