Displaying 2021 - 2040 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
41 2962A POSTINOR SD 1.5MG TAB (CHW) LEVONORGESTR (C) 1'S C 4.3765 1.5MG 1 2024-04-01 2026-03-31 0
42 2962A POSTINOR SD 1.5MG TAB (CHW) LEVONORGESTR 1'S C 4.76 1.5MG 1 2026-04-01 No No 0
42 2962AC ONE PILL 1.5MG TAB (HEA) LEVONORGESTREL 1'S C 3.21 1.5MG 1 2026-04-01 No No Price Change 0
42 2962AD LEEDOZ 1.5MG TAB (JLP) LEVONORGESTREL 1'S C 2.45 1.5MG 1 2026-04-01 No No 0
42 2962AF ONE PILL 1.5MG TAB (HEA) LEVONORGESTREL 1'S C 3.21 1.5MG 1 2026-04-01 No No Add to Contract as Cat C 0
42 2962AG ONE PILL 1.5MG TAB (HEA) LEVONORGE (C) 1'S C 3.21 1.5MG 1 2026-04-01 No No Add to Contract as Cat C 0
40 2962E ONE PILL 1.5MG TAB (HEA/RXP) LEVONORGESTREL 1'S B 3.81 1.5MG 0 2022-04-01 2024-03-31 6
40 2962EA ONE PILL 1.5MG TAB (HEA/ATB) LEVONORGESTREL(B) 1'S B 3.81 1.5MG 2022-12-07 2024-03-31 No No Change Local Agent 6
41 2962EA ONE PILL 1.5MG TAB (HEA) LEVONORGESTREL (C) 1'S C 3.7241 1.5MG 1 2024-04-01 2026-03-31 0
40 2962N BACKUP PLAN ONE STEP 1.5MG TAB (APO/COL) LEVO 1'S C 7.80 1.5MG 0 2022-04-01 2024-03-31 0
42 2962N BACKUP PLAN ONE STEP 1.5MG TAB (APO 1'S C 8.15 1.5MG 1 2026-04-01 No No 0
40 2962Q PINKPILL 1.5MG TAB (RYV/ALW) LEVONORGESTREL 1'S C 4.05 1.5MG 0 2022-04-01 2024-03-31 0
41 2962Q PINKPILL 1.5MG TAB (RYV) LEVONORGES (C) 1'S C 4.0503 1.5MG 1 2024-04-01 2026-03-31 0
42 2962Q PINKPILL 1.5MG TAB (RYV) LEVONORGES 1'S C 4.05 1.5MG 1 2026-04-01 No No 0
40 2962R POST DAY 1.5MG TAB (ABB/PHA) LEVONORGESTREL 1'S C 9.89 1.5MG 0 2022-04-01 2024-03-31 0
40 2962R POST DAY 1.5MG TAB (ABB/PHA) LEVONORGESTREL (C) 1'S C 9.89 1.5MG 2022-04-01 2023-04-13 No No Delete from contract 0
40 2962S SEGUIDET 1.5MG TAB (LAF/AHI) LEVONORGESTREL 1'S C 5.22 1.5MG 0 2022-04-01 2024-03-31 Change Local Agent 0
41 2962S SEGUIDET 1.5MG TAB (LAF) LEVONORGESTREL (C) 1'S C 5.4366 1.5MG 1 2024-04-01 2026-03-31 0
42 2962S SEGUIDET 1.5MG TAB (LAF) LEVONORGESTREL 1'S C 5.44 1.5MG 1 2026-04-01 No No 0
41 2962W LEVONORGESTREL 1.5MG TAB (LDP) (B) 1'S B 3.2892 1.5MG 1 2024-04-01 2026-03-31 0