Displaying 3301 - 3320 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
40 5201FW LIFESTYLES SENSITIVE VARIETY (ANS/SBI) CON 3'S C 1.92 0 2022-06-14 2024-03-31 Price Change 0
40 5201FX LIFEESTYLES HOT RIDER (ANS/SBI) CONDOM 3'S C 1.20 0 2022-04-01 2024-03-31 0
41 5201FX LIFEESTYLES HOT RIDER (ANS) CONDO 3'S C 0.4893 0 2024-04-01 2026-03-31 0
40 5201FY LIFESTYLES STUDDED (ANS/SBI) CONDOM 1000'S C 0.12 0 2022-04-01 2024-03-31 0
40 5201FZ LIFESTYLES ULTRA SENSITIVE (ANS/SBI) CONDOM 3'S C 0.84 0 2022-04-01 2022-06-12 0
40 5201FZ LIFESTYLES ULTRA SENSITIVE (ANS/SBI) CONDOM 3'S C 0.70 0 2022-06-14 2024-03-31 Price Change 0
41 5201FZ LIFESTYLES ULTRA SENSITIVE (ANS) 3'S C 0.6705 0 2024-04-01 2024-07-22 0
41 5201FZ LIFESTYLES ULTRA SENSITIVE (ANS) 3'S C 0.7867 0 2024-07-23 2026-03-31 0
42 5201FZ LIFESTYLES ULTRA SENSITIVE (ANS) 3'S C 0.67 0 2026-04-01 No No 0
40 5201GA LIFESTYLES KYNG GOLD (ANS/SBI) CONDOM 3'S C 1.92 0 2022-06-13 2024-03-31 Price Change 0
40 5201GB LIFESTYLES FLAVORS/COLORS (ANS/SBI) CONDOM 1000'S C 0.12 0 2022-04-01 2024-03-31 0
40 5201GC LIFESTYLES ULTRA RIBBED (ANS/SBI) CONDOM 3'S C 0.84 0 2022-04-01 2022-06-12 0
40 5201GC LIFESTYLES ULTRA RIBBED (ANS/SBI) CONDOM 3'S C 0.70 0 2022-06-13 2024-03-31 Price Change
42 5201GC LIFESTYLES ULTRA RIBBED (ANS) CONDOM 3'S C 0.72 0 2026-04-01 No No 0
40 5201GJ DUREX REAL FEEL AVANTI BARE CONDOM (SSA/STO) 3'S C 1.92 0 2022-04-01 2024-03-31 0
41 5201GL LIFESTYLE MIXED RIDER (ANS) CONDOM 3'S C 1.0601 0 2024-04-01 2024-07-22 0
41 5201GL LIFESTYLE MIXED RIDER (ANS) CONDOM 3'S C 1.24 0 2024-07-23 2026-03-31 0
42 5201GL LIFESTYLE MIXED RIDER (ANS) CONDOM 3'S C 1.06 0 2026-04-01 No No 0
41 5201GM LIFESTYLE SKYN ELITE (ANS) CONDOM 3'S C 5.1648 0 2024-04-01 2024-07-22 0
41 5201GM LIFESTYLE SKYN ELITE (ANS) CONDOM 3'S C 6.05 0 2024-07-23 2026-03-31 0