Displaying 4381 - 4400 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 6711DA CIPROXINA 500MG TAB (BSP) CIPROFLOXACIN (C) 30'S C 2.7183 500MG 14 2024-04-01 2026-03-31 0
42 6711DA CIPROXINA 500MG TAB (BSP) CIPROFLOXACIN 30'S C 1.90 500MG 14 2026-04-01 No No 0
42 6711DD AVELOX 400MG TAB (BSP) MOXIFLOXACIN 5'S C 9.11 400MG 0 2026-04-01 No No 0
40 6711EK AVELOX 400MG TAB (BSP/AHI) MOXIFLOXACIN 20'S C 9.11 400MG 0 2022-04-01 2024-03-31 0
41 6711EK AVELOX 400MG TAB (BSP) MOXIFLOXACIN (C) 20'S C 9.1064 400MG 0 2024-04-01 2026-03-31 0
42 6711EK AVELOX 400MG TAB (BSP) MOXIFLOXACIN 20'S C 6.01 400MG 0 2026-04-01 No No 0
40 6711FY APO-LEVOFLOXACIN 500MG TAB (APO/COL) 100'S BQ 0.57 500MG 0 2022-04-01 2024-03-31 6
40 6711FZ APO-LEVOFLOXACIN 750MG TAB (APO/COL) 100'S BQ 1.06 750MG 0 2022-04-01 2024-03-31 6
40 6711HB CIPROFLOXACIN 500MG TAB (HEA/ATB) 10X10 A 0.1481 500MG 14 2022-07-12 2024-03-31 No No la 0
41 6711HB CIPROFLOXACIN 500MG TAB (HEA) 10X10 A 0.1487 500MG 14 2024-04-01 2026-03-31 0
41 6711HH LEVOFLOXACIN 750MG TAB (CIP) (BQ) 50'S BQ 0.5855 750MG 14 2024-04-01 2026-03-31 0
41 6711HJ OFLOXACIN 400MG TAB (CIP) (C) 100'S C 1.8256 400MG 14 2024-04-01 2026-03-31 0
42 6711JQ NOLICIN 400MG TAB (KRK) NORFLOXACIN 20'S A 0.41 400MG 14 2026-04-01 No No 0
41 6711KD OVEL 500MG TAB (ARP) LEVOFLOXACIN (BQ) 30'S BQ 0.521 500MG 14 2024-04-01 2026-03-31 0
41 6711KV OXIFLED 400MG TAB (MSN) MOXIFLOXACIN (C) 10'S C 0.7965 400MG 0 2024-04-01 2026-03-31 0
42 6711LQ CIPROFLOXACIN 500MG TAB (MCP) 10X10 A 0.08 500MG 14 2026-04-01 No No 0
41 6711LW VANCIP 500MG TAB (TPP) CIPROFLOXACIN 10X10 A 0.1384 500MG 14 2024-04-01 2026-03-31 0
41 6711MC LEVOFLOXACIN 500MG TAB (MCP) 10X10 BQ 0.4167 500MG 14 2024-04-01 2026-03-31
42 6711ME AVELOX 400MG TAB (BSP) MOXIFLOXACIN 5'S C 8.29 400MG 0 2026-04-01 No No 0
42 6711MJ APO-LEVOFLOXACIN 500MG TAB (APO) 50'S B 0.75 500MG 14 2026-04-01 No No 0