Displaying 5661 - 5680 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 B031Y EFCURE 600MG TAB (EMC) EFAVIRENZ (BL) 30'S BL 0.8336 600MG 60 2024-04-01 2026-03-31 6
40 B041AU ALOCID 20MG CAP (CAR/COL) OMEPRAZOLE 3X10 C 0.18 20MG 0 2022-04-01 2024-03-31 0
41 B041AU ALOCID 20MG CAP (CAR) OMEPRAZOLE (C) 3X10 C 0.1812 20MG 30 2024-04-01 2026-03-31 6
42 B041AU ALOCID 20MG CAP (CAR) OMEPRAZOLE 3X10 A 0.20 20MG 60 2026-04-01 No No 6
42 B041CF APO-PANTOPRAZOLE 40MG TAB (APO) 100'S C 0.14 40MG 7 2026-04-01 No No 0
40 B041EL OMEPRAZOLE 20MG CAP (HEA/ATB) 30'S A 0.0633 20MG 2022-12-07 2024-03-31 No No Change Local Agent 6
41 B041EL OMEPRAZOLE 20MG CAP (HEA) (C) 30'S C 0.0761 20MG 30 2024-04-01 2026-03-31 6
40 B041EP OMEPRAZOLE 20MG CAP (HEA/RXP) 30'S A 0.06 20MG 30 2022-04-01 2024-03-31 6
42 B041EV APO-LANSOPRAZOLE 15MG CAP (APO) 100'S C 0.13 15MG 0 2026-04-01 No No 0
40 B041EW APO-LANSOPRAZOLE 30MG CAP (APO/COL) 100'S C 0.20 30MG 0 2022-04-01 2024-03-31 0
42 B041EW APO-LANSOPRAZOLE 30MG CAP (APO) 100'S C 0.20 30MG 0 2026-04-01 No No 0
40 B041JH PANTOPRAZOLE 20MG TAB (KWA/ATB) 10X10 C 0.09 20MG 0 2022-04-01 2024-03-31 0
40 B041JL NEXIUM 20MG TAB (AZN/COL) ESOMEPRAZOLE 28'S C 1.49 20MG 0 2022-04-01 2024-03-31 0
41 B041JL NEXIUM 20MG TAB (AZN) ESOMEPRAZOLE (C) 28'S C 1.4524 20MG 0 2024-04-01 2026-03-31 0
42 B041JL NEXIUM 20MG TAB (AZN) ESOMEPRAZOLE 28'S C 1.46 20MG 0 2026-04-01 No No 0
40 B041JM NEXIUM 40MG TAB (AZN/COL) ESOMEPRAZOLE 28'S C 1.87 40MG 0 2022-04-01 2024-03-31 0
41 B041JM NEXIUM 40MG TAB (AZN) ESOMEPRAZOLE (C) 28'S C 1.8659 40MG 0 2024-04-01 2026-03-31 0
42 B041JM NEXIUM 40MG TAB (AZN) ESOMEPRAZOLE 28'S C 1.97 40MG 0 2026-04-01 No No 0
42 B041KZ GASTRIC EZE 20MG CAP (INF) OMEPRAZOLE 3X10 A 0.07 20MG 60 2026-04-01 No No 6
40 B041LE NEXIUM 10MG GRAN (AZN/COL) ESOMEPRAZOLE 28'S C 1.70 10MG 0 2022-04-01 2024-03-31 0