Displaying 4321 - 4340 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 66739 CATAFLAM DISPERS 50MG TAB (NVS) DICLOFEN (C) 12'S C 1.0058 50MG 15 2024-04-01 2026-03-31 0
42 66739 CATAFLAM DISPERS 50MG TAB (NVS) DICLOFEN 12'S C 1.01 50MG 15 2026-04-01 No No 0
40 6673AB CATAFLAM SOFT GEL 50MG CAP (NVS/COL) DICLOFEN 50'S C 0.94 50MG 0 2022-04-01 2024-03-31 0
41 6673AB CATAFLAM SOFT GEL 50MG CAP (NVS) DICLOFE (C) 50'S C 0.9362 50MG 0 2024-04-01 2026-03-31 0
42 6673AB CATAFLAM SOFT GEL 50MG CAP (NVS) DICLOFE 50'S C 0.94 50MG 0 2026-04-01 No No 0
40 6673AE DICLO-K 50MG TAB (RYV/ALW) DICLOFENAC POTASSI 100'S A 0.03 50MG 15 2022-04-01 2024-03-31 0
41 6673AE DICLO-K 50MG TAB (RYV) DICLOFENAC POTASS 100'S A 0.0405 50MG 15 2024-04-01 2026-03-31 0
41 6673AN DICLOFENAC POTASSIUM 50MG TAB (HEA) 2X10 A 0.0707 50MG 15 2024-04-01 2026-03-31 0
41 6673AP DICLOFENAC POTASSIUM 50MG TAB (MCP) 10X10 A 0.0348 50MG 15 2024-04-01 2026-03-31 0
42 6673AT DICLOFENAC POTASSIUM 50MG TAB (ZYP) 10X10 A 0.03 50MG 15 2026-04-01 No No 0
42 6673AY DICLOFENAC POTASSIUM 50MG TAB (HEA) 2X10 C 0.07 50MG 15 2026-04-01 No No Price Change 0
42 6673AZ DICLOFENAC POTASSIUM 50MG TAB (HEA) 2X10 C 0.07 50MG 15 2026-04-01 No No Add to Contract as Cat C 0
42 6673BA DICLOFENAC POTASSIUM 50MG TAB (HEA) © 2X10 C 0.07 50MG 15 2026-04-01 No No Add to Contract as Cat C 0
42 6673BB DICLOFENAC POTASSIUM 50MG TAB (FSB) 10X10 A 0.03 50MG 15 2026-04-01 No No Add to Contract as Cat A 0
40 6673H CATAFLAM 50MG TAB (NVS/COL) DICLOFENAC POTASS 50'S C 0.94 50MG 0 2022-04-01 2024-03-31 0
41 6673H CATAFLAM 50MG TAB (NVS) DICLOFENAC POTAS (C) 50'S C 0.9362 50MG 15 2024-04-01 2026-03-31 0
42 6673H CATAFLAM 50MG TAB (NVS) DICLOFENAC POTAS 50'S C 0.94 50MG 15 2026-04-01 No No 0
40 66742 LAFENAC 25MG/ML INJ (LDP/AHI) DICLOFENAC POTASSIUM 10X3ML B 4.53 25MG/ML 0 2022-04-01 2024-03-31 0
41 66746 DICLOFENAC POTASSIUM 25MG/ML INJ (KWA) 3ML VIAL B 1.8756 25MG/ML 30 2024-04-01 2026-03-31 0
40 6691AD QLAIRA TAB (BSP/COL) ESTRADIOL/DIENOGEST 28'S C 0.97 3MG|3MG 0 2022-04-01 2024-03-31 0