Displaying 1 - 20 of 35
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
42 5281BU CIPROFLOXACIN 0.3% EYE DR (CIP) CIPROFLOXACIN CIPROFLOXACIN 10ML BQ 1.25 1.25 BOTT 0 BOX CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 520404 EENT ANTIBACTERIALS 2026-04-01 OPHTHALMIC 0 EENT ANTIBACTERIALS
40 5281BV APROCIN 0.3% EYE DR (ARP/AHI) CIPROFLOXACIN CIPROFLOXACIN APROCIN 10ML BH 8.15 8.15 EYE DROP 0 BOTT ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 520404 EENT ANTIBACTERIALS 2022-04-01 2022-09-30 OPHTHALMIC 0 EYE, EAR, NOSE AND THROAT PREPARATIONS 2022-03-29
41 5281BV APROCIN 0.3% EYE DR (ARP) CIPROFLOXACIN (BH) CIPROFLOXACIN APROCIN 10ML BH 8.15 8.15 BOTT 0 BOTT ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 520404 EENT ANTIBACTERIALS 2024-04-01 2026-03-31 OPHTHALMIC 6 EENT ANTIBACTERIALS
41 5282E APROCIN 0.3% OINT (ARP) CIPROFLOXAC (BH) CIPROFLOXACIN APROCIN 3G BH 2.64 2.6368 TUBE 0 BOX ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 520404 EENT ANTIBACTERIALS 2024-04-01 2026-03-31 TOPICAL 0 EENT ANTIBACTERIALS
42 5282E APROCIN 0.3% OINT (ARP) CIPROFLOXAC CIPROFLOXACIN APROCIN 3G BH 2.72 2.72 TUBE 0 BOX ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 520404 EENT ANTIBACTERIALS 2026-04-01 TOPICAL 0 EENT ANTIBACTERIALS
40 6451L QUIDEX EYE DROP (LPO/COL) CIPRO/DEXAM CIPROFLOXACIN|DEXAMETHASONE QUIDEX 5ML B 8.15 8.15 EYE DROP 0 BOTT LPO LABORATORIOS POEN S.A. COL COLLINS LTD 5206 ANTIBACTERIAL-ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 OPHTHALMIC 6 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 6451L QUIDEX 0.3%|0.1% EYE DR (LPO) CIPROFLOXACIN|DEXAMETHASONE (BH) CIPROFLOXACIN|DEXAMETHASONE QUIDEX 5ML BH 8.97 8.9705 BOTT 1 BOTT LPO LABORATORIOS POEN S.A. COL COLLINS LTD 5206 ANTIBACTERIAL-ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 OPHTHALMIC 6 ANTIBACTERIAL-ANTI-INFLAMMATORY AGENTS
42 6451L QUIDEX 0.3%|0.1% EYE DR (LPO) CIPROFLOXACIN|DEXAMETHASONE CIPROFLOXACIN|DEXAMETHASONE QUIDEX 5ML B 16.31 16.31 BOTT 1 BOTT LPO LABORATORIOS POEN S.A. COL AVENTA BARBADOS 5206 ANTIBACTERIAL-ANTI-INFLAMMATORY AGENTS 2026-04-01 OPHTHALMIC 6 ANTIBACTERIAL-ANTI-INFLAMMATORY AGENTS
40 6451Y CIPRODEX 0.3% | 0.1% EAR DR (NVS/COL) CIPROFLOX CIPROFLOXACIN|DEXAMETHASONE CIPRODEX 7.5ML C 29.68 29.68 EAR DROP 0 BOTT NVS NOVARTIS CARIBE SA COL COLLINS LTD 5206 ANTIBACTERIAL-ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 OPHTHALMIC 0 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 6711BB ZINDOLIN 500MG TAB (REM) CIPROFLOXACIN (C) CIPROFLOXACIN ZINDOLIN 10X10 C 16.96 0.1696 TAB 14 BOX REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081218 QUINOLONES 2024-04-01 2026-03-31 ORAL 0 QUINOLONES
42 6711BB ZINDOLIN 500MG TAB (REM) CIPROFLOXACIN CIPROFLOXACIN ZINDOLIN 10X10 C 24.82 0.25 TAB 14 BLIS REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081218 QUINOLONES 2026-04-01 ORAL 0 QUINOLONES
40 6711CY CIPROFLOXACIN 500MG TAB (HEA/RXP) CIPROFLOXACIN CIPROFLOXACIN 10X10 A 14.81 0.15 TABLET 14 TAB HEA HEALTH 2000 INC RXP RX PRO INC 081218 QUINOLONES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 6711DA CIPROXINA 500MG TAB (BSP) CIPROFLOXACIN (C) CIPROFLOXACIN CIPROXINA 30'S C 81.55 2.7183 TAB 14 BOX BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 081218 QUINOLONES 2024-04-01 2026-03-31 ORAL 0 QUINOLONES
42 6711DA CIPROXINA 500MG TAB (BSP) CIPROFLOXACIN CIPROFLOXACIN CIPROXINA 30'S C 57.08 1.90 TAB 14 BLIS BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 081218 QUINOLONES 2026-04-01 ORAL 0 QUINOLONES
40 6711HB CIPROFLOXACIN 500MG TAB (HEA/ATB) CIPROFLOXACIN CIPROFLOXACIN 10X10 A 14.81 0.1481 TABLET IMMED 14 HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 81218 QUINOLONES 2022-07-12 2024-03-31 la oral 0 QUINOLONES 2022-11-25
41 6711HB CIPROFLOXACIN 500MG TAB (HEA) CIPROFLOXACIN CIPROFLOXACIN 10X10 A 14.87 0.1487 TAB 14 BOX HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 081218 QUINOLONES 2024-04-01 2026-03-31 ORAL 0 QUINOLONES
42 6711LQ CIPROFLOXACIN 500MG TAB (MCP) CIPROFLOXACIN CIPROFLOXACIN 10X10 A 8.10 0.08 TAB 14 BLIS MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 081218 QUINOLONES 2026-04-01 ORAL 0 QUINOLONES
41 6711LW VANCIP 500MG TAB (TPP) CIPROFLOXACIN CIPROFLOXACIN VANCIP 10X10 A 13.84 0.1384 TAB 14 BOX TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 081218 QUINOLONES 2024-04-01 2026-03-31 ORAL 0 QUINOLONES
42 6711MS CIPROFLOXACIN 500MG TAB (HEA) CIPROFLOXACIN CIPROFLOXACIN 10X10 A 15.74 0.16 TAB 14 BLIS HEA HEALTH 2000 INC AHI ARMSTRONG HEALTHCARE INC 081218 QUINOLONES 2026-04-01 Price Change ORAL 0 QUINOLONES 2025-10-31
42 6711NK CIPROFLOXACIN 500MG TAB (HEA) CIPROFLOXACIN CIPROFLOXACIN 10X10 A 15.74 0.16 TAB 14 BLIS HEA HEALTH 2000 INC CWS CAPSULE WHOLESALE 081218 QUINOLONES 2026-04-01 Add to Contract as Cat A ORAL 0 QUINOLONES 2026-01-26