Displaying 1221 - 1240 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 16058 DIAZEPAM 5MG/ML IV/IM INJ (RTM/PHA) 10X2ML B 2.20 5MG/ML IV/IM 0 2022-06-01 2024-03-31 Price Change 0
40 1605A DIAZEPAM 5MG/ML IV/IM INJ (BRA/COL) 10X2ML B 1.38 5MG/ML IV/IM 0 2022-04-01 2024-03-31 0
42 1605AA DIAZEPAM 5MG/ML INJ (HEA) 100X2ML B 1.02 5MG/ML 0 2026-04-01 2028-03-31 No No Add to Contract as Cat B 0
42 1605AB DIAZEPAM 5MG/ML INJ (HEA) 100X2ML B 1.02 5MG/ML 0 2026-04-01 No No Add to Contract as Cat B 0
41 1605B VERZEPAM 5MG/ML IV/IM INJ (VEV) DIAZEPAM (B) 10X2ML B 2.9358 5MG/ML IV/IM 60 2024-04-01 2026-03-31 0
41 1605W DIAZEPAM 5MG/ML IV/IM INJ (KWA) (B) 10X2ML B 2.1882 5MG/ML IV/IM 60 2024-04-01 2026-03-31 0
42 1605Z DIAZEPAM 5MG/ML IV/IM INJ (HEA) 100X2ML B 1.02 5MG/ML IV/IM 60 2026-04-01 No No Price Change 0
40 16111 TAXOTERE 20MG INJ (SFA/COL) DOCETAXEL 20MG VIAL C 135.92 20MG 0 2022-04-01 2024-03-31 0
42 16111 TAXOTERE 20MG/ML INJ (SFA) DOCETAXEL 1ML C 323.48 20MG/ML 0 2026-04-01 No No 0
40 1611N DOCETAXEL 20MG INJ (DIL/AHI) 20MG VIAL C 36.02 20MG 0 2022-04-01 2024-03-31 0
40 1611U DOCETERE 20MG INJ (DRL/AAL) DOCETAXEL 1 DS SYRNG C 39.96 20MG 0 2022-04-01 2024-03-31 0
40 16121 TAXOTERE 80MG INJ (SFA/COL) DOCETAXEL 80MG VIAL C 231.06 80MG 0 2022-04-01 2024-03-31 0
40 1612A DOCETAXEL 80MG INJ (EBA/COL) 80MG VIAL C 68.58 80MG 0 2022-04-01 2024-03-31 Price Change 0
42 1612AA DOCETAXEL 20MG/ML INJ (ZUV) 4ML BQ 28.16 20MG/ML 0 2026-04-01 No No 0
40 1612S DOCETAXEL 80MG INJ (INP/AHI) 80MG VIAL C 65.70 80MG 0 2022-04-01 2024-03-31 0
41 1612X DOCETAXEL 80MG INJ (VEN) 4ML VIAL BQ 38.4643 80MG 0 2024-04-01 2026-03-31 0
42 1642AQ HALOFORD 5MG/ML INJ (JLP) HALOPERIDOL 100X1ML B 0.49 5MG/ML 0 2026-04-01 No No 6
40 1642G HALOPERIDOL 5MG/ML INJ (STP/COL) 100X1ML B 1.66 5MG/ML 0 2022-04-01 2024-03-31 0
41 1642G HALOPERIDOL 5MG/ML INJ (STP) (B) 100X1ML B 1.93 5MG/ML 0 2024-04-01 2026-03-31 6
41 1642U HALOPERIDOL 5MG/ML INJ (FSB) (B) 10X1ML B 0.5899 5MG/ML 0 2024-04-01 2026-03-31 6