Displaying 1 - 5 of 5
  • 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 71318 ACCORD REPAGLINIDE 0.5MG TAB (INP/AAL) REPAGL REPAGLINIDE ACCORD REPAGLINIDE 30'S C 58.36 1.95 TABLET 0 TAB INP INTAS PHARMACEUTICALS LTD AAL A. A. LAQUIS LTD 682016 MEGLITINIDES 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 71328 ACCORD REPAGLINIDE 1MG TAB (INP/AAL) REPAGLIN REPAGLINIDE ACCORD REPAGLINIDE 30'S C 87.56 2.92 TABLET 0 TAB INP INTAS PHARMACEUTICALS LTD AAL A. A. LAQUIS LTD 682016 MEGLITINIDES 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
40 71331 NOVONORM 2MG TAB (NOV/COL) REPAGLINIDE REPAGLINIDE NOVONORM 30'S C 27.18 0.91 TABLET 0 TAB NOV NOVO NORDISK A/S COL COLLINS LTD 682016 MEGLITINIDES 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES
41 71331 NOVONORM 2MG TAB (NOV) REPAGLINIDE REPAGLINIDE NOVONORM 30'S C 27.18 0.9061 TAB 0 BOX NOV NOVO NORDISK A/S COL COLLINS LTD 682016 MEGLITINIDES 2024-04-01 2026-03-31 ORAL 0 MEGLITINIDES
40 7133A REPAGLINIDE 1MG TAB (INP/AHI) REPAGLINIDE REPAGLINIDE 90'S C 24.46 0.27 TABLET 0 TAB INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 682016 MEGLITINIDES 2022-04-01 2024-03-31 Oral 0 HORMONES AND SYNTHETIC SUBSTITUTES