Displaying 1 - 9 of 9
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 0884BL IPRAVENT 0.25MG/ML RESP SOL (CIP/AHI) IPRATRO IPRATROPIUM BROMIDE IPRAVENT 20X2ML A 32.70 1.64 RESPIRATORY 1 AMP CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC B 481208 ANTICHOLINERGIC AGENTS (RESPIRATORY) 2022-04-01 2024-03-31 Nasal 6 RESPIRATORY TRACT AGENTS
40 0884BT IPRAVENT 0.25MG/ML RESP SOL (CIP/AHI) IPRATRO IPRATROPIUM BROMIDE IPRAVENT 15ML A 1.82 1.82 RESPIRATORY 1 BOTT CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC B 481208 ANTICHOLINERGIC AGENTS (RESPIRATORY) 2022-04-01 2024-03-31 Nasal 6 RESPIRATORY TRACT AGENTS
41 0884BT IPRAVENT 0.25MG/ML RESP SOL (CIP) IPRATROPIUM IPRATROPIUM IPRAVENT 15ML A 6.5 6.4968 BOTT 1 BOTT CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC B 481208 ANTICHOLINERGIC AGENTS (RESPIRATORY) 2024-04-01 2026-03-31 NASAL 6 ANTICHOLINERGIC AGENTS (RESPIRATORY)
41 0884BV PMS-IPRATROPIUM 0.25MG/ML RESP SOL (PMS) IPRATROPIUM PMS-IPRATROPIUM 20X1ML A 12.37 0.6184 AMPP 1 BOX PMS PHARMASCIENCE COL COLLINS LTD B 48120412 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRATORY) 2024-04-01 2026-03-31 ORAL INHALATION 6 SELECTIVE BETA2 ADRENERGIC AGONIST (RESPIRA
42 09121 PMS-IPRATROPIUM 0.25MG/ML RESP SOL (PMS) IPRATROPIUM PMS-IPRATROPIUM 20X1ML A 11.55 0.58 AMPP 1 AMPP PMS PHARMASCIENCE AVENTA BARBADOS B 481208 ANTICHOLINERGIC AGENTS (RESPIRATORY) 2026-04-01 ORAL INHALATION 6 ANTICHOLINERGIC AGENTS (RESPIRATORY)
42 09122 IPRAVENT 0.25MG/ML RESP SOL (CIP) IPRATROPIUM IPRATROPIUM IPRAVENT 15ML A 3.23 3.23 BOTT 1 BOTT CIP CIPLA LTD ARMSTRONG HEALTHCARE INC B 481208 ANTICHOLINERGIC AGENTS (RESPIRATORY) 2026-04-01 ORAL INHALATION 6 ANTICHOLINERGIC AGENTS (RESPIRATORY)
40 A4021 COMBIVENT 0.2MG/ML | 1MG/ML RESP SOL (BOE/STO) IPRATROPIUM | SALBUTAMOL IPRATROPIUM|SALBUTAMOL COMBIVENT 20X2.5ML A 67.14 3.36 RESPIRATORY 20 BOTT BOE BOEHRINGER INGELHEIM STO BRYDEN STOKES LTD B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2022-04-01 2024-03-31 INHALATION 6 RESPIRATORY TRACT AGENTS
41 A4021 COMBIVENT 0.2MG/ML|1MG/ML RESP SOL (BOE) IPRATROPIUM|SALBUTA IPRATROPIUM|SALBUTAMOL COMBIVENT 20X2.5ML A 69.15 3.4577 BOX 20 BOTT BOE BOEHRINGER INGELHEIM STO BRYDEN STOKES LTD B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2024-04-01 2026-03-31 INHALATION 6 RESPIRATORY AGENTS MISCELLANEOUS
42 A4021 COMBIVENT 0.2MG/ML|1MG/ML RESP SOL (BOE) IPRATROPIUM|SALBUTA IPRATROPIUM|SALBUTAMOL COMBIVENT 20X2.5ML A 69.15 3.46 AMPG 20 AMPG BOE BOEHRINGER INGELHEIM STO BRYDEN STOKES LTD B 4892 RESPIRATORY AGENTS MISCELLANEOUS 2026-04-01 INHALATION 6 RESPIRATORY AGENTS MISCELLANEOUS