Displaying 3781 - 3800 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 5752Z APO-TERAZOSIN 2MG TAB (APO) (B) 100'S B 0.0432 2MG 60 2024-04-01 2026-03-31 6
40 57536 HYTRIN 5MG TAB (ABB/PHA) TERAZOSIN 28'S C 0.23 5MG 0 2022-04-01 2024-03-31 0
40 57536 HYTRIN 5MG TAB (ABB/PHA) TERAZOSIN (C) 28'S C 0.2261 5MG 2022-04-01 2023-03-31 No No Delete from contract 0
40 57538 APO-TERAZOSIN 5MG TAB (APO/COL) 100'S B 0.07 5MG 0 2022-04-01 2024-03-31 0
42 57538 APO-TERAZOSIN 5MG TAB (APO) 100'S B 0.07 5MG 60 2026-04-01 No No 6
41 5753AB APO-PRAZO 5MG TAB (APO) (B) 100'S B 0.1386 5MG 120 2024-04-01 2026-03-31 6
41 5753AC APO-TERAZOSIN 10MG TAB (APO) (B) 100'S B 0.1169 10MG 30 2024-04-01 2026-03-31 6
41 5753AD APO-TERAZOSIN 5MG TAB (APO) (B) 100'S B 0.0671 5MG 60 2024-04-01 2026-03-31 6
41 5753AE HYTRIN 5MG TAB (ABB) TERAZOSIN (C) 28'S C 0.2349 5MG 60 2024-04-01 2026-03-31 6
40 5753J APO-PRAZO 5MG TAB (APO/COL) 100'S B 0.14 5MG 0 2022-04-01 2024-03-31 0
42 5753J APO-PRAZO 5MG TAB (APO) 100'S B 0.14 5MG 120 2026-04-01 No No 6
40 5753T APO-TERAZOSIN 10MG TAB (APO/COL) 100'S B 0.11 10MG 0 2022-04-01 2024-03-31 0
42 5753T APO-TERAZOSIN 10MG TAB (APO) 100'S B 0.12 10MG 30 2026-04-01 No No 6
40 57618 STAFEN 1MG TAB (ARP/AHI) KETOTIFEN 10X10 A 0.15 1MG 60 2022-04-01 2024-03-31 6
41 57618 STAFEN 1MG TAB (ARP) KETOTIFEN 10X10 A 0.0862 1MG 60 2024-04-01 2026-03-31 6
42 57618 STAFEN 1MG TAB (ARP) KETOTIFEN 10X10 A 0.09 1MG 60 2026-04-01 No No 6
42 57629 KETOTIFEN 0.2MG/ML SYR (CIR) 60ML A 0.06 0.2MG/ML 100 2026-04-01 No No 6
40 5762G KETOTIFEN MK 0.2MG/ML SYR (BON/COL) KETOTIFEN 100ML A 0.04 0.2MG/ML 100 2022-04-01 2024-03-31 6
41 5762K KETOTAG 0.2MG/ML SYR (GLP) KETOTIFEN 60ML A 0.068 0.2MG/ML 100 2024-04-01 2026-03-31 6
40 57811 AVODART 0.5MG CAP (GSK/COL) DUTASTERIDE 30'S C 2.83 0.5MG 0 2022-04-01 2024-03-31 0