Displaying 1 - 20 of 31
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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 37834 DEXTROSE | SODIUM CHLORIDE 5% | 0.2% INJ (BAX/STO) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 1 LITRE B 4.62 4.62 INJECTION 0 BOTT BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4020 CALORIC AGENTS 2022-04-01 2024-03-31 IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE
41 37834 DEXTROSE|SODIUM CHLORIDE 5%|0.2% INJ (BAX) (B) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 1 LITRE B 7.83 7.8288 BAG 0 BAG BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4020 CALORIC AGENTS 2024-04-01 2026-03-31 IV 0 CALORIC AGENTS
42 37834 DEXTROSE|SODIUM CHLORIDE 5%|0.2% INJ (BAX) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 1 LITRE B 8.51 8.51 BAG 0 BAG BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4020 CALORIC AGENTS 2026-04-01 IV 0 CALORIC AGENTS
40 37842 DEXTROSE | SODIUM CHLORIDE 5% | 0.9% INJ (BAX/STO) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 250ML B 3.07 3.07 INJECTION 0 BOTT BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4020 CALORIC AGENTS 2022-04-01 2024-03-31 IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE
41 37845 DEXTROSE|SODIUM CHLORIDE 5%|0.9% INJ (CSC) (B) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 250ML B 2.15 2.1475 BAG 100 BAG CSC FORSURE MEDICAL PHA PHARMACY SALES CARIBBEAN 4020 CALORIC AGENTS 2024-04-01 2026-03-31 INJ 0 CALORIC AGENTS
40 3785D DEXTROSE | SODIUM CHLORIDE 5% | 0.9% INJ (BAX/STO) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 500ML B 3.34 3.34 INJECTION 0 BOTT BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4020 CALORIC AGENTS 2022-04-01 2024-03-31 IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE
41 3785D DEXTROSE|SODIUM CHLORIDE 5%|0.9% INJ (BAX) (B) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 500ML B 5.03 5.0289 BAG 100 BAG BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4020 CALORIC AGENTS 2024-04-01 2026-03-31 IV 0 CALORIC AGENTS
42 3785D DEXTROSE|SODIUM CHLORIDE 5%|0.9% INJ (BAX) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 500ML B 6.23 6.22 BAG 100 BAG BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4020 CALORIC AGENTS 2026-04-01 IV 0 CALORIC AGENTS
40 3785G DEXTROSE | SODIUM CHLORIDE 5% | 0.9% INJ (CSC/PHA) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 500ML B 2.85 2.85 INJECTION 0 BOTT CSC FORSURE MEDICAL PHA PHARMACY SALES CARIBBEAN 4020 CALORIC AGENTS 2022-04-01 2022-06-15 Price Change IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE 2021-11-10
40 3785G DEXTROSE | SODIUM CHLORIDE 5% | 0.9% INJ (CSC/PHA) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 500ML B 3.79 3.79 INJECTION 0 BOTT CSC FORSURE MEDICAL PHA PHARMACY SALES CARIBBEAN 4020 CALORIC AGENTS 2022-06-16 2024-03-31 Price Change IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE 2022-06-15
41 3785G DEXTROSE|SODIUM CHLORIDE 5%|0.9% INJ (CSC) (B) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 500ML B 2.45 2.4465 BAG 100 BAG CSC FORSURE MEDICAL PHA PHARMACY SALES CARIBBEAN 4020 CALORIC AGENTS 2024-04-01 2026-03-31 IV 0 CALORIC AGENTS
40 37862 DEXTROSE | SODIUM CHLORIDE 5% | 0.9% INJ (BAX/STO) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 1 LITRE B 3.18 3.18 INJECTION 0 BOTT BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4020 CALORIC AGENTS 2022-04-01 2024-03-31 IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE
41 37862 DEXTROSE|SODIUM CHLORIDE 5%|0.9% INJ (BAX) (B) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 1 LITRE B 5.6 5.5997 BAG 100 BAG BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4020 CALORIC AGENTS 2024-04-01 2026-03-31 IV 0 CALORIC AGENTS
42 37862 DEXTROSE|SODIUM CHLORIDE 5%|0.9% INJ (BAX) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 1 LITRE B 6.25 6.25 BAG 100 BAG BAX BAXTER EXPORT CORP. STO BRYDEN STOKES LTD 4020 CALORIC AGENTS 2026-04-01 IV 0 CALORIC AGENTS
40 3786F DEXTROSE | SODIUM CHLORIDE 5% | 0.9% INJ (CSC/PHA) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 1 LITRE B 3.15 3.15 INJECTION 0 BOTT CSC FORSURE MEDICAL PHA PHARMACY SALES CARIBBEAN 4020 CALORIC AGENTS 2022-04-01 2022-06-18 Price Change IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE 2021-11-10
40 3786F DEXTROSE | SODIUM CHLORIDE 5% | 0.9% INJ (CSC/PHA) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 1 LITRE B 4.23 4.23 INJECTION 0 BOTT CSC FORSURE MEDICAL PHA PHARMACY SALES CARIBBEAN 4020 CALORIC AGENTS 2022-06-19 2022-07-18 Price Change IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE 2022-06-15
40 3786F DEXTROSE | SODIUM CHLORIDE 5% | 0.9% INJ (CSC/PHA) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 1 LITRE B 4.00 4.00 INJECTION 0 BOTT CSC FORSURE MEDICAL PHA PHARMACY SALES CARIBBEAN 4020 CALORIC AGENTS 2022-07-19 2024-03-31 Price Change IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE 2022-07-18
41 3786F DEXTROSE|SODIUM CHLORIDE 5%|0.9% INJ (CSC) (B) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 1 LITRE B 3.72 3.7241 BAG 100 BAG CSC FORSURE MEDICAL PHA PHARMACY SALES CARIBBEAN 4020 CALORIC AGENTS 2024-04-01 2026-03-31 IV 0 CALORIC AGENTS
40 37882 DEXTROSE | SODIUM CHLORIDE 5% | 0.45% INJ (CSC/PHA) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 500ML B 2.50 2.50 INJECTION 0 BAG CSC FORSURE MEDICAL PHA PHARMACY SALES CARIBBEAN 4020 CALORIC AGENTS 2022-04-01 2022-06-15 Price Change IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE 2021-11-10
40 37882 DEXTROSE | SODIUM CHLORIDE 5% | 0.45% INJ (CSC/PHA) DEXTROSE|SODIUM CHLORIDE DEXTROSE|SODIUM CHLORIDE 500ML B 2.80 2.80 INJECTION 0 BAG CSC FORSURE MEDICAL PHA PHARMACY SALES CARIBBEAN 4020 CALORIC AGENTS 2022-06-16 2024-03-31 Price Change IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE 2022-06-15