Displaying 321 - 340 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 0232F SYMBICORT TURBU 160MCG|4.5MCG INHR (AZN) BUDESONIDE|FORMOTER 120 DOSES A 44.3087 160MCG|4.5MCG 1 2024-04-01 2026-03-31 6
42 0232F SYMBICORT TURBU 160MCG|4.5MCG INHR (AZN) BUDESONIDE|FORMOTER 120 DOSES A 44.31 160MCG|4.5MCG 1 2026-04-01 No No 6
40 02335 SYMBICORT TURBU 320MCG | 9MCG INHR (AZN/COL) BUDESONIDE | FORMOTEROL 60 DOSES A 52.19 320MCG|9MCG 1 2022-04-01 2024-03-31 6
41 02335 SYMBICORT TURBU 320MCG|9MCG INHR (AZN) BUDESONIDE|FORMOTEROL 60 DOSES A 52.1918 320MCG|9MCG 1 2024-04-01 2026-03-31 6
42 02335 SYMBICORT TURBU 320MCG|9MCG INHR (AZN) BUDESONIDE|FORMOTEROL 60 DOSES A 52.19 320MCG|9MCG 1 2026-04-01 No No 6
42 02429 PENICILLIN V 250MG TAB (ROL) 10X10 A 0.16 250MG 56 2026-04-01 No No 0
42 02819 AAP-TETRACYCLINE 250MG CAP (APO) 100'S A 0.11 250MG 56 2026-04-01 No No 0
40 0292J CLINEX 150MG CAP (ARP/AHI) CLINDAMYCIN HCL 3X10 A 0.32 150MG 28 2022-04-01 2024-03-31 0
41 0292J CLINEX 150MG CAP (ARP) CLINDAMYCIN HCL (C) 3X10 C 0.3425 150MG 28 2024-04-01 2026-03-31 0
41 0292L CLINDAMYCIN 150MG CAP (CAM) 100'S A 0.3284 150MG 28 2024-04-01 2026-03-31 0
41 0292R CLINDAVAN 150MG CAP (TPP) CLINDAMYCIN HCL 10X10 A 0.252 150MG 28 2024-04-01 2026-03-31 0
42 0292V CLIFORD 150MG CAP (JLP) CLINDAMYCIN HCL 100'S A 0.22 150MG 28 2026-04-01 No No 0
42 02933 CLINDAMYCIN 15MG/ML SUSP (APL) 100ML A 0.69 15MG/ML 300 2026-04-01 No No 0
40 0294K CLINEX 300MG CAP (ARP/AHI) CLINDAMYCIN HCL 30'S A 0.63 300MG 28 2022-04-01 2024-03-31 0
41 0294K CLINEX 300MG CAP (ARP) CLINDAMYCIN HCL (C) 30'S C 0.6252 300MG 28 2024-04-01 2026-03-31 0
41 0294M CLINDAMYCIN HCL 300MG CAP (KWA) 100'S A 0.3882 300MG 28 2024-04-01 2026-03-31 0
41 0294S CLINDAVAN 300MG CAP (TPP) CLINDAMYCIN HCL 10X10 A 0.4738 300MG 28 2024-04-01 2026-03-31 0
42 0294U RIBOCLIN 300MG CAP (BEX) CLINDAMYCIN HCL 3X10 A 0.21 300MG 28 2026-04-01 No No 0
42 0301P CLINDAMYCIN PHOSPHATE 150MG/ML INJ 5X2ML BQ 1.60 150MG/ML 112 2026-04-01 No No 0
40 0301Q CLINDATECH 150MG/ML INJ (UBI/RXP) CLINDAMYCIN 2ML AMP BQ 6.12 150MG/ML 0 2022-04-01 2024-03-31 6