Displaying 1961 - 1980 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 28432 GLUCOPHAGE 1G XR TAB (MEK) METFORMIN XR 30'S C 1.11 1G 0 2026-04-01 No No 0
40 28433 GLUCOPHAGE 1G TAB (MEK/COL) METFORMIN 30'S C 0.55 1G 0 2022-04-01 2024-03-31 0
41 28433 GLUCOPHAGE 1G TAB (MEK) METFORMIN (C) 30'S C 0.5491 1G 90 2024-04-01 2026-03-31 6
40 28439 METFORMIN 1G TAB (APL/AHI) 100'S A 0.11 1G 90 2022-04-01 2024-03-31 Amend Protocol Quantity 6
41 2843BG METFORMIN-DENK 1G TAB (EDK) 30'S A 0.1377 1G 90 2024-04-01 2026-03-31 6
42 2843BG METFORMIN-DENK 1G TAB (EDK) 30'S A 0.16 1G 90 2026-04-01 No No 6
42 2843BJ METFORMIN-DENK 1G TAB (EDK) 2X15 A 0.16 1G 90 2026-04-01 No No 6
40 2843F METSAFE ER 1G TAB (MSN/ATB) METFORMIN XR 100'S A 0.10 1G 60 2022-04-01 2024-03-31 6
41 2843F METSAFE 1G ER TAB (MSN) METFORMIN XR 100'S A 0.1318 1G 60 2024-04-01 2026-03-31 6
40 28818 WATER FOR INJ INJ (BRA/COL) 100ML B 1.82 0 2022-04-01 2024-03-31 0
41 28818 WATER FOR INJ (BRA) (B) 100ML B 2.0387 20 2024-04-01 2026-03-31 0
42 28818 WATER FOR INJ INJ (BRA) STERILE WATER 100ML B 3.86 20 2026-04-01 No No 0
41 28831 WATER FOR INJ (BRA) 1 LITRE B 3.7513 20 2024-04-01 2026-03-31 0
42 28831 WATER FOR INJ INJ (BRA) STERILE WATER 1 LITRE B 6.52 20 2026-04-01 No No 0
40 2883A WATER FOR INJ INJ (BAX/STO) STERILE WATER 1 LITRE B 5.55 0 2022-04-01 2024-03-31 0
40 28853 WATER FOR INJ (BRA/COL) STERILE WATER 20X10ML B 0.78 0 2022-04-01 2024-03-31 0
41 28853 WATER FOR INJ (BRA) STERILE WATER 20X10ML B 0.3901 20 2024-04-01 2026-03-31 0
42 28853 WATER FOR INJ (BRA) STERILE WATER 20X10ML B 0.72 20 2026-04-01 No No 0
40 2931W VASOPRESSIN 20U/ML INJ (SLS/AHI) 5X1ML BQ 18.54 20U/ML 0 2022-04-01 2024-03-31 0
41 2931W VASOPRESSIN 20U/ML INJ (SLS) (BQ) 5X1ML BQ 18.539 20U/ML 6 2024-04-01 2026-03-31 0