Displaying 1921 - 1940 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 2832BQ GLICLAZIDE MR 60MG TAB (SER) 30'S A 0.25 60MG 60 2026-04-01 No No 6
40 2832BS GLIMEPIRIDE 4MG TAB (DRL/AHI) 100'S C 0.15 4MG 0 2022-04-01 2024-03-31 0
41 2832BV APO-GLICLAZIDE 80MG TAB (APO) 100'S A 0.097 80MG 120 2024-04-01 2026-03-31 6
40 2832C APO-GLICLAZIDE 80MG TAB (APO/COL) 100'S A 0.10 80MG 120 2022-04-01 2024-03-31 6
42 2832C APO-GLICLAZIDE 80MG TAB (APO) 100'S A 0.10 80MG 120 2026-04-01 No No 6
42 2832GY GETRYL 4MG TAB (GET) GLIMEPIRIDE 20'S C 0.03 4MG 60 2026-04-01 No No 6
40 28411 GLYFORMIN 500MG TAB (REM/SBI) METFORMIN 100x10 A 0.04 500MG 180 2022-04-01 2024-03-31 6
42 28411 GLYFORMIN 500MG TAB (REM) METFORMIN 100x10 C 0.11 500MG 180 2026-04-01 No No 6
40 2841AK GLUCOPHAGE 500MG TAB (MEK/COL) METFORMIN 100'S C 0.08 500MG 0 2022-04-01 2024-03-31 0
41 2841AK GLUCOPHAGE 500MG TAB (MEK) METFORMIN (C) 100'S C 0.0796 500MG 180 2024-04-01 2026-03-31 6
42 2841AK GLUCOPHAGE 500MG TAB (MEK) METFORMIN 100'S A 0.09 500MG 180 2026-04-01 No No 6
41 2841AZ GLYFORMIN 500MG TAB (REM) METFORMIN 100X10 A 0.0661 500MG 180 2024-04-01 2026-03-31 6
40 2841BM METFORMIN XR 500MG TAB (HEA/RXP) 10X10 A 0.07 500MG 120 2022-04-01 2022-12-07 DEL 6
40 2841BX METFORMIN XR 100'S A .0748 500MG 120 2022-12-07 2024-03-31 No No ADD AS CAT A BENEFIT 6
40 2841BX METFORMIN XR 500MG TAB (HEA/ATB) 10X10 A 0.0748 500MG 2022-12-07 2024-03-31 No No Change Local Agent 6
41 2841BX METFORMIN 500MG XR TAB (HEA) 10X10 A 0.0807 500MG 120 2024-04-01 2026-03-31 6
41 2841DL ZOMET 500MG TAB (INP) METFORMIN 10X10 A 0.0408 500MG 180 2024-04-01 2026-03-31 6
42 2841DL ZOMET 500MG TAB (INP) METFORMIN 10X10 A 0.04 500MG 180 2026-04-01 No No 6
40 2841EZ METSAFE ER 500MG TAB (MSN/ATB) METFORMIN XR 10X10 A 0.05 500MG 120 2022-04-01 2024-03-31 6
40 2841FA METFORMIN 500MG TAB (CAM/ATB) 84'S A 0.09 500MG 180 2022-04-01 2024-03-31 6