Displaying 4741 - 4760 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 77025 T-MYCIN PLUS EYE OINT (ARP/AHI) DEXAMETHASON 3.5G BQ 7.12 0.1%|0.3% 0 2022-04-01 2024-03-31 6
40 77027 TOBRADEX 0.1% | 0.3% EYE OINT (NVS/COL) DEXAMET 3.5G C 23.73 0.1%|0.3% 0 2022-04-01 2024-03-31 0
41 77027 TOBRADEX 0.1%|0.3% EYE OINT (NVS) D (C) 3.5G C 23.731 0.1%|0.3% 1 2024-04-01 2026-03-31 6
42 77027 TOBRADEX 0.1%|0.3% EYE OINT (NVS) DEXAMETHASONE|TOBRAMYCIN 3.5G C 23.73 0.1%|0.3% 1 2026-04-01 No No 6
41 77028 TOBAGRAM D 0.1%|0.3% EYE DR (SPC) DEXAMETHASONE|TOBRAMYCIN (BQ) 5G BQ 4.2678 0.1%|0.3% 1 2024-04-01 2026-03-31 6
42 77028 TOBAGRAM D 0.1%|0.3% EYE OINT (SPC) DEXAMETHASONE|TOBRAMYCI 5G B 4.40 0.1%|0.3% 1 2026-04-01 No No 6
40 77116 AFM-T 1MG | 0.25MG EYE DR (ARP/AHI) FLUOROMETHOLONE | TETRAHYDROZOLINE 5ML BQ 13.89 1MG/ML|0.25MG/ML 0 2022-04-01 2024-03-31 6
41 77116 AFM-T 1MG|0.25MG EYE DR (ARP) FLUOROMETHOLONE|TETRAHYDROZOLI 5ML BQ 13.8906 1MG/ML|0.25MG/ML 2 2024-04-01 2026-03-31 6
42 77117 METALONE PLUS 1MG|0.25MG EYE DR (INC) FLUOROMETHOLONE|TETRAH 5ML BQ 13.48 1MG|0.25MG 2 2026-04-01 No No 0
40 7722AD CURAM 875MG | 125MG TAB (BCH/COL) AMOXICILLIN | CLAVULANIC ACID 20'S C 0.79 875MG|125MG 0 2022-04-01 2024-03-31 0
41 7722AD CURAM 875MG|125MG TAB (BCH) AMOXICILLIN|CLAVULANIC ACID (C) 20'S C 0.8658 875MG|125MG 21 2024-04-01 2026-03-31 0
42 7722AD CURAM 875MG|125MG TAB (BCH) AMOXIC (C) 20'S C 1.36 875MG|125MG 21 2026-04-01 No No 0
41 7722AX CURAM 500MG|125MG TAB (BCH) AMOXICILLIN| (B) 20'S B 0.8943 500MG|125MG 30 2024-04-01 2026-03-31 0
42 7722AX CURAM 500MG|125MG TAB (BCH) AMOXIC (C) 20'S C 0.89 500MG|125MG 30 2026-04-01 No No 0
40 7722AY APO-AMOXICLAV 875MG | 125MG TAB (APO/COL) 100'S B 0.34 875MG|125MG 21 2022-04-01 2024-03-31 6
42 7722AY APO-AMOXICLAV 875MG|125MG TAB (APO) 100'S B 0.35 875MG|125MG 21 2026-04-01 No No 0
40 7722BJ CURAM 500MG | 125MG TAB (BCH/COL) AMOXICILLIN | CLAVULANIC ACID 80'S C 0.34 500MG|125MG 0 2022-04-01 2024-03-31 Price Change 0
40 7722BV AMOXICILLIN | CLAVULANIC ACID 875MG | 125MG TAB (KWA/ATB) 2X10 B 0.39 875MG|125MG 14 2022-04-01 2022-09-30 0
41 7722CK AMOXICILLIN|CLAVULANIC ACID 500MG|125MG TAB (FSB) (B) 20'S B 0.3398 500MG|125MG 30 2024-04-01 2026-03-31 0
40 7722CM ACUCLAV 500MG | 125M TAB (MCP/AHI) AMOXICILLIN | CLAVULANIC ACID 2X10 B 0.177 500MG|125MG 21 2022-04-01 2024-03-31 6