Displaying 5721 - 5740 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
40 B051B DOLUTEGRAVIR 50MG TAB (APL/ATB) 30'S BL 0.36 50MG 0 2022-04-12 2024-03-31 Add to Contract as Cat B 0
41 B051D DOLUTEGRAVIR 50MG TAB (MCP) (BL) 30'S BL 0.309 50MG 0 2024-04-01 2024-12-27 0
41 B051D DOLUTEGRAVIR 50MG TAB (MCP) (BL) 30'S BL 0.351 50MG 0 2024-12-28 2026-03-31 0
40 B0611 VALDOXAN 25MG TAB (SER/STO) AGOMELATINE 28'S BP 2.33 25MG 0 2022-04-01 2024-03-31 6
41 B0611 VALDOXAN 25MG TAB (SER) AGOMELATINE (BP) 28'S BP 2.3368 25MG 84 2024-04-01 2026-03-31 6
42 B0611 VALDOXAN 25MG TAB (SER) AGOMELATINE 28'S BP 2.34 25MG 84 2026-04-01 No No 0
40 B0612 VALDOXAN 25MG TAB (SER/COL) AGOMELATINE 28'S BP 2.33 25MG 0 2022-04-01 2024-03-31 6
41 B0612 VALDOXAN 25MG TAB (SER) AGOMELATINE (BP) 28'S BP 2.3368 25MG 84 2024-04-01 2026-03-31 6
42 B0612 VALDOXAN 25MG TAB (SER) AGOMELATINE 28'S BP 2.34 25MG 84 2026-04-01 No No 0
40 B0718 KEPPRA 500MG TAB (GSK/COL) LEVETIRACETAM 30'S C 2.54 500MG 0 2022-04-01 2024-03-31 0
41 B0718 KEPPRA 500MG TAB (GSK) LEVETIRACETA (B) 30'S B 2.799 500MG 120 2024-04-01 2026-03-31 6
42 B0718 KEPPRA 500MG TAB (GSK) LEVETIRACETA 30'S C 2.93 500MG 120 2026-04-01 No No 6
40 B071A KEPPRA 1G TAB (GSK/COL) LEVETIRACETAM 30'S C 3.23 1G 0 2022-04-01 2024-03-31 0
41 B071A KEPPRA 1G TAB (GSK) LEVETIRACETAM (B) 30'S B 3.5583 1G 60 2024-04-01 2026-03-31 6
42 B071A KEPPRA 1G TAB (GSK) LEVETIRACETAM 30'S C 3.74 1G 60 2026-04-01 No No 6
42 B071AJ LITEM 1G TAB (JLP) LEVETIRACETAM 10X10 B 0.35 1G 60 2026-04-01 No No 6
42 B071AK LITEM 500MG TAB (JLP) LEVETIRACETAM 10X10 B 0.24 500MG 120 2026-04-01 No No 6
41 B071D QUETRA 500MG TAB (REM) LEVETIRACETA 30'S BQ 0.3923 500MG 120 2024-04-02 2026-03-31 6
40 B071F LEVETIRACETAM 500MG TAB (REM/SBI) 100'S B 0.23 500MG 0 2022-04-01 2024-03-31 6
41 B071F LEVETIRACETAM 500MG TAB (REM) (B) 100'S B 0.3912 500MG 120 2024-04-01 2024-05-14 6