Displaying 1 - 6 of 6
  • Print
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 43616 INTRAFIX PRIMELINE (4062181/46 SET (BRA/COL) ADMIN SET ADULT INTRAFIX PRIMELINE (4062181|46 SET B 1.25 1.25 SET 0 SET BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 9400 MEDICAL DEVICES 2022-04-01 2024-03-31 0 MEDICAL DEVICES
41 43616 INTRAFIX PRIMELINE (4062181/46 SET (BRA (B) ADMIN SET ADULT INTRAFIX PRIMELINE (4062181|46 SET B 1.82 1.8213 SET 10 BAG BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 9400 MEDICAL DEVICES 2024-04-01 2026-03-31 0 MEDICAL DEVICES
42 43616 INTRAFIX PRIMELINE (4062181/46 SET (BRA ADMIN SET ADULT INTRAFIX PRIMELINE (4062181|46 SET B 1.69 1.69 SET 10 BAG BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL AVENTA BARBADOS 9400 MEDICAL DEVICES 2026-04-01 0 MEDICAL DEVICES
40 4361AA BURETROL SOLUTION SET (BAX/STO) ADMIN SET AD ADMIN SET ADULT BURETROL SOLUTION SET B 2.58 2.58 SET 0 SET BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 9400 MEDICAL DEVICES 2022-04-01 2024-03-31 0 MEDICAL DEVICES
41 4361AA BURETROL SOLUTION SET (BAX) ADMIN SET A (B) ADMIN SET ADULT BURETROL SOLUTION SET B 3.53 3.5338 SET 10 BOX BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 9400 MEDICAL DEVICES 2024-04-01 2026-03-31 0 MEDICAL DEVICES
42 4361AA BURETROL SOLUTION SET (BAX) ADMIN SET A ADMIN SET ADULT BURETROL SOLUTION SET B 7.23 7.23 SET 10 BOX BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 9400 MEDICAL DEVICES 2026-04-01 0 MEDICAL DEVICES