Displaying 3401 - 3420 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 5232BF TERBINAFINE 1% LOTION (AUR) 30ML A 5.36 1% 1 2026-04-01 No No 6
40 5232BJ KETOZAL 2% SHAMP (CAR/COL) KETOCONAZOLE 125ML C 0.08 2% 0 2022-04-01 2024-03-31 0
41 5232BJ KETOZAL 2% SHAMP (CAR) KETOCONAZOLE (C) 125ML C 0.0926 2% 100 2024-04-01 2026-03-31 6
42 5232BJ KETOZAL 2% SHAMP (CAR) KETOCONAZOL (C) 125ML C 0.09 2% 100 2026-04-01 No No 6
40 5232BN CANDID 1% EAR DR (GLP/ATB) CLOTRIMAZOLE 15ML A 6.80 1% 1 2022-04-01 2024-03-31 Change Local Agent 0
40 5232BP CANDID MOUTH PAINT 1% SOLN (GLP/ATB) CLOTRIMA 20ML A 6.80 1% 2 2022-04-01 2024-03-31 Change Local Agent 0
40 5232BS CANESTEN 1% CR (BSP/AHI) COTRIMAZOLE 15G A 9.27 1% 2023-02-24 2024-03-31 No No Add to Contract as Cat A
41 5232BT CLOTRIMAZOLE 1% SOLN (CHC) 30ML A 2.1203 1% 2 2024-04-01 2026-03-31 0
42 5232BW KETOCONAZOLE 2% SHAMP (HEA) 100ML A 0.05 2% 100 2026-04-01 No No Price Change 6
42 5232BX KETOJOHN 2% LOT (JLP) KETOCONAZOLE 30ML A 1.82 2% 2 2026-04-01 No No 0
42 5232BY KETOCONAZOLE 2% SHAMP (HEA) 100ML A 0.05 2% 100 2026-04-01 No No Add to Contract as Cat A 6
42 5232BZ KETOCONAZOLE 2% SHAMP (HEA) 100ML A 0.05 2% 100 2026-04-01 No No Add to Contract as Cat A 6
40 5232ZA CANDID MOUTH PAINT 1% SOLN (GLP/ALI) CLOTRIMA 20ML A 6.80 1% 2 2022-04-01 2022-03-22 Delete from contract 0
41 5232ZT NIZORAL 2% SHAMP (JAC) KETOCONAZOLE (C) 100ML C 0.2645 2% 100 2024-04-01 2026-03-31 6
42 5232ZT NIZORAL 2% SHAMP (JAC) KETOCONAZOL (C) 100ML C 0.28 2% 100 2026-04-01 No No 6
40 5232ZZ KETOCONAZOLE 2% SHAMP (HEA/ATB) 100 ML A 0.0484 2% 2022-12-07 2024-03-31 No No Change Local Agent 6
41 5232ZZ KETOCONAZOLE 2% SHAMP (HEA) 100ML A 0.0489 2% 100 2024-04-01 2026-03-31 6
42 52333 CANDID 1% PWDR (GLP) CLOTRIMAZOLE 100G A 5.44 1% 1 2026-04-01 No No 0
40 5233AD CANDID 1% PWDR (GLP/ALI) CLOTRIMAZOLE 100G A 7.61 1% 1 2022-04-01 2022-03-22 Delete from contract 0
40 5233AF CANDID 1% PWDR (GLP/ATB) CLOTRIMAZOLE 100G A 7.61 1% 1 2022-04-01 2024-03-31 Change Local Agent 0