Displaying 781 - 800 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 1133FV LIPITAS 40MG TAB (INP/AHI) ATORVASTATIN 30'S A 0.1803 40MG 30 2023-03-20 2024-03-31 No No Add to Contract as Cat A 6
41 1133GJ RSTAT 20MG TAB (TPP) ROSUVASTATIN 10X10 A 0.1272 20MG 30 2024-04-01 2026-03-31 6
41 1133GL ASTAT 40MG TAB (TPP) ATORVASTATIN 10X10 A 0.0707 40MG 60 2024-04-01 2026-03-31 6
42 1133GW LIPITOR 40MG TAB (PFI) ATORVASTATI (C) 30'S C 1.27 40MG 60 2026-04-01 No No 6
42 1133HB ATRONIM 40MG TAB (ANC) ATORVASTATIN 3X10 A 0.06 40MG 60 2026-04-01 No No 6
42 1133HM ROSELLION 20MG TAB (STL) ROSUVASTATIN 3X10 A 0.05 20MG 30 2026-04-01 No No 6
42 1133HV ATORVASTATIN 40MG TAB (FSB) 10X10 A 0.06 40MG 60 2026-04-01 No No Add to Contract as Cat A 6
40 11346 LIPITOR 80MG TAB (PFI/STO) ATORVASTATIN 14'S C 3.66 80MG 0 2022-04-01 2024-03-31 0
41 11346 LIPITOR 80MG TAB (PFI) ATORVASTATIN (C) 14'S C 3.6969 80MG 30 2024-04-01 2026-03-31 6
40 11348 LIPITOR 80MG TAB (PFI/SBI) ATORVASTATIN 14'S C 3.66 80MG 0 2022-04-01 2024-03-31 0
41 11348 LIPITOR 80MG TAB (PFI) ATORVASTATIN (C) 14'S C 3.6969 80MG 30 2024-04-01 2026-03-31 6
40 1134AD ROSUVASTATIN 40MG TAB (FSB/ATB) 20'S A 0.19 40MG 30 2022-04-01 2024-03-31 Add to Contract as Cat A 6
40 1134AG APO-ATORVASTATIN 80MG TAB (APO/COL) 100'S C 0.28 80MG 0 2022-04-01 2024-03-31 0
40 1134AM ROSUVASTATIN 40MG TAB (MCP/AHI) 3X10 A 0.23 40MG 30 2022-04-01 2023-06-18 6
40 1134AM ROSUVASTATIN 40MG TAB (MCP 30'S A $0.1846 40MG 30 2023-06-19 2024-03-31 6
41 1134AT ATORVASTATIN 80MG TAB (MSN) 30'S A 0.1921 80MG 30 2024-04-01 2026-03-31 6
41 1134AU LDNIL 40MG TAB (MSN) ROSUVASTATIN 30'S A 0.2102 40MG 30 2024-04-01 2026-03-31 6
41 1134AX RSTAT 40MG TAB (TPP) ROSUVASTATIN 10X10 A 0.1995 40MG 30 2024-04-01 2026-03-31 6
40 1134B APO-ROSUVASTATIN 40MG TAB (APO/COL) 30'S A 0.27 40MG 30 2022-04-01 2024-03-31 6
42 1134BA ROSUVASTATIN 40MG TAB (GLP) 90'S A 0.16 40MG 30 2026-04-01 No No 6