Displaying 2641 - 2660 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 4141QH ADVIL 200MG CAPLET (GSK) IBUPROFEN (C) 24'S C 0.3251 200MG 0 2024-04-01 2026-03-31 0
40 4141QM ADVIL LIQUI-GELS 200MG CAP (GSK/COL) IBUPROFEN 40'S C 0.32 200MG 0 2022-04-01 2024-03-31 0
41 4141QM ADVIL LIQUI-GELS 200MG CAP (GSK) IBUPROFEN (C) 40'S C 0.3384 200MG 0 2024-04-01 2026-03-31 0
40 4141QN ADVIL LIQUI-GELS 200MG CAP (GSK/COL) IBUPROFEN 20'S C 0.35 200MG 0 2022-04-01 2024-03-31 0
41 4141QN ADVIL LIQUI-GELS 200MG CAP (GSK) IBUPROFEN (C) 20'S C 0.3738 200MG 0 2024-04-01 2026-03-31 0
42 4141QN ADVIL LIQUI-GELS 200MG CAP (GSK) IBUPROFEN 20'S C 0.39 200MG 0 2026-04-01 No No 0
40 4141QS ADVIL PM 200MG CAPLET (GSK/COL) IBUPROFEN 20'S C 0.50 200MG 0 2022-04-01 2024-03-31 0
41 4141QS ADVIL PM 200MG CAPLET (GSK) IBUPROFEN (C) 20'S C 0.526 200MG 0 2024-04-01 2026-03-31 0
42 4141QS ADVIL PM 200MG CAPLET (GSK) IBUPROFEN 20'S C 0.55 200MG 0 2026-04-01 No No 0
40 4141QU ALEVE 220MG TAB (BSP/COL) NAPROXEN 36'S C 0.19 220MG 0 2022-04-01 2024-03-31 0
41 4141QU ALEVE 220MG TAB (BSP) NAPROXEN (C) 36'S C 0.182 220MG 0 2024-04-01 2026-03-31 0
42 4141QU ALEVE 220MG TAB (BSP) NAPROXEN 36'S C 0.22 220MG 0 2026-04-01 No No 0
41 4141RE DICLOFENAC 50MG TAB (HEA) 10X10 A 0.0269 50MG 42 2024-04-01 2026-03-31 6
41 4141RJ APO-NAPROXEN 500MG TAB (APO) 100'S A 0.1862 500MG 28 2024-04-01 2026-03-31 6
41 4141RM APO-DICLOFENAC SODIUM 25MG TAB (APO) 100'S A 0.1079 25MG 100 2024-04-01 2026-03-31 6
41 4141RN INDOMETHACIN 25MG CAP (GPC) (BQ) 1000'S BQ 0.0841 25MG 0 2024-04-01 2026-03-31 0
41 4141RP APO-NAPROXEN 250MG TAB (APO) 100'S A 0.1082 250MG 28 2024-04-01 2026-03-31 6
41 4141SA ALEVE 220MG CAPLET (BSP) NAPROXEN (C) 36'S C 0.182 220MG 0 2024-04-01 2026-03-31 0
41 4141SD IBUVAN 400MG TAB (TPP) IBUPROFEN 10X10 A 0.0802 400MG 120 2024-04-01 2026-03-31 6
41 4141SF IBUPROFEN 200MG TAB (MCP) 10X10 A 0.078 200MG 120 2024-04-01 2026-03-31 6