Displaying 2561 - 2580 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 4021E ERYTHROMYCIN 500MG INJ (CIR) (BQ) 500MG VIAL BQ 28.923 500MG 56 2024-04-01 2026-03-31 1
42 4021E ERYTHROMYCIN 500MG INJ (CIR) 500MG VIAL BQ 29.79 500MG 56 2026-04-01 No No 0
40 4021N KLARICID 500MG INJ (ABB/PHA) CLARITHROMYCIN 500MG VIAL C 36.91 500MG 0 2022-04-01 2024-03-31 0
40 4021N KLARICID 500MG INJ (ABB/PHA) CLARITHROMYCIN (C) 500MG VIAL C 36.91 500MG 2022-04-01 2023-03-31 No No Delete from contract 0
41 4021P ERYTHROMYCIN 500MG INJ (KWA) ERYTHR (BQ) 500MG VIAL BQ 26.3406 500MG 56 2024-04-01 2026-03-31 1
41 4021Q KLARICID 500MG INJ (ABB) CLARITHROMYCIN (BQ) 500MG VIAL BQ 29.3035 500MG 14 2024-04-01 2026-03-31 0
41 4021R TRIDOSIL 500MG INJ (INC) AZITHROMYCIN (BQ) 15ML BQ 28.7599 500MG 30 2024-04-01 2026-03-31 0
40 40311 GLYCINE (2B7317) 1.5% INJ (BAX/STO) 3 LITRES BQ 13.86 1.5% 0 2022-04-01 2024-03-31 0
41 40311 GLYCINE (2B7317) 1.5% INJ (BAX) (BQ) 3 LITRES BQ 26.2046 1.5% 0 2024-04-01 2026-03-31 0
42 40311 GLYCINE (2B7317) 1.5% INJ (BAX) 3 LITRES B 28.32 1.5% 0 2026-04-01 No No 0
40 40313 GLYCINE 1.5% INJ (BRA/COL) 3 LITRES BQ 14.92 1.5% 0 2022-04-01 2024-03-31 0
41 40313 GLYCINE 1.5% INJ (BRA) (BQ) 3 LITRES BQ 46.8911 1.5% 0 2024-04-01 2026-03-31 0
42 40313 GLYCINE 1.5% INJ (BRA) 3 LITRES C 46.89 1.5% 0 2026-04-01 No No 0
40 40418 B.S.S. SOLN (ALC/AHI) BALANCED SALT 15ML BQ 12.67 0 2022-04-01 2024-03-31 0
41 40418 B.S.S. SOLN (ALC) BALANCED SALT (BQ) 15ML BQ 12.9936 10 2024-04-01 2026-03-31 0
42 40418 BSS SOLN (ALC) BALANCED SALT 15ML BQ 14.11 10 2026-04-01 No No 0
40 40439 B.S.S. PLUS SOLN (ALC/AHI) BALANCED SALT SOL 500ML BQ 32.48 0 2022-04-01 2024-03-31 0
42 40439 B.S.S. PLUS SOLN (ALC) BALANCED SALT SO 500ML BQ 36.83 0 2026-04-01 No No 0
40 4043A B.S.S (BAG) SOLN (ALC/AHI) BALANCED SALT 500ML BQ 29.33 0 2022-04-01 2024-03-31 0
41 4043A B.S.S (BAG) SOLN (ALC) BALANCED SALT (BQ) 500ML BQ 29.9016 10 2024-04-01 2026-03-31 0