Displaying 21 - 40 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 0012EP CLARITINE 10MG TAB (BSP) LORATADINE (C) 30'S C 1.06 10MG 14 2024-08-09 2026-03-31 0
40 0012ER GLENCET 5MG TAB (GLP/ALI) LEVOCETIRIZINE 30'S C 0.23 5MG 0 2022-04-01 2022-03-22 Delete from contract 0
41 0012ES RHINIL SR 10MG TAB (ARP) CETIRIZINE 100'S A 0.0742 10MG 14 2024-04-01 2026-03-31 0
42 0012ES RHINIL SR 10MG TAB (ARP) CETIRIZINE 100'S A 0.07 10MG 14 2026-04-01 No No 0
40 0012EX CLARITYNE 10MG TAB (BSP/COL) LORATADINE 30'S C 0.32 10MG 0 2022-04-01 2024-03-31 0
41 0012EX CLARTYNE 10MG TAB (BSP) LORATADINE (C) 30'S C 1.0601 10MG 14 2024-04-01 2026-03-31 0
40 0012EY AERIUS 5MG TAB (MSD/STO) DESLORATADINE 30'S C 0.83 5MG 0 2022-04-01 2024-03-31 0
41 0012EY AERIUS 5MG TAB (MSD) DESLORATADINE (C) 30'S C 0.84 5MG 0 2024-04-01 2026-03-31 0
42 0012EY AERIUS 5MG TAB (MSD) DESLORATADINE 30'S C 0.84 5MG 0 2026-04-01 No No 0
40 0012FA LORATADINE 10MG TAB (AUR/AHI) 100'S A 0.08 10MG 14 2022-04-01 2024-03-31 0
40 0012FD GLENCET 5MG TAB (GLP/ATB) LEVOCETIRIZINE 30'S C 0.23 5MG 0 2022-04-01 2024-03-31 Change Local Agent 0
41 0012FF APO-CETIRIZINE 10MG TAB (APO) 100'S A 0.0854 10MG 14 2024-04-01 2026-03-31 0
41 0012FH CLARTYNE 10MG TAB (BSP) LORATADINE (C) 10'S C 1.3211 10MG 14 2024-04-01 2026-03-31 0
42 0012FH CLARITYNE 10MG TAB (BSP) LORATADINE 10'S C 1.03 10MG 14 2026-04-01 No No 0
41 0012FN CETVAN 10MG TAB (TPP) CETIRIZINE 10X10 A 0.0544 10MG 14 2024-04-01 2026-03-31 0
41 0012FP LORATADINE 10MG TAB (MCP) 10X10 A 0.069 10MG 14 2024-04-01 2024-12-27 0
41 0012FP LORATADINE 10MG TAB (MCP) 10X10 A 0.0785 10MG 14 2024-12-28 2026-03-31 0
41 0012FQ LORDINE 10MG TAB (TPP) LORATADINE 10X10 A 0.0533 10MG 14 2024-04-01 2026-03-31 0
42 0012FQ LORDINE 10MG TAB (TPP) LORATADINE 10X10 A 0.06 10MG 14 2026-04-01 No No 0
41 0012FR AXOFEN 120MG TAB (ARP) FEXOFENADINE (C) 30'S C 0.7756 120MG 0 2024-04-01 2026-03-31 0