|
|
41
|
B5012
|
ANORO ELLIPTA 55MCG|22MCG INHR (GSK) UMECLIDINIUM|VILANTEROL (BQ)
|
30 DOSES
|
BQ
|
163.94
|
55MCG|22MCG
|
1
|
2024-07-17
|
2026-03-31
|
|
Yes
|
|
6
|
|
|
42
|
B5012
|
ANORO ELLIPTA 55MCG|22MCG INHR (GSK) UMECLIDINIUM|VILANTEROL
|
30 DOSES
|
BQ
|
172.12
|
55MCG|22MCG
|
1
|
2026-04-01
|
|
No
|
No
|
|
0
|
|
|
42
|
B5211
|
BOSENTAN 62.5MG TAB (CIP)
|
2X10
|
BQ
|
6.09
|
62.5MG
|
60
|
2026-04-01
|
|
No
|
No
|
|
0
|
|
|
41
|
B521D
|
SAFEBO 125MG TAB (MSN) (BQ)
|
60'S
|
BQ
|
2.7206
|
125MG
|
0
|
2024-04-01
|
2026-03-31
|
|
|
|
0
|
|
|
40
|
B521E
|
SAFEBO 62.5MG TAB (MSN/ATB)
|
60'S
|
BQ
|
2.72
|
62.5MG
|
0
|
2022-04-01
|
2024-03-31
|
|
|
|
6
|
|
|
41
|
B521E
|
SAFEBO 62.5MG TAB (MSN) (BQ)
|
60'S
|
BQ
|
2.7206
|
62.5MG
|
60
|
2024-04-01
|
2026-03-31
|
|
|
|
6
|
|
|
40
|
B521F
|
PMS-BOSENTAN 125MG TAB (PMS/COL)
|
60'S
|
BQ
|
5.66
|
125MG
|
0
|
2022-04-01
|
2024-03-31
|
|
|
|
6
|
|
|
40
|
B5312
|
CANCIDAS 50MG INJ (MSD/STO) CASPOFUNGIN
|
50MG VIAL
|
C
|
712.77
|
50MG
|
0
|
2022-04-01
|
2024-03-31
|
|
|
|
0
|
|
|
41
|
B5312
|
CANCIDAS 50MG INJ (MSD) CASPOFUNGIN (BQ)
|
50MG VIAL
|
BQ
|
660.743
|
50MG
|
16
|
2024-04-01
|
2026-03-31
|
|
|
|
0
|
|
|
41
|
B5318
|
CANCIDAS 70MG INJ (MSD) CASPOFUNGIN (BQ)
|
1 DS VIAL
|
BQ
|
839.9621
|
70MG
|
1
|
2024-04-01
|
2026-03-31
|
|
|
|
0
|
|
|
40
|
B5319
|
CASPOGIN 50MG INJ (CIP/AHI) CASPOFUNGIN
|
10ML VIAL
|
BQ
|
335.28
|
50MG
|
0
|
2022-04-01
|
2024-03-31
|
|
|
|
0
|
|
|
42
|
B531A
|
CASPOCAD 50MG INJ (CAD) CASPOFUNGIN
|
50ML
|
BQ
|
155.79
|
50MG
|
16
|
2026-04-01
|
|
No
|
No
|
|
0
|
|
|
40
|
B5831
|
APO-NABILONE 1MG CAP (APO/COL)
|
50'S
|
A
|
1.32
|
1MG
|
30
|
2022-04-01
|
2024-03-31
|
|
|
|
6
|
|
|
40
|
B5832
|
APO-NABILONE 0.25MG CAP (APO/COL)
|
50'S
|
A
|
0.46
|
0.25MG
|
30
|
2022-04-01
|
2024-03-31
|
|
|
|
6
|
|
|
40
|
B5911
|
AMLOTENSIVE CT 5MG | 25MG TAB (CAR/COL) AMLODIPINE | CHLORTHALIDONE
|
210'S
|
A
|
0.13
|
5MG|25MG
|
60
|
2022-04-01
|
2024-03-31
|
|
|
|
6
|
|
|
41
|
B5911
|
AMLOTENSIVE CT 5MG|25MG TAB (CAR) AMLODIPINE|CHLORTHALIDONE
|
210'S
|
A
|
0.125
|
5MG|25MG
|
60
|
2024-04-01
|
2026-03-31
|
|
|
|
6
|
|
|
42
|
B5911
|
AMLOTENSIVE CT 5MG|25MG TAB (CAR) AMLODIPINE|CHLORTHALIDONE
|
210'S
|
A
|
0.13
|
5MG|25MG
|
60
|
2026-04-01
|
|
No
|
No
|
|
6
|
|
|
40
|
B5921
|
AMLOTENSIVE CT 5MG | 50MG TAB (CAR/COL) AMLODIPINE | CHLORTHALIDONE
|
210'S
|
A
|
0.17
|
5MG|50MG
|
30
|
2022-07-11
|
2024-03-31
|
|
|
Add to Contract as Cat A
|
6
|
|
|
41
|
B5921
|
AMLOTENSIVE CT 5MG|50MG TAB (CAR) AMLODIPINE|CHLORTHALIDONE
|
210'S
|
A
|
0.171
|
5MG|50MG
|
30
|
2024-04-01
|
2026-03-31
|
|
|
|
6
|
|
|
42
|
B5921
|
AMLOTENSIVE CT 5MG|50MG TAB (CAR) AMLODIPINE|CHLORTHALIDONE
|
210'S
|
A
|
0.17
|
5MG|50MG
|
30
|
2026-04-01
|
|
No
|
No
|
|
6
|
