Displaying 421 - 440 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 04935 HIPREX 1G TAB (PMA) HEXAMINE MANDELATE 20'S C 1.862 1G 0 2024-04-01 2026-03-31 0
40 05027 AAP-NITROFURANTOIN 100MG TAB (APO/COL) 100'S A 0.18 100MG 56 2022-04-01 2024-03-31 0
42 05027 AAP-NITROFURANTOIN 100MG TAB (APO) 100'S A 0.18 100MG 56 2026-04-01 No No 0
40 0502H PMS-NITROFURANTOIN 100MG TAB (PMS/COL) 100'S C 0.49 100MG 0 2022-04-01 2024-03-31 0
41 0502J AAP-NITROFURANTOIN 100MG TAB (APO) 100'S A 0.1821 100MG 56 2024-04-01 2026-03-31 0
42 0502M URIFON 100MG SR TAB (JLP) NITROFURANTOIN 10X10 A 0.16 100MG 28 2026-04-01 No No 0
40 05216 ACTINOMYCIN D 500MCG INJ (KWA/ATB) 500MCG VIA BQ 36.70 500MCG 0 2022-04-01 2024-03-31 0
40 05217 DACTINOTEC 500MCG INJ (UBI/RXP) ACTINOMYCIN D 500MCG BQ 31.26 500MCG 0 2022-04-01 2024-03-31 0
40 05218 ACTINOMYCIN D 500MCG INJ (CHC/ATB) 500MCG VIA BQ 33.16 500MCG 0 2022-04-01 2024-03-31 0
41 05219 ACTINOMYCIN D 500MCG INJ (ZUV) (BQ) 500MCG BQ 14.7061 500MCG 10 2024-04-01 2026-03-31 6
42 0521A ACTINOMYCIN D 500MCG INJ (KWA) DACTINOMYCIN 500MCG VIA BQ 16.72 500MCG 0 2026-04-01 No No Add to Contract 0
40 05313 APO-AZATHIOPRINE 50MG TAB (APO/COL) 100'S A 0.29 50MG 180 2022-04-01 2024-03-31 6
40 0531A AZATHIOPRINE 50MG TAB (RPG/AHI) 100'S A 0.28 50MG 180 2022-04-01 2024-03-31 6
42 0531A AZATHIOPRINE 50MG TAB (RPG) 100'S A 0.22 50MG 180 2026-04-01 No No 6
41 0531C IMUPRIN 50MG TAB (REM) AZATHIOPRINE 10X10 A 0.0984 50MG 180 2024-04-01 2026-03-31 6
42 0531C IMUPRIN 50MG TAB (REM) AZATHIOPRINE 10X10 A 0.17 50MG 180 2026-04-01 No No 6
40 0531V IMURAN 50MG TAB (ASG/STO) AZATHIOPRINE 100'S C 1.74 50MG 0 2022-04-01 2024-03-31 0
40 05415 BLEOMYCIN SULPHATE 15MG INJ (CIP/AHI) 15MG VIAL BQ 44.85 15MG 0 2022-04-01 2024-03-31 0
41 0541E BLEOMYCIN SULPHATE 15MG INJ (KWA) (BQ) 15MG VIAL BQ 34.0062 15MG 30 2024-04-01 2026-03-31 6
42 0541M BLEOCHEM 15MG INJ (ZYD) BLEOMYCIN SULPHATE 15MG VIAL BQ 41.10 15MG 30 2026-04-01 No No 0