Displaying 4621 - 4640 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
40 7363A MIRCERA PREFILL 200MCG INJ (ROC/AHI) EPOIETIN 200MCG SYN BQ 685.02 200MCG 0 2022-04-01 2024-03-31 0
41 7363A MIRCERA PREFILL 200MCG INJ (ROC) EPOIETI 200MCG SYN BQ 685.0176 200MCG 7 2024-04-01 2026-03-31 0
42 7363A MIRCERA PREFILL 200MCG INJ (ROC) EPOIETI 200MCG SYN B 685.02 200MCG 7 2026-04-01 No No 0
40 73713 APO-MEGESTROL 40MG TAB (APO/COL) 100'S C 0.54 40MG 0 2022-04-01 2024-03-31 0
42 73713 APO-MEGESTROL 40MG TAB (APO) 100'S C 0.55 40MG 0 2026-04-01 No No 0
41 7371D APO-MEGESTROL 40MG TAB (APO) (C) 100'S C 0.5464 40MG 0 2024-04-01 2026-03-31 0
40 73814 RYTHMONORM 150MG TAB (ABB/PHA) PROPAFENONE 30'S C 0.69 150MG 0 2022-04-01 2024-03-31 0
40 73814 RYTHMONORM 150MG TAB (ABB/PHA) PROPAFENONE (C) 30'S C 0.685 150MG 2022-04-01 2023-03-31 No No Delete from contract 0
40 73815 APO-PROPAFENONE 150MG TAB (APO/COL) 100'S C 0.64 150MG 0 2022-04-01 2024-03-31 0
41 73819 APO-PROPAFENONE 150MG TAB (APO) 100'S C 0.6538 150MG 0 2024-04-01 2026-03-31 0
42 7381A RYTMONORM 150MG TAB (ABB) PROPAFENONE 30'S C 0.65 150MG 0 2026-04-01 No No 0
40 73911 NIMOTOP 0.2MG/ML INJ (BSP/COL) NIMODIPINE 50ML VIAL BQ 43.49 0.2MG/ML 0 2022-04-01 2024-03-31 0
40 73913 NIMOTOP 0.2MG/ML INJ (BSP/AHI) NIMODIPINE 50ML VIAL BQ 43.49 0.2MG/ML 0 2022-04-01 2024-03-31 0
41 7421D LIDOCAINE|PRILOCAINE 2.5%|2.5% CR (AKI) (BQ) 30G BQ 116.453 2.5%|2.5% 1 2024-04-01 2026-03-31 0
40 74712 DEPIXOL DEPOT 20MG/ML INJ (LUN/COL) FLUPENTHI 10X1ML B 11.80 20MG/ML 0 2022-04-01 2024-03-31 0
40 74715 CLOPIXOL ACUPHASE 50MG/ML(LUN/COL)ZUCLOPENTHI 5X1ML C 21.11 50MG/ML 0 2022-04-01 2024-03-31 0
40 74719 CLOPIXOL DEPOT 200MG/ML(LUN/COL)ZUCLOPENTHI 10X1ML C 37.47 200MG 0 2022-04-01 2024-03-31 0
41 7471AA FENAZINE 25MG/ML INJ (INC) FLUPHENAZINE (B) 5X1ML B 1.6799 25MG/ML 3 2024-04-01 2026-03-31 6
42 7471AA FENAZINE 25MG/ML INJ (INC) FLUPHENAZINE 5X1ML B 1.79 25MG/ML 3 2026-04-01 No No 6
41 7471AB FLUPENTHIXOL 20MG/ML INJ (CIR) 10X1ML B 8.563 20MG/ML 6 2024-04-01 2026-03-31 6