Displaying 4621 - 4640 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 7363A MIRCERA PREFILL 200MCG INJ (ROC/AHI) EPOIETIN EPOIETIN BETA MIRCERA PREFILL 200MCG SYN BQ 685.02 685.02 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 7363A MIRCERA PREFILL 200MCG INJ (ROC) EPOIETI EPOIETIN BETA MIRCERA PREFILL 200MCG SYN BQ 685.02 685.0176 PFS 7 BOX ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 2016 HEMATOPOIETIC 2024-04-01 2026-03-31 IV 0 HEMATOPOIETIC
42 7363A MIRCERA PREFILL 200MCG INJ (ROC) EPOIETI EPOIETIN BETA MIRCERA PREFILL 200MCG SYN B 685.02 685.02 PFS 7 BOX ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 2016 HEMATOPOIETIC 2026-04-01 2028-03-31 IV 0 HEMATOPOIETIC
40 73713 APO-MEGESTROL 40MG TAB (APO/COL) MEGESTROL APO-MEGESTROL 100'S C 54.37 0.54 TABLET 0 TAB APO APOTEX INC. COL COLLINS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 0 ANTINEOPLASTICS
42 73713 APO-MEGESTROL 40MG TAB (APO) MEGESTROL APO-MEGESTROL 100'S C 54.64 0.55 TAB 0 BOTT APO APOTEX INC. COL AVENTA BARBADOS 1000 ANTINEOPLASTICS 2026-04-01 2028-03-31 ORAL 0 ANTINEOPLASTICS
41 7371D APO-MEGESTROL 40MG TAB (APO) (C) MEGESTROL APO-MEGESTROL 100'S C 54.64 0.5464 TAB 0 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 0 ANTINEOPLASTICS
40 73814 RYTHMONORM 150MG TAB (ABB/PHA) PROPAFENONE PROPAFENONE RYTHMONORM 30'S C 20.55 0.69 TABLET 0 TAB ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 240404 ANTIARRHYTHMIC AGENTS 2022-04-01 2024-03-31 Oral 0 CARDIOVASCULAR DRUGS
40 73814 RYTHMONORM 150MG TAB (ABB/PHA) PROPAFENONE (C) PROPAFENONE RYTHMONORM 30'S C 20.55 0.685 TABLET IMMED ABB ABBOTT PHA PHARMACY SALES CARIBBEAN 240404 ANTIARRHYTHMIC AGENTS 2022-04-01 2023-03-31 Delete from contract Oral 0 ANTIARRHYTHMIC AGENTS 2023-03-07
40 73815 APO-PROPAFENONE 150MG TAB (APO/COL) PROPAFENONE APO-PROPAFENONE 100'S C 64.10 0.64 TABLET 0 TAB APO APOTEX INC. COL COLLINS LTD 240404 ANTIARRHYTHMIC AGENTS 2022-04-01 2024-03-31 Oral 0 CARDIOVASCULAR DRUGS
41 73819 APO-PROPAFENONE 150MG TAB (APO) PROPAFENONE APO-PROPAFENONE 100'S C 65.38 0.6538 TAB 0 BOTT APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 240404 ANTIARRHYTHMIC AGENTS 2024-04-01 2026-03-31 ORAL 0 ANTIARRHYTHMIC AGENTS
42 7381A RYTMONORM 150MG TAB (ABB) PROPAFENONE PROPAFENONE RYTMONORM 30'S C 19.57 0.65 TAB 0 BLIS ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 240404 ANTIARRHYTHMIC AGENTS 2026-04-01 2028-03-31 ORAL 0 ANTIARRHYTHMIC AGENTS
40 73911 NIMOTOP 0.2MG/ML INJ (BSP/COL) NIMODIPINE NIMODIPINE NIMOTOP 50ML VIAL BQ 43.49 43.49 INJECTION 0 VIAL BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 242808 DIHYDROPYRIDINES 2022-04-01 2024-03-31 IV 0 CARDIOVASCULAR DRUGS
40 73913 NIMOTOP 0.2MG/ML INJ (BSP/AHI) NIMODIPINE NIMODIPINE NIMOTOP 50ML VIAL BQ 43.49 43.49 INJECTION 0 VIAL BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 242808 DIHYDROPYRIDINES 2022-04-01 2024-03-31 IV 0 CARDIOVASCULAR DRUGS
41 7421D LIDOCAINE|PRILOCAINE 2.5%|2.5% CR (AKI) (BQ) LIDOCAINE|PRILOCAINE LIDOCAINE|PRILOCAINE 30G BQ 116.45 116.453 TUBE 1 BOX AKI AKORN INC. AHI ARMSTRONG HEALTHCARE INC 7200 LOCAL ANESTHETICS 2024-04-01 2026-03-31 TOPICAL 0 LOCAL ANESTHETICS
40 74712 DEPIXOL DEPOT 20MG/ML INJ (LUN/COL) FLUPENTHI FLUPENTHIXOL DEPIXOL DEPOT 10X1ML B 117.95 11.80 INJECTION 0 AMP LUN H. LUNDBECK & CO. A/S COL COLLINS LTD 28160832 THIOXANTHENES 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
40 74715 CLOPIXOL ACUPHASE 50MG/ML(LUN/COL)ZUCLOPENTHI ZUCLOPENTHIXOL CLOPIXOL ACUPHASE 5X1ML C 105.53 21.11 INJECTION 0 AMP LUN H. LUNDBECK & CO. A/S COL COLLINS LTD 28160832 THIOXANTHENES 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
40 74719 CLOPIXOL DEPOT 200MG/ML(LUN/COL)ZUCLOPENTHI ZUCLOPENTHIXOL CLOPIXOL DEPOT 10X1ML C 374.72 37.47 INJECTION 0 AMP LUN H. LUNDBECK & CO. A/S COL COLLINS LTD 28160832 THIOXANTHENES 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
41 7471AA FENAZINE 25MG/ML INJ (INC) FLUPHENAZINE (B) FLUPHENAZINE FENAZINE 5X1ML B 8.4 1.6799 AMP 3 BOX INC INCEPTA PHARMACEUTICALS LIMITED AHI ARMSTRONG HEALTHCARE INC 28160824 PHENOTHIAZINES 2024-04-01 2026-03-31 IM 6 PHENOTHIAZINES
42 7471AA FENAZINE 25MG/ML INJ (INC) FLUPHENAZINE FLUPHENAZINE FENAZINE 5X1ML B 8.97 1.79 AMPG 3 BOX INC INCEPTA PHARMACEUTICALS LIMITED AHI ARMSTRONG HEALTHCARE INC 28160824 PHENOTHIAZINES 2026-04-01 2028-03-31 IM 6 PHENOTHIAZINES
41 7471AB FLUPENTHIXOL 20MG/ML INJ (CIR) FLUPENTHIXOL FLUPENTHIXOL 10X1ML B 85.63 8.563 AMP 6 BOX CIR CIRON PHARMA AHI ARMSTRONG HEALTHCARE INC 28160824 PHENOTHIAZINES 2024-04-01 2026-03-31 IM 6 PHENOTHIAZINES 2024-03-11