Displaying 761 - 780 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
40 1133CP LIPITOR 40MG TAB (PFI/STO) ATORVASTATIN 30'S C 1.26 40MG 0 2022-04-01 2024-03-31 0
41 1133CP LIPITOR 40MG TAB (PFI) ATORVASTATIN (C) 30'S C 1.2686 40MG 60 2024-04-01 2026-03-31 6
40 1133CQ LIPITOR 40MG TAB (PFI/SBI) ATORVASTATIN 30'S C 1.26 40MG 0 2022-04-01 2024-03-31 0
41 1133CQ LIPITOR 40MG TAB (PFI) ATORVASTATIN (C) 30'S C 1.2686 40MG 60 2024-04-01 2026-03-31 6
40 1133DC ATORVASTATIN 40MG TAB (FSB/ATB) 10X10 A 0.11 40MG 60 2022-04-01 2023-03-31 6
41 1133DC ATORVASTATIN 40MG TAB (FSB) 10X10 A 0.0647 40MG 60 2024-04-01 2026-03-31 6
40 1133DF CRESTOR 20MG TAB (AZN/COL) ROSUVASTATIN 30'S C 1.29 20MG 0 2022-04-01 2024-03-31 0
41 1133DF CRESTOR 20MG TAB (AZN) ROSUVASTATIN (C) 30'S C 1.293 20MG 30 2024-04-01 2026-03-31 6
42 1133DF CRESTOR 20MG TAB (AZN) ROSUVASTATIN 30'S C 1.29 20MG 30 2026-04-01 No No 6
41 1133DJ ATORSTAN 40MG TAB (REM) ATORVASTATI 3x10 A 0.1006 40MG 60 2024-04-01 2024-06-30 6
41 1133DJ ATORSTAN 40MG TAB (REM) ATORVASTATI 3x10 A 0.2983 40MG 60 2024-08-07 2024-09-30 6
40 1133EG CONSIVAS 20MG TAB (EMC/COL) ROSUVASTATIN 100'S A 0.15 20MG 30 2022-04-01 2024-03-31 6
40 1133EH ROSUVASTATIN 20MG TAB (MSN/AHI) 30'S A 0.17 20MG 30 2022-04-01 2022-09-30 6
40 1133EV ATORVASTATIN 40MG TAB (RYV/ALW) 30'S A 0.07 40MG 60 2022-04-01 2024-03-31 6
41 1133FB LDNIL 20MG TAB (MSN) ROSUVASTATIN 30'S A 0.1287 20MG 30 2024-04-01 2026-03-31 6
40 1133FE ROSUVASTATIN 20MG TAB (MCP/AHI) 3X10 A 0.13 20MG 30 2022-04-01 2024-03-31 6
41 1133FE ROSUVASTATIN 20MG TAB (MCP) 3X10 A 0.1513 20MG 30 2024-04-01 2026-03-31 6
42 1133FE ROSUVASTATIN 20MG TAB (MCP) 3X10 A 0.10 20MG 30 2026-04-01 No No 6
40 1133FP ATORVASTATIN 40MG TAB (UME/AHI) 3X10 A 0.08 40MG 60 2022-04-01 2024-03-31 6
41 1133FS ATORVASTATIN 40MG TAB (CIR) 30'S A 0.0671 40MG 60 2024-04-01 2026-03-31 6