Displaying 461 - 480 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 0603D FLUOROURACIL 50MG/ML INJ (SLS 10ML BQ 3.43 50MG/ML 0 2026-04-01 No No 0
42 0603N FLURACIL 50MG/ML INJ (ZYD) FLUOROURACIL 10ML BQ 6.85 50MG/ML 0 2026-04-01 No No 0
40 0611B MELPHALAN 2MG TAB (TPP/AHI) 50'S A 1.50 2MG 63 2022-04-01 2024-03-31 6
42 0611B MELPHALAN 2MG TAB (TPP) 50'S B 1.59 2MG 63 2026-04-01 No No 6
41 0611C MELPHALAN 2MG TAB (KWA) 50'S A 1.6636 2MG 63 2024-04-01 2026-03-31 6
40 0621B MERCAPTOPURINE 50MG TAB (SLS/AHI) 30'S A 1.52 50MG 60 2022-04-01 2024-03-31 6
41 0621B MERCAPTOPURINE 50MG TAB (SLS) 30'S A 1.5214 50MG 60 2024-04-01 2026-03-31 6
42 0621B MERCAPTOPURINE 50MG TAB (SLS) 30'S A 1.52 50MG 60 2026-04-01 No No 6
40 0621C PURINETHOL 50MG TAB (ASG/STO) MERCAPTOPURINE 25'S A 4.18 50MG 60 2022-04-01 2024-03-31 6
41 0621C PURINETHOL 50MG TAB (ASG) MERCAPTOP (C) 25'S C 4.3004 50MG 60 2024-04-01 2026-03-31 6
42 0621C PURINETHOL 50MG TAB (ASG) MERCAPTOP 25'S C 4.59 50MG 60 2026-04-01 No No 6
40 06319 METHOTREXATE 2.5MG TAB (REM/SBI) 10X10 A 0.15 2.5MG 32 2022-04-01 2024-03-31 6
42 06319 METHOTREXATE 2.5MG TAB (REM) 10X10 A 0.13 2.5MG 32 2026-04-01 No No 6
40 0631AD METHOTREXATE 2.5MG TAB (INP/AHI) 100'S A 0.13 2.5MG 32 2022-04-01 2024-03-31 6
41 0631AG ZUVITREX 2.5MG TAB (ZUV) METHOTREXATE 100'S A 0.1332 2.5MG 32 2024-04-01 2026-03-31 6
41 0631D METHOTREXATE 2.5MG TAB (REM) 100'S A 0.1479 2.5MG 32 2024-04-01 2026-03-31 6
40 0631Y METHOTREXATE 2.5MG TAB (FSB/ATB) 100'S A 0.07 2.5MG 32 2022-04-01 2022-09-30 6
42 0633AB BIOTREXATE 25MG/ML INJ (ZYD) METHOTREXATE 2ML VIAL B 7.58 25MG/ML 5 2026-04-01 No No 6
42 0633AD LEETREXATE 25MG/ML INJ (JLP) METHOTREXATE 2ML VIAL B 4.62 25MG/ML 5 2026-04-01 No No 6
40 0633V METHACOR 25MG/ML INJ (INP/AHI) METHOTREXATE 2ML VIAL B 8.70 25MG/ML 0 2022-04-01 2024-03-31 0