Displaying 5281 - 5300 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 A591AH DOXOTHER 50MG SOLN FOR INJ (TPP/AHI) DOXORUBICIN 50ML VIAL BQ 18.46 50MG 0 2022-04-01 2024-03-31 0
42 A591AM DOXORUBICIN 2MG/ML SOLN FOR INJ (CHC) 5ML BQ 30.66 2MG/ML 0 2026-04-01 No No Add to Contract 0
40 A6219 TRANEXAMIC ACID 500MG TAB (REM/SBI) 2x10 BQ 0.74 500MG 0 2022-04-01 2024-03-31 0
41 A6219 TRANEXAMIC ACID 500MG TAB (REM) (BQ) 2x10 BQ 0.598 500MG 30 2024-04-01 2026-03-31 6
42 A6219 TRANEXAMIC ACID 500MG TAB (REM) 2x10 B 0.60 500MG 30 2026-04-01 No No 6
40 A621D PAUSE 500MG TAB (EMC/COL) TRANEXAMIC ACID 30'S BQ 0.48 500MG 0 2022-04-01 2024-03-31 0
41 A621D PAUSE 500MG TAB (EMC) TRANEXAMIC ACID (BQ) 30'S BQ 0.589 500MG 30 2024-04-01 2026-03-31 6
40 A622A TRANEXAMIC ACID 100MG/ML INJ (SLS/AHI) 25X5ML BQ 3.07 100MG/ML 0 2022-04-01 2022-06-30 0
41 A622A TRANEXAMIC ACID 100MG/ML INJ (SLS) (BQ) 25X5ML BQ 2.5487 100MG/ML 15 2024-04-01 2026-03-31 6
40 A622B TRANEXAMIC ACID 100MG/ML INJ (MON/PHA) 5X5ML BQ 1.96 100MG/ML 0 2022-04-01 2024-03-31 0
42 A622B TRANEXAMIC ACID 100MG/ML INJ (MON) 5X5ML BQ 1.50 100MG/ML 15 2026-04-01 No No 0
42 A622F TRAMIC 100MG/ML INJ (JLP) TRANEXAMIC ACID 50X5ML BQ 1.03 100MG/ML 15 2026-04-01 No No 0
40 A6611 IMIGRAN 100MG TAB (GSK/COL) SUMATRIPTAN 2'S C 24.74 100MG 0 2022-04-01 2022-05-31 Delete from contract 0
40 A6612 IMIGRAN 50MG TAB (GSK/COL) SUMATRIPTAN 2'S C 16.96 50MG 0 2022-04-01 2022-05-31 Delete from contract 0
40 A6614 MAXALT 10MG TAB (MSD/STO) RIZATRIPTAN 6'S C 8.32 10MG 0 2022-04-01 2024-03-31 0
41 A6614 MAXALT 10MG TAB (MSD) RIZATRIPTAN (C) 6'S C 8.3996 10MG 14 2024-04-01 2026-03-31 6
42 A6614 MAXALT 10MG TAB (MSD) RIZATRIPTAN 6'S C 8.40 10MG 14 2026-04-01 No No 6
42 A661AS APO-ELETRIPTAN 40MG TAB (APO) 6'S C 3.70 40MG 0 2026-04-01 No No 0
40 A661AX SUMATRIPTAN 100MG TAB (DRL/AHI) 27'S C 1.28 100MG 0 2022-04-01 2024-03-31 0
41 A661AY APO-SUMATRIPTAN 50MG TAB (APO) (C) 6'S C 0.7566 50MG 0 2024-04-01 2026-03-31 0