Displaying 1801 - 1820 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 26416 FLIXOTIDE 50MCG INHR (GSK) FLUTICASONE 120 DOSES A 23.8397 50MCG 1 2024-04-01 2026-03-31 6
42 26416 FLIXOTIDE 50MCG INHR (GSK) FLUTICASONE 120 DOSES C 25.04 50MCG 1 2026-04-01 No No 6
42 2641A BUDESMA 200MCG INHR (GLP) BUDESONIDE 120 DOSES A 6.01 200MCG 1 2026-04-01 No No 6
40 2641AB FLIXOTIDE 250MCG INHR (GSK/COL) FLUTICASONE 60 DOSES A 26.72 250MCG 1 2022-04-01 2024-03-31 6
41 2641AB FLIXOTIDE 250MCG INHR (GSK) FLUTICASONE 60 DOSES A 29.3851 250MCG 1 2024-04-01 2026-03-31 6
42 2641AB FLIXOTIDE 250MCG INHR (GSK) FLUTICASONE 60 DOSES C 30.85 250MCG 1 2026-04-01 No No 6
40 2641CE BUDESONIDE 200MCG INHR (MCP/AHI) 200 DOSES A 6.99 200MCG 1 2022-04-01 2024-03-31 6
41 2641CE BUDESONIDE 200MCG INHR (MCP) 200 DOSES A 9.1336 200MCG 1 2024-04-01 2026-03-31 6
41 2641CM BECLOVAIRE 50MCG INHR (BEX) BECLOMETHASONE 200 DOSES A 6.6327 50MCG 1 2024-04-01 2026-03-31 6
42 2641CM BECLOVAIRE 50MCG INHR (BEX) BECLOMETHASONE 200 DOSES A 6.63 50MCG 1 2026-04-01 No No 6
42 2641CS APO-FLUTICASONE 250MCG INHR (APO) 120 DOSES A 14.79 250MCG 1 2026-04-01 No No 6
42 2641CT APO-FLUTICASONE 125MCG INHR (APO) 120 DOSES A 14.00 125MCG 1 2026-04-01 No No 6
42 2641CX FLUTICASONE 125MCG INHR (CHC) 120 DOSES A 8.21 125MCG 1 2026-04-01 No No Add to Contract as Cat A 6
42 2641CY FLUTICASONE 250MCG INHR (CHC) 120 DOSES A 9.27 250MCG 1 2026-04-01 No No Add to Contract as Cat A 6
42 2641CZ FLUTICASONE 50MCG INHR (CHC) 120 DOSES A 7.50 50MCG 1 2026-04-01 No No Add to Contract as Cat A 6
40 2641R BECOTIDE 50MCG INHR (GSK/COL) BECLOMETHASONE 200 DOSES A 7.77 50MCG 1 2022-04-01 2024-03-31 6
40 2641U FLIXOTIDE 125MCG INHR (GSK/COL) FLUTICASONE 60 DOSES A 17.21 125MCG 1 2022-04-01 2024-03-31 6
41 2641U FLIXOTIDE 125MCG INHR (GSK) FLUTICASONE 60 DOSES A 18.9467 125MCG 1 2024-04-01 2026-03-31 6
42 2641U FLIXOTIDE 125MCG INHR (GSK) FLUTICASONE 60 DOSES C 19.90 125MCG 1 2026-04-01 No No 6
40 26517 BETAMETHASONE 0.5MG TAB (LAF/AHI) 100'S A 0.56 0.5MG 240 2022-04-01 2024-03-31 Change Local Agent 6