|
|
41
|
5951D
|
PREDNISOLONE 1% EYE DR (FSB)
|
5ML
|
A
|
3.9959
|
1%
|
1
|
2024-04-01
|
2026-03-31
|
|
|
|
6
|
|
|
42
|
5951F
|
PREDPLUS 1% EYE DR (SYP) PREDNISOLONE
|
10ML
|
A
|
1.98
|
1%
|
1
|
2026-04-01
|
|
No
|
No
|
|
6
|
|
|
40
|
59532
|
MINIMS PREDNISOLONE 0.5% (CHA/STO)
|
20X0.5ML
|
B
|
4.74
|
0.5%
|
0
|
2022-04-01
|
2024-03-31
|
|
|
|
0
|
|
|
40
|
59612
|
JANUMET 500MG | 50MG TAB (MSD/STO) METFORMIN | SITAGLIPTIN
|
56'S
|
C
|
1.26
|
500MG|50MG
|
0
|
2022-04-01
|
2024-03-31
|
|
|
|
0
|
|
|
41
|
59612
|
JANUMET 500MG|50MG TAB (MSD) METFORMIN|SITAGLIPTIN (C)
|
56'S
|
C
|
1.2616
|
500MG|50MG
|
0
|
2024-04-01
|
2026-03-31
|
|
|
|
0
|
|
|
40
|
59613
|
GALVUSMET 500MG | 50MG TAB (NVS/COL) METFORMIN | VIDAGLIPTIN
|
56'S
|
B
|
0.58
|
500MG|50MG
|
60
|
2022-04-01
|
2024-03-31
|
|
|
|
6
|
|
|
41
|
59613
|
GALVUSMET 500MG|50MG TAB (NVS) METFORMIN|VILDAGLIPTIN (B)
|
56'S
|
B
|
0.5825
|
500MG|50MG
|
60
|
2024-04-01
|
2026-03-31
|
|
|
|
0
|
|
|
42
|
59613
|
GALVUSMET 500MG|50MG TAB (NVS) METFORMIN|VILDAGLIPTIN
|
56'S
|
C
|
0.49
|
500MG|50MG
|
60
|
2026-04-01
|
|
No
|
No
|
|
0
|
|
|
40
|
59617
|
KOMBIGLYZE 1G | 2.5MG TAB (AZN/COL) METFORMIN | SAXAGLIPTIN
|
28'S
|
C
|
1.84
|
1G|2.5MG
|
0
|
2022-04-01
|
2024-03-31
|
|
|
|
0
|
|
|
42
|
5961L
|
METFOR SITA EZE 500MG|50MG TAB (INF) METFORMIN|SITAGLIPTIN
|
10X10
|
C
|
0.16
|
500MG|50MG
|
0
|
2026-04-01
|
|
No
|
No
|
|
0
|
|
|
42
|
5961N
|
VILDALION-M 500MG|50MG TAB (STL) METFORMIN|VILDAGLIPTIN
|
60'S
|
B
|
0.08
|
500MG|50MG
|
60
|
2026-04-01
|
|
No
|
No
|
|
6
|
|
|
40
|
59623
|
GALVUSMET 850MG | 50MG TAB (NVS/COL) METFORMIN | VIDAGLIPTIN
|
56'S
|
B
|
0.58
|
850MG|50MG
|
60
|
2022-04-01
|
2024-03-31
|
|
|
|
6
|
|
|
41
|
59623
|
GALVUSMET 850MG|50MG TAB (NVS) METFORMIN|VILDAGLIPTIN (B)
|
56'S
|
B
|
0.5825
|
850MG|50MG
|
60
|
2024-04-01
|
2026-03-31
|
|
|
|
0
|
|
|
42
|
59623
|
GALVUSMET 850MG|50MG TAB (NVS) METFORMIN|VILDAGLIPTIN
|
56'S
|
C
|
0.49
|
850MG|50MG
|
60
|
2026-04-01
|
|
No
|
No
|
|
0
|
|
|
42
|
5962A
|
TRAJENTAMET 2.5MG|850MG TAB (BOE) LINAGLIPTIN|METFORMIN
|
60'S
|
C
|
1.91
|
2.5MG|850MG
|
0
|
2026-04-01
|
|
No
|
No
|
|
0
|
|
|
42
|
5962C
|
METFORMIN|VILDAGLIPTIN 850MG|50MG TAB (CHC)
|
60'S
|
B
|
0.36
|
850MG|50MG
|
60
|
2026-04-01
|
|
No
|
No
|
Add to Contract as Cat B
|
6
|
|
|
40
|
59632
|
JANUMET 1G | 50MG TAB (MSD/STO) METFORMIN | SITAGLIPTIN
|
56'S
|
C
|
1.26
|
1G|50MG
|
0
|
2022-04-01
|
2024-03-31
|
|
|
|
0
|
|
|
41
|
59632
|
JANUMET 1G|50MG TAB (MSD) METFORMIN|SITAGLIPTIN (C)
|
56'S
|
C
|
1.2616
|
1G|50MG
|
0
|
2024-04-01
|
2026-03-31
|
|
|
|
0
|
|
|
40
|
59633
|
GALVUSMET 1G | 50MG TAB (NVS/COL) METFORMIN | VIDAGLIPTIN
|
56'S
|
B
|
0.58
|
1G|50MG
|
60
|
2022-04-01
|
2024-03-31
|
|
|
|
6
|
|
|
41
|
59633
|
GALVUSMET 1G|50MG TAB (NVS) METFORMIN|VILDAGLIPTIN (B)
|
56'S
|
B
|
0.534
|
1G|50MG
|
60
|
2024-04-01
|
2026-03-31
|
|
|
|
0
|
