Displaying 121 - 140 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 0212AV EMSTAR 1G INJ (EMC/COL) MEROPENEM MEROPENEM EMSTAR 1G VIAL BQ $10.87 $10.87 INJECTION 0 VIAL EMC EMCURE PHARMACEUTICALS LTD COL COLLINS LTD 08120708 CARBAPENEMS 2022-04-01 2024-03-31 IV 6 ANTI-INFECTIVE AGENTS
40 0212BE MERREM 1G INJ (PFI/STO) MEROPENEM MEROPENEM MERREM 10X1G C $968.73 $96.87 INJECTION 0 VIAL PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 08120708 CARBAPENEMS 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
40 0212BG MEROPENEM 1G INJ (RTM/PHA) MEROPENEM MEROPENEM 20ML VIAL BQ $14.79 $14.79 INJECTION 0 VIAL RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 08120708 CARBAPENEMS 2022-04-01 2024-03-31 IV 6 ANTI-INFECTIVE AGENTS
40 02223 CLOXACILLIN 500MG CAP (REM/SBI) CLOXACILLIN CLOXACILLIN 10x10 A $16.39 $0.16 CAPSULE 28 CAP REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081216 PENICILLINS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS 2021-12-03
40 0225H LACLOXA 500MG INJ (LDP/AHI) CLOXACILLIN CLOXACILLIN LACLOXA 500MG VIAL B $15.41 $15.41 INJECTION 0 VIAL LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 081216 PENICILLINS 2022-04-01 2022-09-30 IV 6 ANTI-INFECTIVE AGENTS 2022-03-29
40 0225K CLOXACILLIN 500MG INJ (MON/PHA) CLOXACILLIN CLOXACILLIN 500MG VIAL B $1.58 $1.58 INJECTION 0 VIAL MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 081216 PENICILLINS 2022-04-01 2024-03-31 IV 6 ANTI-INFECTIVE AGENTS
40 02316 DULERA 5MCG | 100MCG INHR (MSD/STO) FORMOTEROL | MOMETASONE FORMOTEROL|MOMETASONE DULERA 120 DOSES B $56.68 $56.68 INHALER 1 INHR MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 4892 RESPIRATORY AGENTS MISCELLANEOUS 2022-04-01 2024-03-31 ORAL INHALATION 6 RESPIRATORY TRACT AGENTS
40 0231B SYMBICORT RAPIHALER 80MCG | 4.5MCG INHR (AZN/COL) BUDESONIDE | FORMOTEROL (R) BUDESONIDE|FORMOTEROL (R) SYMBICORT RAPIHALER 120 DOSES A $35.23 $35.23 INHALER 1 INHR AZN ASTRAZENECA AB COL COLLINS LTD B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2022-04-01 2024-03-31 ORAL INHALATION 6 RESPIRATORY TRACT AGENTS
40 0231C SYMBICORT TURBU 80MCG | 4.5MCG INHR (AZN/COL) BUDESONIDE | FORMOTEROL BUDESONIDE|FORMOTEROL SYMBICORT TURBU 60 DOSES A $24.27 $24.27 INHALER 1 INHR AZN ASTRAZENECA AB COL COLLINS LTD B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2022-04-01 2024-03-31 ORAL INHALATION 6 RESPIRATORY TRACT AGENTS
40 02326 DULERA 200MCG/5MCG INHR (MSD/STO) MOMETASONE/ FORMOTEROL|MOMETASONE DULERA 120 DOSES B $59.26 $59.26 INHALER 1 INHR MSD MERCK SHARP & DOHME (I.A.) CORP STO BRYDEN STOKES LTD 4892 RESPIRATORY AGENTS MISCELLANEOUS 2022-04-01 2024-03-31 ORAL INHALATION 6 RESPIRATORY TRACT AGENTS
40 0232D SYMBICORT TURBU 160MCG | 4.5MCG INHR (AZN/COL) BUDESONIDE | FORMOTEROL (60) BUDESONIDE|FORMOTEROL (60) SYMBICORT TURBU 60 DOSES A $32.62 $32.62 INHALER 1 INHR AZN ASTRAZENECA AB COL COLLINS LTD B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2022-04-01 2024-03-31 ORAL INHALATION 6 RESPIRATORY TRACT AGENTS
40 0232E SYMBICORT RAPIHALER 160MCG | 4.5MCG INHR (AZN/COL) BUDESONIDE | FORMOTEROL (120 More ... BUDESONIDE|FORMOTEROL (120 R) SYMBICORT RAPIHALER 120 DOSES A $37.68 $37.68 INHALER 1 INHR AZN ASTRAZENECA AB COL COLLINS LTD B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2022-04-01 2024-03-31 ORAL INHALATION 6 RESPIRATORY TRACT AGENTS
40 0232F SYMBICORT TURBU 160MCG | 4.5MCG INHR (AZN/COL) BUDESONIDE | FORMOTEROL (120) BUDESONIDE|FORMOTEROL (120) SYMBICORT TURBU 120 DOSES A $44.31 $44.31 INHALER 1 INHR AZN ASTRAZENECA AB COL COLLINS LTD B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2022-04-01 2024-03-31 ORAL INHALATION 6 RESPIRATORY TRACT AGENTS
40 02335 SYMBICORT TURBU 320MCG | 9MCG INHR (AZN/COL) BUDESONIDE | FORMOTEROL BUDESONIDE|FORMOTEROL SYMBICORT TURBU 60 DOSES A $52.19 $52.19 INHALER 1 INHR AZN ASTRAZENECA AB COL COLLINS LTD B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2022-04-01 2024-03-31 ORAL INHALATION 6 RESPIRATORY TRACT AGENTS
40 0292J CLINEX 150MG CAP (ARP/AHI) CLINDAMYCIN HCL CLINDAMYCIN HYDROCHLORIDE CLINEX 3X10 A $9.65 $0.32 CAPSULE 28 CAP ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 08122820 LINCOMYCINS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0294K CLINEX 300MG CAP (ARP/AHI) CLINDAMYCIN HCL CLINDAMYCIN HYDROCHLORIDE CLINEX 30'S A $18.76 $0.63 CAPSULE 28 CAP ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 08122820 LINCOMYCINS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0301Q CLINDATECH 150MG/ML INJ (UBI/RXP) CLINDAMYCIN CLINDAMYCIN PHOSPHATE CLINDATECH 2ML AMP BQ $6.12 $6.12 INJECTION 0 AMP UBI UNITED BIOTECH (P) LIMITED RXP RX PRO INC 08122820 LINCOMYCINS 2022-04-01 2024-03-31 IV 6 ANTI-INFECTIVE AGENTS
40 0302AA LACLIDA 150MG/ML INJ (LDP/AHI) CLINDAMYCIN PH CLINDAMYCIN PHOSPHATE LACLIDA 10X4ML BQ $79.86 $7.99 INJECTION 0 AMP LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 08122820 LINCOMYCINS 2022-04-01 2024-03-31 IV 6 ANTI-INFECTIVE AGENTS
40 0314B FUSIDIC ACID DRESSING 1% (LDP/AHI) FUSIDIC ACID FUSIDIC ACID DRESSING 10'S A $19.14 $19.14 10 BOX LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 840404 ANTIBIOTICS TOPICAL 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
40 0314L BACTIGRAS 10CMX10CM (SMN/IMS) CHLORHEXIDINE CHLORHEXIDINE BACTIGRAS 10'S A $29.00 $2.90 10 EACH SMN SMITH & NEPHEW PHARMACEUTICALS IMS ISLANDS MEDICAL SUPPLIES INC 840492 ANTI-INFECTIVES TOPICAL MISCELLANEOUS 2022-04-06 2024-03-31 Add to Contract as Cat A TOPICAL 6 SKIN-MUCOUS MEMBRANE PREPARATIONS 2022-04-06