Displaying 1 - 20 of 32
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 0081T FLUCONAZOLE 200MG INJ (BRA/COL) FLUCONAZOLE FLUCONAZOLE 100ML BQ 4.65 4.65 INJECTION 0 VIAL BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 081408 AZOLES 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
41 0081T FLUCONAZOLE 200MG INJ (BRA) (BQ) FLUCONAZOLE FLUCONAZOLE 100ML BQ 4.92 4.9202 VIAL 0 VIAL BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 081408 AZOLES 2024-04-01 2026-03-31 IV 0 AZOLES
42 0081T FLUCONAZOLE 200MG INJ (BRA) FLUCONAZOLE FLUCONAZOLE 100ML BQ 6.31 6.31 VIAL 0 VIAL BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL AVENTA BARBADOS 081408 AZOLES 2026-04-01 IV 0 AZOLES
40 58615 DIFLUCAN 150MG CAP (PFI/STO) FLUCONAZOLE FLUCONAZOLE DIFLUCAN 1'S C 22.70 22.70 CAPSULE 0 CAP PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 081408 AZOLES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 58615 DIFLUCAN 150MG CAP (PFI) FLUCONAZOLE (C) FLUCONAZOLE DIFLUCAN 1'S C 22.92 22.9155 CAP 60 BOX PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 081408 AZOLES 2024-04-01 2026-03-31 ORAL 6 AZOLES
42 58615 DIFLUCAN 150MG CAP (PFI) FLUCONAZOL FLUCONAZOLE DIFLUCAN 1'S C 22.92 22.92 CAP 60 BLIS PFI PFIZER CORPORATION STO BRYDEN STOKES LTD 081408 AZOLES 2026-04-01 ORAL 6 AZOLES
40 5861AD APO-FLUCONAZOLE 50MG TAB (APO/COL) FLUCONAZOLE APO-FLUCONAZOLE 50'S A 23.11 0.46 TABLET 60 TAB APO APOTEX INC. COL COLLINS LTD 081408 AZOLES 2022-04-01 2024-03-31 Oral 6 ANTI-INFECTIVE AGENTS
41 5861CF DILAPAN 150MG TAB (REM) FLUCONAZOLE (C) FLUCONAZOLE DILAPAN 3'S C 2.72 0.9061 TAB 60 BOTT REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081408 AZOLES 2024-04-01 2026-03-31 ORAL 6 AZOLES
42 5861CF DILAPAN 150MG TAB (REM) FLUCONAZOLE FLUCONAZOLE DILAPAN 3'S C 2.85 0.95 TAB 60 BLIS REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 081408 AZOLES 2026-04-01 ORAL 6 AZOLES
40 5861EG FLUCESS 150MG CAP (BCH/COL) FLUCONAZOLE FLUCONAZOLE FLUCESS 10'S C 11.15 1.12 CAPSULE 0 CAP BCH SANDOZ COL COLLINS LTD 081408 AZOLES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
40 5861EH FLUCESS 200MG CAP (BCH/COL) FLUCONAZOLE FLUCONAZOLE FLUCESS 10'S C 21.01 2.10 CAPSULE 0 CAP BCH SANDOZ COL COLLINS LTD 081408 AZOLES 2022-04-01 2024-03-31 Price Change Oral 0 ANTI-INFECTIVE AGENTS 2022-01-18
40 5861ET FLUCONAZOLE 150MG CAP (HEA/RXP) FLUCONAZOLE FLUCONAZOLE 1'S A 0.46 0.46 CAPSULE 60 CAP HEA HEALTH 2000 INC RXP RX PRO INC 081408 AZOLES 2022-04-01 2024-03-31 Oral 6 ANTI-INFECTIVE AGENTS
40 5861FQ FLUCONAZOLE 150MG CAP (HEA/ATB) FLUCONAZOLE FLUCONAZOLE 1'S A 0.46 0.46 CAPSULE HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 81408 AZOLES 2022-12-07 2024-03-31 Change Local Agent oral 6 AZOLES 2022-11-25
41 5861HF FLUCESS 150MG CAP (BCH) FLUCONAZOLE (C) FLUCONAZOLE FLUCESS 1'S C 6.9 6.9045 CAP 60 BOX BCH SANDOZ COL COLLINS LTD 081408 AZOLES 2024-04-01 2026-03-31 ORAL 6 AZOLES
42 5861HF FLUCESS 150MG CAP (BCH) FLUCONAZOLE FLUCONAZOLE FLUCESS 1'S C 21.91 21.91 CAP 60 BLIS BCH SANDOZ COL AVENTA BARBADOS 081408 AZOLES 2026-04-01 ORAL 6 AZOLES
41 5861JG FLUCONAZOLE 50MG TAB (LDP) FLUCONAZOLE FLUCONAZOLE 100'S A 12.23 0.1223 TAB 60 BOTT LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 081404 ALLYAMINES 2024-04-01 2026-03-31 ORAL 6 ALLYAMINES
40 5861JH FLUCONAZOLE 150MG TAB (LDP/AHI) FLUCONAZOLE FLUCONAZOLE 100'S A 23.79 0.24 TABLET 60 TAB LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 081408 AZOLES 2022-04-01 2024-03-31 Oral 6 ANTI-INFECTIVE AGENTS
40 5861JW FLUCONAZOLE 200MG TAB (FSB/ATB) FLUCONAZOLE FLUCONAZOLE 10'S A 3.64 0.36 TABLET 60 TAB FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 081408 AZOLES 2022-04-01 2024-03-31 Add to Contract as Cat A Oral 6 ANTI-INFECTIVE AGENTS 2021-12-03
41 5861KH FLUCONA-DENK 150MG CAP (EDK) FLUCONAZOLE FLUCONAZOLE FLUCONA-DENK 10'S A 2.04 0.2039 CAP 60 BOX EDK DENK PHARMA GMBH & CO. KG. SBI MASSY DISTRIBUTION (BDOS) LTD 081408 AZOLES 2024-04-01 2024-07-29 ORAL 6 AZOLES 2024-06-17
42 5861KK CANESORAL 150MG CAP (BSP) FLUCONAZ (C) FLUCONAZOLE CANESORAL 1'S C 4.89 4.89 CAP 60 BOX BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 081408 AZOLES 2026-04-01 Add to Contract as Cat C ORAL 6 AZOLES 2026-02-11