Displaying 1 - 20 of 81
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 0081T FLUCONAZOLE 200MG INJ (BRA/COL) FLUCONAZOLE FLUCONAZOLE 100ML BQ 4.65 4.65 INJECTION 0 VIAL BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 081408 AZOLES 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
41 0081T FLUCONAZOLE 200MG INJ (BRA) (BQ) FLUCONAZOLE FLUCONAZOLE 100ML BQ 4.92 4.9202 VIAL 0 VIAL BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 081408 AZOLES 2024-04-01 2026-03-31 IV 0 AZOLES
42 0081T FLUCONAZOLE 200MG INJ (BRA) FLUCONAZOLE FLUCONAZOLE 100ML BQ 6.31 6.31 VIAL 0 VIAL BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL AVENTA BARBADOS 081408 AZOLES 2026-04-01 IV 0 AZOLES
40 04826 METRONIDAZOLE + HANGERS 0.5% INJ (BRA/COL) METRONIDAZOLE METRONIDAZOLE 100ML B 1.85 1.85 INJECTION 0 BOTT BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 083092 ANTIPROTOZOALS, MISCELLANEOUS 2022-04-01 2024-03-31 IV 0 ANTI-INFECTIVE AGENTS
41 04826 METRONIDAZOLE + HANGERS 0.5% INJ (BRA) (B) METRONIDAZOLE METRONIDAZOLE 100ML B 1.96 1.9572 BOTT 0 BOTT BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 083092 ANTIPROTOZOALS, MISCELLANEOUS 2024-04-01 2026-03-31 IV 0 ANTIPROTOZOALS, MISCELLANEOUS
42 04826 METRONIDAZOLE + HANGERS 0.5% INJ (BRA) METRONIDAZOLE METRONIDAZOLE 100ML B 2.12 2.12 BOTT 40 BOTT BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL AVENTA BARBADOS 083092 ANTIPROTOZOALS, MISCELLANEOUS 2026-04-01 IV 0 ANTIPROTOZOALS, MISCELLANEOUS
40 1011AE HEPARIN 5000U/ML INJ (BRA/COL) HEPARIN HEPARIN 10X5ML B 156.98 15.70 INJECTION 0 VIAL BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 20120416 HEPARINS 2022-04-01 2024-03-31 IV 0 BLOOD FORMATION, COAGULATION AND THROMBOSIS
41 1011AE HEPARIN 5000U/ML INJ (BRA) (B) HEPARIN HEPARIN 10X5ML B 165.82 16.5818 VIAL 0 BOX BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 20120416 HEPARINS 2024-04-01 2026-03-31 IV 0 HEPARINS
42 1011AE HEPARIN 5000U/ML INJ (BRA) HEPARIN HEPARIN 10X5ML B 101.12 10.11 VIAL 6 VIAL BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL AVENTA BARBADOS 20120416 HEPARINS 2026-04-01 IV 6 HEPARINS
41 14261 PARACETAMOL 10MG/ML INJ (BRA) (B) PARACETAMOL PARACETAMOL 50ML B 6.44 6.4424 BOTT 0 BOTT BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2024-04-01 2026-03-31 IV 0 ANALGESICS AND PYRETICS MISCELLANEOUS
42 14261 PARACETAMOL 10MG/ML INJ (BRA) PARACETAMOL PARACETAMOL 50ML B 4.08 4.08 BOTT 28 BOTT BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL AVENTA BARBADOS 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2026-04-01 IV 0 ANALGESICS AND PYRETICS MISCELLANEOUS
40 14262 PARACETAMOL 10MG/ML INJ (BRA/COL) PARACETAMOL PARACETAMOL 100ML B 5.06 5.06 INJECTION 0 BOTT BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2022-04-01 2024-03-31 IV 0 CENTRAL NERVOUS SYSTEM DRUGS
41 14262 PARACETAMOL 10MG/ML INJ (BRA) (B) PARACETAMOL PARACETAMOL 100ML B 5.33 5.3279 BOTT 0 BOTT BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2024-04-01 2026-03-31 IV 0 ANALGESICS AND PYRETICS MISCELLANEOUS
42 14262 PARACETAMOL 10MG/ML INJ (BRA) PARACETAMOL PARACETAMOL 100ML B 4.08 4.08 BOTT 28 BOTT BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL AVENTA BARBADOS 280892 ANALGESICS AND PYRETICS MISCELLANEOUS 2026-04-01 IV 0 ANALGESICS AND PYRETICS MISCELLANEOUS
40 1605A DIAZEPAM 5MG/ML IV/IM INJ (BRA/COL) DIAZEPAM DIAZEPAM 10X2ML B 13.81 1.38 INJECTION 0 AMP BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 282408 BENZODIAZEPINES (SEDATIVES) 2022-04-01 2024-03-31 IV/IM 0 CENTRAL NERVOUS SYSTEM DRUGS
40 19633 CALCIUM GLUCONATE 10% INJ (BRA/COL) CALCIUM GLUCONATE CALCIUM GLUCONATE 20X10ML B 31.26 1.56 INJECTION 0 AMP BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 4012 REPLACEMENT THERAPY 2022-04-01 2024-03-31 IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE
41 19633 CALCIUM GLUCONATE 10% INJ (BRA) (B) CALCIUM GLUCONATE CALCIUM GLUCONATE 20X10ML B 13.43 0.6714 AMP 10 BOX BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 4012 REPLACEMENT THERAPY 2024-04-01 2026-03-31 IV 0 REPLACEMENT THERAPY
42 19633 CALCIUM GLUCONATE 10% INJ (BRA) CALCIUM GLUCONATE CALCIUM GLUCONATE 20X10ML B 32.62 1.63 AMPG 10 BOX BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL AVENTA BARBADOS 4012 REPLACEMENT THERAPY 2026-04-01 IV 0 REPLACEMENT THERAPY
40 19985 SODIUM CHLORIDE 0.9% INJ (BRA/COL) SODIUM CHLORIDE SODIUM CHLORIDE 20X10ML B 28.13 1.41 INJECTION 0 VIAL BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 4036 IRRIGATING SOLUTIONS 2022-04-01 2024-03-31 IV 0 ELECTROLYTIC, CALORIC, AND WATER BALANCE
41 19985 SODIUM CHLORIDE 0.9% INJ (BRA) (B) SODIUM CHLORIDE SODIUM CHLORIDE 20X10ML B 6.85 0.3425 VIAL 0 BOX BRA B. BRAUN MELSUNGEN AG CARL-BRAUN-STRABE COL COLLINS LTD 4012 REPLACEMENT THERAPY 2024-04-01 2026-03-31 IV 0 REPLACEMENT THERAPY