Displaying 1 - 19 of 19
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 51714 ZENTEL 200MG TAB (GSK/COL) ALBENDAZOLE 2'S A 2.10 200MG 6 2022-04-01 2024-03-31 1
41 5171AJ ALBENDAZOLE 200MG TAB (LDP) 2'S A 1.86 200MG 6 2024-04-01 2026-03-31 1
40 5171AK ZENTEL 400MG TAB (GSK) ALBENDAZOLE 1 A 4.19 400MG 3 0000-00-00 0000-00-00 1
41 5171AK ZENTEL 400MG TAB (GSK) ALBENDAZOLE 1'S A 4.62 400MG 3 2024-04-01 2026-03-31 1
42 5171AK ZENTEL 400MG TAB (GSK) ALBENDAZOLE (C) 1'S C 5.22 400MG 3 2026-04-01 No No Price Change 1
42 5171AL ALBENDAZOLE 400MG TAB (INP) 2'S A 0.14 400MG 3 2026-04-01 No No 1
40 51725 ALBENDAZOLE 40MG/ML SUSP (CIP/AHI) 10ML A 0.14 40MG/ML 30 2022-04-01 2024-03-31 1
41 51725 ALBENDAZOLE 40MG/ML SUSP (CIP) 10ML A 0.1495 40MG/ML 30 2024-04-01 2026-03-31 1
41 5172AH ALZOLE 40MG/ML SUSP (TPP) ALBENDAZOLE 10ML A 0.1359 40MG/ML 30 2024-04-01 2026-03-31 1
42 5172AK ALBENDAZOLE 40MG/ML SUSP (INP) 10ML A 0.04 40MG/ML 30 2026-04-01 No No 1
42 5172AN WORMIZLE 40MG/ML SUSP (HEA) ALBEND (C) 10ML C 0.15 40MG/ML 30 2026-04-01 No No Price Change 1
42 5172AP LEEBEN 40MG/ML SUSP (JLP) ALBENDAZOLE 10ML A 0.07 40MG/ML 30 2026-04-01 No No 1
42 5172AQ WORMIZOLE 40MG/ML SUSP (HEA) ALBEN (C) 10ML C 0.15 40MG/ML 30 2026-04-01 No No Add to Contract as Cat C 1
42 5172AR WORMIZOLE 40MG/ML SUSP (HEA) ALBEN (C) 10ML C 0.15 40MG/ML 30 2026-04-01 No No Add to Contract as Cat C 1
40 5172B ZENTEL 40MG/ML SUSP (GSK/COL) ALBENDAZOLE 10ML C 0.42 40MG/ML 0 2022-04-01 2024-03-31 0
41 5172B ZENTEL 40MG/ML SUSP (GSK) ALBENDAZOLE (C) 10ML C 0.4621 40MG/ML 30 2024-04-01 2026-03-31 1
42 5172B ZENTEL 40MG/ML SUSP (GSK) ALBENDAZ (C) 10ML C 0.52 40MG/ML 30 2026-04-01 No No Price Change 1
40 5172G WORMIZOLE 40MG/ML SUSP (HEA/RXP) ALBENDAZOLE 10ML A 0.14 40MG/ML 30 2022-04-01 2024-03-31 1
41 5172U WORMIZOLE 40MG/ML SUSP (HEA) ALBENDAZOLE 10ML A 0.1549 40MG/ML 30 2024-04-01 2026-03-31 1