Displaying 4741 - 4760 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 77025 T-MYCIN PLUS EYE OINT (ARP/AHI) DEXAMETHASON DEXAMETHASONE|TOBRAMYCIN T-MYCIN PLUS 3.5G BQ 7.12 7.12 EYE OINTMENT 0 TUBE ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 5206 ANTIBACTERIAL-ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 OPHTHALMIC 6 EYE, EAR, NOSE AND THROAT PREPARATIONS
40 77027 TOBRADEX 0.1% | 0.3% EYE OINT (NVS/COL) DEXAMET DEXAMETHASONE|TOBRAMYCIN TOBRADEX 3.5G C 23.73 23.73 EYE OINTMENT 0 TUBE NVS NOVARTIS CARIBE SA COL COLLINS LTD 5206 ANTIBACTERIAL-ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 OPHTHALMIC 0 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 77027 TOBRADEX 0.1%|0.3% EYE OINT (NVS) D (C) DEXAMETHASONE|TOBRAMYCIN TOBRADEX 3.5G C 23.73 23.731 TUBE 1 BOX NVS NOVARTIS CARIBE SA COL COLLINS LTD 5206 ANTIBACTERIAL-ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 OPHTHALMIC 6 ANTIBACTERIAL-ANTI-INFLAMMATORY AGENTS
42 77027 TOBRADEX 0.1%|0.3% EYE OINT (NVS) DEXAMETHASONE|TOBRAMYCIN DEXAMETHASONE|TOBRAMYCIN TOBRADEX 3.5G C 23.73 23.73 TUBE 1 BOX NVS NOVARTIS CARIBE SA COL AVENTA BARBADOS 5206 ANTIBACTERIAL-ANTI-INFLAMMATORY AGENTS 2026-04-01 2028-03-31 OPHTHALMIC 6 ANTIBACTERIAL-ANTI-INFLAMMATORY AGENTS
41 77028 TOBAGRAM D 0.1%|0.3% EYE DR (SPC) DEXAMETHASONE|TOBRAMYCIN (BQ) DEXAMETHASONE|TOBRAMYCIN TOBAGRAM D 5G BQ 4.27 4.2678 TUBE 1 TUBE SPC SELVOK PHARMACEUTICALS CO PSB PHARMACEUTICAL SOLUTIONS BARBA 5206 ANTIBACTERIAL-ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 OPHTHALMIC 6 ANTIBACTERIAL-ANTI-INFLAMMATORY AGENTS
42 77028 TOBAGRAM D 0.1%|0.3% EYE OINT (SPC) DEXAMETHASONE|TOBRAMYCI DEXAMETHASONE|TOBRAMYCIN TOBAGRAM D 5G B 4.40 4.40 TUBE 1 TUBE SPC SELVOK PHARMACEUTICALS CO PSB PHARMACEUTICAL SOLUTIONS BARBA 5206 ANTIBACTERIAL-ANTI-INFLAMMATORY AGENTS 2026-04-01 2028-03-31 OPHTHALMIC 6 ANTIBACTERIAL-ANTI-INFLAMMATORY AGENTS
40 77116 AFM-T 1MG | 0.25MG EYE DR (ARP/AHI) FLUOROMETHOLONE | TETRAHYDROZOLINE FLUOROMETHOLONE|TETRAHYDROZOLINE AFM-T 5ML BQ 13.89 13.89 EYE DROP 0 BOTT ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 5236 EENT UNCLASSIFIED 2022-04-01 2024-03-31 OPHTHALMIC 6 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 77116 AFM-T 1MG|0.25MG EYE DR (ARP) FLUOROMETHOLONE|TETRAHYDROZOLI FLUOROMETHOLONE|TETRAHYDROZOLINE AFM-T 5ML BQ 13.89 13.8906 BOTT 2 BOTT ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 5236 EENT UNCLASSIFIED 2024-04-01 2026-03-31 OPHTHALMIC 6 EENT UNCLASSIFIED
42 77117 METALONE PLUS 1MG|0.25MG EYE DR (INC) FLUOROMETHOLONE|TETRAH FLUOROMETHOLONE|TETRAHYDROZOLINE METALONE PLUS 5ML BQ 13.48 13.48 BOTT 2 BOTT INC INCEPTA PHARMACEUTICALS LIMITED AHI ARMSTRONG HEALTHCARE INC 520808 EENT CORTICOSTEROIDS 2026-04-01 2028-03-31 OPHTHALMIC 0 EENT CORTICOSTEROIDS
40 7722AD CURAM 875MG | 125MG TAB (BCH/COL) AMOXICILLIN | CLAVULANIC ACID AMOXICILLIN|CLAVULANIC ACID CURAM 20'S C 15.88 0.79 TABLET 0 TAB BCH SANDOZ COL COLLINS LTD 081216 PENICILLINS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 7722AD CURAM 875MG|125MG TAB (BCH) AMOXICILLIN|CLAVULANIC ACID (C) AMOXICILLIN|CLAVULANIC ACID CURAM 20'S C 17.32 0.8658 TAB 21 BOX BCH SANDOZ COL COLLINS LTD 081216 PENICILLINS 2024-04-01 2026-03-31 ORAL 0 PENICILLINS
42 7722AD CURAM 875MG|125MG TAB (BCH) AMOXIC (C) AMOXICILLIN|CLAVULANIC ACID CURAM 20'S C 27.10 1.36 TAB 21 BLIS BCH SANDOZ COL AVENTA BARBADOS 081216 PENICILLINS 2026-04-01 2028-03-31 ORAL 0 PENICILLINS
41 7722AX CURAM 500MG|125MG TAB (BCH) AMOXICILLIN| (B) AMOXICILLIN|CLAVULANIC ACID CURAM 20'S B 17.89 0.8943 TAB 30 BOX BCH SANDOZ COL COLLINS LTD 081216 PENICILLINS 2024-04-01 2026-03-31 ORAL 0 PENICILLINS
42 7722AX CURAM 500MG|125MG TAB (BCH) AMOXIC (C) AMOXICILLIN|CLAVULANIC ACID CURAM 20'S C 17.89 0.89 TAB 30 BLIS BCH SANDOZ COL AVENTA BARBADOS 081216 PENICILLINS 2026-04-01 2028-03-31 ORAL 0 PENICILLINS
40 7722AY APO-AMOXICLAV 875MG | 125MG TAB (APO/COL) AMOXICILLIN|CLAVULANIC ACID APO-AMOXICLAV 100'S B 34.36 0.34 TABLET 21 TAB APO APOTEX INC. COL COLLINS LTD 081216 PENICILLINS 2022-04-01 2024-03-31 Oral 6 ANTI-INFECTIVE AGENTS
42 7722AY APO-AMOXICLAV 875MG|125MG TAB (APO) AMOXICILLIN|CLAVULANIC ACID APO-AMOXICLAV 100'S B 35.04 0.35 TAB 21 BOTT APO APOTEX INC. COL AVENTA BARBADOS 081216 PENICILLINS 2026-04-01 2028-03-31 ORAL 0 PENICILLINS
40 7722BJ CURAM 500MG | 125MG TAB (BCH/COL) AMOXICILLIN | CLAVULANIC ACID AMOXICILLIN|CLAVULANIC ACID CURAM 80'S C 27.10 0.34 TABLET 0 TAB BCH SANDOZ COL COLLINS LTD 081216 PENICILLINS 2022-04-01 2024-03-31 Price Change Oral 0 ANTI-INFECTIVE AGENTS 2022-01-18
40 7722BV AMOXICILLIN | CLAVULANIC ACID 875MG | 125MG TAB (KWA/ATB) AMOXICILLIN|CLAVULANIC ACID AMOXICILLIN|CLAVULANIC ACID 2X10 B 7.75 0.39 TABLET 14 TAB KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 081216 PENICILLINS 2022-04-01 2022-09-30 Oral 0 ANTI-INFECTIVE AGENTS 2022-03-30
41 7722CK AMOXICILLIN|CLAVULANIC ACID 500MG|125MG TAB (FSB) (B) AMOXICILLIN|CLAVULANIC ACID AMOXICILLIN|CLAVULANIC ACID 20'S B 6.8 0.3398 TAB 30 BOX FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 081216 PENICILLINS 2024-04-01 2026-03-31 ORAL 0 PENICILLINS
40 7722CM ACUCLAV 500MG | 125M TAB (MCP/AHI) AMOXICILLIN | CLAVULANIC ACID AMOXICILLIN|CLAVULANIC ACID ACUCLAV 2X10 B 3.54 0.177 TABLET 21 TAB MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 081216 PENICILLINS 2022-04-01 2024-03-31 Oral 6 ANTI-INFECTIVE AGENTS