Displaying 3141 - 3160 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 4841G ZOPIVERB 7.5MG TAB (JLP) ZOPICLONE 10X10 A 0.11 7.5MG 30 2026-04-01 No No 6
40 48619 AAP-DESMOPRESSIN 10MCG/DOSE NASAL SOL (APO/COL) 2.5ML BQ 47.19 10MCG/DOSE 2 2022-04-01 2024-03-31 6
42 48619 AAP-DESMOPRESSIN 10MCG/ML NASAL SOL (APO) 2.5ML B 48.14 10MCG/ML 2 2026-04-01 No No 6
41 4861B AAP-DESMOPRESSIN 10MCG/DOSE NASAL SOL (APO) 2.5ML BQ 48.1415 10MCG/ML 2 2024-04-01 2026-03-31 6
40 48638 MINIRIN 4MCG/ML INJ (FER/STO) DESMOPRESSIN 10X1ML BQ 17.13 4MCG/ML 0 2022-04-01 2024-03-31 0
41 48638 MINIRIN 4MCG/ML INJ (FER) DESMOPRESSIN 10X1ML BQ 18.683 4MCG/ML 0 2024-04-01 2026-03-31 0
42 48638 MINIRIN 4MCG/ML INJ (FER) DESMOPRESSIN 10X1ML BQ 20.95 4MCG/ML 0 2026-04-01 No No 0
40 4864B MINIRIN MELT 120MCG WAFER (FER/STO) DESMOPRES 30'S B 3.88 120MCG 0 2022-04-01 2024-03-31 6
41 4864B MINIRIN MELT 120MCG WAFER (FER) DESMOPRE (BQ) 30'S BQ 4.1155 120MCG 30 2024-04-01 2026-03-31 6
42 4864B MINIRIN MELT 120MCG WAFER (FER) DESMOPRE 30'S BQ 4.62 120MCG 30 2026-04-01 No No 0
40 4864C AAP-DESMOPRESSIN 0.2MG TAB (APO/COL) DESMOPRE 100'S B 0.40 0.2MG 120 2022-04-01 2024-03-31 6
42 4864C AAP-DESMOPRESSIN 0.2MG TAB (APO) DE 100'S B 1.01 0.2MG 120 2026-04-01 No No 6
41 4864D APO-DESMOPRESSIN 0.2MG TAB (APO) DE (B) 100'S B 0.4124 0.2MG 120 2024-04-01 2026-03-31 6
40 48916 GLUGON 1MG INJ (KWL/RXP) GLUCAGON 1MG AMP B 103.30 1MG 0 2022-04-01 2024-03-31 0
40 49412 PLASBUMIN 25% INJ (GRB/COL) ALBUMIN 12.5G VIAL BQ 101.94 25% 0 2022-04-01 2024-03-31 0
41 49416 ALBUREX 20% INJ (CSL) ALBUMIN (BQ) 50ML VIAL BQ 73.1229 20% 40 2024-04-01 2026-03-31 0
42 49418 ALBUREL 25% INJ (RLS) ALBUMIN 50ML BQ 127.87 25% 40 2026-04-01 No No 0
42 4941A ALBUMIN 20% INJ (INP) 50ML VIAL BQ 277.27 20% 40 2026-04-01 No No 0
42 4941AG ALBURX 25% INJ (CSL) HUMAN ALBUMIN 50ML VIAL BQ 91.06 25% 0 2026-04-01 No No Add to Contract 0
42 4941C ALBUMIN 20% INJ (INP) 50ML BQ 277.27 20% 40 2026-04-01 No No 0