Displaying 61 - 80 of 4247
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 0051J CAPECITABINE 150MG TAB (WAT) CAPECITABINE CAPECITABINE 60'S BQ 175.3319 2.9222 TAB 230 BOTT WAT WATSON (ACTAVIS) PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 6 ANTINEOPLASTICS
40 00521 XELODA 500MG TAB (ROC/AHI) CAPECITABINE CAPECITABINE XELODA 120'S C 326.20 2.72 TABLET 0 TAB ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 0 ANTINEOPLASTICS
40 00527 KAPETRAL 500MG TAB (REM/SBI) CAPECITABINE CAPECITABINE KAPETRAL 120'S BQ 103.41 0.86 TABLET 0 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
41 00527 KAPETRAL 500MG TAB (REM) CAPECITABINE (BQ) CAPECITABINE KAPETRAL 120'S BQ 83.62 0.6968 TAB 60 BOX REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 6 ANTINEOPLASTICS
41 0052AH CAPETAZ 500MG TAB (ZUV) CAPECITABINE (BQ) CAPECITABINE CAPETAZ 120'S BQ 41.1 0.3425 TAB 60 BOX ZUV ZUVIUS PHA PHARMACY SALES CARIBBEAN 1000 ANTINEOPLASTICS 2024-04-01 2024-05-20 ORAL 6 ANTINEOPLASTICS 2024-04-08
41 0052HF CAPETAZ 500MG TAB (ZUV) CAPECITABINE CAPECITABINE CAPETAZ 30'S BQ 31.57 1.0523 TAB 60 BOX ZUV ZUVIUS PHA PHARMACY SALES CARIBBEAN 1000 ANTINEOPLASTICS 2024-04-11 2026-03-31 ORAL 6 ANTINEOPLASTICS 2024-04-11
40 0071G APO-ZOLPIDEM 5MG TAB (APO/COL) ZOLPIDEM APO-ZOLPIDEM 30'S C 17.81 0.59 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
41 0071H APO-ZOLPIDEM 5MG TAB (APO) ZOLPIDEM ZOLPIDEM APO-ZOLPIDEM 30'S C 18.16 0.6053 TAB 0 BOX APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 0 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCEL
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
41 0072D ZOLPIDEM 10MG TAB (RYV) (C) ZOLPIDEM ZOLPIDEM 30'S C 18.62 0.6207 TAB 0 BOX RYV RYVIS PHARMA PVT. LTD ALW ALTIMAR WHOLESALERS INC 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 0 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCEL
41 0072E APO-ZOLPIDEM 10MG TAB (APO) ZOLPIDE (C) ZOLPIDEM APO-ZOLPIDEM 30'S C 20.39 0.6796 TAB 0 BOX APO APOTEX INC. ATB ANSA TRADING BARBADOS LTD 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 0 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCEL
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
41 0081T FLUCONAZOLE 200MG INJ (BRA) (BQ) FLUCONAZOLE FLUCONAZOLE 100ML BQ 4.92 4.9202 VIAL 0 VIAL BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 081408 AZOLES 2024-04-01 2026-03-31 IV 0 AZOLES
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
41 00915 GRISEOFULVIN 125MG TAB (REM) GRISEOFULVIN GRISEOFULVIN 10x10 A 14.08 0.1408 TAB 60 BOX REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081492 ANTIFUNGALS, MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANTIFUNGALS, MISCELLANEOUS
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
41 00923 GRISEOFULVIN 500MG TAB (REM) GRISEOFULVIN GRISEOFULVIN 10X10 A 27.43 0.2743 TAB 60 BOX REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081492 ANTIFUNGALS, MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANTIFUNGALS, MISCELLANEOUS