Displaying 1 - 20 of 22
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 0314B FUSIDIC ACID DRESSING 1% (LDP/AHI) FUSIDIC ACID FUSIDIC ACID DRESSING 10'S A 19.14 19.14 10 BOX LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 840404 ANTIBIOTICS TOPICAL 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
41 0314B FUSIDIC ACID DRESSING 1% DRESSING (LDP) FUSIDIC ACID FUSIDIC ACID DRESSING 10'S A 18.97 1.8974 EACH 10 BOX LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 840404 ANTIBIOTICS TOPICAL 2024-04-01 2026-03-31 TOPICAL 6 ANTIBIOTICS TOPICAL
42 0314B FUSIDIC ACID DRESSING 1% DRESSING (LDP) FUSIDIC ACID FUSIDIC ACID DRESSING 10'S A 18.97 1.90 EACH 10 BOX LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 840404 ANTIBIOTICS TOPICAL 2026-04-01 Add to Contract as Cat A TOPICAL 6 ANTIBIOTICS TOPICAL 2026-03-18
42 4252AC FUSIJOHN 2% CR (JLP) FUSIDIC ACID FUSIDIC ACID FUSIJOHN 10G A 4.08 4.08 TUBE 2 TUBE JLP JOHN LEE PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 840404 ANTIBIOTICS TOPICAL 2026-04-24 Package Size Change TOPICAL 0 ANTIBIOTICS TOPICAL 2026-04-24
42 4252AD FUSIDIC ACID 2% CR (CHC) FUSIDIC ACID FUSIDIC ACID 15G A 3.34 3.34 TUBE 2 CHC CARITAS HEALTHCARE PVT LTD STO BRYDEN STOKES LTD 840404 ANTIBIOTICS TOPICAL 2026-04-01 Add to Contract as Cat A TOPICAL 0 ANTIBIOTICS TOPICAL 2026-03-05
42 4252AE FUSIDIC ACID 2% CR (FSB) FUSIDIC ACID FUSIDIC ACID 15G A 2.20 2.20 TUBE 2 FSB FLAGSHIP BIOTECH STO BRYDEN STOKES LTD 840404 ANTIBIOTICS TOPICAL 2026-04-01 Add to Contract as Cat A TOPICAL 0 ANTIBIOTICS TOPICAL 2026-03-05
40 4252F FUCIDIN 2% CR (LEO/COL) FUSIDIC ACID FUSIDIC ACID FUCIDIN 15G C 6.71 6.71 CREAM 0 TUBE LEO LEO LABORATORIES LTD. COL COLLINS LTD 840404 ANTIBIOTICS TOPICAL 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
40 4252U FUSIDIC ACID 2% CR (CHC/ATB) FUSIDIC ACID FUSIDIC ACID 15G A 2.75 2.75 CREAM 2 TUBE CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD 840404 ANTIBIOTICS TOPICAL 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
41 4252U FUSIDIC ACID 2% CR (CHC) FUSIDIC ACID FUSIDIC ACID 15G A 3.59 3.5882 TUBE 2 BOX CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD 840404 ANTIBIOTICS TOPICAL 2024-04-01 2026-03-31 TOPICAL 0 ANTIBIOTICS TOPICAL
41 4252V FUSIDIC ACID 2% CR (FSB) FUSIDIC ACID FUSIDIC ACID 15G A 2.45 2.4465 TUBE 2 BOTT FSB FLAGSHIP BIOTECH ATB ANSA TRADING BARBADOS LTD 840404 ANTIBIOTICS TOPICAL 2024-04-01 2026-03-31 TOPICAL 0 ANTIBIOTICS TOPICAL
40 4252W FUSIFEN 2% CR (FUR/ATB) FUSIDIC ACID FUSIDIC ACID FUSIFEN 15G A 2.91 2.91 CREAM 2 TUBE FUR FOURRTS LABORATORIES ATB ANSA TRADING BARBADOS LTD 840404 ANTIBIOTICS TOPICAL 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
41 4252X FUSIBACT 2% CR (LDP) FUSIDIC ACID (C) FUSIDIC ACID FUSIBACT 15G C 6.42 6.4152 TUBE 2 TUBE LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 840404 ANTIBIOTICS TOPICAL 2024-04-01 2026-03-31 TOPICAL 0 ANTIBIOTICS TOPICAL
41 4253AK FUSIDIC ACID 2% OINT (KWA) FUSIDIC ACID FUSIDIC ACID 15G A 3.56 3.561 TUBE 2 BOX KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 840404 ANTIBIOTICS TOPICAL 2024-04-01 2026-03-31 TOPICAL 0 ANTIBIOTICS TOPICAL
40 4253AQ FUSIDIC ACID 2% OINT (CHC/ATB) FUSIDIC ACID FUSIDIC ACID 15G A 2.77 2.77 OINT 2 TUBE CHC CARITAS HEALTHCARE PVT LTD ATB ANSA TRADING BARBADOS LTD 840404 ANTIBIOTICS TOPICAL 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
40 4253AT FUSIFEN 2% OINT (FUR/ATB) FUSIDIC ACID FUSIDIC ACID FUSIFEN 15G A 2.72 2.72 OINT 2 TUBE FUR FOURRTS LABORATORIES ATB ANSA TRADING BARBADOS LTD 840404 ANTIBIOTICS TOPICAL 2022-04-01 2024-03-31 TOPICAL 0 SKIN-MUCOUS MEMBRANE PREPARATIONS
42 4253BB FUSIDATE 2% OINT (CIR) FUSIDIC ACID FUSIDIC ACID FUSIDATE 20G A 4.35 4.35 TUBE 2 TUBE CIR CIRON PHARMA CWS CAPSULE WHOLESALE 840404 ANTIBIOTICS TOPICAL 2026-04-01 TOPICAL 0 ANTIBIOTICS TOPICAL
42 4253BE FUSIDIC ACID 2% OINT (CHC) FUSIDIC ACID FUSIDIC ACID 15G A 4.70 4.70 TUBE 2 CHC CARITAS HEALTHCARE PVT LTD STO BRYDEN STOKES LTD 840404 ANTIBIOTICS TOPICAL 2026-04-01 Add to Contract as Cat A TOPICAL 0 ANTIBIOTICS TOPICAL 2026-03-05
42 4253BF FUSIDIC ACID 2% OINT (FSB) FUSIDIC ACID FUSIDIC ACID 15G A 2.75 2.75 TUBE 2 FSB FLAGSHIP BIOTECH STO BRYDEN STOKES LTD 840404 ANTIBIOTICS TOPICAL 2026-04-01 Add to Contract as Cat A TOPICAL 0 ANTIBIOTICS TOPICAL 2026-03-05
40 52816 FUCITHALMIC 1% EYE DR (ANT/COL) FUSIDIC ACID FUSIDIC ACID FUCITHALMIC 5G A 14.95 14.95 EYE DROP 1 TUBE ANT CONCORDIA INTERNATIONAL COL COLLINS LTD 520404 EENT ANTIBACTERIALS 2022-04-01 2024-03-31 OPHTHALMIC 0 EYE, EAR, NOSE AND THROAT PREPARATIONS
42 52816 FUCITHALMIC 1% EYE DR (ANT) FUSIDIC ACID FUSIDIC ACID FUCITHALMIC 5G A 8.83 8.83 TUBE 1 BOX ANT CONCORDIA INTERNATIONAL COL AVENTA BARBADOS 520404 EENT ANTIBACTERIALS 2026-04-01 OPHTHALMIC 0 EENT ANTIBACTERIALS