Displaying 2521 - 2540 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
40 3961AP DEPAKOTE 250MG TAB (ABB/PHA) VALPROIC ACID 30'S A 0.71 250MG 90 2022-04-01 2024-03-31 6
40 3961AP DEPAKOTE 250MG TAB (ABB/PHA) VALPROIC ACID 30'S A 0.714 250MG 2022-04-01 2023-03-31 No No Delete from contract 6
40 3961AS EPILIM CHRONO 133.2MG | 58MG TAB (SFA/COL) SODI 30'S A 0.37 133.2MG|58MG 150 2022-04-01 2024-03-31 6
41 3961AS EPILIM CHRONO 133.2MG|58MG CR TAB (SFA) SODIUM VALPROATE|VAL 30'S A 0.367 133.2MG|58MG 150 2024-04-01 2026-03-31 6
40 3961AV DEPAKOTE 250MG TAB (ABB) VALPROIC ACID 30 A 0.714 250MG 90 0000-00-00 0000-00-00 CHANGE OF DISTRIBUTOR 6
41 3961AV DEPAKOTE 250MG TAB (ABB) VALPROIC ACID 30'S A 0.7475 250MG 90 2024-04-01 2026-03-31 6
41 3961AW DEPAKOTE 250MG ER TAB (ABB) SODIUM VALPROATE 30'S A 0.8073 250MG 90 2024-04-01 2026-03-31 6
41 3961AX DEPAKENE 250MG CAP (ABB) VALPROIC ACID (C) 50'S C 0.8671 250MG 90 2024-04-01 2026-03-31 6
42 3961BB VALEX 133.2MG|58MG CR TAB (INC) SODIUM VALPROATE|VALPROIC AC 5X10 A 0.11 133.2MG|58MG 150 2026-04-01 No No 6
42 3961BD DEPAKOTE 250MG DR TAB (ABB) VALPROIC ACID 30'S A 0.68 250MG 90 2026-04-01 No No 6
42 3961BG VALSONIM 133.2MG|58MG CR TAB (ANC) SODIUM VALPROATE|VALPROIC 100'S A 0.09 133.2MG|58MG 150 2026-04-01 No No Add to Contract as Cat A 6
42 3961BH LEEPORATE 133.2MG|58MG CR TAB (JLP) SODIUM VALPROATE|VALPROI 10X10 A 0.13 133.2MG|58MG 150 2026-04-01 No No Add to Contract as Cat A 6
42 3961Z PMS-VALPROIC ACID 250MG CAP (PMS) 100'S A 0.24 250MG 90 2026-04-01 No No 6
40 39629 EPILIM 40MG/ML SYR (SFA/COL) SODIUM VALPROATE 300ML A 0.12 40MG/ML 750 2022-04-01 2024-03-31 6
41 39629 EPILIM 40MG/ML SYR (SFA) SODIUM VALPROATE 300ML A 0.1173 40MG/ML 750 2024-04-01 2026-03-31 6
42 39629 EPILIM 40MG/ML SYR (SFA) SODIUM VALPROATE 300ML A 0.12 40MG/ML 750 2026-04-01 No No 6
40 3962H DEPAKENE 50MG/ML SYR (ABB/PHA) VALPROIC ACID 240ML A 0.12 50MG/ML 900 2022-04-01 2024-03-31 6
40 3962H DEPAKENE 50MG/ML SYR (ABB/PHA) VALPROIC ACID 240ML A 0.1187 50MG/ML 2022-04-01 2023-03-31 No No Delete from contract 6
40 3962R DEPAKENE 50MG/ML SYR (ABB)VALPROIC ACID 8OZS A 0.12 50MG/ML 900 0000-00-00 6
41 3962R DEPAKENE 50MG/ML SYR (ABB) VALPROIC ACID 8OZ A 0.1244 50MG/ML 900 2024-04-01 2026-03-31 6