Displaying 2321 - 2340 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 35931 LAMICTAL 100MG TAB (GSK) LAMOTRIGINE 30'S C 3.44 100MG 60 2026-04-01 No No 6
40 3593G APO-LAMOTRIGINE 100MG TAB (APO/COL) 100'S B 0.26 100MG 0 2022-04-01 2024-03-31 6
41 3593M APO-LAMOTRIGINE 100MG TAB (APO) LAM (B) 100'S B 0.2645 100MG 60 2024-04-01 2026-03-31 6
42 3593N LEMOGIN 100MG DISP TAB (JLP) LAMOTRIGINE 20X10 B 0.13 100MG 0 2026-04-01 No No 0
40 3621B APO-LEVOCARB 10MG | 100MG TAB (APO/COL) 100'S A 0.17 10MG|100MG 240 2022-04-01 2024-03-31 Add to Contract as Cat A 6
42 3621B APO-LEVOCARB 10MG|100MG TAB (APO) 100'S A 0.23 10MG|100MG 240 2026-04-01 No No 6
41 3621G APO-LEVOCARB 10MG|100MG TAB (APO) 100'S A 0.2253 10MG|100MG 240 2024-04-01 2026-03-31 6
41 36222 SINEMET 25MG|250MG TAB (MSD) CARBIDOPA|L (C) 100'S C 0.7997 25MG|250MG 240 2024-04-01 2026-03-31 6
40 36223 PROLOPA 50MG | 200MG TAB (ROC/AHI) BENSERAZIDE | 30'S A 1.36 50MG|200MG 240 2022-04-01 2024-03-31 6
41 36223 PROLOPA 50MG|200MG TAB (ROC) BENSERAZIDE|LEVODOPA 30'S A 1.005 50MG|200MG 240 2024-09-27 2026-03-31 6
40 36227 APO-LEVOCARB 25MG | 250MG TAB (APO/COL) 100'S A 0.27 25MG|250MG 240 2022-04-01 2024-03-31 Add to Contract as Cat A 6
41 3622K CREDANIL 25MG|250MG TAB (REM) CARBIDOPA| 50'S A 0.2267 25MG|250MG 240 2024-04-01 2026-03-31 6
42 3622K CREDANIL 25MG|250MG TAB (REM) CARBIDOPA|LEVODOPA 50'S A 0.23 25MG|250MG 240 2026-04-01 No No 6
41 3622R APO-LEVOCARB 25MG|250MG TAB (APO) 100'S A 0.2561 25MG|250MG 240 2024-04-01 2026-03-31 6
42 3622V BENKINSON 50MG|200MG CAP (INC) BENSERAZIDE|LEVODOPA 20'S A 0.79 50MG|200MG 240 2026-04-01 No No 6
40 3631AX ACCORD METOCLOPRAMIDE 10MG TAB (INP/AAL) METO 30'S A 0.07 10MG 90 2022-04-01 2024-03-31 6
40 3631BB METOCLOPRAMIDE 10MG TAB (FSB/ATB) 500'S A 0.04 10MG 90 2022-04-01 2024-03-31 6
41 3631BB METOCLOPRAMIDE 10MG TAB (FSB) 500'S A 0.0437 10MG 90 2024-04-01 2026-03-31 6
42 3631BC MPRANIM 10MG TAB (ANC) METOCLOPRAMIDE 500'S A 0.02 10MG 90 2026-04-01 No No 6
40 3633AG METOCLOPRAMIDE 5MG/ML IV/IM INJ (MON/PHA) 10X2ML B 0.60 5MG/ML IV/IM 0 2022-04-01 2024-03-31 0