Displaying 1 - 4 of 4
  • 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
41 2641CM BECLOVAIRE 50MCG INHR (BEX) BECLOMETHASONE BECLOMETHASONE BECLOVAIRE 200 DOSES A 6.63 6.6327 INHR 1 BOX BEX BEXIMCO PHARMACEUTICALS LTD RXP RX PRO INC B 8600 SMOOTH MUSCLE RELAXANTS 2024-04-01 2026-03-31 ORAL 6 SMOOTH MUSCLE RELAXANTS
42 2641CM BECLOVAIRE 50MCG INHR (BEX) BECLOMETHASONE BECLOMETHASONE BECLOVAIRE 200 DOSES A 6.63 6.63 INHR 1 BOX BEX BEXIMCO PHARMACEUTICALS LTD RXP RX PRO INC B 8600 SMOOTH MUSCLE RELAXANTS 2026-04-01 ORAL INHALATION 6 SMOOTH MUSCLE RELAXANTS
40 2641R BECOTIDE 50MCG INHR (GSK/COL) BECLOMETHASONE BECLOMETHASONE BECOTIDE 200 DOSES A 7.77 7.77 INHALER 1 INHR GSK GLAXOSMITHKLINE COL COLLINS LTD B 481008 CORTICOSTEROIDS (RESPIRATORY) 2022-04-01 2024-03-31 ORAL INHALATION 6 RESPIRATORY TRACT AGENTS
40 4211BE BETAZOLE 0.25% | 1% CR (LDP/AHI) BECLOMETHASONE | CLOTRIMAZOLE BECLOMETHASONE|CLOTRIMAZOLE BETAZOLE 10G A 3.18 3.18 CREAM 2 TUBE LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 8410 ANTI-INFECTIVES & ANTI-INFLAMMATORIES 2022-04-01 2024-03-31 TOPICAL 6 SKIN-MUCOUS MEMBRANE PREPARATIONS