Displaying 201 - 220 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 0141AH ZITHROMAX 500MG TAB (PFI) AZITHROMY (C) 3'S C 17.8413 500MG 7 2024-04-01 2026-03-31 0
42 0141AH ZITHROMAX 500MG TAB (PFI) AZITHROMY 3'S C 17.84 500MG 10 2026-04-01 No No 0
41 0141CL CLAREM 500MG TAB (REM) CLARITHROMYCIN (C) 2X7'S C 0.7844 500MG 14 2024-04-01 2026-03-31 0
40 0141DA BINOZYT 500MG TAB (BCH/COL) AZITHROMYCIN 3'S C 2.88 500MG 0 2022-04-01 2024-03-31 0
41 0141DA BINOZYT 500MG TAB (BCH) AZITHROMYCIN (C) 3'S C 8.164 500MG 7 2024-04-01 2026-03-31 0
42 0141DA BINOZYT 500MG TAB (BCH) AZITHROMYCIN 3'S C 9.28 500MG 10 2026-04-01 No No 0
40 0141FU KLARICID XL 500MG TAB (ABB/PHA) CLARITHROMYCI 10'S C 1.67 500MG 0 2022-04-01 2024-03-31 0
40 0141FU KLARICID XL 500MG TAB (ABB/PHA) CLARITHROMYCI (C) 10'S C 1.666 500MG 2022-04-01 2023-03-31 No No Delete from contract 0
40 0141FV KLARICID 500MG TAB (ABB/PHA) CLARITHROMYCIN 10'S C 1.67 500MG 0 2022-04-01 2024-03-31 Price Change 0
40 0141GA BINOZYT 500MG TAB (BCH/COL) AZITHROMYCIN 12'S C 2.62 500MG 0 2022-04-01 2024-03-31 0
40 0141GB EZECURE 500MG TAB (EMC/COL) AZITHROMYCIN 3'S A 0.46 500MG 7 2022-04-01 2024-03-31 0
40 0141GC AAP-ERYTHROMYCIN 250MG TAB (APO/COL) ERYTHROMYCIN BASE 100'S A 0.34 250MG 56 2022-04-01 2024-03-31 0
41 0141GH ERYTHROMYCIN 250MG TAB (MBL) 100'S A 0.3254 250MG 56 2024-04-01 2026-03-31 0
40 0141GX AZITHROMYCIN 500MG TAB (FSB/ATB) 30'S A 0.46 500MG 7 2022-04-01 2024-03-31 Add to Contract as Cat A 0
40 0141GZ AZITHROMYCIN 500MG TAB (FSB/ATB) 100'S A 0.44 500MG 7 2022-04-19 2024-03-31 Add to Contract as Cat A 0
40 0141HA EZECURE 500MG TAB (EMC/COL) AZITHROMYCIN 60'S A 0.46 500MG 7 2022-08-10 2024-03-31 Package Size Change 0
41 0141HC APO-CLARITHROMYCIN 500MG TAB (APO) 100'S A 0.7783 500MG 14 2024-04-01 2026-03-31 0
41 0141HD APO-CLARITHROMYCIN 250MG TAB (APO) 100'S A 0.3604 250MG 14 2024-04-01 2026-03-31 0
41 0141HG KLARICID 500MG TAB (ABB) CLARITHROMYCIN (C) 10'S C 1.1961 500MG 14 2024-04-01 2026-03-31 0
42 0141HG KLARICID 500MG TAB (ABB) CLARITHROMYCIN 10'S C 1.22 500MG 14 2026-04-01 No No 0