Displaying 5341 - 5360 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 A6812 COMBIVIR 150MG|300MG TAB (GSK) LAMIVUDINE|ZIDOVUDINE (BL) LAMIVUDINE|ZIDOVUDINE COMBIVIR 60'S BL 149.83 2.4972 TAB 60 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD 08180820 NRTI 2024-04-01 2026-03-31 ORAL 6 NRTI
40 A681AM EFAVIRENZ | EMTRICITABINE | TENOFOVIR 600MG | 200MG | 300MG TAB (MAT/AHI) EFAVIRENZ|EMTRICITABINE|TENOFOVIR EFAVIRENZ|EMTRICITABINE|TENOFOVIR 30'S BL 27.59 0.92 TABLET 0 TAB MAT MYLAN LABORATORIES AHI ARMSTRONG HEALTHCARE INC 08180892 ANTIRETROVIRALS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 A681AM EFAVIRENZ|EMTRICITABINE|TENOFOVIR 600MG|200MG|300MG TAB (MAT (BL) EFAVIRENZ|EMTRICITABINE|TENOFOVIR EFAVIRENZ|EMTRICITABINE|TENOFOVIR 30'S BL 30.17 1.0058 TAB 60 BOX MAT MYLAN LABORATORIES AHI ARMSTRONG HEALTHCARE INC 081892 ANTIVIRALS, MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANTIVIRALS, MISCELLANEOUS
42 A681AM EFAVIRENZ|EMTRICITABINE|TENOFOVIR 600MG|200MG|300MG TAB (MAT EFAVIRENZ|EMTRICITABINE|TENOFOVIR EFAVIRENZ|EMTRICITABINE|TENOFOVIR 30'S BL 27.59 0.92 TAB 60 BLIS MAT MYLAN LABORATORIES AHI ARMSTRONG HEALTHCARE INC 081892 ANTIVIRALS, MISCELLANEOUS 2026-04-01 2028-03-31 ORAL 0 ANTIVIRALS, MISCELLANEOUS
40 A681BN KIVEXA 600MG | 300MG TAB (GSK/COL) ABACAVIR | LAMIVUDINE ABACAVIR|LAMIVUDINE KIVEXA 30'S BL 162.04 5.40 TABLET 0 TAB GSK GLAXOSMITHKLINE COL COLLINS LTD 08180892 ANTIRETROVIRALS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 A681EY VONAVIR 600MG | 200MG | 300MG TAB (EMC/COL) EFAVIRENZ | EMTRICITABINE | TENOFOVI More ... EFAVIRENZ|EMTRICITABINE|TENOFOVIR VONAVIR 30'S BL 81.55 2.72 TABLET 0 TAB EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 08180892 ANTIRETROVIRALS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 A681EY VONAVIR 600MG|200MG|300MG TAB (EMC) EFAVIRENZ|EMTRICITABINE| (BL) EFAVIRENZ|EMTRICITABINE|TENOFOVIR VONAVIR 30'S BL 86.99 2.8995 TAB 60 BOX EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 08180892 ANTIRETROVIRALS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANTIRETROVIRALS MISCELLANEOUS
42 A681EY VONAVIR 600MG|200MG|300MG TAB (EMC) EFAVIRENZ|EMTRICITABINE| EFAVIRENZ|EMTRICITABINE|TENOFOVIR VONAVIR 30'S BL 86.99 2.90 TAB 60 BLIS EMC EMCURE PHARMACEUTICALS LTD COL AVENTA BARBADOS 08180892 ANTIRETROVIRALS MISCELLANEOUS 2026-04-01 2028-03-31 ORAL 0 ANTIRETROVIRALS MISCELLANEOUS
40 A681FC KIVALA 600MG | 300MG TAB (REM/SBI) ABACAVIR | LAMIVUDINE ABACAVIR|LAMIVUDINE KIVALA 30'S BL 82.72 2.76 TABLET 0 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 08180892 ANTIRETROVIRALS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
42 A681FC KIVALA 600MG|300MG TAB (REM) ABACAVIR|LAMIVUDINE ABACAVIR|LAMIVUDINE KIVALA 30'S BL 57.49 1.92 TAB 30 BLIS REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 08180892 ANTIRETROVIRALS MISCELLANEOUS 2026-04-01 2028-03-31 ORAL 0 ANTIRETROVIRALS MISCELLANEOUS
41 A681FS EXATRON 200MG|245MG TAB (REM) EMTRICITAB (BL) EMTRICITABINE|TENOFOVIR EXATRON 30'S BL 76.11 2.5371 TAB 0 BOTT REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 08180892 ANTIRETROVIRALS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 0 ANTIRETROVIRALS MISCELLANEOUS
40 A681FT TAVIN-EM 200MG | 300MG TAB (EMC/COL) EMTRICITABINE | TENOFOVIR EMTRICITABINE|TENOFOVIR TAVIN-EM 30'S BL 21.20 0.71 TABLET 0 TAB EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 08180892 ANTIRETROVIRALS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 A681FT TAVIN-EM 200MG|300MG TAB (EMC) EMTRICITABINE|TENOFOVIR (BL) EMTRICITABINE|TENOFOVIR TAVIN-EM 30'S BL 28.13 0.9378 TAB 60 BOX EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 08180892 ANTIRETROVIRALS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANTIRETROVIRALS MISCELLANEOUS
40 A681GL TRUVADA 200MG | 300MG TAB (GIL/COL) EMTRICITABINE | TENOFOVIR EMTRICITABINE|TENOFOVIR TRUVADA 30'S BL 129.53 4.32 TABLET 0 TAB GIL GILEAD COL COLLINS LTD 08180892 ANTIRETROVIRALS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 A681GL TRUVADA 200MG|300MG TAB (GIL) EMTRICITABINE|TENOFOVIR (BL) EMTRICITABINE|TENOFOVIR TRUVADA 30'S BL 129.53 4.3176 TAB 60 BOX GIL GILEAD COL COLLINS LTD 081892 ANTIVIRALS, MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANTIVIRALS, MISCELLANEOUS
40 A681GP ATAZOR-R 300MG | 100MG TAB (EMC/COL) ATAZANAVIR | RITONAVIR ATAZANAVIR|RITONAVIR ATAZOR-R 30'S BL 75.03 2.50 TABLET 0 TAB EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 08180892 ANTIRETROVIRALS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 A681GP ATAZOR-R 300MG|100MG TAB (EMC) ATAZANAVIR|RITONAVIR (BL) ATAZANAVIR|RITONAVIR ATAZOR-R 30'S BL 67.96 2.2653 TAB 60 BOX EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 081892 ANTIVIRALS, MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANTIVIRALS, MISCELLANEOUS
42 A681GP ATAZOR-R 300MG|100MG TAB (EMC) ATAZANAVIR|RITONAVIR ATAZANAVIR|RITONAVIR ATAZOR-R 30'S BL 73.39 2.45 TAB 60 BLIS EMC EMCURE PHARMACEUTICALS LTD COL AVENTA BARBADOS 081892 ANTIVIRALS, MISCELLANEOUS 2026-04-01 2028-03-31 ORAL 0 ANTIVIRALS, MISCELLANEOUS
42 A681GQ ABACAVIR|LAMIVUDINE 600MG|300MG TAB (CIP) ABACAVIR|LAMIVUDINE ABACAVIR|LAMIVUDINE 30'S BL 183.46 6.12 TAB 30 BLIS CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 081892 ANTIVIRALS, MISCELLANEOUS 2026-04-01 2028-03-31 ORAL 0 ANTIVIRALS, MISCELLANEOUS
40 A681GW BIKTARVY 50MG | 200MG | 25MG TAB (GIL/COL) BICTEGRAVIR | EMTRICITABINE | TENOFOV More ... BICTEGRAVIR|EMTRICITABINE|TENOFOVIR BIKTARVY 30'S BL 321.99 10.73 TABLET 0 TAB GIL GILEAD COL COLLINS LTD 08180892 ANTIRETROVIRALS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS