Displaying 4401 - 4420 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
42 6711MK APO-LEVOFLOXACIN 750MG TAB (APO) 30'S B 1.17 750MG 14 2026-04-01 No No 0
42 6711MS CIPROFLOXACIN 500MG TAB (HEA) 10X10 A 0.16 500MG 14 2026-04-01 No No Price Change 0
42 6711NK CIPROFLOXACIN 500MG TAB (HEA) 10X10 A 0.16 500MG 14 2026-04-01 No No Add to Contract as Cat A 0
42 6711NL CIPROFLOXACIN 500MG TAB (HEA) 10X10 A 0.16 500MG 14 2026-04-01 No No Add to Contract as Cat A 0
41 6711Q CIPROXINA 500MG TAB (BSP) CIPROFLOX (C) 30'S C 2.7183 500MG 14 2024-04-01 2026-03-31 0
42 6711Q CIPROXINA 500MG TAB (BSP) CIPROFLOX 30'S C 1.73 500MG 14 2026-04-01 No No 0
40 6711V TRIZOLIN 400MG TAB (REM/SBI) NORFLOXACIN 2X7'S A 0.22 400MG 14 2022-04-01 2024-03-31 0
41 6711V TRIZOLIN 400MG TAB (REM) NORFLOXACIN 2X7'S A 0.3864 400MG 14 2024-04-01 2026-03-31 0
40 67123 CIPROXINA 200MG INJ (BSP/COL) CIPROFLOXACIN 100ML C 55.73 200MG 0 2022-04-01 2024-03-31 0
41 67123 CIPROXINA 200MG INJ (BSP) CIPROFLOXACIN (C) 100ML C 55.7256 200MG 56 2024-04-01 2026-03-31 0
42 67123 CIPROXINA 200MG INJ (BSP) CIPROFLOXACIN 100ML C 35.26 200MG 56 2026-04-01 No No 0
41 67124 CIPROXINA 400MG INJ (BSP) CIPROFLOX (C) 200ML C 70.6764 20MG/ML 0 2024-04-01 2026-03-31 0
42 67124 CIPROXINA 200MG INJ (BSP) CIPROFLOXACIN 200ML C 64.32 200MG 56 2026-04-01 No No 0
40 67127 TAVANIC 500MG INJ (SFA/COL) LEVOFLOXACIN 100ML C 23.11 500MG 0 2022-04-01 2024-03-31 0
40 6712BW LEVOFLOXACIN 500MG INJ (BAX/STO) 100ML BQ 12.07 500MG 0 2022-04-01 2024-03-31 6
40 6712BX CIPLOXIN 200MG INJ (UNI/AHI) CIPROFLOXACIN 100ML BQ 4.49 200MG 0 2022-04-01 2024-03-31 6
41 6712BX CIPLOXIN 200MG INJ (UNI) CIPROFLOXA (BQ) 100ML BQ 4.4852 200MG 56 2024-04-01 2026-03-31 0
42 6712BX CIPLOXIN 200MG INJ (UNI) CIPROFLOXA 100ML B 4.49 200MG 56 2026-04-01 2028-03-31 No No 0
40 6712C AVELOX 400MG INJ (BSP/COL) MOXIFLOXACIN 250ML C 50.70 400MG 0 2022-04-01 2024-03-31 0
41 6712C AVELOX 400MG INJ (BSP) MOXIFLOXACIN (C) 250ML C 50.6967 400MG 0 2024-04-01 2026-03-31 0