Displaying 5101 - 5120 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 A3911 SERETIDE DISKUS 250MCG|50MCG INHR (GSK) FLUTICASONE|SALMETEROL SERETIDE DISKUS 60 DOSES A 58.8 58.7973 INHR 1 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL INHALATION 6 RESPIRATORY AGENTS MISCELLANEOUS
42 A3911 SERETIDE DISKUS 250MCG|50MCG INHR (GSK) FLUTICASONE|SALMETER FLUTICASONE|SALMETEROL SERETIDE DISKUS 60 DOSES A 61.43 61.43 INHR 1 BOX GSK GLAXOSMITHKLINE COL AVENTA BARBADOS B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2026-04-01 2028-03-31 ORAL INHALATION 6 RESPIRATORY AGENTS MISCELLANEOUS
40 A3912 SEROFLO CIPHALER 250MCG | 50M INHR (CIP/AHI) FLUTICASONE | SALMETEROL FLUTICASONE|SALMETEROL SEROFLO CIPHALER 60 DOSES A 44.25 44.25 INHALER 1 INHR CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2022-04-01 2024-03-31 ORAL INHALATION 6 RESPIRATORY TRACT AGENTS
40 A3926 RELVAR ELLIPTA 100MCG | 25MCG INHR (GSK/COL) FL FLUTICASONE|VILANTEROL RELVAR ELLIPTA 30 DOSES A 41.67 41.67 INHALER 1 INHR GSK GLAXOSMITHKLINE COL COLLINS LTD B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2022-04-01 2024-03-31 ORAL INHALATION 6 RESPIRATORY TRACT AGENTS
41 A3926 RELVAR ELLIPTA 100MCG|25MCG INHR (GSK) F FLUTICASONE|VILANTEROL RELVAR ELLIPTA 30 DOSES A 43.33 43.3301 INHR 1 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL INHALATION 6 RESPIRATORY AGENTS MISCELLANEOUS
42 A3926 RELVAR ELLIPTA 100MCG|25MCG INHR (GSK) F FLUTICASONE|VILANTEROL RELVAR ELLIPTA 30 DOSES A 45.48 45.48 INHR 1 BOX GSK GLAXOSMITHKLINE COL AVENTA BARBADOS B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2026-04-01 2028-03-31 ORAL INHALATION 6 RESPIRATORY AGENTS MISCELLANEOUS
40 A3931 SERETIDE MDI 125/25 INHR (GSK/COL) FLUTICASON FLUTICASONE|SALMETEROL SERETIDE MDI 120 DOSES C 56.57 56.57 INHALER 0 INHR GSK GLAXOSMITHKLINE COL COLLINS LTD B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2022-04-01 2024-03-31 ORAL INHALATION 0 RESPIRATORY TRACT AGENTS
41 A3931 SERETIDE MDI 125MCG|25MCG INHR (GSK) FLUTICASONE|SALMETEROL (C) FLUTICASONE|SALMETEROL SERETIDE MDI 120 DOSES C 62.22 62.2224 INHR 1 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL INHALATION 6 RESPIRATORY AGENTS MISCELLANEOUS
42 A3931 SERETIDE MDI 125MCG|25MCG INHR (GSK) FLUTICASONE|SALMETEROL FLUTICASONE|SALMETEROL SERETIDE MDI 120 DOSES C 65.32 65.32 INHR 1 BOX GSK GLAXOSMITHKLINE COL AVENTA BARBADOS B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2026-04-01 2028-03-31 ORAL INHALATION 6 RESPIRATORY AGENTS MISCELLANEOUS
40 A3933 FLUTICASONE | SALMETEROL 125MCG | 25MCG INHR (CIP/AHI) FLUTICASONE|SALMETEROL FLUTICASONE|SALMETEROL 120 DOSES A 27.65 27.65 INHALER 1 INHR CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2022-04-01 2024-03-31 ORAL INHALATION 6 RESPIRATORY TRACT AGENTS
41 A3933 FLUTICASONE|SALMETEROL 125MCG|25MCG INHR (CIP) FLUTICASONE|SALMETEROL FLUTICASONE|SALMETEROL 120 DOSES A 27.65 27.6454 INHR 1 BOX CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL INHALATION 6 RESPIRATORY AGENTS MISCELLANEOUS
40 A3937 COMBIWAVE 125/25 INHR (GLP/ALI) FLUTICASONE/S FLUTICASONE|SALMETEROL COMBIWAVE 120 DOSES C 27.18 27.18 INHALER 0 INHR GLP GLENMARK PHARMACEUTICALS LTD ALI ALL HEALTH INC B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2022-04-01 2022-03-22 Delete from contract ORAL INHALATION 0 RESPIRATORY TRACT AGENTS 2022-03-22
40 A3939 AROFLO 125MCG | 25MCG INHR (ARP/AHI) FLUTICASON FLUTICASONE|SALMETEROL AROFLO 120 DOSES A 21.67 21.67 INHALER 1 INHR ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2022-04-01 2022-06-30 ORAL INHALATION 6 RESPIRATORY TRACT AGENTS 2022-03-29
40 A393D COMBIWAVE 125MCG | 25M INHR (GLP/ATB) FLUTICASONE | SALMETEROL FLUTICASONE|SALMETEROL COMBIWAVE 120 DOSES C 27.18 27.18 INHALER 0 INHR GLP GLENMARK PHARMACEUTICALS LTD ATB ANSA TRADING BARBADOS LTD B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2022-04-01 2024-03-31 Change Local Agent ORAL INHALATION 0 RESPIRATORY TRACT AGENTS 2022-03-22
42 A393E COMBIWAVE 125MCG|25MCG INHR (GLP) FLUTICASONE|SALMETEROL FLUTICASONE|SALMETEROL COMBIWAVE 150 DOSES A 9.51 9.51 INHR 1 BOX GLP GLENMARK PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC B 9244 IMMUNOSUPPRESSIVE AGENTS 2026-04-01 2028-03-31 ORAL INHALATION 6 IMMUNOSUPPRESSIVE AGENTS
42 A393J COMBIWAVE 125MCG|25MCG INHR (GLP) FLUTICASONE|SALMETEROL FLUTICASONE|SALMETEROL COMBIWAVE 150 DOSES A 9.51 9.51 INHR 1 CNN GLP GLENMARK PHARMACEUTICALS LTD CWS CAPSULE WHOLESALE B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2026-04-01 2028-03-31 INHALATION 6 RESPIRATORY AGENTS MISCELLANEOUS
40 A3941 SERETIDE MDI 50/25 INHR (GSK/COL) FLUTICASONE FLUTICASONE|SALMETEROL SERETIDE MDI 120 DOSES C 48.20 48.20 INHALER 0 INHR GSK GLAXOSMITHKLINE COL COLLINS LTD B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2022-04-01 2024-03-31 ORAL INHALATION 0 RESPIRATORY TRACT AGENTS
41 A3941 SERETIDE MDI 50/25 INH (GSK) FLUTICASONE FLUTICASONE|SALMETEROL SERETIDE MDI 120 DOSES A 53.01 53.0073 INHR 1 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL INHALATION 6 RESPIRATORY AGENTS MISCELLANEOUS
42 A3941 SERETIDE MDI 50MCG|25MCG INHR (GSK) FLUTICASONE|SALMETEROL FLUTICASONE|SALMETEROL SERETIDE MDI 120 DOSES A 55.67 55.67 INHR 1 BOX GSK GLAXOSMITHKLINE COL AVENTA BARBADOS B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2026-04-01 2028-03-31 ORAL INHALATION 6 RESPIRATORY AGENTS MISCELLANEOUS
40 A3942 FLUTICASONE | SALMETEROL 50MCG | 25MCG INHR (CIP/AHI) FLUTICASONE|SALMETEROL FLUTICASONE|SALMETEROL 120 DOSES A 27.10 27.10 INHALER 1 INHR CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2022-04-01 2024-03-31 ORAL INHALATION 6 RESPIRATORY TRACT AGENTS