Displaying 5381 - 5400 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 A681HN APO-EMTRICITABINE|TENOFOVIR 200MG TAB (APO) (BL) 30'S BL 1.1644 200MG|300MG 60 2024-04-01 2026-03-31 6
41 A681HQ EFAVIRENZ|EMTRICITABINE|TENOFOVIR 600MG|200MG|300MG TAB (HET (BL) 30'S BL 1.5585 600MG|200MG|300MG 60 2024-04-01 2026-03-31 6
41 A681HR TRINISTEM 600MG|200MG|300MG TAB (REM) EFAVIRENZ|EMTRICITABIN (BL) 30'S BL 2.0107 600MG|200MG 60 2024-04-01 2026-03-31 6
41 A681HS DUOVIR 150MG|300MG TAB (CIP) LAMIVUDINE|ZIDOVUDINE (BL) 700'S BL 0.1702 150MG|300MG 60 2024-04-01 2026-03-31 6
41 A681HT LAMIVUDINE|ZIDOVUDINE 150MG TAB (MCP) (BL) 60'S BL 0.333 150MG|300MG 60 2024-04-01 2026-03-31 6
41 A681HV EMTRICITABINE|TENOFOVIR 200MG|300MG CAP (HET) (BL) 60'S BL 0.7793 200MG|300MG 60 2024-04-01 2026-03-31 6
41 A681HX TRIUMEQ 600MG|50MG|300MG TAB (GSK) ABACAVIR|DOLUTEGRAVIR|LAM (BQ) 30'S BQ 27.1833 600MG|50MG|300MG 0 2024-04-01 2026-03-31 0
42 A681JA BICTEGRAVIR|EMTRICITABINE|TENOFOVIR ALAFENAMIDE 50MG|200MG|2 30'S BL 3.40 50MG|200MG|25MG 60 2026-04-01 No No 0
42 A681JG ATAZANAVIR|RITONAVIR 300MG|100MG TAB (KWA) 60'S BL 2.42 300MG|100MG 60 2026-04-01 No No Add to Contract 0
42 A681JH EFAVIRENZ|EMTRICITABINE||TENOFOVIR 600MG|200MG|300MG TAB (KW 60'S BL 0.36 600MG|200MG|300MG 60 2026-04-01 No No Add to Contract 0
42 A681JJ EMTRICITABINE|TENOFOVIR 200MG|300MG TAB (KWA) 30'S BL 0.61 200MG|300MG 60 2026-04-01 No No Add to Contract 0
42 A681ZZ ABACAVIR|LAMIVUDINE 600MG|300MG TAB (MAT) 30'S BL 2.39 600MG|300MG 30 2026-04-01 No No 0
40 A6911 TRILEPTAL 300MG TAB (NVS/COL) OXCARBAZEPINE 20'S C 1.36 300MG 0 2022-04-01 2024-03-31 0
41 A6911 TRILEPTAL 300MG TAB (NVS) OXCARBAZEPINE (C) 20'S C 1.3592 300MG 120 2024-04-01 2026-03-31 6
42 A6911 TRILEPTAL 300MG TAB (NVS) OXCARBAZEPINE 20'S C 1.02 300MG 120 2026-04-01 No No 6
40 A691J APO-OXCARBAZEPINE 300MG TAB (APO/COL) 100'S A 0.59 300MG 120 2022-04-01 2024-03-31 6
42 A691J APO-OXCARBAZEPINE 300MG TAB (APO) O 100'S A 0.61 300MG 120 2026-04-01 No No 6
41 A691L OXCARBAZEPINE 300MG TAB (CAM) 50'S A 0.4692 300MG 120 2024-04-01 2026-03-31 6
41 A691N APO-OXCARBAZEPINE 300MG TAB (APO) O 100'S A 0.6062 300MG 120 2024-04-01 2026-03-31 6
40 A692E APO-OXCARBAZEPINE 600MG TAB (APO/COL) 100'S A 0.79 600MG 120 2022-04-01 2024-03-31 6