Displaying 241 - 260 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 0153BK AMOXAPEN 500MG CAP (REM) AMOXICILLIN 100X10 A 0.1218 500MG 56 2024-04-01 2026-03-31 0
40 0153C AMOXAPEN 500MG CAP (REM/SBI) AMOXICILLIN 100x10 C 0.12 500MG 0 2022-04-01 2024-03-31 0
40 0153CC AMOXIL 500MG CAP (GSK/COL) AMOXICILLIN 100'S C 0.42 500MG 0 2022-04-01 2024-03-31 0
41 0153CC AMOXIL 500MG CAP (GSK) AMOXICILLIN (C) 100'S C 0.4665 500MG 56 2024-04-01 2026-03-31 0
42 0153CC AMOXIL 500MG CAP (GSK) AMOXICILLIN (C) 100'S C 0.49 500MG 56 2026-04-01 No No 0
40 0153CS AMOXICILLIN 500MG CAP (FSB/ATB) 1000'S A 0.07 500MG 28 2022-04-01 2024-03-31 0
40 0153CW AMOXAPEN 500MG CAP (REM/SBI) AMOXICILLIN 10x10 C 0.10 500MG 0 2022-04-01 2024-03-31 0
41 0153CW AMOXAPEN 500MG CAP (REM) AMOXICILLI 10x10 A 0.1264 500MG 56 2024-04-01 2026-03-31 0
42 0153CW AMOXAPEN 500MG CAP (REM) AMOXICILLI 10x10 A 0.24 500MG 56 2026-04-01 No No 0
41 0153DH AMOXICILLIN 500MG TAB (MCP) 10X10 A 0.1003 500MG 28 2024-04-01 2024-12-27 0
41 0153DH AMOXICILLIN 500MG TAB (MCP) 10X10 A 0.114 500MG 28 2024-12-28 2026-03-31 0
40 0155AG AMOXICILLIN 50MG/ML SUSP (MCP/AHI) 100ML A 0.02 50MG/ML 200 2022-04-01 2024-03-31 0
41 0155AG AMOXICILLIN 50MG/ML SUSP (MCP) 100ML A 0.0201 50MG/ML 200 2024-04-01 2026-03-31 0
42 0155AR AMOTID 50MG/ML SUSP (BEX) AMOXICILLIN 100ML A 0.03 50MG/ML 200 2026-04-01 No No 0
40 0155T AMOXIL 50MG/ML SUSP (GSK/COL) AMOXICILLIN 100ML C 0.13 50MG/ML 0 2022-04-01 2024-03-31 0
41 0155T AMOXIL 50MG/ML SUSP (GSK) AMOXICILLIN (C) 100ML C 0.146 50MG/ML 200 2024-04-01 2026-03-31 0
40 0164AM AMPICILLIN 500MG INJ (KWA/ATB) 500MG VIAL BQ 0.90 500MG 0 2022-04-01 2022-09-30 0
42 0164AR AMPICILLIN 500MG INJ (MON) 10X5ML B 1.32 500MG 28 2026-04-01 No No 0
40 0164AU AMPICILLIN 500MG INJ (CHC/ATB) 500MG VIAL BQ 0.82 500MG 0 2022-04-01 2024-03-31 Price Change 6
40 0164AW AMPICILLIN 500MG INJ (MON/PHA) 500MG VIAL C 1.69 500MG 0 2022-04-01 2024-03-31 0