Displaying 5161 - 5180 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 A412L CARDOZ 12.5MG TAB (IPC/ATB) CARVEDILOL 28'S A 0.09 12.5MG 60 2022-04-01 2024-03-31 6
41 A4137 CARVIDEX 6.25MG TAB (REM) CARVEDILOL 3X10 A 0.0535 6.25MG 60 2024-04-01 2026-03-31 6
40 A413AJ CARCA 6.25MG TAB (INP/AAL) CARVEDILOL 30'S A 0.04 6.25MG 60 2022-05-31 2024-03-31 6
40 A413AK CARVEDILOL 6.25MG TAB (FSB/ATB) 28'S A 0.05 6.25MG 60 2022-04-01 2024-03-31 6
42 A413AQ CARVEDI-DENK 6.25MG TAB (EDK) CARVE 30'S C 0.23 6.25MG 60 2026-04-01 No No 6
42 A413AV CARVEDI-DENK 6.25MG TAB (EDK) CARVEDILOL 30'S C 0.23 6.25MG 60 2026-04-01 No No 6
42 A413BK CARVENIM 6.25MG TAB (ANC) CARVEDILOL 3X10 A 0.03 6.25MG 60 2026-04-01 No No 6
42 A413BQ CARVEDILOL 6.25MG TAB (FSB) 28'S A 0.04 6.25MG 60 2026-04-01 No No Add to Contract as Cat A 6
41 A413J CARCA 6.25MG TAB (INP) CARVEDILOL 30'S A 0.0507 6.25MG 60 2024-04-01 2026-03-31 6
40 A413L CARDOZ 6.25MG TAB (IPC/ATB) CARVEDILOL 28'S A 0.08 6.25MG 60 2022-04-01 2024-03-31 6
40 A471J CLEXANE 20MG INJ (SFA/COL) ENOXAPARIN 2X20MG B 7.89 20MG 0 2022-04-01 2024-03-31 0
41 A471J CLEXANE 20MG INJ (SFA) ENOXAPARIN (B) 2X20MG B 9.5142 20MG 30 2024-04-01 2026-03-31 6
42 A471J CLEXANE 20MG INJ (SFA) ENOXAPARIN 2X0.2ML C 8.16 20MG 30 2026-04-01 No No 6
41 A471R ENOXAPARIN 20MG INJ (GLN) (B) 2X20MG B 5.9124 20MG 30 2024-04-01 2026-03-31 6
42 A471R ENOXAPARIN 20MG INJ (GLN) 2X20MG B 6.00 20MG 30 2026-04-01 No No 6
40 A471S DALTEPARIN 2500IU INJ (GLN/AHI) 2500IU B 5.08 2500IU 0 2022-04-01 2022-09-30 0
40 A472AD DALTEPARIN 5000IU INJ (GLN/AHI) 5000IU B 7.88 5000IU 0 2022-04-01 2022-06-29 0
40 A472AD DALTEPARIN 5000IU INJ (GLN/AHI) 5000IU B 24.06 5000IU 0 2022-06-30 2024-03-31 Price Change 0
41 A472AD DALTEPARIN 5000IU INJ (GLN) (B) 5000IU B 24.0572 5000IU 10 2024-04-01 2026-03-31 6
42 A472AD DALTEPARIN 5000IU INJ (GLN) 5000IU BQ 24.06 5000IU 10 2026-04-01 No No 0