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 2491AD DEXAMETHASONE SODIUM PHOSPHATE 4MG/ML IV/IM INJ (RTM/PHA) DEXAMETHASONE SODIUM PHOSPHATE DEXAMETHASONE SODIUM PHOSPHATE 10X1ML B 10.87 1.09 INJECTION 0 AMP RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 6804 ADRENALS 2022-04-01 2024-03-31 IV/IM 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 2491AD DEXAMET. SOD. PHOS. 4MG/ML IV/IM INJ (RTM) DEXAMETHASONE SODIUM PHOSPHATE DEXAMETHASONE SODIUM PHOSPHATE 10X1ML BQ 14.92 1.4924 AMP 0 BOX RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 6804 ADRENALS 2024-04-01 2026-03-31 IV/IM 0 ADRENALS 2024-02-08
42 2491AD DEXAMET. SOD. PHOS. 4MG/ML IV/IM INJ (RTM) DEXAMETHASONE SODIUM PHOSPHATE DEXAMETHASONE SODIUM PHOSPHATE 10X1ML B 12.50 1.25 AMPG 0 BOX RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 6804 ADRENALS 2026-04-01 IV/IM 0 ADRENALS
41 2491AR DEXAMET. SOD. PHOS. 4MG/ML IV/IM INJ (KR (B) DEXAMETHASONE SODIUM PHOSPHATE DEXAMET. SOD. PHOS. 25X1ML B 16.31 0.6524 AMP 0 BOX KRK KRKA AHI ARMSTRONG HEALTHCARE INC 6804 ADRENALS 2024-04-01 2026-03-31 IV/IM 0 ADRENALS
41 24922 DEXAMET. SOD. PHOS. 10MG/ML IV/IM INJ (OMG) DEXAMETHASONE SO (B) DEXAMETHASONE SODIUM PHOSPHATE DEXAMET. SOD. PHOS. 10X1ML B 47.35 4.7353 VIAL 0 BOX OMG OMEGA COL COLLINS LTD 6804 ADRENALS 2024-04-01 2026-03-31 IV/IM 0 ADRENALS
42 24922 DEXAMET. SOD. PHOS. 10MG/ML IV/IM INJ (OMG) DEXAMETHASONE SO DEXAMETHASONE SODIUM PHOSPHATE DEXAMET. SOD. PHOS. 10X1ML B 76.11 7.61 VIAL 0 VIAL OMG OMEGA COL AVENTA BARBADOS 6804 ADRENALS 2026-04-01 IV/IM 0 ADRENALS