Displaying 2841 - 2860 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 42313 SILVER NITRATE 95% STICK (BRH) (B) 1'S B 9.6772 95% 2 2024-04-01 2026-03-31 0
42 42313 SILVER NITRATE 95% STICK (BRH) 1'S B 9.02 95% 2 2026-04-01 No No 0
40 42524 BNT 3.5MG | 10,000IU CR (CAR/COL) NEOMYCIN | POLY 15G A 5.38 3.5MG/G|10,000IU/G 2 2022-04-01 2024-03-31 0
41 42524 BNT 3.5MG|10,000IU CR (CAR) NEOMYCIN|POL 15G A 5.5454 3.5MG/G|10,000IU/G 2 2024-04-01 2026-03-31 0
42 42524 BNT 3.5MG/G|10,000IU/G CR (CAR) NEOMYCIN|POLYMYXIN 15G A 5.55 3.5MG|10,000IU 2 2026-04-01 No No 0
42 4252AC FUSIJOHN 2% CR (JLP) FUSIDIC ACID 10G A 4.08 2% 2 2026-04-24 No No Package Size Change 0
42 4252AD FUSIDIC ACID 2% CR (CHC) 15G A 3.34 2% 2 2026-04-01 No No Add to Contract as Cat A 0
42 4252AE FUSIDIC ACID 2% CR (FSB) 15G A 2.20 2% 2 2026-04-01 No No Add to Contract as Cat A 0
40 4252F FUCIDIN 2% CR (LEO/COL) FUSIDIC ACID 15G C 6.71 2% 0 2022-04-01 2024-03-31 0
40 4252U FUSIDIC ACID 2% CR (CHC/ATB) 15G A 2.75 2% 2 2022-04-01 2024-03-31 0
41 4252U FUSIDIC ACID 2% CR (CHC) 15G A 3.5882 2% 2 2024-04-01 2026-03-31 0
41 4252V FUSIDIC ACID 2% CR (FSB) 15G A 2.4465 2% 2 2024-04-01 2026-03-31 0
40 4252W FUSIFEN 2% CR (FUR/ATB) FUSIDIC ACID 15G A 2.91 2% 2 2022-04-01 2024-03-31 0
41 4252X FUSIBACT 2% CR (LDP) FUSIDIC ACID (C) 15G C 6.4152 2% 2 2024-04-01 2026-03-31 0
40 42535 BACTIN 500U OINT (CAR/COL) BACITRACIN 15G A 4.89 500U 2 2022-04-01 2024-03-31 0
41 42535 BACTIN 500U OINT (CAR) BACITRACIN 15G A 5.0289 500U 2 2024-04-01 2026-03-31 0
42 42535 BACTIN 500U OINT (CAR) BACITRACIN 15G A 5.16 500U 2 2026-04-01 No No 0
40 42536 BNT 500U | 3MG | 2MG OINT (CAR/COL) BACITRACIN | NE 15G A 8.26 500U/G|3MG/G|2MG/G 2 2022-04-01 2024-03-31 0
41 42536 BNT 500U|3MG|2MG OINT (CAR) BACITRACIN|N 15G A 8.4812 500U/G|3MG/G|2MG/G 2 2024-04-01 2026-03-31 0
42 42536 BNT 500U/G|3MG/G|2MG/G OINT (CAR) BACITRACIN|NEOMYCIN|TYROTH 15G A 8.48 500U/G|3MG/G|2MG/G 2 2026-04-01 No No 0