Displaying 5061 - 5080 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 A322LV EFFEXOR 150MG XR CAP (PFI) VENLAFAXINE (C) 28'S C 4.8862 150MG 0 2024-04-01 2026-03-31 0
41 A322LX FLUNIL 20MG CAP (INP) FLUOXETINE 3X10 A 0.0797 20MG 42 2024-04-01 2026-03-31 6
42 A322MA APO-ESCITALOPRAM 20MG TAB (APO) 100'S C 0.30 20MG 0 2026-04-01 No No 0
42 A322ML FLUOXETINE 20MG CAP (HEA) 10X10 A 0.05 20MG 120 2026-04-01 No No Price Change 6
42 A322MM ZOLOFT 100MG TAB (PFI) SERTRALINE 14'S C 2.68 100MG 42 2026-04-01 No No 6
42 A322MX LEEPAROX 25MG SR TAB (JLP) PAROXETINE 10X10 BP 0.14 25MG 0 2026-04-01 No No 0
42 A322NA FLUOXETINE 20MG CAP (HEA) 10X10 A 0.05 20MG 120 2026-04-01 No No Add to Contract as Cat A 6
42 A322NB FLUOXETINE 20MG CAP (HEA) 10X10 A 0.05 20MG 120 2026-04-01 No No Add to Contract as Cat A 6
42 A3313 AAP-MOCLOBEMIDE 150MG TAB (APO) 100'S C 0.26 150MG 0 2026-04-01 No No 0
41 A3421 PACLITAXEL 6MG/ML INJ (FSB) (BQ) 50ML BQ 53.4422 6MG/ML 25 2024-04-01 2026-03-31 6
40 A3425 CYTAX 6MG/ML INJ (INP/AHI) PACLITAXEL 50ML BQ 114.17 6MG/ML 0 2022-04-01 2024-03-31 0
41 A3428 PACLITAXEL 6MG/ML INJ (KWA) (BQ) 50ML BQ 63.7719 6MG/ML 25 2024-04-01 2026-03-31 6
42 A342AM PACLITOXIN 6MG/ML INJ (JLP) PACLITAXEL 50ML BQ 43.49 6MG/ML 25 2026-04-01 No No 0
40 A342B PACLITAXEL 6MG/ML INJ (KWL/RXP) 50ML BQ 88.62 6MG/ML 0 2022-04-01 2024-03-31 0
41 A342E ZAXOL 6MG/ML INJ (ZUV) PACLITAXEL 50ML BQ 64.4786 6MG/ML 25 2024-04-01 2026-03-31 6
42 A342E ZAXOL 6MG/ML INJ (ZUV) PACLITAXEL 50ML BQ 42.62 6MG/ML 25 2026-04-01 No No 0
40 A3611 ARCALION 200MG TAB (SER/STO) SULBUTIAMINE 20'S C 1.19 200MG 0 2022-04-01 2024-03-31 0
41 A3611 ARCALION 200MG TAB (SER) SULBUTIAMINE (C) 20'S C 1.2232 200MG 0 2024-04-01 2026-03-31 0
42 A3611 ARCALION 200MG TAB (SER) SULBUTIAMINE 20'S C 1.22 200MG 0 2026-04-01 No No 0
40 A3612 ARCALION 200MG TAB (SER/COL) SULBUTIAMINE 20'S C 1.19 200MG 0 2022-04-01 2024-03-31 0