Displaying 4941 - 4960 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 A1032 APO-LABETALOL 200MG TAB (APO/COL) 100'S A 0.71 200MG 120 2022-04-01 2024-03-31 6
42 A1032 APO-LABETALOL 200MG TAB (APO) 100'S A 0.72 200MG 120 2026-04-01 No No 6
41 A103B APO-LABETALOL 200MG TAB (APO) 100'S A 0.7209 200MG 120 2024-04-01 2026-03-31 6
40 A151A ADENOSINE 3MG/ML INJ (KWA/ATB) 10X2ML BQ 4.76 3MG/ML 0 2022-04-01 2024-03-31 0
41 A151F ADENOSINE 3MG/ML INJ (LDP) (BQ) 10X2ML BQ 5.1376 3MG/ML 30 2024-04-01 2026-03-31 0
40 A151H ADENOSINE 3MG/ML INJ (MON/PHA) 10X2ML BQ 5.21 3MG/ML 0 2022-04-01 2024-03-31 0
42 A151H ADENOSINE 3MG/ML INJ (MON) 10X2ML BQ 1.78 3MG/ML 30 2026-04-01 No No 0
42 A151N CARDIUREX 3MG/ML INJ (JLP) ADENOSINE 30X2ML BQ 1.92 3MG/ML 30 2026-04-01 No No 0
40 A1813 ELECTROLYTES SOLN (BAX/STO) 1 LITRE BQ 13.86 0 2022-04-01 2024-03-31 0
41 A1813 ELECTROLYTES SOLN (BAX) 1 LITRE BQ 16.2556 50 2024-04-01 2026-03-31 6
42 A1813 ELECTROLYTES SOLN (BAX) 1 LITRE BQ 5.06 50 2026-04-01 No No 0
40 A1916 ALPROSTADIL 500MCG/ML INJ (SLS/AHI) 1ML AMP BQ 399.59 500MCG/ML 0 2022-04-01 2024-03-31 0
42 A1916 ALPROSTADIL 500MCG/ML INJ (SLS) 1ML AMP BQ 398.07 500MCG/ML 7 2026-04-01 No No 0
40 A1917 BIOGLANDIN 500MCG/ML INJ (UBI/RXP) ALPROSTADI 1ML AMP BQ 237.85 500MCG/ML 0 2022-04-01 2024-03-31 0
41 A1919 ALPROSTADIL 500MCG/ML INJ (KWA) 1ML AMP BQ 485.2208 500MCG/ML 7 2024-04-01 2026-03-31 6
40 A2313 NEURONTIN 300MG CAP (PFI/STO) GABAPENTIN 100'S C 1.50 300MG 0 2022-04-01 2024-03-31 0
41 A2313 NEURONTIN 300MG CAP (PFI) GABAPENTIN (C) 100'S C 1.5144 300MG 180 2024-04-01 2026-03-31 6
40 A2314 APO-GABAPENTIN 300MG CAP (APO/COL) 100'S A 0.12 300MG 180 2022-04-01 2024-03-31 6
42 A2314 APO-GABAPENTIN 300MG CAP (APO) 100'S C 0.13 300MG 180 2026-04-01 No No 6
42 A231AE GABAPENTIN 300MG CAP (FSB) 100'S A 0.07 300MG 180 2026-04-01 No No Add to Contract as Cat A 6