Displaying 3941 - 3960 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 5842AD VASOTEC 20MG TAB (MSD/STO) ENALAPRIL 30'S C 0.72 20MG 0 2022-04-01 2024-03-31 0
41 5842AD VASOTEC 20MG TAB (MSD) ENALAPRIL (C) 30'S C 0.7276 20MG 60 2024-04-01 2026-03-31 6
42 5842AD VASOTEC 20MG TAB (MSD) ENALAPRIL 30'S C 0.73 20MG 60 2026-04-01 No No 6
40 5842BP APO-LISINOPRIL 20MG TAB (APO/COL) 100'S A 0.08 20MG 60 2022-05-23 2024-03-31 Add to Contract as Cat A 6
40 5842FQ ACAPRIL 10MG TAB (REM/SBI) RAMIPRIL 3x10 A 0.13 10MG 30 2022-04-01 2024-03-31 6
41 5842FQ ACAPRIL 10MG TAB (REM) RAMIPRIL 3x10 A 0.1015 10MG 30 2024-04-01 2026-03-31 6
42 5842FQ ACAPRIL 10MG TAB (REM) RAMIPRIL 3x10 C 0.19 10MG 30 2026-04-01 No No 6
40 5842FW APO-RAMIPRIL 10MG CAP (APO/COL) 3X10 A 0.12 10MG 30 2022-04-01 2024-03-31 6
40 5842GC ENALAPRIL 20MG TAB (HEA/RXP) 10X10 A 0.06 20MG 60 2022-04-01 2024-03-31 6
40 5842GM ENALAPRIL 20MG TAB (HEA/ATB) 10X10 A 0.0625 20MG 2022-12-07 2024-03-31 No No Change Local Agent 6
41 5842GM ENALAPRIL 20MG TAB (HEA) (C) 10X10 C 0.0802 20MG 60 2024-04-01 2026-03-31 6
40 5842GV LISINOPRIL 20MG TAB (KWA/ATB) 10X10 A 0.07 20MG 60 2022-04-01 2022-09-30 6
40 5842GW RAMIPRIL 10MG TAB (KWA/ATB) 10X10 A 0.11 10MG 30 2022-04-01 2024-03-31 6
40 5842HM ZESTRIL 20MG TAB (AZN/COL) LISINOPRIL 56'S C 0.57 20MG 0 2022-04-01 2024-03-31 0
40 5842HN LISINOPRIL 20MG TAB (RYV/ATB) 100'S A 0.07 20MG 60 2022-04-01 2022-07-04 Delete from contract 6
41 5842JA ENALAPRIL 20MG TAB (MCP) 10X10 A 0.0639 20MG 60 2024-04-01 2026-03-31 6
41 5842JB RAMIPRIL 10MG TAB (MCP) 10X10 A 0.0979 10MG 30 2024-04-01 2026-03-31 6
41 5842JE ENALAPRIL 20MG TAB (MCP) 30'S A 0.072 20MG 60 2025-01-15 2026-03-31 6
42 5842JK ENALAPRIL 20MG TAB (HEA) 10X10 A 0.08 20MG 60 2026-04-01 No No Price Change 6
42 5842JL LISINOPRIL 20MG TAB (HEA) 10X10 A 0.08 20MG 60 2026-04-01 No No Price Change 6