Displaying 3641 - 3660 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 5561DE CANDID V6 100MG VAG PESS (GLP) CLOTRIMAZOLE 6'S A 3.53 100MG 1 2026-04-01 No No 0
42 5561DF CANDID V6 2% GEL (GLP) CLOTRIMAZOLE 30G A 6.80 2% 1 2026-04-01 No No 0
42 5561DG CANDID 500MG VAG PESS (GLP) CLOTRIMAZOLE 1'S A 8.15 500MG 1 2026-04-01 No No 0
40 5561L CANESTEN-6 100MG VAG PESS (BSP/AHI) CLOTRIMAZ 6'S C 9.00 100MG 0 2022-04-01 2022-09-30 0
41 5561L CANESTEN-6 100MG VAG OV (BSP) CLOTRIMAZOLE (C) 6'S C 8.9161 100MG 1 2024-04-01 2026-03-31 0
42 5561L CANESTEN-6 100MG VAG OV (BSP) CLOTRIMAZOLE (C) 6'S C 8.56 100MG 1 2026-04-01 No No Add to Contract as Cat C 0
40 5561Q CANESTEN-3 2% VAG CR (BSP/AHI) CLOTRIMAZOLE 20G C 8.81 2% 1 2022-04-01 2024-03-31 0
40 5561Q CANESTEN-3 2% VAG CR (BSP/AHI) CLOTRIMAZOLE 20G A 10.68 2% 2023-02-21 2024-03-31 No No Add to Contract as Cat A 0
41 5561Q CANESTEN-3 2% VAG CR (BSP) CLOTRIMAZOLE 20G A 9.5957 2% 1 2024-04-01 2026-03-31 0
42 5561Q CANESTEN-3 2% VAG CR (BSP) CLOTRIM (C) 20G C 13.59 2% 1 2026-04-01 No No Add to Contract as Cat C 0
40 5561S CANESTEN-1 500MG VAG PESS (BSP/AHI) CLOTRIMAZ 1'S C 9.38 500MG 0 2022-04-01 2022-09-30 0
40 5561S CANESTEN-1 500MG VAG PESS (BSP) CLOTRIMAZOLE 1'S A 500MG 1 2023-06-06 2024-03-31 0
41 5561S CANESTEN-1 500MG VAG OV (BSP) CLOTRIMAZOLE 1'S A 11.0364 500MG 1 2024-04-01 2026-03-31 0
42 5561S CANESTEN-1 500MG VAG OV (BSP) CLOT (C) 1'S C 11.04 500MG 1 2026-04-01 No No Add to Contract as Cat C 0
40 5581A HISTAL EXPECTORANT 96MG/ML | 2.5MG/ML SYR (CAR/COL) AMMONIUM CHLORIDE | CHLORPHE More ... 2 LITRES B 0.03 96MG/ML|2.5MG/ML 0 2022-05-06 2024-03-31 Add to Contract as Cat B 0
41 5581A HISTAL EXPECTORANT 96MG/ML|2.5MG/ML SYR (CAR) AMMONIUM CHLOR (B) 2 LITRES B 0.0313 96MG/ML|2.5MG/ML 0 2024-04-01 2026-03-31 0
42 5581A HISTAL EXPECTORANT 96MG/ML|2.5MG/ML SYR (CAR) AMMONIUM CHLOR 2 LITRES B 0.03 96MG/ML|2.5MG/ML 100 2026-04-01 No No 0
40 5581V HISTAL DM SYR (CAR/COL) GUAIFE/DEXTRO 2 LITRES B 0.04 3MG/ML|20MG/ML 0 2022-05-06 2024-03-31 Add to Contract as Cat B 0
41 5581V HISTAL DM SYR (CAR) GUAIFE/DEXTRO (B) 2 LITRES B 0.0462 3MG/ML|20MG/ML 0 2024-04-01 2026-03-31 0
42 5581V HISTAL DM 3MG/ML|20MG/ML SYR (CAR) DEXTROMETHORPHAN|GUAIFENE 2 LITRES B 0.05 3MG/ML|20MG/ML 100 2026-04-01 No No 0