Displaying 4001 - 4020 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 5851R DAFLON 450MG|50MG TAB (SER) DIOSMIN|HESPERIDIN 60'S C 0.56 450MG|50MG 0 2026-04-01 No No 0
40 5851S DAFLON 450MG | 50MG TAB (SER/COL) DIOSMIN | HESPERIDIN 60'S C 0.56 450MG|50MG 0 2022-04-01 2024-03-31 0
41 5851S DAFLON 450MG|50MG TAB (SER) DIOSMIN|HESPERIDIN (C) 60'S C 0.5577 450MG|50MG 0 2024-04-01 2026-03-31 0
42 5851S DAFLON 450MG|50MG TAB (SER) DIOSMIN|HESPERIDIN 60'S C 0.56 450MG|50MG 0 2026-04-01 No No 0
40 5851V DAFLON 900MG | 100MG TAB (SER/STO) DISOMIN | HESPERIDIN 30'S C 1.12 900MG|100MG 0 2022-04-01 2024-03-31 0
41 5851V DAFLON 900MG|100MG TAB (SER) DISOMIN|HESPERIDIN (C) 30'S C 1.1154 900MG|100MG 0 2024-04-01 2026-03-31 0
42 5851V DAFLON 900MG|100MG TAB (SER) DISOMIN|HESPERIDIN 30'S C 1.12 900MG|100MG 0 2026-04-01 No No 0
40 5851W DAFLON 900MG | 100MG TAB (SER/COL) DISOMIN | HESPERIDIN 30'S C 1.12 900MG|100MG 0 2022-04-01 2024-03-31 0
41 5851W DAFLON 900MG|100MG TAB (SER) DISOMIN|HESPERIDIN (C) 30'S C 1.1154 900MG|100MG 0 2024-04-01 2026-03-31 0
42 5851W DAFLON 900MG|100MG TAB (SER) DISOMIN|HESPERIDIN 30'S C 1.12 900MG|100MG 0 2026-04-01 No No 0
40 58615 DIFLUCAN 150MG CAP (PFI/STO) FLUCONAZOLE 1'S C 22.70 150MG 0 2022-04-01 2024-03-31 0
41 58615 DIFLUCAN 150MG CAP (PFI) FLUCONAZOLE (C) 1'S C 22.9155 150MG 60 2024-04-01 2026-03-31 6
42 58615 DIFLUCAN 150MG CAP (PFI) FLUCONAZOL 1'S C 22.92 150MG 60 2026-04-01 No No 6
40 58619 LAMISIL 250MG TAB (NVS/COL) TERBINAFINE 14'S C 3.88 250MG 0 2022-04-01 2024-03-31 0
41 58619 LAMISIL 250MG TAB (NVS) TERBINAFINE (C) 14'S C 3.8833 250MG 28 2024-04-01 2026-03-31 6
42 58619 LAMISIL 250MG TAB (NVS) TERBINAFINE 14'S C 3.88 250MG 28 2026-04-01 No No 6
40 5861AD APO-FLUCONAZOLE 50MG TAB (APO/COL) 50'S A 0.46 50MG 60 2022-04-01 2024-03-31 6
41 5861CF DILAPAN 150MG TAB (REM) FLUCONAZOLE (C) 3'S C 0.9061 150MG 60 2024-04-01 2026-03-31 6
42 5861CF DILAPAN 150MG TAB (REM) FLUCONAZOLE 3'S C 0.95 150MG 60 2026-04-01 No No 6
40 5861D SPORANOX 100MG CAP (JAC/STO) ITRACONAZOLE 60'S C 3.11 100MG 0 2022-04-01 2024-03-31 0