Displaying 5621 - 5640 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 A993J DETRUSITO 4MG SR CAP (PFI) TOLTERODINE 30'S C 4.48 4MG 0 2026-04-01 No No 0
42 B001A APO-CABERGOLINE 0.5MG TAB (APO) CAB 8'S BQ 3.47 0.5MG 32 2026-04-01 No No 0
40 B001D CABERGOLINE 0.5MG TAB (TMP/AHI) 4'S BQ 7.71 0.5MG 0 2022-04-01 2024-03-31 6
41 B001E APO-CABERGOLINE 0.5MG TAB (APO) CAB (C) 8'S C 3.4659 0.5MG 32 2024-04-01 2026-03-31 6
42 B001G CABERLEE 0.5MG TAB (JLP) CABERGOLINE 40'S BQ 2.04 0.5MG 32 2026-04-01 No No 0
40 B011AM ABACAVIR 300MG TAB (CIP/AHI) 60'S BL 1.45 300MG 0 2022-04-01 2024-03-31 0
41 B011AM ABACAVIR 300MG TAB (CIP) (BL) 60'S BL 2.1565 300MG 60 2024-04-01 2026-03-31 6
40 B011DK 3TC 150MG TAB (GSK/COL) LAMIVUDINE 60'S BL 0.71 150MG 0 2022-04-01 2024-03-31 0
40 B011DX ZIDINE 300MG (EMC/COL) ZIDOVUDINE 60'S BL 0.32 300MG 0 2022-04-01 2024-03-31 0
40 B011EG APO-LAMIVUDINE 150MG TAB (APO/COL) 60'S B 1.3837 150MG 2022-04-01 2024-03-31 No No Add to Contract as Cat B
42 B011EG APO-LAMIVUDINE 150MG TAB (APO) LAMI 60'S BL 1.47 150MG 60 2026-04-01 No No 0
40 B011EK LAMIVUDINE 150MG TAB (MAT/AHI) 30'S BL 0.38 150MG 0 2022-04-01 2024-03-31 0
40 B011EL ABACAVIR 300MG CAP (MAT/AHI) 60'S BL 0.79 300MG 0 2022-04-01 2024-03-31 0
40 B011EM ZIDOVIR 300MG CAP (CIP/AHI) ZIDOVUDINE 60'S BL 1.03 300MG 0 2022-04-01 2024-03-31 0
41 B011EP APO-LAMIVUDINE 150MG TAB (APO) LAMI (BL) 60'S BL 1.2595 150MG 60 2024-04-01 2026-03-31 6
42 B011ES JONVIR 150MG TAB (JLP) LAMIVUDINE 30'S BL 1.09 150MG 60 2026-04-01 No No 0
41 B0126 ZIDOVUDINE 10MG/ML SOLN (MCP) (BL) 240ML BL 0.1664 10MG/ML 100 2024-04-01 2026-03-31 6
41 B0127 LAMIVUDINE 10MG/ML SOLN (MCP) (BL) 240ML BL 0.189 10MG/ML 0 2024-04-01 2026-03-31 0
40 B012H RETROVIR 10MG/ML SYR (GSK/COL) ZIDOVUDINE 240ML BL 0.23 10MG/ML 0 2022-04-01 2024-03-31 0
41 B012H RETROVIR 10MG/ML SYR (GSK) ZIDOVUDINE (BL) 240ML BL 0.3895 10MG/ML 100 2024-04-01 2026-03-31 6