Displaying 101 - 120 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
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
42 0072K APO-ZOLPIDEM 10MG TAB (APO) ZOLPIDE ZOLPIDEM APO-ZOLPIDEM 30'S C 20.39 0.68 TAB 0 BOTT APO APOTEX INC. COL AVENTA BARBADOS 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2026-04-01 ORAL 0 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCEL
42 0072L PMS-ZOLPIDEM 10MG OD TAB (PMS) ZOLPIDEM PMS-ZOLPIDEM 3X10 C 24.46 0.82 TABODT 0 BOTT PMS PHARMASCIENCE COL AVENTA BARBADOS 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2026-04-01 ORAL 0 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCEL
42 0081AB AMBISONE LIPOSOMAL 50MG INJ (GIL) A AMPHOTERICIN B AMBISONE LIPOSOMAL 50MG VIAL BQ 581.72 581.72 VIAL 21 VIAL GIL GILEAD COL AVENTA BARBADOS 081428 POLYENES 2026-04-01 IV 0 POLYENES
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
42 0081AK AMPHIZOME 50MG INJ (FSB) AMPHOTERICIN B AMPHOTERICIN B AMPHIZOME 5ML BQ 12.53 12.53 VIAL 21 FSB FLAGSHIP BIOTECH STO BRYDEN STOKES LTD 081408 AZOLES 2026-04-01 Add to Contract IV 0 AZOLES 2026-03-05
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
42 0081T FLUCONAZOLE 200MG INJ (BRA) FLUCONAZOLE FLUCONAZOLE 100ML BQ 6.31 6.31 VIAL 0 VIAL BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL AVENTA BARBADOS 081408 AZOLES 2026-04-01 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
42 00915 GRISEOFULVIN 125MG TAB (REM) GRISEOFULVIN GRISEOFULVIN 10x10 A 14.14 0.14 TAB 60 BLIS REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081492 ANTIFUNGALS, MISCELLANEOUS 2026-04-01 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
42 00923 GRISEOFULVIN 500MG TAB (REM) GRISEOFULVIN GRISEOFULVIN 10X10 A 27.73 0.28 TAB 60 BLIS REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081492 ANTIFUNGALS, MISCELLANEOUS 2026-04-01 ORAL 6 ANTIFUNGALS, MISCELLANEOUS
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
41 00939 GRISEOFULVIN 25MG/ML SUSP (SUE) GRISEOFULVIN GRISEOFULVIN 120ML A 15.71 0.1309 ML 500 BOTT SUE LABORATORIOS SUED S.R.L AHI ARMSTRONG HEALTHCARE INC 081492 ANTIFUNGALS, MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANTIFUNGALS, MISCELLANEOUS
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