Displaying 4041 - 4060 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 5861KQ CANEX 150MG TAB (TPP) FLUCONAZOLE 25'S A 0.1403 150MG 60 2024-04-01 2026-03-31 6
42 5861KQ CANEX 150MG TAB (TPP) FLUCONAZOLE 25'S A 0.19 150MG 60 2026-04-01 No No 6
41 5861KS FLUCONAZOLE 100MG TAB (MCP) 10X10 A 0.233 100MG 60 2024-04-01 2026-03-31 6
41 5861KT FLUCONAZOLE 150MG TAB (MCP) 10X10 A 0.233 150MG 60 2024-04-01 2026-03-31 6
41 5861KU FLUCONAZOLE 200MG TAB (MCP) 10X10 A 0.233 200MG 60 2024-04-01 2026-03-31 6
41 5861KY TERBICIP 250MG TAB (MPI) TERBINAFINE 10'S A 0.4594 250MG 28 2024-04-01 2026-03-31 6
40 5861L SPORASEC 33.3/166.6 TAB (JAC/STO) ITRACONAZOL 12'S C 3.11 33.3MG|166.6MG 0 2022-04-01 2024-03-31 0
41 5861L SPORASEC 33.3MG|166.6MG TAB (JAC) ITRACONAZOLE|SECNIDAZOLE (C) 12'S C 3.108 33.3MG|166.6MG 0 2024-04-01 2026-03-31 0
42 5861L SPORASEC 33.3MG|166.6MG TAB (JAC) ITRACONAZOLE|SECNIDAZOLE 12'S C 3.11 33.3MG|166.6MG 0 2026-04-01 No No 0
41 5861LB TERBINAFINE 250MG TAB (MPI) 50'S A 0.4594 250MG 28 2024-10-29 2026-03-31 6
42 5861LF FLUCON EZE 150MG TAB (INF) FLUCONAZOLE 4'S A 0.39 150MG 60 2026-04-01 No No 6
42 5861LS FLUCONAZOLE CAP (HEA) 1'S C 0.68 150MG 60 2026-04-01 No No 6
42 5861LT FLUCONAZOLE 200MG TAB (GLP) 30'S A 0.41 200MG 60 2026-04-01 No No 6
42 5861LZ FLUCONAZOLE 200MG CAP (GLP) 30'S A 0.41 200MG 60 2026-04-01 No No 6
42 5861ME TERBILINE 250MG TAB (JLP) TERBINAFINE 10X7 A 0.21 250MG 28 2026-04-01 No No 6
42 5861MF ITRACONAZOLE 100MG TAB (FSB) 30'S A 0.13 100MG 60 2026-04-01 No No Add to Contract as Cat A 3
42 5861MG FLUCONAZOLE 150MG CAP (HEA) (C) 1'S C 0.68 150MG 60 2026-04-01 No No Add to Contract as Cat C 6
40 5861Q APO-FLUCONAZOLE 100MG TAB (APO/COL) 50'S A 0.58 100MG 60 2022-04-01 2024-03-31 6
42 5861Q APO-FLUCONAZOLE 100MG TAB (APO) 50'S A 0.38 100MG 60 2026-04-01 No No 6
41 58652 VFEND 200MG (PFI) VORICONAZOLE (C) 200MG VIAL C 311.683 200MG 28 2024-04-01 2026-03-31 0