Displaying 1141 - 1160 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 15024 BARBIFED 30MG TAB (FED/RXP) PHENOBARBITONE 500'S A 0.05 30MG 180 2022-04-01 2022-05-11 Delete from contract 6
42 15025 PMS-PHENOBARBITONE 30MG TAB (PMS) 500'S A 0.10 30MG 180 2026-04-01 No No 6
40 15029 BARBIFED 30MG TAB (FED/ATB) PHENOBARBITONE 500'S A 0.05 30MG 180 2022-05-11 2024-03-31 Change Local Agent 6
41 15029 BARBIFED 30MG TAB (FED) PHENOBARBITONE 500'S A 0.0497 30MG 180 2024-04-01 2026-03-31 6
40 1502S PHENOBARBITONE 30MG TAB (GPC/ATB) 1000'S A 0.02 30MG 180 2022-04-01 2024-03-31 6
40 15031 PHENOBARBITONE 60MG TAB (GPC/ATB) 1000'S A 0.02 60MG 180 2022-04-01 2024-03-31 6
41 15031 PHENOBARBITONE 60MG TAB (GPC) 1000'S A 0.0818 60MG 180 2024-04-01 2026-03-31 6
42 15033 PMS-PHENOBARBITONE 60MG TAB (PMS) 500'S A 0.12 60MG 180 2026-04-01 No No 6
40 15052 PHENOBARBITAL 100MG/ML INJ (STP/COL) PHENOBAR 100X2ML B 3.53 100MG/ML 0 2022-04-01 2024-03-31 0
42 15055 PHENOBARBITONE 200MG/ML INJ (VEV) 10X1ML BQ 3.23 200MG/ML 0 2026-04-01 No No 0
41 1505A PHENOBARBITONE 200MG/ML INJ (KWA) 1ML AMP B 124.7711 200MG/ML 0 2024-04-01 2026-03-31 0
40 15117 PHENYTOIN CHEW 50MG TAB (KWA/ATB) PHENYTOIN 10X10 A 0.49 50MG 180 2022-04-01 2024-03-31 6
40 15123 DILANTIN 100MG CAP (PFI/SBI) PHENYTOIN 100'S A 0.36 100MG 180 2022-04-01 2024-03-31 6
41 15123 DILANTIN 100MG CAP (PFI) PHENYTOIN 100'S A 0.3599 100MG 180 2024-04-01 2026-03-31 6
42 1512AJ DILANTIN 100MG CAP (PFI) PHENYTOIN 100'S A 0.36 100MG 180 2026-04-01 No No 6
42 1512AP PHENYTOIN 100MG CHEW TAB (KWA) 100'S A 0.18 100MG 180 2026-04-01 No No Add to Contract as Cat A 6
41 1512G PHENYTOIN 100MG CHEW TAB (KWA) 100'S A 0.1802 100MG 180 2024-04-01 2026-03-31 6
40 1512T DILANTIN 100MG CAP (PFI/STO) PHENYTOIN 100'S A 0.36 100MG 180 2022-04-01 2024-03-31 6
41 1512T DILANTIN 100MG CAP (PFI) PHENYTOIN 100'S A 0.3599 100MG 180 2024-04-01 2026-03-31 6
40 15132 DILANTIN 25MG/ML SUSP (PFI/SBI) PHENYTOIN 240ML A 0.26 25MG/ML 600 2022-04-01 2024-03-31 6