Displaying 2261 - 2280 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 | 35311 | NATELE CAP (BSP) MULTIVITAMINS PRENATAL (C) | 28'S | C | 0.4495 | 30 | 2024-04-01 | 2026-03-31 | 6 | |||||
| 40 | 35313 | VITAPLEX P CAP (CAR/COL) MULTIVITAMINS PRENATAL | 400'S | B | 0.29 | 0 | 2022-04-01 | 2024-03-31 | 0 | |||||
| 41 | 35313 | VITAPLEX P CAP (CAR) MULTIVITAMINS PRENATAL (B) | 400'S | B | 0.3041 | 30 | 2024-04-01 | 2026-03-31 | 6 | |||||
| 42 | 35313 | VITAPLEX P CAP (CAR) MULTIVITAMINS PRENATAL | 400'S | B | 0.30 | 30 | 2026-04-01 | No | No | 6 | ||||
| 40 | 35314 | NATELE TAB (BSP/COL) MULTIVITAMINS PRENATAL | 28'S | C | 0.53 | 0 | 2022-04-01 | 2024-03-31 | 0 | |||||
| 41 | 35314 | NATELE TAB (BSP) MULTIVITAMINS PRENATAL (C) | 28'S | C | 0.4495 | 0 | 2024-04-01 | 2026-03-31 | 0 | |||||
| 40 | 3532B | VITAPLEX M SYR (CAR/COL) MULTIVITAMINS | 250ML | B | 0.05 | 0 | 2022-04-01 | 2024-03-31 | 0 | |||||
| 41 | 3532B | VITAPLEX M SYR (CAR) MULTIVITAMINS (B) | 250ML | B | 0.0576 | 20MG/5ML|2MCG/5ML|37.5MG/5ML|1.5MG/5ML|1.5MG/5ML|0.25MG/5ML|5MG/5ML|15MG/5ML|1.2 More ... | 150 | 2024-04-01 | 2026-03-31 | 6 | ||||
| 42 | 3532B | VITAPLEX M SYR (CAR) MULTIVITAMINSMULTIVITAMINS + MINERALS | 250ML | B | 0.06 | 250 | 2026-04-01 | No | No | 6 | ||||
| 41 | 3541AB | VITALUX PLUS TAB (ALC) MULTIVITAMINS (C) | 30'S | C | 0.9541 | 10000U|2MG | 0 | 2024-04-01 | 2026-03-31 | 0 | ||||
| 42 | 3541AC | VITAMINS MULTI | TAB (KWA) MINERAL|MULTIVITAMIN | 100'S | B | 0.16 | 0 | 2026-04-01 | No | No | Add to Contract as Cat B | 0 | |||
| 40 | 35421 | BECOPLEX CAP (CAR/COL) VITAMIN B COMPLEX | 500'S | B | 0.18 | 0 | 2022-04-01 | 2024-03-31 | 0 | |||||
| 41 | 35421 | BECOPLEX CAP (CAR) VITAMIN B COMPLEX (B) | 500'S | B | 0.1974 | 60 | 2024-04-01 | 2026-03-31 | 6 | |||||
| 42 | 35421 | BECOPLEX CAP (CAR) VITAMIN B COMPLEX | 500'S | B | 0.20 | 60 | 2026-04-01 | No | No | 6 | ||||
| 40 | 35423 | NEUROBION TAB (MEK/COL) VITAMIN B COMPLEX | 120'S | C | 0.40 | 0 | 2022-04-01 | 2024-03-31 | 0 | |||||
| 40 | 35433 | BECOPLEX SYR (CAR/COL) VITAMIN B COMPLEX | 250ML | B | 0.05 | 0 | 2022-04-01 | 2024-03-31 | 0 | |||||
| 41 | 35433 | BECOPLEX SYR (CAR) VITAMIN B COMPLEX (B) | 250ML | B | 0.0473 | 150 | 2024-04-01 | 2026-03-31 | 6 | |||||
| 42 | 35433 | BECOPLEX SYR (CAR) VITAMIN B COMPLEX | 250ML | B | 0.05 | 150 | 2026-04-01 | No | No | 6 | ||||
| 40 | 35444 | NEUROBION INJ (MEK/COL) VITAMIN B COMPLEX | 1 DS SYRNG | C | 8.02 | 0 | 2022-04-01 | 2024-03-31 | 0 | |||||
| 40 | 3544D | IN FUVITE PAED INJ (BAX/STO) MULTIVITAMINS | 5 PAIRS | B | 36.04 | 0 | 2022-04-01 | 2024-03-31 | Price Change | 0 | ||||