Displaying 3001 - 3020 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 43773 VIAL, PLASTIC, AMBER 140ML/40D (DCN 100'S B 0.6491 4 2024-04-01 2026-03-31 0
42 43773 VIAL, PLASTIC, AMBER 140ML/40D (DCN 100'S B 0.74 4 2026-04-01 No No 0
40 44422 PROCYKEM 5MG TAB (CAR/COL) PROCYCLIDINE 1000'S A 0.06 5MG 240 2022-04-01 2024-03-31 6
41 44422 PROCYKEM 5MG TAB (CAR) PROCYCLIDINE 1000'S A 0.0598 5MG 240 2024-04-01 2026-03-31 6
42 44422 PROCYKEM 5MG TAB (CAR) PROCYCLIDINE 1000'S A 0.06 5MG 240 2026-04-01 No No 6
40 4442F PROCYCLIDINE 5MG TAB (KWA/ATB) 10X10 A 0.06 5MG 240 2022-04-01 2024-03-31 6
41 4442G CYCLID 5MG TAB (INC) PROCYCLIDINE 10X10 A 0.0329 5MG 240 2024-04-01 2026-03-31 6
40 44516 APO-CLOMIPRAMINE 25MG TAB (APO/COL) 100'S A 0.13 25MG 180 2022-04-01 2024-03-31 6
42 44516 APO-CLOMIPRAMINE 25MG TAB (APO) 100'S A 0.13 25MG 180 2026-04-01 No No 6
40 4451K ANAFRANIL 25MG TAB (BCH/COL) CLOMIPRAMINE 30'S C 1.51 25MG 0 2022-04-01 2024-03-31 0
42 4451S CLOMIYO 25MG TAB (JLP) CLOMIPRAMINE 100'S A 0.11 25MG 180 2026-04-01 No No 6
40 44619 RIVASTIGMINE 1.5MG CAP (DRL/AHI) 60'S C 2.39 1.5MG 0 2022-04-01 2024-03-31 0
40 4462A RIVASTIGMINE 3MG CAP (DRL/AHI) 60'S C 2.29 3MG 0 2022-04-01 2024-03-31 0
40 44634 ARICEPT 5MG TAB (PFI/STO) DONEPEZIL 28'S C 4.71 5MG 0 2022-04-01 2024-03-31 0
41 44634 ARICEPT 5MG TAB (PFI) DONEPEZIL (C) 28'S C 4.192 5MG 30 2024-04-01 2026-03-31 6
42 44634 ARICEPT 5MG TAB (PFI) DONEPEZIL 28'S C 4.19 5MG 30 2026-04-01 No No 6
42 4463B APO-DONEPEZIL 5MG TAB (APO) DONEPEZIL 100'S A 0.22 5MG 30 2026-04-01 No No 6
40 4463F YASNAL Q 5MG TAB (KRK/AHI) DONEPEZIL 28'S C 1.07 5MG 0 2022-04-01 2022-06-16 0
40 4463F YASNAL Q 5MG TAB (KRK/AHI) DONEPEZIL 28'S A 1.07 5MG 30 2022-06-17 2022-09-30 6
41 4463F YASNAL Q 5MG TAB (KRK) DONEPEZIL (C) 28'S C 1.0747 5MG 30 2024-04-01 2026-03-31 6