Displaying 721 - 740 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 1131FZ XTOR 10MG TAB (IPC) ATORVASTATIN 100'S A 0.0397 10MG 30 2024-04-01 2026-03-31 6
41 1131GT ATORVASTATIN 10MG TAB (INP) 1000'S A 0.036 10MG 30 2024-04-01 2026-03-31 6
42 1131GW STALIP 10MG TAB (STL) ATORVASTATIN 30'S A 0.02 10MG 30 2026-04-01 No No 6
42 1131GX LIPITOR 10MG TAB (PFI) ATORVASTATI (C) 3X10 C 1.12 10MG 30 2026-04-01 No No 6
42 1131HA ROSELLION 5MG TAB (STL) ROSUVASTATIN 3X10 A 0.03 5MG 30 2026-04-01 No No 6
42 1131HN ROVISTA 5MG TAB (GET) ROSUVASTATIN 30'S A 0.06 5MG 30 2026-04-01 No No 6
42 1131HS FLAGTOR 10MG TAB (FSB) ATORVASTATIN 10X10 A 0.01 10MG 30 2026-04-01 No No Add to Contract as Cat A 6
42 1131HT ATOREM 10MG TAB (MSN) ATORVASTATIN 3X10 A 0.04 10MG 30 2026-04-01 No No Add to Contract as Cat A 6
40 1132BE ATORVASTATIN 20MG TAB (CPP/COL) 28'S A 0.05 20MG 30 2022-04-01 2024-03-31 6
40 1132DV LIPITOR 20MG TAB (PFI/STO) ATORVASTATIN 30'S C 1.21 20MG 0 2022-04-01 2024-03-31 0
41 1132DV LIPITOR 20MG TAB (PFI) ATORVASTATIN (C) 30'S C 1.2178 20MG 30 2024-04-01 2026-03-31 6
40 1132DW LIPITOR 20MG TAB (PFI/SBI) ATORVASTATIN 30'S C 1.21 20MG 0 2022-04-01 2024-03-31 0
41 1132DW LIPITOR 20MG TAB (PFI) ATORVASTATIN (C) 30'S C 1.2178 20MG 30 2024-04-01 2026-03-31 6
40 1132EM ATOREC 20MG TAB (EMC/COL) ATORVASTATIN 30'S C 0.13 20MG 0 2022-04-01 2024-03-31 0
40 1132ER CRESTOR 10MG TAB (AZN/COL) ROSUVASTATIN 30'S C 0.99 10MG 0 2022-04-01 2024-03-31 0
41 1132ER CRESTOR 10MG TAB (AZN) ROSUVASTATIN (C) 30'S C 0.9849 10MG 30 2024-04-01 2026-03-31 6
42 1132ER CRESTOR 10MG TAB (AZN) ROSUVASTATI (C) 30'S C 0.99 10MG 30 2026-04-01 No No 6
41 1132ET ATORSTAN 20MG TAB (REM) ATORVASTATI 3x10 A 0.0689 20MG 30 2024-04-01 2024-05-06 6
41 1132ET ATORSTAN 20MG TAB (REM) ATORVASTATI 3x10 A 0.1887 20MG 30 2024-08-07 2024-09-30 6
40 1132FV CONSIVAS 10MG TAB (EMC/COL) ROSUVASTATIN 100'S A 0.13 10MG 30 2022-04-01 2024-03-31 6