Displaying 4601 - 4620 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 7351M CARDIZINE 20MG TAB (AUR) TRIMETAZID 60'S A 0.1065 20MG 90 2024-04-01 2024-07-17 6
41 7351M CARDIZINE 20MG TAB (AUR) TRIMETAZID 60'S A 0.102 20MG 90 2024-11-11 2026-03-31 6
40 7351Q TRIMETAZIDINE 20MG TAB (HEA/ATB) 10X10 A 0.0979 20MG 2022-12-07 2024-03-31 No No Change Local Agent 6
42 7351V TRIMETAZIDINE 20MG TAB (HEA) 10X10 A 0.10 20MG 90 2026-04-01 No No Price Change 6
42 7351W TRIMETAZIDINE 20MG TAB (HEA) 10X10 A 0.10 20MG 90 2026-04-01 No No Add to Contract as Cat A 6
42 7351X TRIMETAZIDINE 20MG TAB (HEA) 10X10 A 0.10 20MG 90 2026-04-01 No No Add to Contract as Cat A 6
40 73619 RECORMON PREFILL 4000U INJ (ROC/AHI) EPOIETIN 6X4000U BQ 36.24 4000U 0 2022-04-01 2024-03-31 0
41 73619 RECORMON PREFILL 4000U INJ (ROC) EPOIE B (BQ) 6X4000U BQ 36.2353 4000U 7 2024-04-01 2026-03-31 0
40 7361E MIRCERA PREFILL 100MCG INJ (ROC/AHI) EPOIETIN 100MCG SYN BQ 342.51 100MCG 0 2022-04-01 2024-03-31 0
41 7361E MIRCERA PREFILL 100MCG INJ (ROC) EPOIETI (BQ) 100MCG SYN BQ 342.5088 100MCG 7 2024-04-01 2026-03-31 0
42 7361E MIRCERA PREFILL 100MCG INJ (ROC) EPOIETI 100MCG SYN B 342.51 100MCG 7 2026-04-01 No No 0
40 7361Q BINOCRIT 4000U INJ (BCH/COL) EPOIETIN ALPHA 6X4000U BQ 20.95 4000U 0 2022-04-01 2024-03-31 0
41 7361Q BINOCRIT 4000U INJ (BCH) EPOIETIN ALPHA (BQ) 6X4000U BQ 21.1123 4000U 7 2024-04-01 2026-03-31 0
42 7361Q BINOCRIT 4000U INJ (BCH) EPOIETIN ALPHA 6X4000U B 23.99 4000U 7 2026-04-01 No No 0
40 7362B MIRCERA PREFILL 75MCG INJ (ROC/AHI) EPOIETIN BETA 75MCG SYRN BQ 244.65 75MCG 0 2022-04-01 2024-03-31 0
41 7362B MIRCERA PREFILL 75MCG INJ (ROC) EPOIETIN BETA (BQ) 75MCG SYRN BQ 244.6492 75MCG 7 2024-04-01 2026-03-31 6
42 7362B MIRCERA PREFILL 75MCG INJ (ROC) EPOIETIN BETA 75MCG SYRN B 244.65 75MCG 7 2026-04-01 No No 6
40 7362F MIRCERA PREFILL 50MCG INJ (ROC/AHI) EPOIETIN 50MCG SYRN BQ 171.25 50MCG 0 2022-04-01 2024-03-31 0
41 7362F MIRCERA PREFILL 50MCG INJ (ROC) EPOIETIN (BQ) 50MCG SYRN BQ 171.2544 50MCG 7 2024-04-01 2026-03-31 0
42 7362F MIRCERA PREFILL 50MCG INJ (ROC) EPOIETIN 50MCG SYRN B 171.25 50MCG 7 2026-04-01 No No 0