Displaying 5561 - 5580 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
42 A831EV APO-CELECOXIB 200MG CAP (APO) 100'S C 0.16 200MG 0 2026-04-01 No No 0
40 A831EW ETOVAN 60MG TAB (ARP/AHI) ETORICOXIB 3X10 C 0.48 60MG 0 2022-04-01 2024-03-31 0
40 A831EX ETOVAN 90MG TAB (ARP/AHI) ETORICOXIB 2X15 C 0.37 90MG 0 2022-04-01 2022-07-13 0
40 A831EX ETOVAN 90MG TAB (ARP/AHI) ETORICOXIB 2X15 C 0.55 90MG 0 2022-07-14 2024-03-31 Price Change 0
40 A831EY ETOVAN 120MG TAB (ARP/AHI) ETORICOXIB 2X10 C 0.55 120MG 0 2022-04-01 2024-03-31 0
41 A831FM APO-MELOXICAM 7.5MG TAB (APO) (C) 100'S C 0.0462 7.5MG 0 2024-04-01 2026-03-31 0
41 A831FN APO-MELOXICAM 15MG TAB (APO) (C) 100'S C 0.0777 15MG 15 2024-04-01 2026-03-31 0
41 A831FT CELECOXIB 200MG CAP (MCP) (C) 3X10 C 0.106 200MG 0 2024-04-01 2026-03-31 0
41 A831FU ETORICOXIB 120MG CAP (MCP) (C) 3X10 C 0.3688 120MG 0 2024-04-01 2026-03-31 0
41 A831FV ETORICOXIB 60MG CAP (MCP) (C) 3X10 C 0.1423 60MG 0 2024-04-01 2026-03-31 0
41 A831FW ETORICOXIB 90MG CAP (MCP) (C) 3X10 C 0.1876 90MG 0 2024-04-01 2026-03-31 0
42 A831GH CELEBREX 200MG CAP (PFI) CELECOXIB 30'S C 1.83 200MG 0 2026-04-01 No No 0
42 A911E PEGEX 6MG INJ (EMC) PEGFILGRASTIM 0.6ML PFS BQ 67.96 6MG 0 2026-04-01 No No 0
40 A911K ZARZIO 300MCG INJ (BCH/COL) FILGRASTIM 5X300IU BQ 43.49 300MCG 0 2022-04-01 2024-03-31 0
41 A911K ZARZIO 300MCG INJ (BCH) FILGRASTIM (BQ) 5X300IU BQ 43.4932 300MCG 15 2024-04-01 2026-03-31 0
42 A911K ZARZIO 300MCG INJ (BCH) FILGRASTIM 5X300IU BQ 43.49 300MCG 15 2026-04-01 No No 0
40 A911S PEG-GRAFEEL 6MG INJ (DRL/AAL) PEGFILGRASTIM 1 DS SYRNG BQ 419.93 6MG 0 2022-04-01 2024-03-31 0
41 A911S PEG-GRAFEEL 6MG INJ (DRL) PEGFILGRA (BQ) 1 DS SYRNG BQ 380.5654 6MG 0 2024-04-01 2026-03-31 0
42 A911S PEG-GRAFEEL 6MG INJ (DRL) PEGFILGRASTIM 6MG BQ 304.45 6MG 0 2026-04-01 No No 0
40 A9416 FLOMAX MR 0.4MG TAB (BOE/STO) TAMSULOSIN MR 30'S C 1.57 0.4MG 0 2022-04-01 2024-03-31 0