Displaying 1781 - 1800 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 25718 BETACORT 0.1% OINT (CAR) BETAMETHASONE 15G A 4.62 0.1% 2 2026-04-01 No No 0
40 25737 BETACORT 0.1% CR (CAR/COL) BETAMETHASONE 15G A 4.62 0.1% 2 2022-04-01 2024-03-31 0
41 25737 BETACORT 0.1% CR (CAR) BETAMETHASONE (C) 15G C 4.6212 0.1% 2 2024-04-01 2026-03-31 0
42 25737 BETACORT 0.1% CR (CAR) BETAMETHASONE 15G A 4.62 0.1% 2 2026-04-01 No No 0
41 2573E BETAMETHASONE 0.1% CR (GPC) 15G A 2.3378 0.1% 2 2024-04-01 2026-03-31 0
40 2573V BETNOVATE 0.1% CR (GSK/COL) BETAMETHASONE 30G C 14.57 0.1% 0 2022-04-01 2024-03-31 0
41 2573V BETNOVATE 0.1% CR (GSK) BETAMETHASONE (C) 30G C 15.6847 0.1% 2 2024-04-01 2026-03-31 0
42 2573V BETNOVATE 0.1% CR (GSK) BETAMETHASONE 30G C 16.47 0.1% 2 2026-04-01 No No 0
40 2592AD FAMOTIDINE 10MG/ML INJ (DIL/AHI) 25X2ML B 4.84 10MG/ML 0 2022-04-01 2024-03-31 0
41 2592AJ LADINE 10MG/ML INJ (LDP) FAMOTIDINE 10X2ML B 5.2029 10MG/ML 0 2024-04-01 2026-03-31 0
42 2592AM FAMOTIDINE 10MG/ML INJ (MAT) 25X2 ML BQ 5.19 10MG/ML 0 2026-04-01 No No 0
40 2593AD APO-SUCRALFATE 1G TAB (APO/COL) 100'S A 0.46 1G 120 2022-04-01 2024-03-31 6
40 2593DR FAMOTIDINE 20MG TAB (APL/AHI) 100'S C 0.25 20MG 0 2022-04-01 2024-03-31 0
42 2593DU SUCRALFATE 1G TAB (MAT) 100'S A 0.84 1G 120 2026-04-01 No No 6
40 2594AL FAMOPSIN 40MG TAB (REM/SBI) FAMOTIDINE 10X10 A 0.07 40MG 30 2022-04-01 2024-03-31 6
41 2594AL FAMOPSIN 40MG TAB (REM) FAMOTIDINE 10X10 A 0.0652 40MG 30 2024-04-01 2026-03-31 6
42 2594AL FAMOPSIN 40MG TAB (REM) FAMOTIDINE 10X10 B 0.13 40MG 30 2026-04-01 No No 6
42 2594C FAMOTIDINE 40MG TAB (ZYP) 3X10 A 0.04 40MG 30 2026-04-01 No No 6
42 2594EJ FOMODIN 40MG TAB (ANC) FAMOTIDINE 10X10 A 0.05 40MG 30 2026-04-01 No No Add to Contract as Cat A 6
40 26416 FLIXOTIDE 50MCG INHR (GSK/COL) FLUTICASONE 120 DOSES A 21.67 50MCG 1 2022-04-01 2024-03-31 6