Displaying 1561 - 1580 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 20934 CHLORTHALIDONE 12.5MG TAB (KWA) 100'S A 0.1802 12.5MG 30 2024-04-01 2026-03-31 6
41 20935 CARLIDONE 12.5MG TAB (CAR) CHLORTHALIDONE 125'S A 0.0816 12.5MG 60 2024-04-01 2026-03-31 6
42 20935 CARLIDONE 12.5MG TAB (CAR) CHLORTHALIDONE 125'S A 0.08 12.5MG 60 2026-04-01 No No 6
42 20937 THALIDON 12.5MG TAB (JLP) CHLORTHALIDONE 10X10 A 0.07 12.5MG 60 2026-04-01 No No 6
40 2131B LASIX 40MG TAB (SFA/COL) FRUSEMIDE 250'S A 0.10 40MG 180 2022-04-01 2024-03-31 6
41 2131B LASIX 40MG TAB (SFA) FRUSEMIDE 250'S A 0.2066 40MG 180 2024-04-01 2026-03-31 6
42 2131B LASIX 40MG TAB (SFA) FRUSEMIDE 250'S A 0.21 40MG 180 2026-04-01 No No 6
41 2131BJ APO-FUROSEMIDE 40MG TAB (APO) 1000'S A 0.0776 40MG 180 2024-04-01 2026-03-31 6
40 2131ZD APO-FUROSEMIDE 40MG TAB (APO/COL) 1000'S A 0.08 40MG 180 2022-04-01 2024-03-31 6
42 2131ZD APO-FUROSEMIDE 40MG TAB (APO) 1000'S A 0.08 40MG 180 2026-04-01 No No 6
40 21322 LASIX 10MG/ML INJ (SFA/COL) FRUSEMIDE 5X2ML C 1.20 10MG/ML 0 2022-04-01 2024-03-31 0
41 21322 LASIX 10MG/ML INJ (SFA) FRUSEMIDE (C) 5X2ML C 2.7183 10MG/ML 0 2024-04-01 2026-03-31 0
42 21322 LASIX 10MG/ML INJ (SFA) FRUSEMIDE 5X2ML B 5.44 10MG/ML 0 2026-04-01 No No 0
40 2132AA FRUSEMIDE 10MG/ML INJ (RTM/PHA) 10X2ML B 1.01 10MG/ML 0 2022-04-01 2024-03-31 0
41 2132BG FRUSEMIDE 10MG/ML INJ (CHC) (B) 10X2ML B 0.7068 10MG/ML 0 2024-04-01 2026-03-31 0
41 2132BH FRUSEMIDE 10MG/ML INJ (FSB) (B) 50X2ML B 0.3273 10MG/ML 0 2024-04-01 2026-03-31 0
42 2132BN FUROSEMIDE 10MG/ML AMP GLASS (BAX) FRUSEMIDE 10X2ML B 0.46 10MG/ML 0 2026-04-01 No No 0
42 2132BP LASIFRU 10MG/ML INJ (JLP) FRUSEMIDE 50X2ML B 0.44 10MG/ML 0 2026-04-01 No No 0
40 21411 ALDACTONE 25MG TAB (PFI/STO) SPIRONOLACTONE 100'S C 0.59 25MG 0 2022-04-01 2024-03-31 0
41 21411 ALDACTONE 25MG TAB (PFI) SPIRONOLACTONE (C) 100'S C 0.5352 25MG 120 2024-04-01 2026-03-31 6