Displaying 4801 - 4820 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 7726CK AMOXICILLIN|CLAVULANIC ACID 1G|0.2G INJ (CHC) (B) 1.2G VIAL B 3.5338 1G|0.2G 21 2024-04-01 2026-03-31 0
41 7726CP AMOXYCILLIN|CLAVULANIC ACID 1G|0.2G INJ (RYV) AMOXICILLIN|CL (B) 10X1.2G B 3.947 1G|0.2G 21 2024-04-01 2026-03-31 0
42 7726CR TAZOPIP 4G|0.5G INJ (ZYD) PIPERACILLIN|TAZOBACTAM 4.5G VIAL B 4.54 4G|0.5G 28 2026-04-01 No No 0
41 7726CS PIPERACILLIN|TAZOBACTAM 4G|0.5G INJ (MON) (BQ) 4.5G VIAL BQ 4.6212 4G|0.5G 0 2024-04-01 2026-03-31 0
42 7726CV PENCLAV 1G|0.2G INJ (ZYD) AMOXICILLIN|CLAVULANIC ACID 1.2G VIAL B 4.35 1G|0.2G 21 2026-04-01 No No 0
42 7726CX TAZCORT 4G|0.5G INJ (JLP) PIPERACILLIN|TAZOBACTAM 4.5G VIAL B 6.25 4G|0.5G 28 2026-04-01 No No 0
42 7726G MOXYNIC 1G|0.2G INJ (ABB) AMOXICILLIN|CLAVULANIC ACID 1.2G VIAL B 2.04 1G|0.2G 21 2026-04-01 No No 0
40 77317 APO-HYDROXYQUINE 200MG TAB (APO/COL) 100'S A 0.35 200MG 120 2022-04-01 2024-03-31 6
42 77317 APO-HYDROXYQUINE 200MG TAB (APO) 100'S A 0.21 200MG 120 2026-04-01 No No 6
41 7731B HCQS 200MG TAB (IPC) HYDROXYCHLOROQUINE 100'S A 0.0652 200MG 120 2024-04-01 2026-03-31 6
40 7731J HCQS 200MG TAB (IPC/ATB) HYDROXYCHLOROQUINE 6X10 A 0.22 200MG 120 2022-04-01 2024-03-31 6
42 7731R HSQUIN 200MG TAB (JLP) HYDROXYCHLOROQUINE 100'S A 0.20 200MG 120 2026-04-01 No No 6
40 78013 APO-OXYBUTYNIN 5MG TAB (APO/COL) 100'S C 0.18 5MG 0 2022-04-01 2024-03-31 0
40 7801E PMS-OXYBUTYNIN 5MG TAB (PMS/COL) 100'S A 0.07 5MG 120 2022-04-01 2024-03-31 6
42 7801E PMS-OXYBUTYNIN 5MG TAB (PMS) 100'S A 0.12 5MG 120 2026-04-01 No No 6
41 7801Q APO-OXYBUTYNIN 5MG TAB (APO) 100'S A 0.0693 5MG 120 2024-04-01 2026-03-31 6
42 7801R OXYNINE 5MG TAB (JLP) OXYBUTYNIN 10X10 A 0.09 5MG 120 2026-04-01 No No 6
40 78112 PROSCAR 5MG TAB (MSD/STO) FINASTERIDE 28'S C 1.14 5MG 0 2022-04-01 2024-03-31 0
41 78112 PROSCAR 5MG TAB (MSD) FINASTERIDE (C) 28'S C 1.1475 5MG 30 2024-04-01 2026-03-31 6
40 7811AC PROTRIDE 5MG TAB (HEA/ATB) FINASTERIDE 3X10 A 0.2257 5MG 2022-12-07 2024-03-31 No No Change Local Agent 6