Displaying 1 - 15 of 15
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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 2961AB LANOSTERONE 5MG TAB (LDP/AHI) NORETHISTERONE NORETHISTERONE LANOSTERONE 100'S A 12.37 0.12 TABLET 90 TAB LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 6832 PROGESTINS 2022-04-01 2022-09-30 Oral 6 HORMONES AND SYNTHETIC SUBSTITUTES 2022-03-29
40 2961AC NORETHISTERONE 5MG TAB (RYV/ATB) NORETHISTERONE NORETHISTERONE 100'S A 7.48 0.07 TABLET 90 TAB RYV RYVIS PHARMA PVT. LTD ATB ANSA TRADING BARBADOS LTD 6832 PROGESTINS 2022-04-01 2022-07-26 Oral 6 HORMONES AND SYNTHETIC SUBSTITUTES
40 2961AC NORETHISTERONE 5MG TAB (RYV/ATB) NORETHISTERONE NORETHISTERONE 100'S A 8.34 0.08 TABLET 90 TAB RYV RYVIS PHARMA PVT. LTD ATB ANSA TRADING BARBADOS LTD 6832 PROGESTINS 2022-09-27 2024-03-31 Price Change Oral 6 HORMONES AND SYNTHETIC SUBSTITUTES 2022-07-26
40 2961AD NORETHISTERONE 5MG TAB (HEA/ATB) NORETHISTERONE NORETHISTERONE 10X10 A 8.07 0.0807 TABLET IMMED HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 6832 PROGESTINS 2022-12-07 2024-03-31 Change Local Agent oral 6 PROGESTINS 2022-11-25
41 2961AD NORETHISTERONE 5MG TAB (HEA) NORETHISTERONE NORETHISTERONE 10X10 A 8.35 0.0835 TAB 90 BOX HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD 6832 PROGESTINS 2024-04-01 2026-03-31 ORAL 6 PROGESTINS
42 2961AE NORESTH EZE 5MG TAB (INF) NORETHISTERONE NORETHISTERONE NORESTH EZE 10X10 A 7.75 0.08 TAB 90 BLIS INF INFOCUS REMEDIES PVT RXP RX PRO INC 6832 PROGESTINS 2026-04-01 ORAL 6 PROGESTINS
42 2961AF NORETHISTERONE 5MG TAB (HEA) NORETHISTERONE NORETHISTERONE 10X10 A 8.21 0.08 TAB 90 BLIS HEA HEALTH 2000 INC AHI ARMSTRONG HEALTHCARE INC 6832 PROGESTINS 2026-04-01 Price Change ORAL 6 PROGESTINS 2025-10-31
42 2961AH NORETHISTERONE 5MG TAB (HEA) NORETHISTERONE NORETHISTERONE 10X10 A 8.21 0.08 TAB 90 BLIS HEA HEALTH 2000 INC CWS CAPSULE WHOLESALE 6832 PROGESTINS 2026-04-01 Add to Contract as Cat A ORAL 6 PROGESTINS 2026-01-26
42 2961AJ NORETHISTERONE 5MG TAB (HEA) NORETHISTERONE NORETHISTERONE 10X10 A 8.21 0.08 TAB 90 HEA HEALTH 2000 INC STO BRYDEN STOKES LTD 6832 PROGESTINS 2026-04-01 Add to Contract as Cat A ORAL 6 PROGESTINS 2026-02-27
40 2961K NORCOLUT 5MG TAB (CHW/AHI) NORETHISTERONE NORETHISTERONE NORCOLUT 2X10 A 3.21 0.16 TABLET 90 TAB CHW CHEMICAL WORKS OF GEDEON RICHTER LTD AHI ARMSTRONG HEALTHCARE INC 6832 PROGESTINS 2022-04-01 2022-09-30 Oral 6 HORMONES AND SYNTHETIC SUBSTITUTES 2022-03-29
41 2961K NORCOLUT 5MG TAB (CHW) NORETHISTERONE (C) NORETHISTERONE NORCOLUT 2X10 C 3.45 0.1726 TAB 90 BOX CHW CHEMICAL WORKS OF GEDEON RICHTER LTD AHI ARMSTRONG HEALTHCARE INC 6832 PROGESTINS 2024-04-01 2026-03-31 ORAL 6 PROGESTINS
42 2961S NORETHISTERONE 5MG TAB (REM) NORETHISTERONE NORETHISTERONE 3X10 A 2.45 0.08 TAB 90 BLIS REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD 6832 PROGESTINS 2026-04-01 ORAL 6 PROGESTINS
40 2961V NORETHISTERONE 5MG TAB (HEA/RXP) NORETHISTERONE NORETHISTERONE 10X10 A 8.07 0.08 TABLET 90 TAB HEA HEALTH 2000 INC RXP RX PRO INC 6832 PROGESTINS 2022-04-01 2024-03-31 Oral 6 HORMONES AND SYNTHETIC SUBSTITUTES
40 2961Z NORETHISTERONE 5MG TAB (KWA/ATB) NORETHISTERONE NORETHISTERONE 100'S A 8.26 0.08 TABLET 90 TAB KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 6832 PROGESTINS 2022-04-21 2022-09-30 Oral 6 HORMONES AND SYNTHETIC SUBSTITUTES 2022-04-21
41 2961Z NORETHISTERONE 5MG TAB (KWA) NORETHISTERONE NORETHISTERONE 100'S A 9.7 0.097 TAB 90 BOX KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 6832 PROGESTINS 2024-04-01 2026-03-31 ORAL 6 PROGESTINS