|
|
41
|
A3612
|
ARCALION 200MG TAB (SER) SULBUTIAMI (C)
|
20'S
|
C
|
1.2232
|
200MG
|
0
|
2024-04-01
|
2026-03-31
|
|
|
|
0
|
|
|
42
|
A3612
|
ARCALION 200MG TAB (SER) SULBUTIAMI
|
20'S
|
C
|
1.22
|
200MG
|
0
|
2026-04-01
|
|
No
|
No
|
|
0
|
|
|
40
|
A3613
|
SULBUTIAMINE 200MG TAB (KWA/ATB)
|
20'S
|
C
|
0.61
|
200MG
|
0
|
2022-04-01
|
2024-03-31
|
|
|
|
0
|
|
|
40
|
A3711
|
TRUSOPT 2% EYE DR (MSD/STO) DORZOLAMIDE
|
5ML
|
C
|
28.54
|
2%
|
0
|
2022-04-01
|
2024-03-31
|
|
|
|
0
|
|
|
40
|
A3711
|
TRUSOPT 2% EYE DR (MSD/STO) DORZOLAMIDE (C)
|
5ML
|
C
|
28.54
|
2%
|
0
|
2022-04-01
|
2022-12-31
|
|
|
Del
|
0
|
|
|
40
|
A3711
|
TRUSOPT 2% EYE DR (MSD/STO) DORZOLAMIDE (C)
|
5ML
|
C
|
28.54
|
2%
|
|
2022-04-04
|
2022-12-31
|
No
|
No
|
Delete from contract
|
6
|
|
|
40
|
A3714
|
GLAUCOTENSIL D 2% EYE DR (LPO/COL) DORZOLAMID
|
5ML
|
A
|
14.95
|
2%
|
1
|
2022-04-01
|
2024-03-31
|
|
|
|
6
|
|
|
41
|
A3714
|
GLAUCOTENSIL D 2% EYE DR (LPO) DORZOLAMI (C)
|
5ML
|
C
|
16.4459
|
2%
|
1
|
2024-04-01
|
2026-03-31
|
|
|
|
6
|
|
|
42
|
A3714
|
GLAUCOTENSIL D 2% EYE DR (LPO) DORZOLAMI
|
5ML
|
B
|
20.39
|
2%
|
1
|
2026-04-01
|
|
No
|
No
|
|
6
|
|
|
40
|
A371E
|
BRIZOTEN 1% EYE DR (LPO/COL) BRINZOLAMIDE
|
5ML
|
A
|
19.03
|
1%
|
1
|
2022-04-01
|
2024-03-31
|
|
|
|
6
|
|
|
42
|
A371E
|
BRIZOTEN 1% EYE DR (LPO) BRINZOLAMIDE
|
5ML
|
C
|
24.46
|
1%
|
1
|
2026-04-01
|
|
No
|
No
|
|
6
|
|
|
40
|
A371H
|
DORZOL 2% EYE DR (CIR/AHI)
|
5ML
|
A
|
12.12
|
2%
|
1
|
2022-04-01
|
2024-03-31
|
|
|
|
6
|
|
|
41
|
A371H
|
DORZOL 2% EYE DR (CIR)
|
5ML
|
A
|
13.7275
|
2%
|
1
|
2024-04-01
|
2026-03-31
|
|
|
|
6
|
|
|
41
|
A371R
|
AZOPT 1% EYE DR (NVS) BRINZOLAMIDE
|
10ML
|
A
|
29.222
|
1%
|
1
|
2024-04-01
|
2024-06-17
|
|
|
|
6
|
|
|
41
|
A371T
|
ENDOR 2% EYE DR (SYP) DORZOLAMIDE
|
5ML
|
A
|
12.6946
|
2%
|
1
|
2024-04-01
|
2026-03-31
|
|
|
|
6
|
|
|
42
|
A371T
|
ENDOR 2% EYE DR (SYP) DORZOLAMIDE
|
5ML
|
A
|
10.95
|
2%
|
1
|
2026-04-01
|
|
No
|
No
|
|
6
|
|
|
41
|
A371V
|
AZOPT 1% DROPS (NVS) BRINZOLAMIDE
|
5ML BOTT
|
A
|
14.61
|
1%
|
1
|
2024-05-06
|
2026-03-31
|
|
|
|
6
|
|
|
42
|
A371V
|
AZOPT 1% EYE DR (NVS) BRINZOLAMIDE
|
5ML
|
A
|
14.62
|
1%
|
1
|
2026-04-01
|
|
No
|
No
|
|
6
|
|
|
41
|
A371W
|
DORZOL 2% EYE DR (CIR)
|
10ML
|
A
|
21.75
|
2%
|
1
|
2025-01-10
|
2026-03-31
|
|
|
|
6
|
|
|
40
|
A3911
|
SERETIDE DISKUS 250MCG | 50MCG INHR (GSK/COL) F
|
60 DOSES
|
C
|
55.45
|
250MCG|50MCG
|
0
|
2022-04-01
|
2024-03-31
|
|
|
|
0
|
