Displaying 1 - 9 of 9
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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 5621D DERMOVATE 0.05% CR (GSK/COL) CLOBETASOL CLOBETASOL DERMOVATE 30G C 23.92 23.92 CREAM 0 TUBE GSK GLAXOSMITHKLINE COL COLLINS LTD 8406 ANTI-INFLAMMATORY AGENTS, TOPICAL 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
41 5621D DERMOVATE 0.05% CR (GSK) CLOBETASOL (C) CLOBETASOL DERMOVATE 30G C 26.31 26.3134 TUBE 0 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD 8406 ANTI-INFLAMMATORY AGENTS, TOPICAL 2024-04-01 2026-03-31 TOPICAL 0 ANTI-INFLAMMATORY AGENTS, TOPICAL
42 5621D DERMOVATE 0.05% CR (GSK) CLOBETASOL CLOBETASOL DERMOVATE 30G C 28.95 28.95 TUBE 0 BOX GSK GLAXOSMITHKLINE COL AVENTA BARBADOS 8406 ANTI-INFLAMMATORY AGENTS, TOPICAL 2026-04-01 TOPICAL 0 ANTI-INFLAMMATORY AGENTS, TOPICAL
40 5621E DERMOVATE 0.05% OINT (GSK/COL) CLOBETASOL CLOBETASOL DERMOVATE 30G C 23.92 23.92 OINT 0 TUBE GSK GLAXOSMITHKLINE COL COLLINS LTD 8406 ANTI-INFLAMMATORY AGENTS, TOPICAL 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
41 5621E DERMOVATE 0.05% OINT (GSK) CLOBETASOL (C) CLOBETASOL DERMOVATE 30G C 26.31 26.3134 TUBE 0 BOX GSK GLAXOSMITHKLINE COL COLLINS LTD 8406 ANTI-INFLAMMATORY AGENTS, TOPICAL 2024-04-01 2026-03-31 TOPICAL 0 ANTI-INFLAMMATORY AGENTS, TOPICAL
42 5621E DERMOVATE 0.05% OINT (GSK) CLOBETASOL CLOBETASOL DERMOVATE 30G C 28.95 28.95 TUBE 0 BOX GSK GLAXOSMITHKLINE COL AVENTA BARBADOS 8406 ANTI-INFLAMMATORY AGENTS, TOPICAL 2026-04-01 TOPICAL 0 ANTI-INFLAMMATORY AGENTS, TOPICAL
40 5621P CLOBETASOL 0.05% LOT (CHC/ATB) CLOBETASOL CLOBETASOL 60ML C 6.96 6.96 LOTION 0 BOTT CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD 8406 ANTI-INFLAMMATORY AGENTS, TOPICAL 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
40 56222 CLOBETASOL 0.05% SHAMP (WOC/AHI) CLOBETASOL CLOBETASOL 50ML C 70.68 70.68 SHAMPOO 0 BOTT WOC WOCKHARD LTD INDIA AHI ARMSTRONG HEALTHCARE INC 8406 ANTI-INFLAMMATORY AGENTS, TOPICAL 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
41 56223 CLOBETASONE 0.05% SHAMP (GLP) CLOB (C) CLOBETASOL CLOBETASONE 100ML C 48.93 48.93 BOTT 1 BOTT GLP GLENMARK PHARMACEUTICALS LTD CWS CAPSULE WHOLESALE 8406 ANTI-INFLAMMATORY AGENTS, TOPICAL 2024-04-01 2026-03-31 TOPICAL 0 ANTI-INFLAMMATORY AGENTS, TOPICAL