Displaying 1 - 7 of 7
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 37019 FREESTYLE OPTIUM GLUC (ABD/PHA) DIAGNOSTIC B DIAGNOSTIC BLOOD GLUCOSE FREESTYLE OPTIUM 50'S A 42.13 42.134 GLUC 1 PACK ABD ABBOTT LABORATORIES, DIAGNOSTIC DIV PHA PHARMACY SALES CARIBBEAN B 3626 DIABETES MELLITUS 6 DIAGNOSTIC AGENTS
40 37019 FREESTYLE OPTIUM GLUC (ABD/PHA) DIAGNOSTIC B DIAGNOSTIC BLOOD GLUCOSE FREESTYLE OPTIUM 50'S A 42.11 42.11 GLUCOSE STRI 1 PACK ABD ABBOTT LABORATORIES, DIAGNOSTIC DIV PHA PHARMACY SALES CARIBBEAN B 3626 DIABETES MELLITUS 2022-04-01 2024-03-31 6 DIAGNOSTIC AGENTS
40 37019 FREESTYLE OPTIUM GLUC (ABD/PHA) DIAGNOSTIC B DIAGNOSTIC BLOOD GLUCOSE FREESTYLE OPTIUM 50'S A 40.01 40.01 GLUCOSE STRI ABD ABBOTT LABORATORIES, DIAGNOSTIC DIV PHA PHARMACY SALES CARIBBEAN B 3626 DIABETES MELLITUS 2023-02-20 2024-03-31 Price Change 6 DIABETES MELLITUS 2023-01-09
41 3701AX FREESTYLE NEO H GLUC (ABD/SBI) DIAGNOSTIC BL DIAGNOSTIC BLOOD GLUCOSE FREESTYLE NEO H 50'S BQ 54.5 54.5 GLUC 1 PACK ABD ABBOTT LABORATORIES, DIAGNOSTIC DIV SBI MASSY DISTRIBUTION (BDOS) LTD B 3626 DIABETES MELLITUS 6 DIAGNOSTIC AGENTS
40 3701AX FREESTYLE NEO H GLUC (ABD/SBI) DIAGNOSTIC BL DIAGNOSTIC BLOOD GLUCOSE FREESTYLE NEO H 50'S BQ 40.10 40.10 GLUCOSE STRI 0 PACK ABD ABBOTT LABORATORIES, DIAGNOSTIC DIV SBI MASSY DISTRIBUTION (BDOS) LTD B 3626 DIABETES MELLITUS 2022-04-01 2024-03-31 0 DIAGNOSTIC AGENTS
41 3701AZ FREESTYLE OPTIUM GLUC (ABD/SBI) DIAGNOSTIC B DIAGNOSTIC BLOOD GLUCOSE FREESTYLE OPTIUM 50'S A 42.13 42.13 GLUC 1 PACK ABD ABBOTT LABORATORIES, DIAGNOSTIC DIV SBI MASSY DISTRIBUTION (BDOS) LTD B 3626 DIABETES MELLITUS Add to Contract as Cat A 6 DIAGNOSTIC AGENTS
40 3701AZ FREESTYLE OPTIUM GLUC (ABD/SBI) DIAGNOSTIC B DIAGNOSTIC BLOOD GLUCOSE FREESTYLE OPTIUM 50'S A 40.10 40.10 GLUCOSE STRI 1 PACK ABD ABBOTT LABORATORIES, DIAGNOSTIC DIV SBI MASSY DISTRIBUTION (BDOS) LTD B 3626 DIABETES MELLITUS 2022-04-01 2024-03-31 6 DIAGNOSTIC AGENTS