Displaying 5501 - 5520 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 A773Y QUETIAPINE 25MG TAB (MCP) (BP) 3X10 BP 0.077 25MG 120 2024-04-01 2026-03-31 6
40 A7744 APO-QUETIAPINE 300MG TAB (APO/COL) 100'S BP 0.45 300MG 0 2022-04-01 2024-03-31 6
42 A7744 APO-QUETIAPINE 300MG TAB (APO) 100'S BP 0.46 300MG 84 2026-04-01 No No 0
41 A774AC QUETIAPINE 300MG XR TAB (MCP) 6X10 BP 0.2808 300MG 0 2024-04-01 2024-12-27 6
41 A774AC QUETIAPINE 300MG XR TAB (MCP) 6X10 BP 0.3192 300MG 0 2024-12-28 2026-03-31 6
40 A774Q SEROQUEL XR 300MG TAB (AZN/COL) QUETIAPINE XR 30'S BP 1.73 300MG 0 2022-04-01 2024-03-31 6
40 A774R QUETIDIN XR 300MG TAB (ABB/PHA) QUETIAPINE XR 30'S BP 2.68 300MG 0 2022-04-01 2024-03-31 6
40 A774R QUETIDIN XR 300MG TAB (ABB/PHA) QUETIAPINE XR (BP) 30'S BP 2.6813 300MG 2022-04-01 2023-03-31 No No Delete from contract 6
40 A774S QUETIAPINE XR 300MG TAB (MCP/AHI) 3X10 BP 0.40 300MG 0 2022-04-01 2024-03-31 6
40 A774U QUETIDIN 300MG TAB (ABB/PHA) QUETIAPINE 30'S BP 1.19 300MG 0 2022-04-01 2024-03-31 6
40 A774U QUETIDIN 300MG TAB (ABB/PHA) QUETIAPINE (BP) 30'S BP 1.1887 300MG 2022-04-01 2023-03-31 No No Delete from contract 6
40 A774W QUETIAPINE 300MG TAB (MCP/AHI) 3X10 BP 0.26 300MG 0 2022-04-01 2024-03-31 6
41 A774X APO-QUETIAPINE 300MG TAB (APO) (BP) 100'S BP 0.4575 300MG 84 2024-04-01 2026-03-31 6
40 A7757 QUETIDIN XR 50MG TAB (ABB/PHA) QUETIAPINE XR 30'S BP 1.57 50MG 0 2022-04-01 2024-03-31 6
40 A7757 QUETIDIN XR 50MG TAB (ABB/PHA) QUETIAPINE XR (BP) 30'S BP 1.574 50MG 2022-04-01 2023-03-31 No No Delete from contract 6
40 A7758 SEROQUEL XR 50MG TAB (AZN/COL) QUETIAPINE XR 30'S C 1.76 50MG 0 2022-05-17 2024-03-31 Add to Contract as Cat C 0
41 A7758 SEROQUEL 50MG XR TAB (AZN) QUETIAPINE XR 30'S BP 1.7578 50MG 0 2024-04-01 2026-03-31 0
40 A7759 QUETIAPINE 50MG TAB (MCP/AHI) 3X10 BP 0.09 50MG 0 2022-04-01 2024-03-31 6
40 A775A QUETIAPINE XR 50MG TAB (MCP/AHI) 3X10 BP 0.19 50MG 0 2022-04-01 2024-03-31 6
42 A775E QUIET 50MG XR TAB (INC) QUETIAPINE 50'S BP 0.24 50MG 42 2026-04-01 No No 0