Displaying 1 - 20 of 909
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 0012EP CLARITINE 10MG TAB (BSP) LORATADINE (C) LORATADINE CLARITINE 30'S C 13.21 0.4404 TAB 14 BOX BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2024-04-01 2025-01-28 ORAL 0 SECOND GENERATION ANTIHISTAMINES
41 0012EP CLARITINE 10MG TAB (BSP) LORATADINE (C) LORATADINE CLARITINE 30'S C 31.8 1.06 TAB 14 BOX BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2024-08-09 2026-03-31 ORAL 0 SECOND GENERATION ANTIHISTAMINES 2024-08-09
41 0012ES RHINIL SR 10MG TAB (ARP) CETIRIZINE CETIRIZINE RHINIL SR 100'S A 7.42 0.0742 TAB 14 BOX ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2024-04-01 2026-03-31 ORAL 0 SECOND GENERATION ANTIHISTAMINES
40 0012FA LORATADINE 10MG TAB (AUR/AHI) LORATADINE LORATADINE 100'S A 8.26 0.08 TABLET 14 TAB AUR AUROCHEM LABORATORIES AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
41 0012FN CETVAN 10MG TAB (TPP) CETIRIZINE CETIRIZINE CETVAN 10X10 A 5.44 0.0544 TAB 14 BOX TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2024-04-01 2026-03-31 ORAL 0 SECOND GENERATION ANTIHISTAMINES
41 0012FP LORATADINE 10MG TAB (MCP) LORATADINE LORATADINE 10X10 A 6.9 0.069 TAB 14 BOX MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2024-04-01 2024-12-27 OTIC 0 SECOND GENERATION ANTIHISTAMINES
41 0012FP LORATADINE 10MG TAB (MCP) LORATADINE LORATADINE 10X10 A 7.85 0.0785 TAB 14 BOX MCP MACLEODS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2024-12-28 2026-03-31 OTIC 0 SECOND GENERATION ANTIHISTAMINES 2024-12-27
41 0012FQ LORDINE 10MG TAB (TPP) LORATADINE LORATADINE LORDINE 10X10 A 5.33 0.0533 TAB 14 BOX TPP THERDOSE PHARMA PRIVATE LTD AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2024-04-01 2026-03-31 ORAL 0 SECOND GENERATION ANTIHISTAMINES
41 0012FR AXOFEN 120MG TAB (ARP) FEXOFENADINE (C) FEXOFENADINE AXOFEN 30'S C 23.27 0.7756 TAB 0 BOX ARP ARISTOPHARMA LTD AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2024-04-01 2026-03-31 ORAL 0 SECOND GENERATION ANTIHISTAMINES
40 0013AZ LEVOCETIRIZINE 2.5MG/ML SYR (CIR/AHI) LEVOCETIRIZINE LEVOCETIRIZINE 60ML C 5.71 0.10 SYRUP 0 ML CIR CIRON PHARMA AHI ARMSTRONG HEALTHCARE INC 0408 SECOND GENERATION ANTIHISTAMINES 2022-04-01 2024-03-31 Oral 0 ANTIHISTAMINICS
40 0013BP CLARITINE 10MG TAB (BSP/AHI) LORATADINE (C) LORATADINE CLARITINE 30'S C 9.51 0.317 TABLET CONTR BOX BSP BAYER SCHERING PHARMA AG. AHI ARMSTRONG HEALTHCARE INC 408 SECOND GENERATION ANTIHISTAMINES 2023-02-21 2023-04-07 Add to Contract as Cat C Oral SECOND GENERATION ANTIHISTAMINES 2023-02-24
40 0051F CAPECITABINE 150MG TAB (INP/AHI) CAPECITABINE CAPECITABINE 6X10 BQ 194.20 3.24 TABLET 0 TAB INP INTAS PHARMACEUTICALS LTD AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 6 ANTINEOPLASTICS
41 0051J CAPECITABINE 150MG TAB (WAT) CAPECITABINE CAPECITABINE 60'S BQ 175.3319 2.9222 TAB 230 BOTT WAT WATSON (ACTAVIS) PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2024-04-01 2026-03-31 ORAL 6 ANTINEOPLASTICS
40 00521 XELODA 500MG TAB (ROC/AHI) CAPECITABINE CAPECITABINE XELODA 120'S C 326.20 2.72 TABLET 0 TAB ROC ROCHE SERVICIOS S.A. AHI ARMSTRONG HEALTHCARE INC 1000 ANTINEOPLASTICS 2022-04-01 2024-03-31 Oral 0 ANTINEOPLASTICS
40 00939 GRISEOFULVIN 25MG/ML SUSP (SUE/AHI) GRISEOFULVIN GRISEOFULVIN 120ML A 14.87 0.12 SUSPENSION 500 ML SUE LABORATORIOS SUED S.R.L AHI ARMSTRONG HEALTHCARE INC 081492 ANTIFUNGALS, MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 ANTI-INFECTIVE AGENTS
41 00939 GRISEOFULVIN 25MG/ML SUSP (SUE) GRISEOFULVIN GRISEOFULVIN 120ML A 15.71 0.1309 ML 500 BOTT SUE LABORATORIOS SUED S.R.L AHI ARMSTRONG HEALTHCARE INC 081492 ANTIFUNGALS, MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANTIFUNGALS, MISCELLANEOUS
41 0111FA ADORA 500MG CAP (INC) CEFADROXIL CEFADROXIL ADORA 20'S A 8.07 0.4037 CAP 28 BOX INC INCEPTA PHARMACEUTICALS LIMITED AHI ARMSTRONG HEALTHCARE INC 08120604 FIRST GEN CEPHALOSPORINS 2024-04-01 2026-03-31 ORAL 0 FIRST GEN CEPHALOSPORINS
41 0111FB BACTERAM 500MG TAB (MBL) CEFADROXIL CEFADROXIL BACTERAM 12'S A 5.11 0.4259 TAB 28 BOX MBL MEDICAMEN BIOTECH LTD AHI ARMSTRONG HEALTHCARE INC 08120604 FIRST GEN CEPHALOSPORINS 2024-04-01 2026-03-31 ORAL 0 FIRST GEN CEPHALOSPORINS
41 0112CK CEFADROXIL 50MG/ML SUSP (MBL) CEFADROXIL CEFADROXIL 60ML A 7.96 0.1327 ML 120 BOTT MBL MEDICAMEN BIOTECH LTD AHI ARMSTRONG HEALTHCARE INC 08120604 FIRST GEN CEPHALOSPORINS 2024-04-01 2026-03-31 ORAL 0 FIRST GEN CEPHALOSPORINS
41 0113BA CEFAZOL 1G INJ (INC) (BQ) CEFAZOLIN CEFAZOL 15ML VIAL BQ 14.19 14.1897 VIAL 0 VIAL INC INCEPTA PHARMACEUTICALS LIMITED AHI ARMSTRONG HEALTHCARE INC 08120604 FIRST GEN CEPHALOSPORINS 2024-04-01 2026-03-31 IV/IM 0 FIRST GEN CEPHALOSPORINS