Displaying 4641 - 4660 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 7471AD FLUPENTHIXOL 20MG/ML INJ (MON) (B) 10X1ML B 0.5328 20MG/ML 6 2024-04-01 2026-03-31 6
42 7471AH NEUROFLY 25MG/ML INJ (JLP) FLUPHENAZINE 10X1ML B 1.50 25MG/ML 3 2026-04-01 No No 6
42 7471AJ FLUPENTHIXOL 20MG/ML INJ (KWA) 10X1ML B 1.28 20MG/ML 6 2026-04-01 No No Add to Contract as Cat B 6
42 7471AK FLUPENTHIXOL 20MG/ML INJ (CHC) 1ML AMP B 1.96 20MG/ML 6 2026-04-01 No No Add to Contract as Cat B 6
40 7471F FLUPHENAZINE 25MG/ML INJ (RTM/PHA) 10X1ML B 2.29 25MG/ML 0 2022-04-01 2024-03-31 0
41 7471F FLUPHENAZINE 25MG/ML INJ (RTM) FLUPHENAZ (B) 10X1ML B 2.4846 25MG/ML 3 2024-04-01 2026-03-31 6
40 7471T FLUPHENAZINE 25MG/ML INJ (MON/PHA) 10X1ML B 2.57 25MG/ML 0 2022-04-01 2024-03-31 0
41 7471T FLUPHENAZINE 25MG/ML INJ (MON) (B) 10X1ML B 2.036 25MG/ML 3 2024-04-01 2026-03-31 6
40 7471U FLUPHENAZINE 25MG/ML INJ (FSB/ATB) 10X1ML B 2.23 25MG/ML 0 2022-04-01 2022-05-31 Price Change 0
41 7471Z FLUXOL 20MG/ML INJ (LDP) FLUPENTHIXOL (B) 10X1ML B 3.6534 20MG/ML 6 2024-04-01 2026-03-31 6
42 7472A FLUPHENAZINE 25MG/ML INJ (LDP) 10ML VIAL B 7.18 25MG/ML 3 2026-04-01 No No 6
41 7472AB FLUPHENAZINE 25MG/ML INJ (MON) (B) 10ML B 6.5512 25MG/ML 3 2024-04-01 2026-03-31 6
41 7472H FLUPHENAZINE 25MG/ML INJ (KWA) (B) 10ML VIAL B 4.5396 25MG/ML 3 2024-04-01 2026-03-31 6
40 7472T FLUPHENAZINE 25MG/ML INJ (LDP/AHI) 10X10ML B 4.47 25MG/ML 0 2022-04-01 2024-03-31 0
42 74731 APO-FLUPHENAZINE 1MG TAB (APO) 100'S A 0.31 1MG 150 2026-04-01 No No 6
41 74738 APO-FLUPHENAZINE 1MG TAB (APO) 100'S A 0.3085 1MG 150 2024-04-01 2026-03-31 6
40 7473C CLOPIXOL 10MG TAB (LUN/COL) ZUCLOPENTHIXOL 100'S C 4.85 10MG 0 2022-04-01 2024-03-31 0
40 7473J CLOPIXOL 2MG TAB (LUN/COL) ZUCLOPENTHIXOL 100'S C 4.85 2MG 0 2022-04-01 2024-03-31 0
40 7473K DEPIXOL 3MG TAB (LUN/COL) FLUPENTHIXOL 100'S A 1.15 3MG 180 2022-04-01 2024-03-31 6
40 7581M ACCORD PIOGLITAZONE 15MG TAB (INP/AAL) PIOGLI 28'S C 0.91 15MG 0 2022-04-01 2024-03-31 0