Displaying 161 - 180 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 04612 SALAZOPYRINE E.C. 500MG TAB (PFI/STO) SULPHAS SULPHASALAZINE SALAZOPYRINE E.C. 100'S C $70.24 $0.70 TABLET 0 TAB PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 081220 SULPHONAMIDES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0461C PMS-SULPHASALAZINE 500MG TAB (PMS/COL) SULPHASALAZINE PMS-SULPHASALAZINE 100'S A $24.46 $0.24 TABLET 240 TAB PMS PHARMASCIENCE COL COLLINS LTD 081220 SULPHONAMIDES 2022-04-01 2024-03-31 Oral 6 ANTI-INFECTIVE AGENTS
40 0472A DAPSONE 100MG TAB (LDP/AHI) DAPSONE DAPSONE 100'S A $32.62 $0.33 TABLET 90 TAB LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 081692 ANTIMYCOBACTERIALS, MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 ANTI-INFECTIVE AGENTS
40 0481A FLAGYL 400MG TAB (SFA/COL) METRONIDAZOLE METRONIDAZOLE FLAGYL 14'S A $5.44 $0.39 TABLET 90 TAB SFA SANOFI AVENTIS COL COLLINS LTD 083092 ANTIPROTOZOALS, MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0481K AAP-METRONIDAZOLE 250MG TAB (APO/COL) METRONIDAZOLE AAP-METRONIDAZOLE 500'S A $28.11 $0.06 TABLET 90 TAB APO APOTEX INC. COL COLLINS LTD 083092 ANTIPROTOZOALS, MISCELLANEOUS 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 04826 METRONIDAZOLE + HANGERS 0.5% INJ (BRA/COL) METRONIDAZOLE METRONIDAZOLE 100ML B $1.85 $1.85 INJECTION 0 BOTT BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 083092 ANTIPROTOZOALS, MISCELLANEOUS 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
40 04861 EPAQ 0.75% VAG CR (PMA/AHI) METRONIDAZOLE METRONIDAZOLE EPAQ 40G A $27.46 $27.46 VAGINAL CREA 1 TUBE PMA MORE PHARMA CORPORATION AHI ARMSTRONG HEALTHCARE INC 083092 ANTIPROTOZOALS, MISCELLANEOUS 2022-04-01 2024-03-31 VAGINAL 0 ANTI-INFECTIVE AGENTS
40 04935 HIPREX 1G TAB (PMA/AHI) HEXAMINE MANDELATE HEXAMINE MANDELATE HIPREX 20'S C $53.82 $2.69 TABLET 0 TAB PMA MORE PHARMA CORPORATION AHI ARMSTRONG HEALTHCARE INC 0836 URINARY ANTI-INFECTIVES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 05027 AAP-NITROFURANTOIN 100MG TAB (APO/COL) NITROFURANTOIN AAP-NITROFURANTOIN 100'S A $17.86 $0.18 TABLET 56 TAB APO APOTEX INC. COL COLLINS LTD 0836 URINARY ANTI-INFECTIVES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 0502H PMS-NITROFURANTOIN 100MG TAB (PMS/COL) NITROFURANTOIN PMS-NITROFURANTOIN 100'S C $48.93 $0.49 TABLET 0 TAB PMS PHARMASCIENCE COL COLLINS LTD 0836 URINARY ANTI-INFECTIVES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 05216 ACTINOMYCIN D 500MCG INJ (KWA/ATB) ACTINOMYCIN D ACTINOMYCIN D 500MCG VIA BQ $36.70 $36.70 INJECTION 0 VIAL KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 05217 DACTINOTEC 500MCG INJ (UBI/RXP) ACTINOMYCIN D ACTINOMYCIN D DACTINOTEC 500MCG BQ $31.26 $31.26 INJECTION 0 VIAL UBI UNITED BIOTECH (P) LIMITED RXP RX PRO INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 05218 ACTINOMYCIN D 500MCG INJ (CHC/ATB) ACTINOMYCIN D ACTINOMYCIN D 500MCG VIA BQ $33.16 $33.16 INJECTION 0 VIAL CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 05313 APO-AZATHIOPRINE 50MG TAB (APO/COL) AZATHIOPRINE APO-AZATHIOPRINE 100'S A $28.60 $0.29 TABLET 180 TAB APO APOTEX INC. COL COLLINS LTD B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
40 0531A AZATHIOPRINE 50MG TAB (RPG/AHI) AZATHIOPRINE AZATHIOPRINE 100'S A $28.27 $0.28 TABLET 180 TAB RPG RPG LIFE SCIENCES LTD AHI ARMSTRONG HEALTHCARE INC B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
40 0531V IMURAN 50MG TAB (ASG/STO) AZATHIOPRINE AZATHIOPRINE IMURAN 100'S C $174.27 $1.74 TABLET 0 TAB ASG ASPEN OSD (GLOBAL) STO BRYDEN STOKES LTD B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 0 ANTINEOPLASTICS
40 05415 BLEOMYCIN SULPHATE 15MG INJ (CIP/AHI) BLEOMYCIN SULPHATE BLEOMYCIN SULPHATE 15MG VIAL BQ $44.85 $44.85 INJECTION 0 VIAL CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 05616 CHLORAMBUCIL 2MG TAB (KWA/ATB) CHLORAMBUCIL CHLORAMBUCIL 3X10 A $176.69 $5.89 TABLET 240 TAB KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD B 1000 ANTINEOPLASTICS 2022-05-27 2024-03-31 Package Size Change Oral 6 ANTINEOPLASTICS 2022-05-27
40 05743 ENDOXAN 50MG TAB (BAX/STO) CYCLOPHOSPHAMIDE CYCLOPHOSPHAMIDE ENDOXAN 50'S B $0.95 $0.02 TABLET 0 TAB BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD B 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 0 ANTINEOPLASTICS
40 05752 ENDOXAN 1G INJ (ASM/COL) CYCLOPHOSPHAMIDE CYCLOPHOSPHAMIDE ENDOXAN 1G VIAL BQ $38.06 $38.06 INJECTION 0 VIAL ASM ASTA MEDICA AG COL COLLINS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS