Displaying 4701 - 4720 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 7621BV LINDYNETTE 20MCG|75MCG TAB (CHW) ETHINYL ESTRADIOL|GESTODENE (C) ETHINYL ESTRADIOL|GESTODENE LINDYNETTE 21'S C 4.1 4.1047 PACK 0 BOX CHW CHEMICAL WORKS OF GEDEON RICHTER LTD AHI ARMSTRONG HEALTHCARE INC 6812 CONTRACEPTIVES 2024-04-01 2026-03-31 ORAL 0 CONTRACEPTIVES
41 7621BX APO-DROSPIRENONE|ETHINYL ESTRADIOL 3MG|0.03MG TAB (APO) (C) DROSPIRENONE|ETHINYL ESTRADIOL APO-DROSPIRENONE|ETHINYL ESTRADIOL 21'S C 9.7 9.7044 PACK 0 BOX APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 6812 CONTRACEPTIVES 2024-04-01 2026-03-31 ORAL 0 CONTRACEPTIVES
42 7621BZ MYA 3MG|0.02MG TAB (APO) DROSPIRENONE|ETHINYL ESTRADIOL DROSPIRENONE|ETHINYL ESTRADIOL MYA 28'S C 9.70 9.70 PACK 0 BOX APO APOTEX INC. COL AVENTA BARBADOS 6812 CONTRACEPTIVES 2026-04-01 2028-03-31 ORAL 0 CONTRACEPTIVES
42 7621CC MIA 3MG|0.02MG TAB (ABB) DROSPIRENONE|ETHINYL ESTRADIOL DROSPIRENONE|ETHINYL ESTRADIOL MIA 28'S C 17.40 17.40 PACK 0 BLIS ABB ABBOTT SBI MASSY DISTRIBUTION (BDOS) LTD 6812 CONTRACEPTIVES 2026-04-01 2028-03-31 ORAL 0 CONTRACEPTIVES
40 7621G FEMIANE 20MCG | 75MCG TAB (BSP/COL) ETHINYLESTRADIOL | GESTODENE ETHINYL ESTRADIOL|GESTODENE FEMIANE 21'S C 14.41 14.41 TABLET 0 PACK BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 6812 CONTRACEPTIVES 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 7621S DIANE 35 2MG | 35MCG TAB (BSP/COL) CYPROTERONE | ETHINYL ESTRADIOL CYPROTERONE|ETHINYL ESTRADIOL DIANE 35 21'S C 14.95 14.95 TABLET 0 PACK BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 6812 CONTRACEPTIVES 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 7621S DIANE 35 2MG|35MCG TAB (BSP) CYPROTERONE|ETHINYL ESTRADIOL (C) CYPROTERONE|ETHINYL ESTRADIOL DIANE 35 21'S C 14.95 14.9508 PACK 0 BOX BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 6812 CONTRACEPTIVES 2024-04-01 2026-03-31 ORAL 0 CONTRACEPTIVES
42 7621S DIANE 35 2MG|35MCG TAB (BSP) CYPROTERONE|ETHINYL ESTRADIOL CYPROTERONE|ETHINYL ESTRADIOL DIANE 35 21'S C 13.62 13.62 PACK 0 BOX BSP BAYER SCHERING PHARMA AG. COL AVENTA BARBADOS 6812 CONTRACEPTIVES 2026-04-01 2028-03-31 ORAL 0 CONTRACEPTIVES
40 7621T DIANE 35 2MG | 35MCG TAB (BSP/AHI) CYPROTERONE | ETHINYL ESTRADIOL CYPROTERONE|ETHINYL ESTRADIOL DIANE 35 21'S C 14.95 14.95 TABLET 0 PACK BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 6812 CONTRACEPTIVES 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 7621T DIANE 35 2MG|35MCG TAB (BSP) CYPROTERONE|ETHINYL ESTRADIOL (C) CYPROTERONE|ETHINYL ESTRADIOL DIANE 35 21'S C 14.95 14.9508 PACK 0 BOX BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 6812 CONTRACEPTIVES 2024-04-01 2026-03-31 ORAL 0 CONTRACEPTIVES
42 7621T DIANE 35 2MG|35MCG TAB (BSP) CYPROTERONE|ETHINYL ESTRADIOL CYPROTERONE|ETHINYL ESTRADIOL DIANE 35 21'S C 14.95 14.95 PACK 0 BOX BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 6812 CONTRACEPTIVES 2026-04-01 2028-03-31 ORAL 0 CONTRACEPTIVES
40 7621W YASMIN 3MG | 0.03MG TAB (BSP/COL) DROSPIRENONE | ETHINYL ESTRADIOL DROSPIRENONE|ETHINYL ESTRADIOL YASMIN 21'S C 18.76 18.76 TABLET 0 PACK BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 6812 CONTRACEPTIVES 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 7621W YASMIN 3MG|0.03MG TAB (BSP) DROSPIRENONE|ETHINYL ESTRADIOL (C) DROSPIRENONE|ETHINYL ESTRADIOL YASMIN 21'S C 18.76 18.7564 PACK 0 BOX BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 6812 CONTRACEPTIVES 2024-04-01 2026-03-31 ORAL 0 CONTRACEPTIVES
42 7621W YASMIN 3MG|0.03MG TAB (BSP) DROSPIRENONE|ETHINYL ESTRADIOL DROSPIRENONE|ETHINYL ESTRADIOL YASMIN 21'S C 17.07 17.07 PACK 0 BOX BSP BAYER SCHERING PHARMA AG. COL AVENTA BARBADOS 6812 CONTRACEPTIVES 2026-04-01 2028-03-31 ORAL 0 CONTRACEPTIVES
40 7621X YASMIN 3MG | 0.03MG TAB (BSP/AHI) DROSPIRENONE | ETHINYL ESTRADIOL DROSPIRENONE|ETHINYL ESTRADIOL YASMIN 21'S C 18.76 18.76 TABLET 0 PACK BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 6812 CONTRACEPTIVES 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 7621X YASMIN 3MG|0.03MG TAB (BSP) DROSPIRENONE|ETHINYL ESTRADIOL (C) DROSPIRENONE|ETHINYL ESTRADIOL YASMIN 21'S C 18.76 18.7564 PACK 0 BOX BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 6812 CONTRACEPTIVES 2024-04-01 2026-03-31 ORAL 0 CONTRACEPTIVES
42 7621X YASMIN 3MG|0.03MG TAB (BSP) DROSPIRENONE|ETHINYL ESTRADIOL DROSPIRENONE|ETHINYL ESTRADIOL YASMIN 21'S C 18.76 18.76 PACK 0 BOX BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 6812 CONTRACEPTIVES 2026-04-01 2028-03-31 ORAL 0 CONTRACEPTIVES
40 7621Y MICROGYNON-30 30MCG | 150MCG TAB (BSP/AHI) ETHI ETHINYL ESTRADIOL|LEVONORGESTREL MICROGYNON-30 21'S B 4.49 4.49 TABLET 0 PACK BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 6812 CONTRACEPTIVES 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 7621Y MICROGYNON-30 30MCG|150MCG TAB (BSP) ETH (B) ETHINYL ESTRADIOL|LEVONORGESTREL MICROGYNON-30 21'S B 4.49 4.4852 PACK 3 BOX BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 6812 CONTRACEPTIVES 2024-04-01 2026-03-31 ORAL 6 CONTRACEPTIVES
42 7621Y MICROGYNON-30 30MCG|150MCG TAB (BSP) ETHINYL ESTRADIOL|LEVON ETHINYL ESTRADIOL|LEVONORGESTREL MICROGYNON-30 21'S B 3.34 3.34 PACK 3 BOX BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 6812 CONTRACEPTIVES 2026-04-01 2028-03-31 ORAL 6 CONTRACEPTIVES