Displaying 481 - 500 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 0633X UNITREXATE 25MG/ML INJ (UBI/RXP) METHOTREXATE 2ML VIAL B 7.07 25MG/ML 0 2022-04-01 2024-03-31 0
41 0633Z ZUVITREX 25MG/ML INJ (ZUV) METHOTREXATE (B) 2ML VIAL B 5.1104 25MG/ML 5 2024-04-01 2026-03-31 6
40 0634M METHOTREXATE 25MG/ML INJ (INP/AHI) 20ML VIAL BQ 46.43 25MG/ML 0 2022-04-01 2024-03-31 0
40 06351 METHOTREXATE 25MG/ML INJ (INP/AHI) 40ML BQ 82.12 25MG/ML 0 2022-04-01 2024-03-31 0
40 06417 ACCORD MITOMYCIN 5MG INJ (INP/AAL) MITOMYCIN 5MG VIAL BQ 203.06 5MG 0 2022-04-01 2024-03-31 0
40 0671D UNIBLASTIN 10MG INJ (UBI/RXP) VINBLASTINE 10MG VIAL BQ 54.37 10MG 0 2022-04-01 2024-03-31 0
41 0671F VINBLASTINE 10MG INJ (KWA) (BQ) 10MG VIAL BQ 26.9386 10MG 0 2024-04-01 2026-03-31 0
40 0681Q UNICRISTINE 1MG INJ (UBI/RXP) VINCRISTINE 1MG VIAL BQ 7.07 1MG 0 2022-04-01 2024-03-31 0
42 0681S BIOCRISTIN INJ (ZYD) 1ML VIAL BQ 13.70 1MG/ML 8 2026-04-01 No No 0
41 06926 NEOSTIGMINE 2.5MG/ML INJ (ANT) (BQ) 10X1ML BQ 4.6212 2.5MG/ML 0 2024-04-01 2026-03-31 0
42 06928 NEOSTIGMINE 2.5MG/ML INJ (MON) 10X1ML BQ 1.32 2.5MG/ML 0 2026-04-01 No No 0
40 0692H NEOSTIGMINE 2.5MG/ML INJ (SGH/COL) 10X1ML BQ 1.71 2.5MG/ML 0 2022-04-01 2024-03-31 0
40 0692J LASTIGMINE 2.5MG/ML INJ (LDP/AHI) 5X1ML BQ 3.40 2.5MG/ML 0 2022-04-01 2022-09-30 0
40 0692L NEOSTIGMINE 2.5MG/ML INJ (MON/PHA) 5X1ML BQ 1.57 2.5MG/ML 0 2022-04-01 2024-03-31 0
42 0692P NEOSTIGMINE 2.5MG/ML INJ (FSB) 10X1ML BQ 0.78 2.5MG/ML 0 2026-04-01 No No Add to Contract 0
40 0694A NEOSTIGMINE 2.5MG/ML INJ (MON/PHA) 5X5ML BQ 3.83 2.5MG/ML 0 2022-04-01 2024-03-31 0
42 0694A NEOSTIGMINE 2.5MG/ML INJ (MON) 5X5ML BQ 3.10 2.5MG/ML 0 2026-04-01 No No 0
41 0694B NEOSTIGMINE 2.5MG/ML INJ (OMG) (BQ) 10X5ML BQ 10.104 2.5MG/ML 0 2024-04-01 2024-07-19 0
41 0694B NEOSTIGMINE 2.5MG/ML INJ (OMG) (BQ) 10X5ML BQ 8.664 2.5MG/ML 0 2024-07-20 2026-03-31 0
40 0694C LASTIGMINE PLUS 2.5MG/ML INJ (LDP/AHI) 5X5ML BQ 5.22 2.5MG/ML 0 2022-04-01 2022-09-30 0