Displaying 681 - 700 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 1074X LIDOXIN 0.25MG/ML INJ (JLP) DIGOXIN 10X2ML B 1.03 0.25MG/ML 360 2026-04-01 No No 6
40 1101H PROPRANOLOL 10MG TAB (MBL/AHI) 30'S A 0.04 10MG 90 2022-04-01 2024-03-31 6
41 1101H PROPRANOLOL 10MG TAB (MBL) 30'S A 0.0417 10MG 90 2024-04-01 2026-03-31 6
40 1101X APO-PROPRANOLOL 10MG TAB (APO/COL) 100'S A 0.04 10MG 90 2022-04-01 2024-03-31 6
42 1101X APO-PROPRANOLOL 10MG TAB (APO) 100'S A 0.04 10MG 90 2026-04-01 No No 6
40 1102J APO-PROPRANOLOL 40MG TAB (APO/COL) 100'S A 0.05 40MG 180 2022-04-01 2024-03-31 6
41 1102M EMFORAL 40MG TAB (REM) PROPRANOLOL 5X10 A 0.0484 40MG 180 2024-04-01 2026-03-31 6
42 1102M EMFORAL 40MG TAB (REM) PROPRANOLOL 5X10 A 0.06 40MG 180 2026-04-01 No No 6
40 1102Z PROPRANOLOL 40MG TAB (MBL/AHI) 30'S A 0.04 40MG 180 2022-04-01 2024-03-31 6
41 1102Z PROPRANOLOL 40MG TAB (MBL) 30'S A 0.0471 40MG 180 2024-04-01 2026-03-31 6
42 1102Z PROPRANOLOL 40MG TAB (MBL) 30'S A 0.07 40MG 180 2026-04-01 No No 6
40 1103E PROPRANOLOL 1MG/ML INJ (DIL/AHI) 10X1ML BQ 13.54 1MG/ML 0 2022-04-01 2024-03-31 0
41 1103E PROPRANOLOL 1MG/ML INJ (DIL) 10X1ML BQ 13.5372 1MG/ML 30 2024-04-01 2026-03-31 0
40 11045 ACCORD PROPRANOLOL 80MG TAB (INP/AAL) 56'S A 0.24 80MG 150 2022-04-01 2024-03-31 6
41 1104F PROPRANOLOL 80MG TAB (CAM) (C) 56'S C 0.1956 80MG 150 2024-04-01 2026-03-31 6
40 1121KB PMS-CHOLESTYRAMINE GRANUL (PMS/COL) 30X4G A 1.45 4G 60 2022-04-01 2024-03-31 6
41 1121KB PMS-CHOLESTYRAMINE 4G GRAN (PMS) 30X4G A 1.7669 4G 60 2024-04-01 2026-03-31 6
42 1121KE OLESTYR CHOLESTYRAMINE RESIN 4G GRAN (PMS) 30X4G A 1.63 4G 60 2026-04-01 No No 6
40 11311 APO-ATORVASTATIN 10MG TAB (APO/COL) 100'S A 0.05 10MG 30 2022-04-01 2024-03-31 6
40 1131AY ATORVASTATIN 10MG TAB (CPP/COL) 28'S A 0.04 10MG 30 2022-04-01 2024-03-31 6