Displaying 1581 - 1600 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 2141AK SPIRONOLACTONE 25MG TAB (KWA/ATB) 10X10 A 0.07 25MG 120 2022-04-01 2022-09-30 6
40 2141X SPIROLON 25MG TAB (REM/SBI) SPIRONOLACTONE 1000'S A 0.08 25MG 120 2022-04-01 2024-03-31 6
41 2141X SPIROLON 25MG TAB (REM) SPIRONOLACTONE 1000'S A 0.0749 25MG 120 2024-04-01 2026-03-31 6
42 2141X SPIROLON 25MG TAB (REM) SPIRONOLACTONE 1000'S A 0.08 25MG 120 2026-04-01 No No 6
40 21423 SPIROLON 100MG TAB (REM/SBI) SPIRONOLACTONE 10x10 A 0.27 100MG 120 2022-04-01 2024-03-31 6
41 21423 SPIROLON 100MG TAB (REM) SPIRONOLACTONE 10x10 A 0.246 100MG 120 2024-04-01 2026-03-31 6
42 21423 SPIROLON 100MG TAB (REM) SPIRONOLACTONE 10x10 A 0.38 100MG 120 2026-04-01 No No 6
40 2142N ALDACTONE 100MG TAB (PFI/STO) SPIRONOLACTONE 10'S C 1.91 100MG 0 2022-04-01 2024-03-31 0
41 2142N ALDACTONE 100MG TAB (PFI) SPIRONOLACTONE (C) 10'S C 1.7805 100MG 120 2024-04-01 2026-03-31 6
40 21431 INSPRA 50MG TAB (PFI/STO) EPLERENONE 30'S B 3.26 50MG 60 2022-04-01 2024-03-31 6
41 21431 INSPRA 50MG TAB (PFI) EPLERENONE (C) 30'S C 3.349 50MG 60 2024-04-01 2026-03-31 6
40 21432 INSPRA 25MG TAB (PFI/STO) EPLERENONE 30'S B 2.96 25MG 60 2022-04-01 2024-03-31 6
41 21432 INSPRA 25MG TAB (PFI) EPLERENONE (C) 30'S C 3.0436 25MG 60 2024-04-01 2026-03-31 6
41 21433 INSPRA 50MG TAB (PFI) EPLERENONE (C) 30'S C 3.349 50MG 60 2024-04-01 2026-03-31 6
41 21434 INSPRA 25MG TAB (PFI) EPLERENONE (C) 30'S C 3.0436 25MG 60 2024-04-01 2026-03-31 6
41 21435 EPNONE 50MG TAB (MSN) EPLERENONE (B) 30'S B 0.7131 50MG 60 2024-04-01 2026-03-31 6
41 21436 EPNONE 25MG TAB (MSN) EPLERENONE (B) 30'S B 0.4213 25MG 60 2024-04-01 2026-03-31 6
42 21437 EPLETUS 25MG TAB (JLP) EPLERENONE 10X10 BQ 0.39 25MG 60 2026-04-01 No No 0
40 21617 HYALASE 1500IU INJ (CPP/COL) HYALURONIDASE 1500IU BQ 42.95 1500IU 0 2022-04-01 2024-03-31 0
40 2161D HYALURONIDASE 1500IU INJ (SLS/AHI) 10X10ML BQ 11.19 1500IU 0 2022-04-01 2024-03-31 0