Displaying 3921 - 3940 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 5841GF ACAPRIL 5MG TAB (REM) RAMIPRIL 3x10 A 0.10 5MG 45 2026-04-01 No No 6
40 5841HC LISINOPRIL 10MG TAB (KWA/ATB) 10X10 A 0.06 10MG 120 2022-04-01 2024-03-31 6
40 5841HH APO-RAMIPRIL 5MG TAB (APO/COL) 100'S A 0.08 5MG 45 2022-04-01 2024-03-31 6
40 5841HP RAMIPRIL 5MG TAB (HEA/ATB) SCORED 10X10 A 0.0788 5MG 45 2022-07-12 2024-03-31 No No la 6
42 5841HU CAPTOPRIL 25MG TAB (EDK) 10X10 A 0.08 25MG 180 2026-04-01 No No 6
41 5841HY ENALAPRIL 10MG TAB (MCP) 10X10 A 0.0449 10MG 90 2024-04-01 2024-12-27 6
41 5841HY ENALAPRIL 10MG TAB (MCP) 10X10 A 0.051 10MG 90 2024-12-28 2026-03-31 6
41 5841HZ RAMIPRIL 5MG TAB (MCP) 10X10 A 0.0788 5MG 45 2024-04-01 2026-03-31 6
42 5841JL ENALAPRIL 10MG TAB (HEA) 10X10 A 0.05 10MG 90 2026-04-01 No No Price Change 6
42 5841JM LISINOPRIL 10MG TAB (HEA) 10X10 A 0.07 10MG 120 2026-04-01 No No Price Change 6
42 5841JP CAR-RACE 5MG TAB (JLP) RAMIPRIL 100'S A 0.07 5MG 45 2026-04-01 No No 6
42 5841JS TRITACE 5MG TAB (GRM) RAMIPRIL 2X10 C 1.89 5MG 45 2026-04-01 No No 6
42 5841JV LISINOPRIL 10MG TAB (HEA) 10X10 A 0.07 10MG 120 2026-04-01 No No Add to Contract as Cat A 6
42 5841JW ENALAPRIL 10MG TAB (HEA) 10X10 A 0.05 10MG 90 2026-04-01 No No Add to Contract as Cat A 6
42 5841JX LISINOPRIL 10MG TAB (HEA) 10X10 A 0.07 10MG 120 2026-04-01 No No Add to Contract as Cat A 6
42 5841JY ENALAPRIL 10MG TAB (HEA) 10X10 A 0.05 10MG 90 2026-04-01 No No Add to Contract as Cat A 6
41 5841V CAPTOPRIL 25MG (EDK) CAPTOPRIL 100'S A 0.0758 25MG 180 2024-04-01 2026-03-31 6
42 5841V CAPTOPRIL 25MG (EDK) CAPTOPRIL 100'S A 0.08 25MG 180 2026-04-01 No No 6
41 58429 APO-CAPTO 50MG TAB (APO) 100'S A 0.1112 50MG 90 2024-04-01 2026-03-31 6
40 5842A APO-CAPTO 50MG TAB (APO/COL) 100'S A 0.11 50MG 90 2022-04-01 2024-03-31 6