Displaying 41 - 60 of 2278
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 0072D ZOLPIDEM 10MG TAB (RYV/ALW) ZOLPIDEM ZOLPIDEM 30'S C $18.62 $0.62 TABLET 0 TAB RYV RYVIS PHARMA PVT. LTD ALW ALTIMAR WHOLESALERS INC 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
40 0072K APO-ZOLPIDEM 10MG TAB (APO/COL) ZOLPIDEM APO-ZOLPIDEM 30'S C $19.98 $0.67 TABLET 0 TAB APO APOTEX INC. COL COLLINS LTD 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS
40 0081AG AMPHOTIN 50MG INJ (UBI/RXP) AMPHOTERICIN B AMPHOTERICIN B AMPHOTIN 50MG VIAL BQ $19.71 $19.71 INJECTION 0 VIAL UBI UNITED BIOTECH (P) LIMITED RXP RX PRO INC 081428 POLYENES 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
40 0081AJ AMPHIZOME 50MG INJ (FSB/ATB) AMPHOTERICIN B AMPHOTERICIN B AMPHIZOME 5ML BQ $24.46 $24.46 INJECTION 0 VIAL FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 081428 POLYENES 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
40 0081T FLUCONAZOLE 200MG INJ (BRA/COL) FLUCONAZOLE FLUCONAZOLE 100ML BQ $4.65 $4.65 INJECTION 0 VIAL BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 081408 AZOLES 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
40 00915 GRISEOFULVIN 125MG TAB (REM/SBI) GRISEOFULVIN GRISEOFULVIN 10x10 A $17.37 $0.17 TABLET 60 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081492 ANTIFUNGALS, MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 ANTI-INFECTIVE AGENTS
40 00923 GRISEOFULVIN 500MG TAB (REM/SBI) GRISEOFULVIN GRISEOFULVIN 10X10 A $28.27 $0.28 TABLET 60 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081492 ANTIFUNGALS, MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 ANTI-INFECTIVE AGENTS
40 00939 GRISEOFULVIN 25MG/ML SUSP (SUE/AHI) GRISEOFULVIN GRISEOFULVIN 120ML A $14.87 $0.12 SUSPENSION 500 ML SUE LABORATORIOS SUED S.R.L AHI ARMSTRONG HEALTHCARE INC 081492 ANTIFUNGALS, MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 ANTI-INFECTIVE AGENTS
40 0093A FLUVIN 25MG/ML SUSP (RYV/ALW) GRISEOFULVIN GRISEOFULVIN FLUVIN 100ML A $12.21 $0.12 SUSPENSION 500 ML RYV RYVIS PHARMA PVT. LTD ALW ALTIMAR WHOLESALERS INC 081492 ANTIFUNGALS, MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 ANTI-INFECTIVE AGENTS
40 01027 NYSTATIN 100,000U/ML SUSP (HEA/RXP) NYSTATIN NYSTATIN 60ML A $5.71 $0.10 SUSPENSION 180 ML HEA HEALTH 2000 INC RXP RX PRO INC 081428 POLYENES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0102T PMS-NYSTATIN 100,000U/ML SUSP (PMS/COL) NYSTATIN PMS-NYSTATIN 100ML A $6.80 $0.07 SUSPENSION 180 ML PMS PHARMASCIENCE COL COLLINS LTD 081428 POLYENES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0102V NYSTATIN 100,000U/ML SUSP (HEA/ATB) NYSTATIN NYSTATIN 60ML A $5.71 $0.10 SUSPENSION HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 81428 POLYENES 2022-12-07 2024-03-31 Change Local Agent ORAL 0 POLYENES 2022-11-25
40 0111D CEFUROXIME 500MG CAP (KWA/ATB) CEFUROXIME CEFUROXIME 100'S BQ $66.95 $0.67 CAPSULE 0 CAP KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 08120608 SECOND GEN CEPHALOSPORINS 2022-04-01 2024-03-31 Oral 6 ANTI-INFECTIVE AGENTS
40 0111DL CEFADROXIL 500MG CAP (KWA/ATB) CEFADROXIL CEFADROXIL 10X10 A $23.11 $0.23 CAPSULE 28 CAP KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 08120604 FIRST GEN CEPHALOSPORINS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0111S ZINNAT 500MG TAB (GSK/COL) CEFUROXIME CEFUROXIME ZINNAT 50'S C $145.62 $2.91 TABLET 0 TAB GSK GLAXOSMITHKLINE COL COLLINS LTD 08120608 SECOND GEN CEPHALOSPORINS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0112BB CEFADROXIL MK 50MG/ML SUSP (BON/COL) CEFADROX CEFADROXIL CEFADROXIL MK 60ML A $8.54 $0.14 SUSPENSION 120 ML BON CORPORACION BONIMA COL COLLINS LTD 08120604 FIRST GEN CEPHALOSPORINS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0112CH ZINNAT 50MG/ML SUSP (GSK/COL) CEFUROXIME CEFUROXIME ZINNAT 70ML C $25.66 $0.26 SUSPENSION 0 ML GSK GLAXOSMITHKLINE COL COLLINS LTD 08120608 SECOND GEN CEPHALOSPORINS 2022-04-01 2024-03-31 Package Size Change Oral 0 ANTI-INFECTIVE AGENTS 2022-03-21
40 0112ZG ZINNAT 25MG/ML SUSP (GSK/COL) CEFUROXIME CEFUROXIME ZINNAT 100ML C $28.11 $0.28 SUSPENSION 0 ML GSK GLAXOSMITHKLINE COL COLLINS LTD 08120608 SECOND GEN CEPHALOSPORINS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 01133 CEFAZOLIN 1G IV/IM INJ (RTM/PHA) CEFAZOLIN CEFAZOLIN 1G VIAL B $3.89 $3.89 INJECTION 0 VIAL RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 08120604 FIRST GEN CEPHALOSPORINS 2022-04-01 2024-03-31 IV/IM 6 ANTI-INFECTIVE AGENTS
40 0113AG CEFAZOLIN 1G IV/IM INJ (KWA/ATB) CEFAZOLIN CEFAZOLIN 1G VIAL B $4.02 $4.02 INJECTION 0 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 08120604 FIRST GEN CEPHALOSPORINS 2022-04-01 2022-09-30 IV/IM 0 ANTI-INFECTIVE AGENTS 2022-03-30