Displaying 4521 - 4540 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 7111AD CISPLATIN 1MG/ML INJ (FSB) 50MG VIAL BQ 13.89 1MG/ML 50 2026-04-01 No No Add to Contract 0
42 7111F CISPLATIN 1MG/ML INJ (ZUV) 50ML VIAL BQ 14.22 1MG/ML 50 2026-04-01 No No 0
40 7111G CISPA 1MG/ML INJ (INP/AHI) CISPLATIN 50ML VIAL BQ 19.06 1MG/ML 0 2022-04-01 2024-03-31 0
40 7111R CISPLATIN 1MG/ML INJ (DIL/AHI) 50ML BQ 18.02 1MG/ML 0 2022-04-01 2024-03-31 0
41 7111S CISPLATIN 1MG/ML INJ (FSB) (BQ) 50ML VIAL BQ 15.0051 1MG/ML 50 2024-04-01 2026-03-31 0
41 7111W CISPLATIN 1MG/ML INJ (KWA) (BQ) 50ML BQ 16.3371 1MG/ML 50 2024-04-01 2026-03-31 0
41 71123 CISPLATIN 1MG/ML INJ (KWA) (BQ) 100ML BQ 27.591 1MG/ML 0 2024-04-01 2026-03-31 0
41 71124 CISPLATIN 1MG/ML INJ (VEN) (BQ) 100ML BQ 29.1948 1MG/ML 0 2024-04-01 2026-03-31 0
42 71125 CISPA 1MG/ML INJ (INP) CISPLATIN 100ML BQ 220.46 1MG/ML 0 2026-04-01 No No 0
40 71214 FLUMAZENIL 0.1MG/ML INJ (DIL/AHI) 10X5ML B 18.07 0.1MG/ML 0 2022-04-01 2024-03-31 0
41 7121C FLUMAZENIL 0.1MG/ML INJ (LDP) 10X5ML B 15.6983 0.1MG/ML 0 2024-04-01 2026-03-31 0
42 7121F FLUMAZENIL 0.1MG/ML INJ (FSB) 5ML PFS BQ 125.40 0.1MG/ML 0 2026-04-01 No No Add to Contract 0
42 7121G FLUMAZENIL 0.1MG/ML INJ (ROL) 10X5ML BQ 265.12 0.1MG/ML 0 2026-04-02 No No Add to Contract 0
40 71318 ACCORD REPAGLINIDE 0.5MG TAB (INP/AAL) REPAGL 30'S C 1.95 0.5MG 0 2022-04-01 2024-03-31 0
40 71328 ACCORD REPAGLINIDE 1MG TAB (INP/AAL) REPAGLIN 30'S C 2.92 1MG 0 2022-04-01 2024-03-31 0
40 71331 NOVONORM 2MG TAB (NOV/COL) REPAGLINIDE 30'S C 0.91 2MG 0 2022-04-01 2024-03-31 0
41 71331 NOVONORM 2MG TAB (NOV) REPAGLINIDE 30'S C 0.9061 2MG 0 2024-04-01 2026-03-31 0
40 7133A REPAGLINIDE 1MG TAB (INP/AHI) 90'S C 0.27 1MG 0 2022-04-01 2024-03-31 0
40 7151AM CASODEX 150MG TAB (AZN/COL) BICALUTAMIDE 28'S C 23.39 150MG 0 2022-04-01 2024-03-31 0
41 7151AM CASODEX 150MG TAB (AZN) BICALUTAMID (C) 28'S C 23.3883 150MG 0 2024-04-01 2026-03-31 0