Displaying 1 - 10 of 10
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
41 0694B NEOSTIGMINE 2.5MG/ML INJ (OMG) (BQ) NEOSTIGMINE NEOSTIGMINE 10X5ML BQ 101.04 10.104 AMP 0 BOX OMG OMEGA COL COLLINS LTD 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2024-04-01 2024-07-19 IV 0 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2024-07-19
41 0694B NEOSTIGMINE 2.5MG/ML INJ (OMG) (BQ) NEOSTIGMINE NEOSTIGMINE 10X5ML BQ 86.64 8.664 AMP 0 BOX OMG OMEGA COL COLLINS LTD 1204 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2024-07-20 2026-03-31 IV 0 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS 2024-07-19
41 2353F PHENYLEPHRINE 10MG/ML INJ (OMG) (BQ) PHENYLEPHRINE PHENYLEPHRINE 10X1ML BQ 66.33 6.6327 VIAL 0 BOX OMG OMEGA COL COLLINS LTD 121204 ALPHA ADRENERGIC AGONIST 2024-04-01 2026-03-31 IV/IM/SC 0 ALPHA ADRENERGIC AGONIST
41 24922 DEXAMET. SOD. PHOS. 10MG/ML IV/IM INJ (OMG) DEXAMETHASONE SO (B) DEXAMETHASONE SODIUM PHOSPHATE DEXAMET. SOD. PHOS. 10X1ML B 47.35 4.7353 VIAL 0 BOX OMG OMEGA COL COLLINS LTD 6804 ADRENALS 2024-04-01 2026-03-31 IV/IM 0 ADRENALS
42 24922 DEXAMET. SOD. PHOS. 10MG/ML IV/IM INJ (OMG) DEXAMETHASONE SO DEXAMETHASONE SODIUM PHOSPHATE DEXAMET. SOD. PHOS. 10X1ML B 76.11 7.61 VIAL 0 VIAL OMG OMEGA COL AVENTA BARBADOS 6804 ADRENALS 2026-04-01 IV/IM 0 ADRENALS
41 3681W NALOXONE 0.4MG/ML INJ (OMG) (B) NALOXONE NALOXONE 10X1ML B 47.35 4.7353 VIAL 0 BOX OMG OMEGA COL COLLINS LTD 2810 OPIATE ANTAGONISTS 2024-04-01 2026-03-31 IV/IM/SC 0 OPIATE ANTAGONISTS
42 3681W NALOXONE 0.4MG/ML INJ (OMG) NALOXONE NALOXONE 10X1ML B 52.19 5.22 VIAL 0 VIAL OMG OMEGA COL AVENTA BARBADOS 2810 OPIATE ANTAGONISTS 2026-04-01 IV/IM/SC 0 OPIATE ANTAGONISTS
40 3701AW TRUE METRIX (HOM/ALI) DIAGNOSTIC BLOOD GLUC DIAGNOSTIC BLOOD GLUCOSE TRUE METRIX 50'S A 30.04 30.04 GLUCOSE STRI 1 PACK HOM NIPRO DIAGNOSTICS ALI ALL HEALTH INC B 3626 DIABETES MELLITUS 2022-04-01 2024-03-31 6 DIAGNOSTIC AGENTS
40 6302AL CISATRACURIUM 2.5MG/ML INJ (OMG/COL) CISATRACURIUM CISATRACURIUM 10X10ML BQ 232.42 23.24 INJECTION 0 VIAL OMG OMEGA COL COLLINS LTD 122020 NEUROMUSCULAR BLOCKING AGENTS 2022-04-01 2024-03-31 IV 0 AUTONOMIC DRUGS
42 6302AL CISATRACURIUM 2.5MG/ML INJ (OMG) CISATRACURIUM CISATRACURIUM 10X10ML BQ 163.10 16.31 VIAL 400 VIAL OMG OMEGA COL AVENTA BARBADOS 122020 NEUROMUSCULAR BLOCKING AGENTS 2026-04-01 IV 0 NEUROMUSCULAR BLOCKING AGENTS