Displaying 121 - 140 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 0102AA NYSTATIN 100,000U/ML SUSP (HEA) 60ML A 0.09 100,000U/ML 180 2026-04-01 No No Add to Contract as Cat A 0
42 0102AB NYSTATIN 100,000U/ML SUSP (FSB) 60ML A 0.09 100,000U/ML 180 2026-04-01 No No Add to Contract as Cat A 0
42 0102AC NYSTATIN 100,000U/ML SUSP (HEA) 60ML A 0.09 100,000U/ML 180 2026-04-01 No No Add to Contract as Cat A 0
40 0102T PMS-NYSTATIN 100,000U/ML SUSP (PMS/COL) 100ML A 0.07 100,000U/ML 180 2022-04-01 2024-03-31 0
41 0102T PMS-NYSTATIN 100,000U/ML SUSP (PMS) 100ML A 0.0816 100,000U/ML 180 2024-04-01 2026-03-31 0
40 0102V NYSTATIN 100,000U/ML SUSP (HEA/ATB) 60ML A 0.0952 100,000U/ML 2022-12-07 2024-03-31 No No Change Local Agent 0
41 0102V NYSTATIN 100,000U/ML SUSP (HEA) 60ML A 0.096 100,000U/ML 180 2024-04-01 2026-03-31 0
42 0102Z NYSTATIN 100,000U/ML SUSP (HEA) 60ML A 0.09 100,000U/ML 180 2026-04-01 No No Price Change 0
40 0111D CEFUROXIME 500MG CAP (KWA/ATB) 100'S BQ 0.67 500MG 0 2022-04-01 2024-03-31 6
40 0111DL CEFADROXIL 500MG CAP (KWA/ATB) 10X10 A 0.23 500MG 28 2022-04-01 2024-03-31 0
41 0111FA ADORA 500MG CAP (INC) CEFADROXIL 20'S A 0.4037 500MG 28 2024-04-01 2026-03-31 0
42 0111FA ADORA 500MG CAP (INC) CEFADROXIL 20'S A 0.41 500MG 28 2026-04-01 No No 0
41 0111FB BACTERAM 500MG TAB (MBL) CEFADROXIL 12'S A 0.4259 500MG 28 2024-04-01 2026-03-31 0
41 0111FD ZINNAT 500MG TAB (BCH) CEFUROXIME 50'S BQ 1.2982 500MG 20 2024-04-01 2026-03-31 0
42 0111FD ZINNAT 500MG TAB (BCH) CEFUROXIME 50'S C 1.73 500MG 20 2026-04-01 No No 0
41 0111FE ZINNAT 500MG TAB (BCH) CEFUROXIME 10'S BQ 1.298 500MG 20 2024-08-23 2026-09-05 0
41 0111FE ZINNAT 500MG TAB (BCH) CEFUROXIME 10'S BH 1.298 500MG 20 2024-09-06 2026-03-31 0
42 0111FJ XORICEF 500MG TAB (JLP) CEFUROXIME 10X10 BH 0.52 500MG 20 2026-04-01 No No 0
40 0111S ZINNAT 500MG TAB (GSK/COL) CEFUROXIME 50'S C 2.91 500MG 0 2022-04-01 2024-03-31 0
40 0112BB CEFADROXIL MK 50MG/ML SUSP (BON/COL) CEFADROX 60ML A 0.14 50MG/ML 120 2022-04-01 2024-03-31 0