Displaying 5741 - 5760 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 B071G KOPODEX 1G TAB (ABB/PHA) LEVETIRACETAM 30'S B 2.30 1G 0 2022-04-01 2024-03-31 6
40 B071G KOPODEX 1G TAB (ABB/PHA) LEVETIRACETAM(B) 30'S B 2.296 1G 2022-04-01 2023-03-31 No No Delete from contract 6
40 B071H KOPODEX 500MG TAB (ABB/PHA) LEVETIRACETAM 30'S C 1.95 500MG 0 2022-04-01 2024-03-31 0
40 B071H KOPODEX 500MG TAB (ABB/PHA) LEVETIRACETAM (C) 30'S C 1.9517 500MG 2022-04-01 2023-03-31 No No Delete from contract 0
40 B071HHH KOPODEX 500MG TAB (ABB/PHA) LEVETIRACETAM (C) 30'S C 1.9517 500MG 2022-04-01 2023-03-31 No No Delete from contract 0
40 B071HHH KOPODEX 500MG TAB (ABB/PHA) LEVETIRACETAM (C) 30'S C 1.9517 500MG 2022-04-01 2023-03-31 No No Delete from contract 0
40 B071HHH KOPODEX 500MG TAB (ABB/PHA) LEVETIRACETAM (C) 30'S C 1.9517 500MG 2022-04-01 2023-03-31 No No Delete from contract 0
41 B071R LEVETIRACETAM 1G TAB (SGL) (B) 10X10 B 0.7187 1G 60 2024-04-01 2026-03-31 6
40 B0731 KEPPRA 100MG/ML SYRUP (GSK/COL) LEVETIRACETAM 300ML B 0.31 100MG/ML 0 2022-04-01 2024-03-31 6
41 B0731 KEPPRA 100MG/ML SYRUP (GSK) LEVETIRACETA 300ML B 0.3363 100MG/ML 900 2024-04-01 2026-03-31 6
42 B0731 KEPPRA 100MG/ML SYRUP (GSK) LEVETIRACETA 300ML C 0.35 100MG/ML 900 2026-04-01 No No 6
40 B0735 LACETAM 100MG/ML SYR (LDP/AHI) LEVETIRACETAM 300ML B 0.18 100MG/ML 0 2022-04-01 2024-03-31 6
42 B0738 LEVETRACETAM 100MG/ML SYR (INP) LEVETIRACETAM 200ML B 0.12 100MG/ML 900 2026-04-01 No No 6
40 B1511 PRADAX 75MG TAB (BOE/STO) DABIGATRAN 3X10 BQ 2.96 75MG 0 2022-04-01 2024-03-31 6
41 B1511 PRADAX 75MG TAB (BOE) DABIGATRAN (BQ) 3X10 BQ 3.2212 75MG 60 2024-04-01 2026-03-31 6
42 B1511 PRADAX 75MG TAB (BOE) DABIGATRAN 3X10 B 3.22 75MG 60 2026-04-01 No No Change status from C to 6
40 B1513 XARELTO 10MG TAB (BSP/AHI) RIVAROXABAN 10'S C 6.05 10MG 0 2022-04-01 2024-03-31 0
41 B1513 XARELTO 10MG TAB (BSP) RIVAROXABAN (C) 10'S C 6.0537 10MG 30 2024-04-01 2026-03-31 0
42 B1513 XARELTO 10MG TAB (BSP) RIVAROXABAN 10'S C 3.04 10MG 30 2026-04-01 No No 0
40 B1514 XARELTO 10MG TAB (BSP/COL) RIVAROXABAN 10'S C 6.05 10MG 0 2022-04-01 2024-03-31 0