Displaying 2241 - 2260 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 3501AT VITAMIN C 250MG TAB (LDP) 100'S B 0.08 250MG 30 2026-04-01 No No 6
42 3501AU VITAMIN C 500MG TAB (LDP) 100'S B 0.09 500MG 30 2026-04-01 No No 6
41 3501AW QC VITAMIN C 500MG TAB (INF) ASCORBIC ACID 250'S B 0.092 500MG 2024-11-11 2025-02-28
42 3501AY VITA C EZE 500MG TAB (INF) VITAMIN C 10X10 B 0.10 500MG 30 2026-04-01 No No 6
40 3501Z VITAMIN C 500MG TAB (KWA/ATB) 100'S B 0.07 500MG 30 2022-04-07 2022-09-30 6
41 3501Z VITAMIN C 500MG TAB (KWA) (B) 100'S B 0.0802 500MG 30 2024-04-01 2026-03-31 6
40 35027 VITAMIN C 250MG/ML INJ (LDP/AHI) 10X2ML BQ 4.89 250MG/ML 0 2022-04-01 2024-03-31 0
40 35215 PHYTOMENADIONE 10MG TAB (SLS/AHI) 20'S A 1.50 10MG 90 2022-04-01 2024-03-31 6
41 35215 KENADIONE 10MG TAB (SLS) PHYTOMENADIONE (C) 2X10 C 1.4978 10MG 90 2024-04-01 2026-03-31 6
42 35215 KENADIONE 10MG TAB (SLS) PHYTOMENADIONE 2X10 A 1.50 10MG 90 2026-04-01 No No 6
41 35216 PHYTOMENADIONE 10MG TAB (KWA) 10'S A 0.8291 10MG 90 2024-04-01 2026-03-31 6
40 3522J LADION 1MG IV/IM INJ (LDP/AHI) PHYTOMENADIONE 10X0.5ML B 5.71 1MG IV/IM 0 2022-04-01 2024-03-31 0
41 3522J LADION 1MG IV/IM INJ (LDP) PHYTOMENADION (B) 10X0.5ML B 5.7085 1MG IV/IM 0 2024-04-01 2026-03-31 0
42 3522M PHYTOMENADIONE 1MG IM INJ (SLS) 25X0.5ML B 8.59 1MG IM 2 2026-04-02 No No Add to Contract as Cat B 0
40 3523F PHYTOMENADIONE 10MG/ML IV/IM INJ (RTM/PHA) 10X1ML B 4.02 10MG/ML IV/IM 0 2022-04-01 0
40 3523F PHYTOMENADIONE 10MG/ML IV/IM INJ (RTM/PHA) 10X1ML B 1.54 10MG/ML IV/IM 0 2022-07-19 2024-03-31 Price Change 0
41 3523F PHYTOMENADIONE 10MG/ML IV/IM INJ (RTM) (B) 10X1ML B 4.1074 10MG/ML IV/IM 2 2024-04-01 2026-03-31 0
40 35311 NATELE CAP (BSP/AHI) MULTIVITAMINS PRENATAL 28'S C 0.50 0 2022-04-01 2022-09-30 0
40 35311 NATELE CAP (BSP/AHI) MULTIVITAMINS + M (C) 28'S C 0.5321 2022-10-01 2023-02-20 No No Price Change 0
40 35311 NATELE CAP (BSP/AHI) MULTIVITAMINS PRE (C) 28'S C 0.5475 2023-02-21 2024-03-31 No No Add to Contract as Cat C