Displaying 3601 - 3620 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 55511 THALIDOMIDE 50MG CAP (DIL/AHI) 30'S C 2.08 50MG 0 2022-04-01 2024-03-31 0
42 55511 THALIDOMIDE 50MG CAP (DIL) 30'S C 1.60 50MG 0 2026-04-01 No No 0
40 55521 THALIDOMIDE 100MG CAP (DIL/AHI) 30'S C 3.68 100MG 0 2022-04-01 2024-03-31 0
42 55521 THALIX 100MG CAP (DIL) THALIDOMIDE 30'S C 2.01 100MG 0 2026-04-01 No No 0
40 5552D THALIDOMIDE 100MG CAP (SLS/AHI) 30'S C 3.13 100MG 0 2022-04-01 2024-03-31 Add to Contract as Cat C 0
41 5552D THALIDOMIDE 100MG CAP (SLS) 30'S C 2.1167 100MG 0 2024-04-01 2026-03-31 0
40 55618 CANESTEN-3 200MG VAG. P (BSP/AHI) CLOTRIMAZOL 3'S C 10.19 200MG 1 2022-04-01 2024-03-31 0
40 55618 CANESTEN-3 200MG VAG PESS (BSP/AHI) CLOTRIMAZOLE 3'S A 10.19 200MG 2023-02-21 2024-03-31 No No Add to Contract as Cat A 0
41 55618 CANESTEN-3 200MG VAG PESS (BSP) CLOTRIMAZOLE 3'S A 9.1879 200MG 1 2024-04-01 2026-03-31 0
42 55618 CANESTEN-3 200MG VAG OV (BSP) CLOT (C) 3'S C 9.19 200MG 1 2026-04-01 No No Add to Contract as Cat C 0
40 5561AA CANESTEN-3 200MG VAG OV (BSP/COL) CLOTRIMAZOLE 3'S A 9.87 200MG 1 2022-04-01 2024-03-31 0
41 5561AA CANESTEN-3 200MG VAG OV (BSP) CLOTRIMAZOLE 3'S A 9.1879 200MG 1 2024-04-01 2026-03-31 0
42 5561AA CANESTEN-3 200MG VAG OV (BSP) CLOTRIMAZOLE 3'S C 7.23 200MG 1 2026-04-01 No No 0
40 5561AB CANESTEN 500MG VAG OV (BSP/COL) CLOTRIMAZOLE 1'S A 11.88 500MG 1 2022-04-01 2024-03-31 0
41 5561AB CANESTEN 500MG VAG OV (BSP) CLOTRIMAZOLE 1'S A 11.0364 500MG 1 2024-04-01 2026-03-31 0
42 5561AB CANESTEN 500MG VAG OV (BSP) CLOTRIMAZOLE 1'S C 10.03 500MG 1 2026-04-01 No No 0
40 5561AC CANESTEN-6 1% VAG CR (BSP/COL) CLOTRIMAZOLE 35G A 9.41 1% 1 2022-04-01 2024-03-31 0
41 5561AC CANESTEN-6 1% VAG CR (BSP) CLOTRIMAZOLE 35G A 8.7258 1% 1 2024-04-01 2026-03-31 0
42 5561AC CANESTEN-6 1% VAG CR (BSP) CLOTRIMAZOLE 35G A 11.15 1% 1 2026-04-01 No No 0
40 5561AD CANESTEN-3 2% VAG CR (BSP/COL) CLOTRIMAZOLE 20G C 10.36 2% 0 2022-04-01 2024-03-31 0