Displaying 2621 - 2640 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 4141G APO-NAPROXEN 250MG TAB (APO/COL) 100'S A 0.11 250MG 28 2022-04-01 2024-03-31 6
42 4141G APO-NAPROXEN 250MG TAB (APO) 100'S A 0.20 250MG 28 2026-04-01 No No 6
40 4141JP PRIAXEN 500MG TAB (REM/SBI) NAPROXEN 10x10 A 0.18 500MG 28 2022-04-01 2024-03-31 6
41 4141JP PRIAXEN 500MG TAB (REM) NAPROXEN 10x10 A 0.205 500MG 28 2024-04-01 2026-03-31 6
42 4141JP PRIAXEN 500MG TAB (REM) NAPROXEN 10x10 A 0.34 500MG 28 2026-04-01 No No 6
41 4141JQ PEROFEN 400MG TAB (REM) IBUPROFEN 1000'S A 0.0694 400MG 120 2024-04-01 2026-03-31 6
40 4141KJ DICLOFENAC SOD 50MG TAB (HEA/RXP) 10X10 A 0.03 50MG 42 2022-04-01 2024-03-31 6
40 4141KK IBUPROFEN 400MG TAB (HEA/RXP) 10X10 A 0.09 400MG 120 2022-04-01 2024-03-31 6
40 4141KW VOLTAREN 50MG TAB (NVS/COL) DICLOFENAC SOD 100'S C 0.92 50MG 0 2022-04-01 2024-03-31 0
41 4141KW VOLTAREN 50MG TAB (NVS) DICLOFENAC SOD (C) 100'S C 0.9231 50MG 42 2024-04-01 2026-03-31 6
42 4141KW VOLTAREN 50MG TAB (NVS) DICLOFENAC SODIUM 100'S C 0.92 50MG 42 2026-04-01 No No 6
40 4141KX IBUPROFEN 400MG TAB (HEA/ATB) 10X10 A 0.0897 400MG 2022-12-07 2024-03-31 No No Change Local Agent 6
40 4141LB INDOMETHACIN MK 25MG CAP (BON/COL) INDOMETHAC 100'S BQ 0.08 25MG 0 2022-04-01 2024-03-31 6
40 4141PQ APO-IBUPROFEN 200MG TAB (APO/COL) 100'S A 0.12 200MG 120 2022-04-01 2024-03-31 6
40 4141QF ADVIL 200MG TAB (GSK/COL) IBUPROFEN 50'S C 0.25 200MG 0 2022-04-01 2024-03-31 0
41 4141QF ADVIL 200MG TAB (GSK) IBUPROFEN 50'S A 0.2669 200MG 120 2024-04-01 2026-03-31 6
40 4141QG ADVIL 200MG TAB (GSK/COL) IBUPROFEN 24'S C 0.31 200MG 0 2022-04-01 2024-03-31 0
41 4141QG ADVIL 200MG TAB (GSK) IBUPROFEN (C) 24'S C 0.3251 200MG 120 2024-04-01 2026-03-31 6
42 4141QG ADVIL 200MG TAB (GSK) IBUPROFEN 24'S C 0.34 200MG 120 2026-04-01 No No 6
40 4141QH ADVIL 200MG CAPLET (GSK/COL) IBUPROFEN 24'S C 0.31 200MG 0 2022-04-01 2024-03-31 0