Displaying 1 - 7 of 7
  • 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 74712 DEPIXOL DEPOT 20MG/ML INJ (LUN/COL) FLUPENTHI FLUPENTHIXOL DEPIXOL DEPOT 10X1ML B 117.95 11.80 INJECTION 0 AMP LUN H. LUNDBECK & CO. A/S COL COLLINS LTD 28160832 THIOXANTHENES 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
41 7471AB FLUPENTHIXOL 20MG/ML INJ (CIR) FLUPENTHIXOL FLUPENTHIXOL 10X1ML B 85.63 8.563 AMP 6 BOX CIR CIRON PHARMA AHI ARMSTRONG HEALTHCARE INC 28160824 PHENOTHIAZINES 2024-04-01 2026-03-31 IM 6 PHENOTHIAZINES 2024-03-11
41 7471AD FLUPENTHIXOL 20MG/ML INJ (MON) (B) FLUPENTHIXOL FLUPENTHIXOL 10X1ML B 5.33 0.5328 AMP 6 BOX MON MONTAGE PHARMACEUTICALS ALI ALL HEALTH INC 28160824 PHENOTHIAZINES 2024-04-01 2026-03-31 IV 6 PHENOTHIAZINES
42 7471AJ FLUPENTHIXOL 20MG/ML INJ (KWA) FLUPENTHIXOL FLUPENTHIXOL 10X1ML B 12.83 1.28 VIAL 6 KWA KWALITY PHARMACEUTICALS STO BRYDEN STOKES LTD 28160832 THIOXANTHENES 2026-04-01 Add to Contract as Cat B IM 6 THIOXANTHENES 2026-03-02
42 7471AK FLUPENTHIXOL 20MG/ML INJ (CHC) FLUPENTHIXOL FLUPENTHIXOL 1ML AMP B 1.96 1.96 AMPG 6 CHC CARITAS HEALTHCARE PVT LTD STO BRYDEN STOKES LTD 28160832 THIOXANTHENES 2026-04-01 Add to Contract as Cat B IM 6 THIOXANTHENES 2026-03-05
41 7471Z FLUXOL 20MG/ML INJ (LDP) FLUPENTHIXOL (B) FLUPENTHIXOL FLUXOL 10X1ML B 36.53 3.6534 AMP 6 BOX LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 28160824 PHENOTHIAZINES 2024-04-01 2026-03-31 IM 6 PHENOTHIAZINES
40 7473K DEPIXOL 3MG TAB (LUN/COL) FLUPENTHIXOL FLUPENTHIXOL DEPIXOL 100'S A 115.09 1.15 TABLET 180 TAB LUN H. LUNDBECK & CO. A/S COL COLLINS LTD 28160832 THIOXANTHENES 2022-04-01 2024-03-31 Oral 6 CENTRAL NERVOUS SYSTEM DRUGS