Displaying 961 - 980 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 1306BT ASPIRIN 81MG TAB (HEA) 1000'S A 0.03 81MG 60 2026-04-01 No No Add to Contract as Cat A 6
42 1306BU ASPIRIN EC 81MG TAB (HEA) 100X10 A 0.03 81MG 60 2026-04-01 No No Add to Contract as Cat A 6
40 1321G CODEINE PHOSPHATE 15MG TAB (TEV/COL) 28'S A 0.18 15MG 112 2022-04-01 2024-03-31 2
41 1321G CODEINE PHOSPHATE 15MG TAB (TEV) 28'S A 0.168 15MG 112 2024-04-01 2026-03-31 2
42 1321J CODEINE PHOSPHATE 15MG TAB (CPP) 28'S A 0.14 15MG 112 2026-04-01 No No 2
40 1322L CODEINE PHOSPHATE 30MG TAB (TEV/COL) 28'S A 0.24 30MG 112 2022-04-01 2024-03-31 2
41 1322L CODEINE PHOSPHATE 30MG TAB (TEV) 28'S A 0.2058 30MG 112 2024-04-01 2026-03-31 2
42 1322M CODEINE PHOSPHATE 30MG TAB (CPP) 28'S A 0.23 30MG 112 2026-04-01 No No 2
41 1322R CODEINE PHOSPHATE 30MG TAB (CPP) 3X10 A 0.1468 30MG 112 2024-04-01 2026-03-31 2
40 13235 CODEINE PHOSPHATE 30MG/ML INJ (KWA/ATB) 10X1ML C 20.39 30MG/ML 0 2022-04-01 2024-03-31 0
41 13235 CODEINE PHOSPHATE 30MG/ML INJ (KWA) 10X1ML C 13.559 30MG/ML 0 2024-04-01 2026-03-31 0
41 13315 FENTANYL CITRATE 50MCG/ML INJ (RTM) (BQ) 10X2ML BQ 2.4846 50MCG/ML 0 2024-04-01 2026-03-31 0
42 13315 FENTANYL CITRATE 50MCG/ML INJ (RTM) 10X2ML BQ 1.50 50MCG/ML 0 2026-04-01 No No 0
40 13319 FENTANYL CITRATE 50MCG/ML INJ (MTP/COL) 10X2ML BQ 1.31 50MCG/ML 0 2022-04-01 2024-03-31 0
41 13319 FENTANYL CITRATE 50MCG/ML INJ (MTP) (BQ) 10X2ML BQ 1.7941 50MCG/ML 0 2024-04-01 2026-03-31 0
40 1331K FENTANYL CITRATE 50MCG/ML INJ (KWA/ATB) 10X2ML BQ 0.25 50MCG/ML 0 2022-04-01 2022-09-30 0
41 1331K FENTANYL CITRATE 50MCG/ML INJ (KWA) (BQ) 10X2ML BQ 1.8022 50MCG/ML 0 2024-04-01 2026-03-31 0
40 1331M FENTANYL CITRATE 50MCG/ML INJ (SGH/COL) 10X2ML BQ 1.36 50MCG/ML 0 2022-04-01 2024-03-31 0
40 13325 FENTANYL CITRATE 50MCG/ML INJ (RTM/PHA) 10X10ML BQ 2.74 50MCG/ML 0 2022-04-01 2024-03-31 0
41 13325 FENTANYL CITRATE 50MCG/ML INJ (RTM) (BQ) 10X10ML BQ 3.822 50MCG/ML 0 2024-04-01 2026-03-31 0