Displaying 4501 - 4520 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 68719 IBUFEN 20MG/ML SUSP (CAR) IBUPROFEN 125ML A 0.05 20MG/ML 100 2026-04-01 No No 6
41 6871AA IBUPROFEN 20MG/ML SUSP (KWA) 125ML A 0.0433 20MG/ML 100 2024-04-01 2026-03-31 6
40 6871U ADVIL FRUIT 20MG/ML SUSP (GSK/COL) IBUPROFEN 120ML C 0.09 20MG/ML 0 2022-04-01 2024-03-31 0
41 6871U ADVIL FRUIT 20MG/ML SUSP (GSK) IBUPROFEN (C) 120ML C 0.0945 20MG/ML 100 2024-04-01 2026-03-31 6
40 6871V ADVIL GRAPE 20MG/ML SUSP (GSK/COL) IBUPROFEN 120ML C 0.09 20MG/ML 0 2022-04-01 2024-03-31 0
41 6871V ADVIL GRAPE 20MG/ML SUSP (GSK) IBUPROFEN (C) 120ML C 0.0945 20MG/ML 100 2024-04-01 2026-03-31 6
40 6871Y IBUPROFEN 20MG/ML SUSP (CHC/ATB) 125ML A 0.01 20MG/ML 100 2022-04-01 2024-03-31 6
41 6871Z IBUPROFEN 20MG/ML SUSP (LDP) 100ML A 0.0345 20MG/ML 100 2024-04-01 2026-03-31 6
40 68911 E-Z-GAS II (EZM/COL) SOD BIC/CIT ACID/SIMET 50X4G BQ 9.24 || 0 2022-04-01 2024-03-31 0
41 68911 E-Z-GAS II (EZM) SOD BIC/CIT ACID/SIME (BQ) 50X4G BQ 10.1665 || 0 2024-04-01 2026-03-31 0
42 68911 E-Z-GAS II (EZM) SOD BIC/CIT ACID/SIME 50X4G BQ 10.66 1.53G|0.04G|2.21G 0 2026-04-01 No No 0
40 7091M CARBOPLATIN 150MG INJ (INP/AHI) 150MG VIAL BQ 36.91 150MG 0 2022-04-01 2024-03-31 0
41 7091N CARBOPLATIN 150MG INJ (FSB) (BQ) 150MG VIAL BQ 36.9692 150MG 10 2024-04-01 2026-03-31 6
42 7091V CARBOPLATIN 150MG INJ (FSB) 150MG VIAL BQ 33.44 150MG 10 2026-04-01 No No Add to Contract 0
41 7093F CARBOPLATIN 450MG INJ (DIL) (BQ) 450MG VIAL BQ 91.5803 450MG 10 2024-04-01 2026-03-31 0
40 7093L CARBOPLATIN 450MG INJ (FSB/ATB) 450MG VIAL BQ 76.11 450MG 0 2022-04-01 2024-03-31 0
41 7093L CARBOPLATIN 450MG INJ (FSB) (BQ) 450MG VIAL BQ 76.1674 450MG 10 2024-04-01 2026-03-31 0
40 7093N CARBOPLATIN 450MG INJ (INP/AHI) 450MG VIAL BQ 84.62 450MG 0 2022-04-01 2024-03-31 0
42 7093Q CARBOTHER 450MG INJ (TPP) CARBOPLAT 450MG VIAL BQ 76.11 450MG 10 2026-04-01 No No 0
42 7093S BIOCARB 450MG INJ (ZYD) CARBOPLATIN 450MG VIAL BQ 97.53 450MG 10 2026-04-01 No No 0