Displaying 661 - 680 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 10415 PROTAMINE SULPHATE 10MG/ML INJ (SLS) (B) 25X5ML B 9.4108 10MG/ML 20 2024-04-01 2026-03-31 0
42 1041B PROTAXCEL 10MG/ML INJ (JLP) PROTAMINE SULPHATE 5X5ML BQ 8.15 10MG/ML 20 2026-04-01 No No 0
40 10518 AMINOCAPROIC ACID 250MG/ML INJ (SLS/AHI) 20ML BQ 20.09 250MG/ML 0 2022-04-01 2024-03-31 0
41 10518 AMINOCAPROIC ACID 250MG/ML INJ (SLS (BQ) 20ML BQ 20.1971 250MG/ML 10 2024-04-01 2026-03-31 0
42 10518 AMINOCAPROIC ACID 250MG/ML INJ (SLS 20ML BQ 20.25 250MG/ML 10 2026-04-01 No No 0
40 10718 TOLOXIN 0.125MG TAB (PMS/COL) 250'S A 0.08 0.125MG 60 2022-04-01 2024-03-31 6
41 10718 TOLOXIN 0.125MG TAB (PMS) 250'S A 0.1169 0.125MG 60 2024-04-01 2026-03-31 6
42 10718 TOLOXIN 0.125MG TAB (PMS) 250'S A 0.07 0.125MG 60 2026-04-01 No No 6
40 1072Y DIXIN 0.25MG TAB (SLS/AHI) DIGOXIN 200'S A 0.08 0.25MG 60 2022-04-01 2024-03-31 6
41 1072Y DIXIN 0.25MG TAB (SLS) DIGOXIN 200'S A 0.0811 0.25MG 60 2024-04-01 2026-03-31 6
42 1072Y DIXIN 0.25MG TAB (SLS) DIGOXIN 200'S A 0.08 0.25MG 60 2026-04-01 No No 6
40 10739 TOLOXIN 50MCG/ML SOLN (PMS/COL) 115ML A 0.43 50MCG/ML 120 2022-04-01 2024-03-31 6
42 10739 PMS-TOLOXIN 50MCG/ML SOLN (PMS) 115ML A 0.38 50MCG/ML 120 2026-04-01 No No 6
41 1073C DIGOXIN 50MCG/ML SOLN (KWA) 100ML A 0.0549 50MCG/ML 120 2024-04-01 2026-03-31 6
40 10745 DIGOXIN 0.25MG/ML INJ (SLS/AHI) 10X2ML B 1.94 0.25MG/ML 0 2022-04-01 2024-03-31 0
41 10745 DIGOXIN 0.25MG/ML INJ (SLS) (B) 10X2ML B 2.1284 0.25MG/ML 360 2024-04-01 2026-03-31 6
42 10745 DIGOXIN 0.25MG/ML INJ (SLS) 10X2ML B 2.13 0.25MG/ML 360 2026-04-01 No No 6
40 1074S DIGOXIN 0.25MG/ML INJ (LDP/AHI) 10X2ML B 1.92 0.25MG/ML 0 2022-04-01 2024-03-31 0
41 1074V DIGOXIN 0.25MG/ML INJ (KWA) (B) 10X2ML B 2.2182 0.25MG/ML 360 2024-04-01 2026-03-31 6
41 1074W DIGOXIN 0.25MG/ML INJ (FSB) (B) 10X2ML B 1.0656 0.25MG/ML 360 2024-04-01 2026-03-31 6