Displaying 1 - 20 of 26
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 5281BB MOXICIP 0.5% EYE DR (CIP/AHI) MOXIFLOXACIN MOXIFLOXACIN MOXICIP 5ML BQ 10.60 10.60 EYE DROP 0 BOTT CIP CIPLA LTD AHI ARMSTRONG HEALTHCARE INC 520404 EENT ANTIBACTERIALS 2022-04-01 2022-09-30 OPHTHALMIC 0 EYE, EAR, NOSE AND THROAT PREPARATIONS 2022-03-29
40 5281BX OPTIMOX 0.5% EYE DR (ARP/AHI) MOXIFLOXACIN MOXIFLOXACIN OPTIMOX 5ML BQ 8.70 8.70 EYE DROP 0 BOTT ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 520404 EENT ANTIBACTERIALS 2022-04-01 2024-03-31 OPHTHALMIC 6 EYE, EAR, NOSE AND THROAT PREPARATIONS
40 5281CD VIGAMOX 0.5% EYE DR (NVS/COL) MOXIFLOXACIN MOXIFLOXACIN VIGAMOX 3ML C 27.05 27.05 EYE DROP 0 BOTT NVS NOVARTIS CARIBE SA COL COLLINS LTD 520404 EENT ANTIBACTERIALS 2022-04-01 2024-03-31 OPHTHALMIC 0 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 5281CE VIGAMOX 0.5% EYE DR (NVS) MOXIFLOXACIN (C) MOXIFLOXACIN VIGAMOX 5ML C 45.4 45.396 BOTT 0 BOTT NVS NOVARTIS CARIBE SA COL COLLINS LTD 520404 EENT ANTIBACTERIALS 2024-04-01 2026-03-31 OPHTHALMIC 0 EENT ANTIBACTERIALS
42 5281CE VIGAMOX 0.5% EYE DR (NVS) MOXIFLOXACIN MOXIFLOXACIN VIGAMOX 5ML C 45.40 45.40 BOTT 0 BOTT NVS NOVARTIS CARIBE SA COL AVENTA BARBADOS 520404 EENT ANTIBACTERIALS 2026-04-01 OPHTHALMIC 0 EENT ANTIBACTERIALS
41 5281CF ENMOX 0.5% EYE DR (SHC) MOXIFLOXACIN (BQ) MOXIFLOXACIN ENMOX 5ML BQ 5.71 5.7085 BOTT 0 BOTT SHC SION HEALTHCARE PSB PHARMACEUTICAL SOLUTIONS BARBA 520404 EENT ANTIBACTERIALS 2024-04-01 2026-03-31 OPHTHALMIC 0 EENT ANTIBACTERIALS
42 5281CR 4QUIN 0.5% EYE DR (ADO) MOXIFLOXACIN MOXIFLOXACIN 4 QUIN 5ML BQ 6.25 6.25 BOTT 0 BOTT ADO ADORE PHARMA PSB PHARMACEUTICAL SOLUTIONS BARBA 520404 EENT ANTIBACTERIALS 2026-04-01 OPHTHALMIC 0 EENT ANTIBACTERIALS
41 6451AE 4-QUIN D 0.1%|0.5% EYE DR (HAN) DEXAMETHASONE|MOXIFLOXACIN (BQ) DEXAMETHASONE|MOXIFLOXACIN 4-QUIN D 5ML BQ 3.94 3.9416 BOTT 1 BOTT HAN HANUCHEM LABORATORIES PSB PHARMACEUTICAL SOLUTIONS BARBA 5206 ANTIBACTERIAL-ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 OPHTHALMIC 6 ANTIBACTERIAL-ANTI-INFLAMMATORY AGENTS
40 6451Z VIGADEXA 0.1% | 0.5% EYE DR (NVS/COL) DEXAMETHA DEXAMETHASONE|MOXIFLOXACIN VIGADEXA 5ML BQ 20.39 20.39 EYE DROP 1 BOTT NVS NOVARTIS CARIBE SA COL COLLINS LTD 5206 ANTIBACTERIAL-ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 OPHTHALMIC 6 EYE, EAR, NOSE AND THROAT PREPARATIONS
41 6451Z VIGADEXA 0.1%|0.5% EYE DR (NVS) DEXAMETHASONE|MOXIFLOXACIN (C) DEXAMETHASONE|MOXIFLOXACIN VIGADEXA 5ML C 20.39 20.3874 BOTT 1 BOTT NVS NOVARTIS CARIBE SA COL COLLINS LTD 5206 ANTIBACTERIAL-ANTI-INFLAMMATORY AGENTS 2024-04-01 2026-03-31 OPHTHALMIC 6 ANTIBACTERIAL-ANTI-INFLAMMATORY AGENTS
42 6451Z VIGADEXA 0.1%|0.5% EYE DR (NVS) DEXAMETHASONE|MOXIFLOXACIN DEXAMETHASONE|MOXIFLOXACIN VIGADEXA 5ML C 20.39 20.39 BOTT 1 BOTT NVS NOVARTIS CARIBE SA COL AVENTA BARBADOS 5206 ANTIBACTERIAL-ANTI-INFLAMMATORY AGENTS 2026-04-01 OPHTHALMIC 6 ANTIBACTERIAL-ANTI-INFLAMMATORY AGENTS
40 6711AL AVELOX 400MG TAB (BSP/COL) MOXIFLOXACIN MOXIFLOXACIN AVELOX 20'S C 182.13 9.11 TABLET 0 TAB BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 081218 QUINOLONES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 6711AL AVELOX 400MG TAB (BSP) MOXIFLOXACIN (C) MOXIFLOXACIN AVELOX 20'S C 182.13 9.1064 TAB 0 BOX BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 081218 QUINOLONES 2024-04-01 2026-03-31 ORAL 0 QUINOLONES
42 6711DD AVELOX 400MG TAB (BSP) MOXIFLOXACIN MOXIFLOXACIN AVELOX 5'S C 45.53 9.11 TAB 0 BLIS BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 081218 QUINOLONES 2026-04-01 ORAL 0 QUINOLONES
40 6711EK AVELOX 400MG TAB (BSP/AHI) MOXIFLOXACIN MOXIFLOXACIN AVELOX 20'S C 182.13 9.11 TABLET 0 TAB BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 081218 QUINOLONES 2022-04-01 2024-03-31 Oral 0 ANTI-INFECTIVE AGENTS
41 6711EK AVELOX 400MG TAB (BSP) MOXIFLOXACIN (C) MOXIFLOXACIN AVELOX 20'S C 182.13 9.1064 TAB 0 BOX BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 081218 QUINOLONES 2024-04-01 2026-03-31 ORAL 0 QUINOLONES
42 6711EK AVELOX 400MG TAB (BSP) MOXIFLOXACIN MOXIFLOXACIN AVELOX 20'S C 120.29 6.01 TAB 0 BLIS BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 081218 QUINOLONES 2026-04-01 ORAL 0 QUINOLONES
41 6711KV OXIFLED 400MG TAB (MSN) MOXIFLOXACIN (C) MOXIFLOXACIN OXIFLED 10'S C 7.96 0.7965 TAB 0 BOTT MSN MSN LABS ATB ANSA TRADING BARBADOS LTD 081218 QUINOLONES 2024-04-01 2026-03-31 ORAL 0 QUINOLONES
42 6711ME AVELOX 400MG TAB (BSP) MOXIFLOXACIN MOXIFLOXACIN AVELOX 5'S C 41.43 8.29 TAB 0 BLIS BSP BAYER SCHERING PHARMA AG. COL AVENTA BARBADOS 081218 QUINOLONES 2026-04-01 ORAL 0 QUINOLONES
40 6712C AVELOX 400MG INJ (BSP/COL) MOXIFLOXACIN MOXIFLOXACIN AVELOX 250ML C 50.70 50.70 INJECTION 0 VIAL BSP BAYER SCHERING PHARMA AG. COL COLLINS LTD 081218 QUINOLONES 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS