Displaying 2601 - 2620 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 4092K GLYCEROL 2G SUPPOS (MTP) GLYCERINE 12'S A 0.72 2G 12 2026-04-01 No No 0
40 41011 ZOMETA 4MG INJ (NVS/COL) ZOLENDRONIC ACID 4MG VIAL C 842.68 4MG 0 2022-04-01 2024-03-31 0
41 41011 ZOMETA 4MG INJ (NVS) ZOLENDRONIC ACID (C) 4MG VIAL C 706.7642 4MG 2 2024-04-01 2026-03-31 6
42 41011 ZOMETA 4MG INJ (NVS) ZOLENDRONIC ACID 4MG VIAL C 706.76 4MG 2 2026-04-01 No No 6
41 41016 ZOLENDRONIC ACID 4MG INJ (ZUV) (BQ) 4MG VIAL BQ 13.5916 4MG 2 2024-04-01 2026-03-31 6
42 41016 ZOLENDRONIC ACID 4MG INJ (ZUV) 4MG VIAL BQ 8.54 4MG 2 2026-04-01 No No 0
40 4101A ZOLENDRONIC ACID 4MG INJ (SLS/AHI) 4MG VIAL BQ 38.95 4MG 0 2022-04-01 2022-09-30 0
41 4101A ZOLENDRONIC ACID 4MG INJ (SLS) (BQ) 4MG VIAL BQ 30.418 4MG 2 2024-04-01 2024-05-27 6
40 4101E ZOLASTA 4MG INJ (INP/AHI) ZOLENDRONIC ACID 5ML BQ 35.07 4MG 0 2022-04-01 2024-03-31 0
42 4101Q ZOLOSTEO 4MG INJ (JLP) ZOLENDRONIC ACID 12X4MG BQ 9.06 4MG 2 2026-04-01 No No 0
40 4121B METHYLPREDNISOLONE SODIUM SUCCINATE 500MG INJ (KWA/ATB) 500MG VIAL B 15.36 500MG 0 2022-04-01 2022-09-30 0
41 4121B METHYLPRED. SOD. SUCC. 500MG INJ (KWA) METHYLPREDNISOLONE SO (BQ) 500MG VIAL BQ 9.7044 500MG 0 2024-04-01 2026-03-31 0
40 4121D METHYLPREDNISOLONE SODIUM SUCCINATE 500MG INJ (MON/PHA) 10ML VIAL B 10.55 500MG 0 2022-04-01 2024-03-31 0
41 4121G METHYLPRED. SOD. SUCC. 500MG INJ (FSB) METHYLPREDNISOLONE SO (BQ) 500MG VIAL BQ 9.4326 500MG 0 2024-04-01 2026-03-31 0
42 4121J METHYLPRED. SOD. SUCC. 50MG/ML INJ (BAX) METHYLPREDNISOLONE 10X10ML BQ 6.84 500MG 0 2026-04-01 No No 0
41 4141AF NAPROXEN 500MG TAB (CPP) 28'S A 0.1495 500MG 28 2024-04-01 2026-03-31 6
42 4141DQ APO-NAPROXEN 500MG TAB (APO) 100'S C 0.39 500MG 28 2026-04-01 No No 6
40 4141FX PONSTAN FORTE 500MG TAB (PFI/STO) MEFENAMIC A 50'S C 0.30 500MG 0 2022-04-01 2024-03-31 0
41 4141FX PONSTAN FORTE 500MG TAB (PFI) MEFEN (C) 50'S C 0.3055 500MG 0 2024-04-01 2026-03-31 0
42 4141FX PONSTAN FORTE 500MG TAB (PFI) MEFEN 50'S C 0.31 500MG 0 2026-04-01 No No 0