Displaying 1 - 12 of 12
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 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
41 1652C HYDROXYZINE 10MG TAB (WAT) HYDROXYZINE HYDROXYZINE 100'S A 13.35 0.1335 TAB 90 BOX WAT WATSON (ACTAVIS) PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCEL
41 16539 HYDROXYZINE 25MG TAB (WAT) HYDROXYZINE HYDROXYZINE 100'S A 17.81 0.178 TAB 90 BOX WAT WATSON (ACTAVIS) PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 282492 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 ANXIOLYTICS, SEDATIVES AND HYPNOTICS MISCEL
41 39111 MINOXIDIL 2.5MG TAB (WAT) MINOXIDIL MINOXIDIL 100'S A 14.6 0.146 TAB 120 BOTT WAT WATSON (ACTAVIS) PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC B 240820 DIRECT VASODILATOR 2024-04-01 2026-03-31 ORAL 6 DIRECT VASODILATOR
41 39127 MINOXIDIL 10MG TAB (WAT) MINOXIDIL MINOXIDIL 100'S A 21.15 0.2115 TAB 120 BOX WAT WATSON (ACTAVIS) PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC B 240820 DIRECT VASODILATOR 2024-04-01 2026-03-31 ORAL 6 DIRECT VASODILATOR
41 5697E ACYCLOVIR 40MG/ML SUSP (WAT) (B) ACYCLOVIR ACYCLOVIR 473ML B 593.85 1.2555 ML 10 BOTT WAT WATSON (ACTAVIS) PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 081832 NUCLEOSIDES AND NUCLEOTIDES 2024-04-01 2026-03-31 ORAL 0 NUCLEOSIDES AND NUCLEOTIDES
40 A322JY VENLAFAXINE SR 150MG TAB (WAT/AHI) VENLAFAXIN VENLAFAXINE VENLAFAXINE SR 90'S BP 64.32 0.71 TABLET 0 TAB WAT WATSON (ACTAVIS) PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 28160416 SELECTIVE SEROTONIN/NOREPINEPHRINE REUPTAKE INHIBITORS 2022-04-01 2022-09-30 Oral 0 CENTRAL NERVOUS SYSTEM DRUGS 2022-03-29
40 A481E ISOSORBIDE MONONITRATE 10MG TAB (WAT/AHI) ISOSORBIDE MONONITRATE ISOSORBIDE MONONITRATE 100'S A 56.16 0.56 TABLET 90 TAB WAT WATSON (ACTAVIS) PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 241208 NITRATES AND NITRITES 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
41 A481E ISOSORBIDE MONONITRATE 10MG TAB (WAT) ISOSORBIDE MONONITRATE ISOSORBIDE MONONITRATE 100'S A 74.94 0.7494 TAB 90 BOX WAT WATSON (ACTAVIS) PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 241208 NITRATES AND NITRITES 2024-04-01 2026-03-31 ORAL 6 NITRATES AND NITRITES
41 A481F ISOSORBIDE MONONITRATE 10MG TAB (WAT) ISOSORBIDE MONONITRATE ISOSORBIDE MONONITRATE 56'S A 41.97 0.7495 TAB 90 BOX WAT WATSON (ACTAVIS) PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 241208 NITRATES AND NITRITES 2024-12-19 2026-03-31 ORAL 6 NITRATES AND NITRITES 2024-12-19
40 A482F ISOSORBIDE MONONITRATE 20MG TAB (WAT/AHI) ISOSORBIDE MONONITRATE ISOSORBIDE MONONITRATE 100'S A 56.35 0.56 TABLET 90 TAB WAT WATSON (ACTAVIS) PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 241208 NITRATES AND NITRITES 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
41 A9626 ADAPALENE 0.6% GEL (WAT) (C) ADAPALENE ADAPALENE 45G C 169.2157 169.2157 TUBE 0 TUBE WAT WATSON (ACTAVIS) PHARMACEUTICALS AHI ARMSTRONG HEALTHCARE INC 8428 KERATOLYTICS 2024-04-01 2026-03-31 TOPICAL 0 KERATOLYTICS