Displaying 41 - 60 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 0012FY FEXOSTAL 180MG TAB (STL) FEXOFENADINE 10X10 C 0.10 180MG 0 2026-04-01 No No 0
42 0012FZ ALFREE 10MG TAB (STL) CETIRIZINE 10X10 A 0.01 10MG 14 2026-04-01 No No 0
42 0012GA DESLORASTAL 5MG TAB (STL) DESLORATADINE 10X10 C 0.04 5MG 0 2026-04-01 No No 0
42 0012GB LORASTAL 10MG TAB (STL) LORATADINE 10X10 A 0.02 10MG 14 2026-04-01 No No 0
42 0012GR FEEGRA 120MG SR TAB (JLP) FEXOFENADINE 10X10 C 0.27 120MG 0 2026-04-01 No No 0
40 0012V CETIRIZINE 10MG TAB (HEA/RXP) 1X10 A 0.10 10MG 14 2022-04-01 2024-03-31 0
40 0012VB CETIRIZINE 10MG TAB (HEA/ATB) 1X10 A 0.095 10MG 2022-12-07 2024-03-31 No No Change Local Agent 0
40 0012Y ZYRTEC 10MG TAB (GSK/COL) CETIRIZINE 20'S C 1.03 10MG 0 2022-04-01 2024-03-31 0
41 0012Y ZYRTEC 10MG TAB (GSK) CETIRIZINE (C) 20'S C 1.1376 10MG 14 2024-04-01 2026-03-31 0
42 0012Y ZYRTEC 10MG TAB (GSK) CETIRIZINE 20'S C 1.26 10MG 14 2026-04-01 No No Price Change 0
40 0013AF ZYRTEC 10MG/ML DROPS (GSK/COL) CETIRIZINE 10ML C 11.85 10MG/ML 0 2022-04-01 2024-03-31 0
40 0013AZ LEVOCETIRIZINE 2.5MG/ML SYR (CIR/AHI) 60ML C 0.10 2.5MG/ML 0 2022-04-01 2024-03-31 0
40 0013BH DPH ELIXIR 2.5MG/ML SYR (FED/RXP) DIPHENHYDRA 120ML A 0.03 2.5MG/ML 120 2022-04-01 2022-05-11 Delete from contract 6
40 0013BK AERIUS 0.5MG/ML SYR (MSD/STO) DESLORATADINE 60ML C 0.20 0.5MG/ML 0 2022-04-01 2024-03-31 0
41 0013BK AERIUS 0.5MG/ML SYR (MSD) DESLORATADINE (C) 60ML C 0.198 0.5MG/ML 60 2024-04-01 2026-03-31 0
42 0013BK AERIUS 0.5MG/ML SYR (MSD) DESLORATADINE 60ML C 0.20 0.5MG/ML 60 2026-04-01 No No 0
40 0013BL DPH ELIXIR 2.5MG/ML SYR (FED/ATB) DIPHENHYDRA 120ML A 0.03 2.5MG/ML 120 2022-05-11 2024-03-31 Change Local Agent 6
40 0013BP CLARITINE 10MG TAB (BSP/AHI) LORATADINE (C) 30'S C 0.317 10MG 2023-02-21 2023-04-07 No No Add to Contract as Cat C
42 0013BT CETIRIZINE 1MG/ML SOLN (HEA) 60ML A 0.05 1MG/ML 60 2026-04-01 No No Price Change 0
42 0013BU LORATADINE 1MG/ML SOLN (HEA) 100ML A 0.03 1MG/ML 60 2026-04-01 No No 0