Displaying 3241 - 3260 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 5131P T BET PRES. FREE 0.5%|0.004% EYE DR (AKU) TIMOLOL|TRAVOPROST (C) 3ML C 11.417 0.5%|0.004% 1 2024-04-01 2026-03-31 6
42 5131P T BET PRES. FREE 0.5%|0.004% EYE DR (AKU) TIMOLOL|TRAVOPROST 3ML BQ 11.44 0.5%|0.004% 1 2026-04-01 No No 0
42 5131Q XALACOM 0.005%|0.5% EYE DR (PFI) LATANOPROST|TIMOLOL 2.5ML C 34.58 0.005%|0.5% 1 2026-04-01 No No 6
41 51516 ZIPRASIDONE 20MG CAP (DRL) (BP) 60'S BP 0.7072 20MG 84 2024-04-01 2026-03-31 6
42 51516 ZIPRASIDONE 20MG CAP (DRL) 60'S BP 1.19 20MG 84 2026-04-01 No No 0
40 51527 ZIPRASIDONE 40MG CAP (DRL/AHI) 60'S BP 1.35 40MG 0 2022-04-01 2024-03-31 6
41 51527 ZIPRASIDONE 40MG CAP (DRL) 60'S BP 1.3537 40MG 84 2024-04-01 2026-03-31 6
42 51527 ZIPRASIDONE 40MG CAP (DRL) 60'S BP 1.35 40MG 84 2026-04-01 No No 0
40 51535 ZIPRASIDONE 60MG CAP (DRL/AHI) 60'S BP 1.72 60MG 0 2022-04-01 2024-03-31 6
41 51535 ZIPRASIDONE 60MG CAP (DRL) 60'S BP 1.7239 60MG 84 2024-04-01 2026-03-31 6
42 51535 ZIPRASIDONE 60MG CAP (DRL) 60'S BP 1.72 60MG 84 2026-04-01 No No 0
40 51546 ZIPRASIDONE 80MG CAP (DRL/AHI) 60'S BP 2.09 80MG 0 2022-04-01 2024-03-31 6
41 51546 ZIPRASIDONE 80MG CAP (DRL) (BP) 60'S BP 2.0868 80MG 84 2024-04-01 2026-03-31 6
42 51546 ZIPRASIDONE 80MG CAP (DRL) 60'S BP 2.09 80MG 84 2026-04-01 No No 0
40 51554 ZIPRASIDONE 20MG INJ (DRL/AHI) 10X1ML BP 125.93 20MG 0 2022-04-01 2024-03-31 Package Size Change 0
41 51554 ZIPRASIDONE 20MG INJ (DRL) (BP) 10X1ML BP 125.8584 20MG 84 2024-04-01 2026-03-31 6
42 51554 ZIPRASIDONE 20MG INJ (DRL) 10X1ML BP 121.48 20MG 84 2026-04-01 No No 0
40 51714 ZENTEL 200MG TAB (GSK/COL) ALBENDAZOLE 2'S A 2.10 200MG 6 2022-04-01 2024-03-31 1
41 5171AJ ALBENDAZOLE 200MG TAB (LDP) 2'S A 1.86 200MG 6 2024-04-01 2026-03-31 1
40 5171AK ZENTEL 400MG TAB (GSK) ALBENDAZOLE 1 A 4.19 400MG 3 0000-00-00 0000-00-00 1