Displaying 5221 - 5240 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 A5015 DIOVAN 160MG TAB (NVS) VALSARTAN 14'S A 0.6486 160MG 30 2024-09-06 2026-03-31 6
40 A501BE NUSAR 50MG TAB (EMC/COL) LOSARTAN 3X10 A 0.09 50MG 30 2022-04-01 2024-03-31 6
40 A501BH LOSARTAN 50MG TAB (HEA/RXP) 30'S A 0.07 50MG 30 2022-04-01 2024-03-31 6
42 A501BR LOSARTAN 50MG TAB (HEA) 30'S A 0.07 50MG 30 2026-04-01 No No Add to Contract as Cat A 6
40 A501EK LOSARTAN 50MG TAB (HEA/ATB) 30'S A 0.0717 50MG 2022-12-07 2024-03-31 No No Change Local Agent 6
40 A501F DIOVAN 80MG TAB (NVS/COL) VALSARTAN 14'S A 0.65 80MG 30 2022-04-01 2024-03-31 6
41 A501F DIOVAN 80MG TAB (NVS) VALSARTAN 14'S A 0.6485 80MG 30 2024-04-01 2026-03-31 6
42 A501F DIOVAN 80MG TAB (NVS) VALSARTAN 14'S A 0.65 80MG 30 2026-04-01 No No 6
40 A501G DIOVAN 160 MG (NVS/COL) 14'S A 0.648 160MG 30 2024-03-31 6
41 A501HA LOSARTAN 50MG TAB (FSB) 100'S A 0.0666 50MG 30 2024-04-01 2026-03-31 6
40 A501HK COZAAR 50MG TAB (MSD/STO) LOSARTAN 15'S C 0.89 50MG 0 2022-04-01 2024-03-31 0
41 A501HK COZAAR 50MG TAB (MSD) LOSARTAN (C) 15'S C 0.8952 50MG 30 2024-04-01 2026-03-31 6
42 A501HK COZAAR 50MG TAB (MSD) LOSARTAN 15'S C 0.90 50MG 30 2026-04-01 No No 6
41 A501HZ PRESARTAN 50MG TAB (IPC) LOSARTAN 100'S A 0.0419 50MG 30 2024-04-01 2026-03-31 6
42 A501JU LOSARTAN 50MG TAB (HEA) 3X10 A 0.07 50MG 30 2026-04-01 No No Price Change 6
42 A501KB LOSARTAN 50MG TAB (HEA) 3X10 A 0.07 50MG 30 2026-04-01 No No Add to Contract as Cat A 6
40 A5022 COZAAR 100MG TAB (MSD/STO) LOSARTAN 15'S C 1.22 100MG 0 2022-04-01 2024-03-31 0
41 A5022 COZAAR 100MG TAB (MSD) LOSARTAN (C) 15'S C 1.2323 100MG 30 2024-04-01 2026-03-31 6
42 A5022 COZAAR 100MG TAB (MSD) LOSARTAN 15'S C 1.23 100MG 30 2026-04-01 No No 6
40 A5026 DIOVAN 320MG (NVS/COL) 14 B 0.695 320 MG 30 2024-03-31 6