Displaying 3341 - 3360 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 5231AY NIZORAL 2% CR (JAC) KETOCONAZOLE (C) 40G C 22.2631 2% 2 2024-04-01 2026-03-31 0
40 5231BA KETOZAL 2% CR (CAR/COL) KETOCONAZOLE 15G C 3.26 20MG/G 0 2022-04-01 2024-03-31 0
41 5231BA KETOZAL 2% CR (CAR) KETOCONAZOLE (C) 15G C 3.4795 2% 2 2024-04-01 2026-03-31 0
42 5231BA KETOZAL 2% CR (CAR) KETOCONAZOLE (C) 15G C 3.48 2% 2 2026-04-01 No No 0
40 5231BU CLOTRIMAZOLE 1% CR (HEA/RXP) 15G A 1.44 1% 2 2022-04-01 2024-03-31 0
40 5231BV KETOCONAZOLE 2% CR (HEA/RXP) 15G A 1.90 20MG/G 2 2022-04-01 2024-03-31 0
40 5231CC KETOCONAZOLE 2% CR (HEA/ATB) 15G A 1.9 2% 2022-12-07 2024-03-31 No No Change Local Agent 0
41 5231CC KETOCONAZOLE 2% CR (HEA) 15G A 1.9572 2% 2 2024-04-01 2026-03-31 0
41 5231CE CANESTEN 1% CR (BSP) CLOTRIMAZOLE (C) 15G C 8.3453 1% 2 2024-04-01 2026-03-31 0
42 5231CE CANESTEN 1% CR (BSP) CLOTRIMAZOLE (C) 15G C 8.35 1% 2 2026-04-01 No No 0
42 5231CH CANDID 1% CREAM (GLP) CLOTRIMAZOLE 20G A 1.09 1% 2 2026-04-01 No No 0
40 5231CV LAMISIL 1% CR (GSK/COL) TERBINAFINE 15G C 15.47 1% 0 2022-04-01 2024-03-31 0
41 5231CV LAMISIL 1% CR (GSK) TERBINAFINE (C) 15G C 16.2556 1% 2 2024-04-01 2026-03-31 0
40 5231CW LAMISIL 1% GEL (GSK/COL) TERBINAFINE 15G C 17.32 1% 0 2022-04-01 2024-03-31 0
41 5231CW LAMISIL 1% GEL (GSK) TERBINAFINE (C) 15G C 18.1856 1% 0 2024-04-01 2026-03-31 0
40 5231DU CELAMINA 1% CR (GLP/ALI) CICLOPIROX OLAMINE 20G A 6.80 1% 2 2022-04-01 2022-03-22 Delete from contract 0
40 5231EB ECONAZOLE 1% CR (KWA/ATB) 15G A 2.56 1% 2 2022-04-01 2024-03-31 0
40 5231ED CANESTEN 1% CR (BSP/COL) CLOTRIMAZOLE 15G C 8.97 1% 0 2022-04-01 2024-03-31 0
41 5231ED CANESTEN 1% CR (BSP) CLOTRIMAZOLE (C) 15G C 8.3453 1% 2 2024-04-01 2026-03-31 0
42 5231ED CANESTEN 1% CR (BSP) CLOTRIMAZOLE (C) 15G C 6.69 1% 2 2026-04-01 No No 0