Displaying 1 - 3 of 3
  • 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 06032 FLUOROURACIL 50MG/ML INJ (EBA/COL) FLUOROURACIL FLUOROURACIL 10ML BQ 26.48 26.48 INJECTION 0 VIAL EBA EBEW ARZNEIMITTLE GES.MBH COL COLLINS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 IV 0 ANTINEOPLASTICS
40 1612A DOCETAXEL 80MG INJ (EBA/COL) DOCETAXEL DOCETAXEL 80MG VIAL C 68.58 68.58 INJECTION 0 VIAL EBA EBEW ARZNEIMITTLE GES.MBH COL COLLINS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Price Change IV 0 ANTINEOPLASTICS 2022-01-18
40 A5916 DOXORUBICIN 50MG SOLN FOR INJ (EBA/COL) DOXORUBICIN DOXORUBICIN 50MG VIAL BQ 34.93 34.93 SOLUTION FOR 0 VIAL EBA EBEW ARZNEIMITTLE GES.MBH COL COLLINS LTD 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Price Change IV 0 ANTINEOPLASTICS 2022-01-18