Displaying 5461 - 5480 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 A741N AAP-MEFLOQUINE 250MG TAB (APO) MEFL 8'S A 1.9606 250MG 8 2024-04-01 2026-03-31 6
40 A7512 SANDOSTATIN 0.1MG/ML INJ (NVS/COL) OCTREOTIDE 5X1ML BQ 34.90 0.1MG/ML 0 2022-04-01 2024-03-31 0
41 A7512 SANDOSTATIN 0.1MG/ML INJ (NVS) OCTREOTID (BQ) 5X1ML BQ 34.9033 0.1MG/ML 20 2024-04-01 2026-03-31 6
42 A7512 SANDOSTATIN 0.1MG/ML INJ (NVS) OCTREOTID 5X1ML BQ 34.90 0.1MG/ML 20 2026-04-01 No No 0
40 A7513 SANDOSTATIN LAR 20MG INJ (NVS/COL) OCTREOTIDE 20MG VIAL BQ 3,860.02 20MG 0 2022-04-01 2024-03-31 6
41 A7513 SANDOSTATIN LAR 20MG INJ (NVS) OCTREOTID (BQ) 20MG VIAL BQ 3860.0201 20MG 20 2024-04-01 2026-03-31 6
42 A7513 SANDOSTATIN LAR 20MG INJ (NVS) OCTREOTID 20MG VIAL BQ 3,860.02 20MG 20 2026-04-01 No No 0
40 A751D OCTREOTIDE 0.1MG/ML INJ (DIL/AHI) 10X1ML BQ 2.46 0.1MG/ML 0 2022-04-01 2024-03-31 0
41 A751L OCTREOTIDE 0.1MG/ML INJ (CHC) (BQ) 1ML AMP BQ 12.5043 0.1MG/ML 20 2024-04-01 2026-03-31 6
40 A7718 APO-QUETIAPINE 100MG TAB (APO/COL) 100'S BP 0.28 100MG 30 2022-04-01 2024-03-31 6
42 A7718 APO-QUETIAPINE 100MG TAB (APO) 100'S BP 0.13 100MG 42 2026-04-01 No No 0
42 A771E QUETIAPINE 100MG TAB (MCP) 6X10 BP 0.09 100MG 42 2026-04-01 No No 0
40 A771Q QUETIDIN 100MG TAB (ABB/PHA) QUETIAPINE 30'S BP 0.45 100MG 30 2022-04-01 2024-03-31 6
40 A771Q QUETIDIN 100MG TAB (ABB/PHA) QUETIAPINE (BP) 30'S BP 0.4467 100MG 2022-04-01 2023-03-31 No No Delete from contract 6
40 A771S SEROQUEL 100MG TAB (AZN/COL) QUETIAPINE 30'S C 1.28 100MG 30 2022-05-17 2024-03-31 Add to Contract as Cat C 6
41 A771S SEROQUEL 100MG TAB (AZN) QUETIAPINE (C) 30'S C 1.2785 100MG 42 2024-04-01 2026-03-31 6
40 A771V QUETIAPINE 100MG TAB (MCP/AHI) 3X10 BP 0.13 100MG 30 2022-04-01 2024-03-31 6
41 A771V QUETIAPINE 100MG TAB (MCP) (BP) 3X10 BP 0.125 100MG 42 2024-04-01 2026-03-31 6
41 A771Y APO-QUETIAPINE 100MG TAB (APO) (BP) 100'S BP 0.1302 100MG 42 2024-04-01 2026-03-31 6
40 A7726 APO-QUETIAPINE 200MG TAB (APO/COL) 100'S BP 0.34 200MG 0 2022-04-01 2024-03-31 6