|
|
40
|
0014M
|
CHLORPHENIRAMINE 10MG/ML IV/IM INJ (FSB/ATB)
|
10X1ML
|
B
|
0.45
|
10MG/ML IV/IM
|
0
|
2022-04-01
|
2024-03-31
|
|
|
|
0
|
|
|
41
|
0014M
|
CHLORPHENIRAMINE 10MG/ML IV/IM INJ (FSB) (B)
|
10X1ML
|
B
|
0.3833
|
10MG/ML IV/IM
|
30
|
2024-04-01
|
2026-03-31
|
|
|
|
6
|
|
|
42
|
0014U
|
JONCPM 10MG/ML IV/IM INJ (JLP) CHLORPHENIRAMINE
|
10X1ML
|
B
|
0.33
|
10MG/ML IV/IM
|
30
|
2026-04-01
|
|
No
|
No
|
|
6
|
|
|
42
|
0014V
|
CHLORPHENIRAMINE 10MG/ML INJ (FSB)
|
10X1ML
|
B
|
0.38
|
10MG/ML IV/IM
|
0
|
2026-04-01
|
|
No
|
No
|
Add to Contract as Cat B
|
6
|
|
|
40
|
0051F
|
CAPECITABINE 150MG TAB (INP/AHI)
|
6X10
|
BQ
|
3.24
|
150MG
|
0
|
2022-04-01
|
2024-03-31
|
|
|
|
6
|
|
|
41
|
0051J
|
CAPECITABINE 150MG TAB (WAT)
|
60'S
|
BQ
|
2.9222
|
150MG
|
230
|
2024-04-01
|
2026-03-31
|
|
|
|
6
|
|
|
42
|
0051M
|
CAPECITABINE 150MG TAB (INP)
|
10'S
|
BQ
|
1.58
|
150MG
|
230
|
2026-04-01
|
|
No
|
No
|
|
0
|
|
|
40
|
00521
|
XELODA 500MG TAB (ROC/AHI) CAPECITABINE
|
120'S
|
C
|
2.72
|
500MG
|
0
|
2022-04-01
|
2024-03-31
|
|
|
|
0
|
|
|
40
|
00527
|
KAPETRAL 500MG TAB (REM/SBI) CAPECITABINE
|
120'S
|
BQ
|
0.86
|
500MG
|
0
|
2022-04-01
|
2024-03-31
|
|
|
|
6
|
|
|
41
|
00527
|
KAPETRAL 500MG TAB (REM) CAPECITABINE (BQ)
|
120'S
|
BQ
|
0.6968
|
500MG
|
60
|
2024-04-01
|
2026-03-31
|
|
|
|
6
|
|
|
42
|
00527
|
KAPETRAL 500MG TAB (REM) CAPECITABINE
|
120'S
|
BQ
|
0.57
|
500MG
|
60
|
2026-04-01
|
|
No
|
No
|
|
0
|
|
|
41
|
0052AH
|
CAPETAZ 500MG TAB (ZUV) CAPECITABINE (BQ)
|
120'S
|
BQ
|
0.3425
|
500MG
|
60
|
2024-04-01
|
2024-05-20
|
|
|
|
6
|
|
|
41
|
0052HF
|
CAPETAZ 500MG TAB (ZUV) CAPECITABINE
|
30'S
|
BQ
|
1.0523
|
500MG
|
60
|
2024-04-11
|
2026-03-31
|
|
|
|
6
|
|
|
40
|
0071G
|
APO-ZOLPIDEM 5MG TAB (APO/COL)
|
30'S
|
C
|
0.59
|
5MG
|
0
|
2022-04-01
|
2024-03-31
|
|
|
|
0
|
|
|
42
|
0071G
|
APO-ZOLPIDEM 5MG TAB (APO) ZOLPIDEM
|
30'S
|
C
|
0.61
|
5MG
|
0
|
2026-04-01
|
|
No
|
No
|
|
0
|
|
|
41
|
0071H
|
APO-ZOLPIDEM 5MG TAB (APO) ZOLPIDEM
|
30'S
|
C
|
0.6053
|
5MG
|
0
|
2024-04-01
|
2026-03-31
|
|
|
|
0
|
|
|
42
|
0071J
|
PMS-ZOLPIDEM 5MG TAB (PMS)
|
3X10
|
C
|
0.54
|
5MG
|
0
|
2026-04-01
|
|
No
|
No
|
|
0
|
|
|
40
|
0072D
|
ZOLPIDEM 10MG TAB (RYV/ALW)
|
30'S
|
C
|
0.62
|
10MG
|
0
|
2022-04-01
|
2024-03-31
|
|
|
|
0
|
|
|
41
|
0072D
|
ZOLPIDEM 10MG TAB (RYV) (C)
|
30'S
|
C
|
0.6207
|
10MG
|
0
|
2024-04-01
|
2026-03-31
|
|
|
|
0
|
|
|
41
|
0072E
|
APO-ZOLPIDEM 10MG TAB (APO) ZOLPIDE (C)
|
30'S
|
C
|
0.6796
|
10MG
|
0
|
2024-04-01
|
2026-03-31
|
|
|
|
0
|
