Displaying 281 - 300 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 0211T INVANZ 1G INJ (MSD) ERTAPENEM (BQ) 1GM BQ 82.66 1G 28 2024-04-01 2026-03-31 1
40 0211Y MEROPENEM 500MG INJ (ABB/PHA) 500MG VIAL BQ 11.50 500MG 0 2022-04-01 2024-03-31 6
40 0211Y MEROPENEM 500MG INJ (ABB/PHA) (BQ) 500MG VIAL BQ 11.5 500MG 2022-04-01 2023-03-31 No No Delete from contract 6
40 02128 PRIMAXIN 500MG INJ (MSD/STO) IMIPENEM/CILASTA 25X500MG BQ 26.64 500MG|500MG 0 2022-04-01 2024-03-31 0
41 0212AR IMIPENEM|CILASTATIN 500MG|500MG INJ (SLS) CILASTATIN|IMIPENE (BQ) 500MG VIAL BQ 27.5638 500MG|500MG 0 2024-04-01 2026-03-31 0
40 0212AV EMSTAR 1G INJ (EMC/COL) MEROPENEM 1G VIAL BQ 10.87 1G 0 2022-04-01 2024-03-31 6
41 0212AV EMSTAR 1G INJ (EMC) MEROPENEM (C) 1G VIAL C 12.2325 1G 42 2024-04-01 2026-03-31 2
42 0212AV EMSTAR 1G INJ (EMC) MEROPENEM 1G VIAL BQ 7.77 1G 42 2026-04-01 No No 0
42 0212BC MEROPENEM 1G INJ (MON) 1G VIAL BQ 5.95 1G 42 2026-04-01 No No 0
40 0212BE MERREM 1G INJ (PFI/STO) MEROPENEM 10X1G C 96.87 1G 0 2022-04-01 2024-03-31 0
41 0212BE MERREM 1G INJ (PFI) MEROPENEM (C) 10X1G C 87.9595 1G 42 2024-04-01 2026-03-31 2
40 0212BG MEROPENEM 1G INJ (RTM/PHA) 20ML VIAL BQ 14.79 1G 0 2022-04-01 2024-03-31 6
41 0212BM MEROPENEM 1G INJ (MCP) (BQ) 1G VIAL BQ 10.5743 1G 42 2024-04-01 2026-03-31 2
41 0212BQ IMIPENEM/CILASTATIN |500MG INJ (LDP) CILASTATIN|IMIPENEM 1 DOSE BQ 27.56 500MG|500MG 2024-04-03 2026-03-31
42 0212BQ CILASTATIN|IMIPENEM 500MG|500MG INJ (LDP) 500MG VIAL BQ 23.87 500MG|500MG 0 2026-04-01 No No 0
42 0212BU GERTA 1G INJ (ZYD) ERTAPENEM 1G VIAL BQ 100.36 1G 0 2026-04-01 No No 0
42 0212BY ERTAPENEM 1G INJ (BCH) 1G VIAL BQ 123.36 1G 0 2026-04-01 No No 0
40 02223 CLOXACILLIN 500MG CAP (REM/SBI) 10x10 A 0.16 500MG 28 2022-04-01 2024-03-31 0
41 02238 CLOXACILLIN 25MG/ML SUSP (KWA) 60ML A 0.4304 25MG/ML 300 2024-04-01 2026-03-31 0
40 0225H LACLOXA 500MG INJ (LDP/AHI) CLOXACILLIN 500MG VIAL B 15.41 500MG 0 2022-04-01 2022-09-30 6