Displaying 2801 - 2820 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 4181W OCREVUS 300MG INJ (ROC/AHI) OCRELIZUMAB 10ML C 17,533.1 300MG 0 2022-04-01 2024-03-31 0
41 4181W OCREVUS 300MG INJ (ROC) OCRELIZUMAB (BQ) 10ML BQ 17533.189 300MG 0 2024-04-01 2026-03-31 0
42 4181W OCREVUS 300MG INJ (ROC) OCRELIZUMAB 10ML BQ 15,779.87 300MG 0 2026-04-01 No No 0
41 4181Y RIXATHON 10MG/ML INJ (BCH) RITUXIMAB (BQ) 2X10ML BQ 384.4525 10MG/ML 0 2024-04-01 2026-03-31 0
40 42013 PRETERAX 0.625MG | 2.5MG TAB (SER/STO) INDAPAMIDE | PERINDOPRIL 30'S C 1.22 0.625MG|2.5MG 0 2022-04-01 2024-03-31 0
41 42013 PRETERAX 0.625MG|2.5MG TAB (SER) INDAPAMIDE|PERINDOPRIL (C) 30'S C 1.2368 0.625MG|2.5MG 0 2024-04-01 2026-03-31 0
42 42013 PRETERAX 0.625MG|2.5MG TAB (SER) INDAPAMIDE|PERINDOPRIL 30'S C 1.24 0.625MG|2.5MG 0 2026-04-01 No No 0
40 42014 PRETERAX 0.625MG | 2.5MG TAB (SER/COL) INDAPAMIDE | PERINDOPRIL 30'S C 1.22 0.625MG|2.5MG 0 2022-04-01 2024-03-31 0
41 42014 PRETERAX 0.625MG|2.5MG TAB (SER) INDAPAMIDE|PERINDOPRIL (C) 30'S C 1.2368 0.625MG|2.5MG 0 2024-04-01 2026-03-31 0
42 42014 PRETERAX 0.625MG|2.5MG TAB (SER) INDAPAMIDE|PERINDOPRIL 30'S C 1.24 0.625MG|2.5MG 0 2026-04-01 No No 0
40 42024 PRETERAX 2.5MG | 10MG TAB (SER/STO) INDAPAMIDE | PERINDOPRIL 30'S C 1.22 2.5MG|10MG 0 2022-04-01 2024-03-31 0
41 42024 PRETERAX 2.5MG|10MG TAB (SER) INDAPAMIDE|PERINDOPRIL (C) 30'S C 1.2368 2.5MG|10MG 0 2024-04-01 2026-03-31 0
42 42024 PRETERAX 2.5MG|10MG TAB (SER) INDAPAMIDE|PERINDOPRIL 30'S C 1.24 2.5MG|10MG 0 2026-04-01 No No 0
41 42025 PRETERAX 1.25MG|5MG TAB (SER) INDAPAMIDE|PERINDOPRIL (C) 30'S C 1.2368 1.25MG|5MG 0 2024-04-01 2026-03-31 0
42 42025 PRETERAX 1.25MG|5MG TAB (SER) INDAPAMIDE|PERINDOPRIL 30'S C 1.24 1.25MG|5MG 0 2026-04-01 No No 0
42 42026 PRETERAX 1.25MG|5MG TAB (SER) INDAPAMIDE|PERINDOPRIL 30'S C 1.24 1.25MG|5MG 0 2026-04-01 No No 0
40 42027 PRETERAX 2.5MG | 10MG TAB (SER/COL) INDAPAMIDE | PERINDOPRIL 30'S C 1.22 2.5MG|10MG 0 2022-04-01 2024-03-31 0
41 42027 PRETERAX 2.5MG|10MG TAB (SER) INDAPAMIDE|PERINDOPRIL (C) 30'S C 1.2368 2.5MG|10MG 0 2024-04-01 2026-03-31 0
42 42027 PRETERAX 2.5MG|10MG TAB (SER) INDAPAMIDE|PERINDOPRIL 30'S C 1.24 2.5MG|10MG 0 2026-04-01 No No 0
40 42028 PRETERAX 1.5MG | 5MG TAB (SER/COL) INDAPAMIDE | PERINDOPRIL 30'S C 1.22 1.5MG|5MG 0 2022-04-01 2024-03-31 0