Displaying 2181 - 2200 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 3261Z POVIDONE IODINE 1% SOLN (FSB) (B) 1 LITRE B 0.0207 1% 500 2024-04-01 2026-03-31 6
41 3262B POVIDONE IODINE SURGICAL 0.75% SCRUB (RIM) 1 GAL B 0.0216 0.75% 500 2024-04-01 2026-03-31 6
40 3262E VIDENE SURGICAL SCRUB 0.75% (ECO/COL) POVIDO 500ML B 0.03 0.75% 0 2022-04-01 2024-03-31 0
40 3262H POVIDONE IODINE 0.75% SCRUB (CHC/ATB) 500ML B 0.02 0.75% 0 2022-04-01 2024-03-31 0
40 3262J POVIDONE IODINE 0.75% SCRUB (CHC/ATB) DISPENSER 500ML B 0.02 0.75% 0 2022-04-01 2024-03-31 0
42 3262K POVIDONE IODINE SCRUB (CHC) 500ML B 0.50 0.75% 0 2026-04-01 No No Add to Contract as Cat B 6
40 32934 PROCTO-GLYVENOL 40MG | 400MG SUPPOS (GSK/COL) LIDOCAINE | TRIBENOSIDE 5'S A 0.95 40MG|400MG 5 2022-04-01 2024-03-31 0
41 32934 PROCTO-GLYVENOL 40MG|400MG SUPPOS (GSK) LIDOCAINE|TRIBENOSID 5'S A 0.9949 40MG|400MG 5 2024-04-01 2026-03-31 6
42 32934 PROCTO-GLYVENOL 40MG|400MG SUPPOS (GSK) LIDOCAINE|TRIBENOSID 5'S A 1.04 40MG|400MG 5 2026-04-01 No No 6
40 32936 PREPARATION H 0.25% SUPPOS (GSK/COL) PHENYLEP 12'S A 1.17 0.25% 12 2022-04-01 2024-03-31 6
41 32936 PREPARATION H 0.25% SUPPOS (GSK) PH 12'S A 1.2323 0.25% 12 2024-04-01 2026-03-31 6
40 3294B PROCTO-GLYVENOL CR (GSK/COL) TRIBENOSIDE 30G A 7.50 40MG|400MG 1 2022-04-01 2024-03-31 0
41 3294B PROCTO-GLYVENOL CR (GSK) TRIBENOSIDE 30G A 7.6113 40MG|400MG 1 2024-04-01 2026-03-31 0
42 3294B PROCTO-GLYVENOL 40MG|400MG CR (GSK) LIDOCAINE|TRIBENOSIDE 30G A 7.99 40MG|400MG 1 2026-04-01 No No 6
40 3294S PREPRATION H MULTI-SYMPTOM 0.25% | 1% CR (GSK/COL) PHENYLEPHRINE | PRAMOXINE 26G A 12.69 0.25|1% 1 2022-04-01 2024-03-31 0
41 3294S PREPRATION H MULTI-SYMPTOM 0.25%|1% CR (GSK) PHENYLEPHRINE|P 26G A 13.347 14.4%|0.25|1% 1 2024-04-01 2026-03-31 0
40 3301AD CUTIVATE 0.05% CR (GSK/COL) FLUTICASONE 15G C 11.15 0.05% 0 2022-04-01 2024-03-31 0
42 3301AD CUTIVATE 0.05% CR (GSK) FLUTICASONE 15G C 13.48 0.05% 2 2026-04-01 No No 0
40 3301AJ FURASONE 0.1% CR (CAR/COL) MOMETASONE 15G A 5.16 0.1% 2 2022-04-01 2024-03-31 0
41 3301AJ FURASONE 0.1% CR (CAR) MOMETASONE 15G A 6.1978 0.1% 2 2024-04-01 2026-03-31 0