Displaying 1521 - 1540 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
41 20567 DEXTROSE 10% (CSC) PLASTIC BAG (B) 500ML B 2.5009 10% 50 2024-04-01 2026-03-31 0
40 2056D DEXTROSE (2B0163Q) 10% (BAX/STO) 500ML B 3.34 10% 0 2022-04-01 2024-03-31 0
41 2056D DEXTROSE (2B0163Q) 10% (BAX) (B) 500ML B 5.1648 10% 50 2024-04-01 2026-03-31 0
42 2056D DEXTROSE (2B0163Q) 10% (BAX) 500ML B 6.52 10% 50 2026-04-01 No No 0
40 20572 DEXTROSE (2B0164X) 10% INJ (BAX/STO) 1 LITRE B 4.97 10% 0 2022-04-01 2024-03-31 0
41 20572 DEXTROSE (2B0164X) 10% INJ (BAX) (B) 1 LITRE B 5.7357 10% 50 2024-04-01 2026-03-31 0
42 20572 DEXTROSE (2B0164X) 10% INJ (BAX) 1 LITRE B 9.95 10% 50 2026-04-01 No No 0
40 20578 DEXTROSE 10% (CSC/PHA) PLASTIC BAG 1 LITRE B 4.50 10% 0 2022-04-01 2022-06-15 Price Change 0
40 20578 DEXTROSE 10% (CSC/PHA) PLASTIC BAG 1 LITRE B 5.01 10% 0 2022-04-16 2024-03-31 Price Change 0
41 20578 DEXTROSE 10% (CSC) PLASTIC BAG (B) 1 LITRE B 4.0775 10% 50 2024-04-01 2026-03-31 0
41 205C1 DEXTROSE 70% INJ (BAX) 2 LITRES BQ 36.7517 70% 0 2024-04-01 2026-03-31 0
42 205C1 DEXTROSE 70% INJ (BAX) 2 LITRES B 11.77 70% 0 2026-04-01 2028-03-31 No No 0
42 20712 PMS-ATOMOXETINE 10MG CAP (PMS) (C) 30'S C 1.09 10MG 60 2026-04-01 No No 6
40 20713 APO-ATOMOXETINE 10MG CAP (APO/COL) 30'S C 1.09 10MG 0 2022-04-01 2024-03-31 0
41 20715 APO-ATOMOXETINE 10MG CAP (APO) (C) 30'S C 1.1091 10MG 60 2024-04-01 2026-03-31 6
42 20732 PMS-ATOMOXETINE 25MG CAP (PMS) (C) 30'S C 1.36 25MG 60 2026-04-01 No No 6
40 20733 APO-ATOMOXETINE 25MG CAP (APO/COL) 30'S C 1.99 25MG 0 2022-04-01 2024-03-31 0
41 20735 APO-ATOMOXETINE 25MG CAP (APO) (C) 30'S C 2.0333 25MG 60 2024-04-01 2026-03-31 6
41 20742 PMS-ATOMOXETINE 40MG CAP (PMS) (C) 30'S C 2.3967 40MG 30 2024-04-01 2026-03-31 6
42 20742 PMS-ATOMOXETINE 40MG CAP (PMS) (C) 30'S C 1.63 40MG 30 2026-04-01 No No 6