Displaying 4901 - 4920 of 5993
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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 A033AQ GRANI-DENK 1MG/ML INJ (EDK) GRANISE (BQ) GRANISETRON GRANI-DENK 5X1ML BQ 14.16 2.8325 VIAL 6 BOX EDK DENK PHARMA GMBH & CO. KG. COL COLLINS LTD 5622 ANTIEMETICS 2024-04-01 2026-03-31 IV 6 ANTIEMETICS
42 A033AQ GRANI-DENK 1MG/ML INJ (EDK) GRANISE GRANISETRON GRANI-DENK 5X1ML BQ 14.95 2.99 VIAL 6 VIAL EDK DENK PHARMA GMBH & CO. KG. COL AVENTA BARBADOS 5622 ANTIEMETICS 2026-04-01 2028-03-31 IV 0 ANTIEMETICS
40 A033AW GRANICIP 1MG/ML INJ (TPP/AHI) GRANISETRON GRANISETRON GRANICIP 3ML VIAL BQ 6.25 6.25 INJECTION 0 VIAL TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 5622 ANTIEMETICS 2022-04-01 2024-03-31 IV 0 GASTROINTESTINAL DRUGS
41 A033AW GRANICIP 1MG/ML INJ (TPP) GRANISETR (BQ) GRANISETRON GRANICIP 3ML VIAL BQ 6.25 6.2521 VIAL 6 VIAL TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 5622 ANTIEMETICS 2024-04-01 2026-03-31 IV 6 ANTIEMETICS
42 A033AW GRANICIP 1MG/ML INJ (TPP) GRANISETR GRANISETRON GRANICIP 3ML VIAL BQ 6.47 6.47 VIAL 6 VIAL TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 5622 ANTIEMETICS 2026-04-01 2028-03-31 IV 0 ANTIEMETICS
42 A033AX GRANI-DENK 1MG/ML INJ (EDK) GRANISETRON GRANISETRON GRANI-DENK 5X1ML BQ 14.95 2.99 AMPG 6 BOX EDK DENK PHARMA GMBH & CO. KG. SBI MASSY DISTRIBUTION (BDOS) LTD 5622 ANTIEMETICS 2026-04-01 2028-03-31 IV 0 ANTIEMETICS
40 A0411 CELLCEPT 500MG CAP (ROC/AHI) MYCOPHENOLATE MYCOPHENOLATE CELLCEPT 50'S BQ 190.28 3.81 CAPSULE 0 CAP ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 9244 IMMUNOSUPPRESSIVE AGENTS 2022-04-01 2024-03-31 Oral 6 UNCLASSIFIED THERAPEUTIC AGENTS
41 A0411 CELLCEPT 500MG CAP (ROC) MYCOPHENOL (C) MYCOPHENOLATE CELLCEPT 50'S C 190.28 3.8057 CAP 180 BOX ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 9244 IMMUNOSUPPRESSIVE AGENTS 2024-04-01 2026-03-31 ORAL 6 IMMUNOSUPPRESSIVE AGENTS
42 A0411 CELLCEPT 500MG CAP (ROC) MYCOPHENOL MYCOPHENOLATE CELLCEPT 50'S BQ 190.28 3.81 CAP 180 BLIS ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 9244 IMMUNOSUPPRESSIVE AGENTS 2026-04-01 2028-03-31 ORAL 0 IMMUNOSUPPRESSIVE AGENTS
40 A0412 MYFORTIC 360MG CAP (NVS/COL) MYCOPHENOLATE MYCOPHENOLATE MYFORTIC 120'S C 641.52 5.35 CAPSULE 0 CAP NVS NOVARTIS CARIBE SA COL COLLINS LTD 9244 IMMUNOSUPPRESSIVE AGENTS 2022-04-01 2024-03-31 Oral 0 UNCLASSIFIED THERAPEUTIC AGENTS
41 A0412 MYFORTIC 360MG CAP (NVS) MYCOPHENOLATE (C) MYCOPHENOLATE MYFORTIC 120'S C 641.52 5.346 CAP 240 BOX NVS NOVARTIS CARIBE SA COL COLLINS LTD 9244 IMMUNOSUPPRESSIVE AGENTS 2024-04-01 2026-03-31 ORAL 6 IMMUNOSUPPRESSIVE AGENTS
41 A041L APO-MYCOPHENOLATE 500MG TAB (APO) (BQ) MYCOPHENOLATE APO-MYCOPHENOLATE 50'S BQ 51.02 1.0205 TAB 180 BOX APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 9244 IMMUNOSUPPRESSIVE AGENTS 2024-04-01 2026-03-31 ORAL 0 IMMUNOSUPPRESSIVE AGENTS
41 A041N MYCOPHENOLATE 360MG TAB (INP) (C) MYCOPHENOLATE MYCOPHENOLATE 50'S C 224.26 4.4852 TAB 0 BOX INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 9244 IMMUNOSUPPRESSIVE AGENTS 2024-04-01 2026-03-31 ORAL 0 IMMUNOSUPPRESSIVE AGENTS
41 A041Q MOFILET 500MG TAB (EMC) MYCOPHENOLATE MYCOPHENOLATE MOFILET 60'S BQ 61.98 1.033 TAB 180 BOX EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 9244 IMMUNOSUPPRESSIVE AGENTS 2024-04-01 2026-03-31 ORAL 0 IMMUNOSUPPRESSIVE AGENTS 2024-03-07
40 A0421 CELLCEPT 250MG CAP (ROC/AHI) MYCOPHENOLATE MYCOPHENOLATE CELLCEPT 100'S BQ 190.28 1.90 CAPSULE 0 CAP ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 9244 IMMUNOSUPPRESSIVE AGENTS 2022-04-01 2024-03-31 Oral 6 UNCLASSIFIED THERAPEUTIC AGENTS
41 A0421 CELLCEPT 250MG CAP (ROC) MYCOPHENOL (C) MYCOPHENOLATE CELLCEPT 100'S C 190.28 1.9028 CAP 360 BOX ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 9244 IMMUNOSUPPRESSIVE AGENTS 2024-04-01 2026-03-31 ORAL 6 IMMUNOSUPPRESSIVE AGENTS
42 A0421 CELLCEPT 250MG CAP (ROC) MYCOPHENOL MYCOPHENOLATE CELLCEPT 100'S BQ 190.28 1.90 CAP 360 BLIS ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 9244 IMMUNOSUPPRESSIVE AGENTS 2026-04-01 2028-03-31 ORAL 0 IMMUNOSUPPRESSIVE AGENTS
40 A0422 MYFORTIC 180MG CAP (NVS/COL) MYCOPHENOLIC ACI MYCOPHENOLIC ACID MYFORTIC 120'S C 320.76 2.67 CAPSULE 0 CAP NVS NOVARTIS CARIBE SA COL COLLINS LTD 9244 IMMUNOSUPPRESSIVE AGENTS 2022-04-01 2024-03-31 Oral 0 UNCLASSIFIED THERAPEUTIC AGENTS
41 A0422 MYFORTIC 180MG CAP (NVS) MYCOPHENOLIC AC (C) MYCOPHENOLIC ACID MYFORTIC 120'S C 320.76 2.673 CAP 240 BOX NVS NOVARTIS CARIBE SA COL COLLINS LTD 9244 IMMUNOSUPPRESSIVE AGENTS 2024-04-01 2026-03-31 ORAL 6 IMMUNOSUPPRESSIVE AGENTS
41 A042G APO-MYCOPHENOLATE 250MG CAP (APO) (BQ) MYCOPHENOLATE APO-MYCOPHENOLATE 100'S BQ 51.02 0.5102 CAP 360 BOX APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 9244 IMMUNOSUPPRESSIVE AGENTS 2024-04-01 2026-03-31 ORAL 6 IMMUNOSUPPRESSIVE AGENTS