Displaying 2881 - 2900 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
42 4291AP VANCOMYCIN 500MG INJ (FSB) 500MG VIAL BQ 3.34 500MG 56 2026-04-01 No No Add to Contract 0
40 4291Q VANCOMYCIN 500MG INJ (GLN/AHI) 500MG VIAL BQ 5.27 500MG 0 2022-04-01 2022-09-30 0
40 4291V VANCOMYCIN 500MG INJ (FSB/ATB) 500MG VIAL BQ 4.08 500MG 0 2022-04-01 2024-03-31 6
41 4291V VANCOMYCIN 500MG INJ (FSB) (BQ) 500MG VIAL BQ 4.1319 500MG 56 2024-04-01 2026-03-31 0
40 4291W VAREDET 500MG INJ (ABB/PHA) VANCOMYCIN 10ML VIAL C 7.99 500MG 0 2022-04-01 2024-03-31 0
40 4291W VAREDET 500MG INJ (ABB/PHA) VANCOMYCIN (C) 10ML VIAL C 7.99 500MG 2022-04-01 2023-03-31 No No Delete from contract 0
40 42931 VANCOMYCIN 1G INJ (KWA/ATB) 1G VIAL BQ 20.39 1G 0 2022-04-01 2024-03-31 0
41 42931 VANCOMYCIN 1G INJ (KWA) (BQ) 1G VIAL BQ 6.9045 1G 28 2024-04-01 2025-01-28 0
41 42931 VANCOMYCIN 1G INJ (KWA) (BQ) 1G VIAL BQ 10.85 1G 28 2024-05-25 2026-03-31 0
40 42934 VANCOMYCIN 1G INJ (MON/PHA) 1G VIAL BQ 10.41 1G 0 2022-04-01 2024-03-31 6
40 42938 VANCOQURE 1G INJ (FSB/ATB) VANCOMYCIN 10ML BQ 10.85 1G 0 2022-04-01 2024-03-31 6
42 4293H VANCOMAX 1G INJ (JLP) VANCOMYCIN 8X1G BQ 5.18 1G 28 2026-04-01 No No 0
42 4293J VANCOQURE 1G INJ (FSB) VANCOMYCIN 10ML BQ 5.03 1G 28 2026-04-01 No No Add to Contract 0
41 43016 PMS-PYRAZINAMIDE 500MG TAB (PMS) 100'S A 0.4241 500MG 120 2024-04-01 2026-03-31 6
42 43016 PMS-PYRAZINAMIDE 500MG TAB (PMS) 100'S A 0.39 500MG 120 2026-04-01 No No 6
40 4301K PYRAZINAMIDE 500MG TAB (CAM/AHI) 30'S A 1.00 500MG 120 2022-04-01 2024-03-31 6
40 43314 GLIVEC 100MG CAP (NVS/COL) IMATINIB 60'S C 41.31 100MG 0 2022-04-01 2024-03-31 0
41 43314 GLIVEC 100MG CAP (NVS) IMATINIB (BQ) 60'S BQ 41.3067 100MG 120 2024-04-01 2026-03-31 6
42 43314 GLIVEC 100MG CAP (NVS) IMATINIB 60'S BQ 41.31 100MG 120 2026-04-01 No No 0
40 4331AA APO-IMATINIB 100MG TAB (APO/COL) 30'S BQ 1.13 100MG 0 2022-04-01 2024-03-31 6