Displaying 4201 - 4220 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 6211D MIDAZOLAM 5MG/ML INJ (RTM) (B) 10X3ML B 3.65 5MG/ML 0 2024-05-25 2026-03-31 0
41 62121 DORMICUM 5MG/ML INJ (ROC) MIDAZOLAM (C) 5X10ML C 10.3296 5MG/ML 0 2024-04-01 2026-03-31 0
41 6212N MIDAZOLAM 5MG/ML INJ (KWA) (B) 10ML VIAL B 4.0775 5MG/ML 0 2024-04-01 2026-03-31 0
40 6212P MIDAZOLAM 5MG/ML INJ (BRA/COL) 20X10ML B 3.36 5MG/ML 0 2022-04-01 2024-03-31 0
41 6212P MIDAZOLAM 5MG/ML INJ (BRA) (B) 20X10ML B 4.6565 5MG/ML 0 2024-04-01 2026-03-31 0
42 6212P MIDAZOLAM 5MG/ML INJ (BRA) 20X10ML B 10.76 5MG/ML 0 2026-04-01 No No 0
40 6251C POTASSIUM PHOSPHATE 3MMOL/ML INJ (LDP/AHI) 15ML BQ 11.74 3MMOL/ML 0 2022-04-01 2024-03-31 0
41 6251D POTASSIUM PHOSPHATE 3MMOL/ML INJ (KWA) (BQ) 15ML VIAL BQ 6.9317 3MMOL/ML 0 2024-04-01 2026-03-31 0
40 62614 N-MYCIN 5% EYE DR (ARP/AHI) NATAMYCIN 5ML BQ 20.99 5% 0 2022-04-01 2024-03-31 6
41 62615 NATACIN 5% EYE DR (AKU) NATAMYCIN 5ML BQ 5.5182 5% 0 2024-04-01 2026-03-31 0
42 62615 NATACIN 5% EYE DR (AKU) NATAMYCIN 5ML BQ 5.44 5% 0 2026-04-01 No No 0
40 6302AL CISATRACURIUM 2.5MG/ML INJ (OMG/COL) 10X10ML BQ 23.24 2.5MG/ML 0 2022-04-01 2024-03-31 0
42 6302AL CISATRACURIUM 2.5MG/ML INJ (OMG) 10X10ML BQ 16.31 2.5MG/ML 400 2026-04-01 No No 0
40 6302AQ NIMBEX 2MG/ML INJ (ASG/STO) CISATRACURIUM 5X5ML BQ 22.83 2MG/ML 0 2022-04-01 2024-03-31 0
41 6302AQ NIMBEX 2MG/ML INJ (ASG) CISATRACURI (BQ) 5X5ML BQ 22.8339 2MG/ML 0 2024-04-01 2026-03-31 0
42 6302AQ NIMBEX 2MG/ML INJ (ASG) CISATRACURI 5X5ML BQ 26.01 2MG/ML 0 2026-04-01 No No 0
41 6302AR CISATRACURIUM 2.5MG/ML INJ (LDP) (BQ) 10ML BQ 19.6535 2.5MG/ML 400 2024-04-01 2026-03-31 0
40 63416 STAMARIL (AVP/COL) YELLOW FEVER 1 DS SYRNG B 53.82 1000IU 0 2022-04-01 2024-03-31 0
41 63416 STAMARIL (AVP) YELLOW FEVER 1 DS VIAL B 53.8228 1000IU 20 2024-04-01 2024-10-21 0
40 64212 NEORAL 100MG/ML SOLN (NVS/COL) CYCLOSPORIN 50ML BQ 475.71 100MG/ML 0 2022-04-01 2024-03-31 0