Displaying 2701 - 2720 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 4144DA DICLO-SR 75MG SR TAB (RYV) DICLOFENAC SODIUM 100'S A 0.081 75MG 28 2024-04-01 2026-03-31 6
42 4144DA DICLO-SR 75MG SR TAB (RYV) DICLOFENAC SODIUM 100'S A 0.08 75MG 28 2026-04-01 No No 6
40 4144DG DICLORAN SR 75MG TAB (UNI/AHI) DICLOFENAC SOD 10X10 A 0.07 75MG 28 2022-04-01 2024-03-31 6
41 4144DP DICLOFENAC SODIUM 100MG SR TAB (FSB) 10X10 A 0.0519 100MG 14 2024-04-01 2026-03-31 6
41 4144DS DICLOFENAC 75MG SR TAB (LDP) 10'S A 0.0734 75MG 28 2024-04-01 2026-03-31 6
41 4144DT DICLOFENAC SODIUM 100MG SR TAB (MCP) 10X10 A 0.0622 100MG 14 2024-04-01 2026-03-31 6
42 4144EA STALOGESIC 75MG SR TAB (STL) DICLOFENAC SODIUM 1X10 A 0.03 75MG 28 2026-04-01 2028-03-31 No No Name Change 6
42 4144EB DICLOFENAC SODIUM 100MG SR TAB (HEA) 10X10 A 0.07 100MG 14 2026-04-01 No No Price Change 6
42 4144EE DICLOFENAC SODIUM 75MG SR TAB (HEA) 1X10 A 0.08 75MG 28 2026-04-01 No No 6
42 4144EF DICLOFENAC SODIUM 100MG SR TAB (HEA) 10X10 A 0.07 100MG 14 2026-04-01 No No Add to Contract as Cat A 6
42 4144EG DICLOFENAC SODIUM 75MG SR TAB (HEA) 10'S A 0.08 75MG 28 2026-04-01 No No Add to Contract as Cat A 6
42 4144EH DICLOFENAC 100MG SR TAB (HEA) 10X10 A 0.07 100MG 14 2026-04-01 No No Add to Contract as Cat A 6
42 4144EJ DICLOFENAC 75MG SR TAB (HEA) 10'S A 0.08 75MG 28 2026-04-01 No No Add to Contract as Cat A 6
40 4144G VOLTAREN SR 75MG TAB (NVS/COL) DICLOFENAC SOD 100'S C 1.38 75MG 0 2022-04-01 2024-03-31 0
41 4144G VOLTAREN SR 75MG TAB (NVS) DICLOFENAC SO (C) 100'S C 1.3771 75MG 28 2024-04-01 2026-03-31 6
42 4144G VOLTAREN 75MG SR TAB (NVS) DICLOFENAC SODIUM 100'S C 1.38 75MG 28 2026-04-01 No No 6
40 4144P DICLOFENAC SOD SR 75MG TAB (HEA/RXP) 10'S C 0.08 75MG 0 2022-04-01 2024-03-31 0
40 4144PA DICLOFENAC SOD SR 75MG TAB (HEA/ATB) (C) 10'S C 0.15 75MG 2022-12-07 2024-03-31 No No Change Local Agent 0
41 4144PA DICLOFENAC SODIUM 75MG SR TAB (HEA) (C) 10'S C 0.0924 75MG 28 2024-04-01 2026-03-31 6
40 4144V VOLTAREN SR 75MG TAB (NVS/COL) DICLOFENAC SOD 20'S C 1.39 75MG 0 2022-04-01 2024-03-31 0