Displaying 2221 - 2240 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 3362B COLSHINE 0.5MG TAB (JLP) COLCHICINE 10X10 A 0.14 0.5MG 90 2026-04-01 No No 6
41 3362C COLCHICINE 0.5MG TAB (CPP) 100'S A 0.1916 0.5MG 90 2024-04-01 2026-03-31 6
40 3362E COLCHICINE 0.5MG TAB (HAL/COL) 100'S A 0.22 0.5MG 90 2022-04-01 2024-03-31 6
40 33811 INTRASITE GEL GEL (SMN/IMS) HYPROMELLOSE | PROPYLENE GLYCOL 10X25G B 13.35 | 0 2022-04-01 2024-03-31 0
41 33811 INTRASITE GEL GEL (SMN) HYPROMELLOSE|PROPYLENE GLYCOL 10X25G B 13.9994 0.1%|0.1% 0 2024-04-01 2026-03-31 0
40 33812 PURILON | GEL (CLP/IMS) ALGINATE | CARBOXYMETHYLCELLULOSE 10X25G B 13.35 | 0 2022-04-01 2024-03-31 0
41 34427 AMINOPHYLLINE 25MG/ML INJ (KWA) (B) 10X10ML B 1.9409 25MG/ML 10 2024-04-01 2026-03-31 0
40 34428 AMINOPHYLLINE 25MG/ML INJ (MON/PHA) 5X10ML B 2.28 25MG/ML 0 2022-04-01 2024-03-31 0
40 3442E AMINOPHYLLINE 25MG/ML INJ (SGH/COL) 10X10ML B 2.80 25MG/ML 0 2022-04-01 2024-03-31 0
41 3481A FOLIC ACID 5MG TAB (HEA) 1000'S A 0.0079 5MG 60 2024-04-01 2026-03-31 6
42 3481AF FOLIC ACID 5MG TAB (CPP) 28'S A 0.05 5MG 60 2026-04-01 No No 6
40 3481AV FOLIC ACID 5MG TAB (FSB/ATB) 1000'S A 0.01 5MG 60 2022-04-01 2024-03-31 6
42 3481BC FOLISMART 5MG TAB (JLP) FOLIC ACID 600'S A 0.03 5MG 60 2026-04-01 No No 6
40 3482D LAFOL 1MG TAB (LDP/AHI) FOLIC ACID 10X10 A 0.04 1MG 60 2022-04-01 2024-03-31 6
41 3482D LAFOL 1MG TAB (LDP) FOLIC ACID 10X10 A 0.044 1MG 60 2024-04-01 2026-03-31 6
40 34915 LAVIT-6 50MG TAB (LDP/AHI) PYRIDOXINE 100'S B 0.18 50MG 0 2022-04-01 2024-03-31 0
41 34915 LAVIT-6 50MG TAB (LDP) PYRIDOXINE 100'S B 0.1775 50MG 150 2024-04-01 2026-03-31 6
40 3501AA VITAMIN C 250MG TAB (FSB/ATB) 10X10 B 0.05 250MG 0 2022-04-01 2024-03-31 6
40 3501AQ VITAMIN C 500MG TAB (FSB/ATB) 200'S B 0.05 500MG 0 2022-04-01 2024-03-31 Price Change 6
41 3501AS DR. C 250MG TAB (HEA) VITAMIN C (B) 10X10 B 0.0916 250MG 30 2024-04-01 2026-03-31 6