Displaying 221 - 240 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 0141HH KLARICID XL 500MG ER TAB (ABB) CLARITHROMYCIN (C) 10'S C 1.7343 500MG 0 2024-04-01 2026-03-31 0
42 0141HH KLARICID XL 500MG ER TAB (ABB) CLARITHROMYCIN 10'S C 1.58 500MG 0 2026-04-01 No No 0
41 0141HM AZVAN 500MG TAB (TPP) AZITHROMYCIN 10X10 A 0.4548 500MG 7 2024-04-01 2026-03-31 0
41 0141HN AZITHROMYCIN 500MG TAB (MCP) 30'S A 0.3824 500MG 7 2024-04-01 2024-05-15 0
41 0141HQ AZITHROMYCIN 500MG TAB (MCP) 3'S A 0.39 500MG 7 2024-04-02 2026-03-31 0
42 0141HQ AZITHROMYCIN 500MG TAB (MCP) 3'S A 0.43 500MG 10 2026-04-01 No No 0
41 0141HR AZITHROMYCIN 500MG TAB (ALB) 30'S B 1.2723 500MG 7 2024-06-26 2026-03-31 0
42 0141JA AZAL 500MG TAB (STL) AZITHROMYCIN 10X10 A 0.40 500MG 10 2026-04-01 No No 0
40 0141M CLAREM 250MG TAB (REM/SBI) CLARITHROMYCIN 100'S A 0.08 250MG 14 2022-04-01 2024-03-31 0
41 0141T CLAREM 250MG TAB (REM) CLARITHROMYCIN (C) 2X7'S C 0.5301 250MG 14 2024-04-01 2026-03-31 0
40 0141ZK APO-CLARITHROMYCIN 500MG TAB (APO/COL) 100'S A 0.76 500MG 14 2022-04-01 2024-03-31 0
42 0141ZK APO-CLARITHROMYCIN 500MG TAB (APO) 100'S A 0.78 500MG 14 2026-04-01 No No 0
40 0142B ERYTHROMYCIN 5% EYE OINT (AKI/AHI) 3.5G C 67.31 5% 0 2022-04-01 2024-03-31 0
40 0152BF AMOXIL 25MG/ML SUSP (GSK/COL) AMOXICILLIN 100ML C 0.11 25MG/ML 0 2022-04-01 2024-03-31 0
41 0152BF AMOXIL 25MG/ML SUSP (GSK) AMOXICILLIN (C) 100ML C 0.1261 25MG/ML 300 2024-04-01 2026-03-31 0
42 0152BF AMOXIL 25MG/ML SUSP (GSK) AMOXICIL (C) 100ML C 0.13 25MG/ML 300 2026-04-01 No No 0
40 0152BQ AMOXICILLIN 25MG/ML SUSP (MCP/AHI) 100ML A 0.02 25MG/ML 300 2022-04-01 2024-03-31 0
41 0152BQ AMOXICILLIN 25MG/ML SUSP (MCP) 100ML A 0.0179 25MG/ML 300 2024-04-01 2024-12-27 0
41 0152BQ AMOXICILLIN 25MG/ML SUSP (MCP) 100ML A 0.0204 25MG/ML 300 2024-12-28 2026-03-31 0
42 0152C AMOXICILLIN 25MG/ML SUSP (FSB) 100ML A 0.01 25MG/ML 300 2026-04-01 No No Add to Contract as Cat A 0