Displaying 2121 - 2140 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 30317 ADRENALINE|LIDOCAINE 0.001%|1% INJ (KWA) 30ML B 7.4754 0.001%|1% 0 2024-04-01 2026-03-31 0
40 3032C ADRENALINE | LIDOCAINE 0.001% | 2% INJ (FSB/ATB) 30ML B 4.08 0.001%|2% 0 2022-04-01 2024-03-31 Add to Contract as Cat B 0
42 3051AB OXYTOCIN 10U/ML INJ (LAF) 100X1ML BQ 0.86 10U/ML 0 2026-04-01 No No 0
40 3051E OXYTOCIN 10U/ML INJ (RTM/PHA) 10X1ML BQ 0.97 10U/ML 0 2022-04-01 2022-05-31 0
40 3051E OXYTOCIN 10U/ML INJ (RTM/PHA) 10X1ML BQ 1.24 10U/ML 0 2022-06-01 2024-03-31 Price Change 0
41 3051E OXYTOCIN 10U/ML INJ (RTM) (BQ) 10X1ML BQ 1.033 10U/ML 0 2024-04-01 2026-03-31 0
42 3051E OXYTOCIN 10U/ML INJ (RTM) 10X1ML BQ 1.03 10U/ML 0 2026-04-01 No No 0
40 3051M DURATOCIN 100MCG/ML INJ (FER/STO) CARBETOCIN 5X1ML BQ 51.85 100MCG/ML 0 2022-04-01 2024-03-31 0
41 3051M DURATOCIN 100MCG/ML INJ (FER) CARBETOCIN (BQ) 5X1ML BQ 54.6818 100MCG/ML 50 2024-04-01 2026-03-31 0
42 3051M DURATOCIN 100MCG/ML INJ (FER) CARBETOCIN 5X1ML BQ 61.29 100MCG/ML 50 2026-04-01 No No 0
41 3051W OXYTOCIN 10U/ML INJ (KWA) (BQ) 10X1ML BQ 0.8318 10U/ML 0 2024-04-01 2026-03-31 0
40 30612 RHOPHYLAC 300MCG INJ (CSL/AHI) ANTI-D IMMUNOG 2ML AMP BQ 108.73 300MCG 0 2022-04-01 2024-03-31 0
41 30612 RHOPHYLAC 300MCG INJ (CSL) ANTI-D IMMUNO 2ML AMP BQ 122.3246 300MCG 2 2024-04-01 2026-03-31 0
40 3061B HYPERRHOD 300MCG INJ (GRB/COL) ANTI D IMMUNOG 300MCG VL BQ 250.09 300MCG 0 2022-04-01 2024-03-31 0
42 3061E RHOPHYLAC 150MCG/ML PREFIL SYRN (CSL) IMMUNOGLOBULIN ANTI-D 1X2ML PFS BQ 122.32 150MCG/ML 0 2026-04-01 No No Add to Contract 0
40 3081Y IMMUNOREL 5% INJ (RLS/AHI) IMMUNOGLOBULIN 100ML BQ 657.29 5% 0 2022-04-01 2024-03-31 0
41 3081Y IMMUNOREL 5% INJ (RLS) IMMUNOGLOBUL (BQ) 100ML BQ 807.3422 5% 0 2024-04-01 2026-03-31 0
42 3081Y IMMUNOREL 5% INJ (RLS) IMMUNOGLOBUL 100ML BQ 807.34 5% 0 2026-04-01 No No 0
40 30827 PRIVIGEN 10% INJ (CSL/AHI) IMMUNOGLOBULIN 50ML BQ 951.41 10% 0 2022-04-01 2024-03-31 0
41 30827 PRIVIGEN 10% INJ (CSL) IMMUNOGLOBULIN (BQ) 50ML BQ 883.4553 10% 50 2024-04-01 2026-03-31 0