Displaying 2041 - 2060 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 2962W LEVONORGESTREL 1.5MG TAB (LDP) 1'S C 3.40 1.5MG 1 2026-04-01 No No 0
42 2962X POST DAY 1.5MG TAB (ABB) LEVONORGESTREL 1'S C 8.83 1.5MG 1 2026-04-01 No No 0
40 29712 THYCARZOL 5MG TAB (HEA/RXP) CARBIMAZOLE 10X10 A 0.06 5MG 360 2022-04-01 2024-03-31 6
42 2971AA THYCARZOL 5MG TAB (HEA) CARBIMAZOLE 10X10 A 0.06 5MG 360 2026-04-01 No No Price Change 6
42 2971AC THYCARZOL 5MG TAB (HEA) CARBIMAZOLE 10X10 A 0.06 5MG 360 2026-04-01 No No Add to Contract as Cat A 6
42 2971AD THYCARZOL 5MG TAB (HEA) CARBIMAZOLE 10X10 A 0.06 5MG 360 2026-04-01 No No Add to Contract as Cat A 6
42 2971AE CARBIMAZOLE 5MG TAB (FSB) 10X10 A 0.05 5MG 360 2026-04-01 No No Add to Contract as Cat A 6
40 2971E CARBIMAZOLE 5MG TAB (REM/SBI) 10x10 A 0.10 5MG 360 2022-04-01 2024-03-31 6
41 2971E CARBIMAZOLE 5MG TAB (REM) (C) 10x10 C 0.0984 5MG 360 2024-04-01 2026-03-31 6
40 2971G NEO-MERCAZOLE 5MG TAB (ANT/COL) CARBIMAZOLE 100'S C 0.17 5MG 0 2022-04-01 2024-03-31 0
40 2971K THYCARZOL 5MG TAB (HEA/ATB) CARBIMAZOLE 10X10 A 0.0595 5MG 2022-12-07 2024-03-31 No No Change Local Agent 6
41 2971K THYCARZOL 5MG TAB (HEA) CARBIMAZOLE 10X10 A 0.0601 5MG 360 2024-04-01 2026-03-31 6
41 2971X CARBIMAZOLE 5MG TAB (CAM) 100'S A 0.0875 5MG 360 2024-04-01 2026-03-31 6
40 29813 AAP-MISOPROSTOL 200MCG TAB (APO/COL) 100'S BQ 0.92 200MCG 0 2022-04-01 2024-03-31 0
42 29813 AAP-MISOPROSTOL 200MCG TAB (APO) 100'S BQ 0.94 200MCG 0 2026-04-01 No No 0
40 29914 EUTIROX 0.1MG TAB (MEK/COL) THYROXINE 1000'S A 0.05 0.1MG 60 2022-04-01 2024-03-31 6
41 29914 EUTIROX 0.1MG TAB (MEK) THYROXINE 1000'S A 0.0626 0.1MG 60 2024-04-01 2026-03-31 6
40 2991Q SYNTHROID 0.1MG TAB (ABB/PHA) THYROXINE 30'S C 0.26 0.1MG 0 2022-04-01 2024-03-31 0
40 2991Q SYNTHROID 0.1MG TAB (ABB/PHA) THYROXINE (C) 30'S C 0.2583 0.1MG 2022-04-01 2002-03-31 No No Delete from contract 0
41 2991T SYNTHROID 0.1MG TAB (ABB) THYROXINE (C) 30'S C 0.2691 0.1MG 60 2024-04-01 2026-03-31 6