Displaying 1981 - 2000 of 5993
Contract Number Brand Code Brand Name Package Size Formulary Category Unit Price Strength Max. Reimbursable / Month Drug Contract Start Date Drug Contract End Date Restrict To Ophthalmologist Restrict To Pulmonologist Status Description Max Repeats
42 2931W VASOPRESSIN 20U/ML INJ (SLS) 5X1ML BQ 18.54 20U/ML 6 2026-04-01 No No 0
40 2931Y VASMED 20U/ML INJ (UBI/RXP) VASOPRESSIN 1ML AMP BQ 10.47 20U/ML 0 2022-04-01 2024-03-31 0
42 2931Z VASOPRESSIN 20U/ML INJ (FSB) 5X1ML BQ 12.82 20U/ML 6 2026-04-01 No No Add to Contract 0
40 29426 HYDROXYPROGESTERONE 250MG/ML INJ (MON/PHA) 1ML AMP BQ 3.62 250MG/ML 0 2022-04-01 2024-03-31 0
41 29428 HYDROXYPROGESTERONE 250MG/ML INJ (MON) 5X1ML BQ 2.577 250MG/ML 0 2024-04-01 2026-03-31 0
42 29428 HYDROXYPROGESTERONE 250MG/ML INJ (MON) 5X1ML BQ 2.64 250MG/ML 0 2026-04-01 No No 0
42 29429 LEGESTRO 250MG/ML INJ (JLP) HYDROXYPROGESTERONE 10X1ML BQ 23.11 250MG/ML 0 2026-04-01 No No 0
40 2951D APO-MEDROXY 10MG TAB (APO/COL) 100'S A 0.14 10MG 10 2022-04-01 2024-03-31 6
40 2951F PROVERA 10MG TAB (PFI/STO) MEDROXYPROGESTERON 10'S C 0.68 10MG 0 2022-04-01 2024-03-31 0
41 2951F PROVERA 10MG TAB (PFI) MEDROXYPROGESTERO (C) 10'S C 0.6877 10MG 10 2024-04-01 2026-03-31 6
42 2951F PROVERA 10MG TAB (PFI) MEDROXYPROGE 10'S A 0.69 10MG 10 2026-04-01 No No 6
41 2951K APO-MEDROXY 10MG TAB (APO) 100'S A 0.1386 10MG 10 2024-04-01 2026-03-31 6
40 29532 DEPO-PROVERA 150MG/ML INJ (PFI/STO) MEDROXYPR 1ML VIAL C 17.51 150MG/ML 0 2022-04-01 2024-03-31 0
41 29532 DEPO-PROVERA 150MG/ML INJ (PFI) MEDROXYP (C) 1ML VIAL C 17.6691 150MG/ML 1 2024-04-01 2026-03-31 0
42 29532 DEPO-PROVERA 150MG/ML INJ (PFI) MED 1ML VIAL C 17.67 150MG/ML 1 2026-04-01 No No 0
41 2953G MEDROXYPROGESTERONE 150MG/ML INJ (KWA) (C) 1ML VIAL C 4.8114 150MG/ML 1 2024-04-01 2026-03-31 0
40 29555 APO-MEDROXY 100MG TAB (APO/COL) 100'S C 0.41 100MG 0 2022-04-01 2024-03-31 0
42 29555 AAP-MEDROXY 100MG TAB (APO) MEDROX (C) 100'S C 0.90 100MG 30 2026-04-01 No No 6
41 29556 APO-MEDROXY 100MG TAB (APO) (C) 100'S C 0.4159 100MG 30 2024-04-01 2026-03-31 6
40 29563 APO-MEDROXY 2.5MG TAB (APO/COL) 100'S A 0.06 2.5MG 20 2022-04-01 2024-03-31 6