Displaying 1 - 20 of 48
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 7722AD CURAM 875MG | 125MG TAB (BCH/COL) AMOXICILLIN | CLAVULANIC ACID 20'S C 0.79 875MG|125MG 0 2022-04-01 2024-03-31 0
41 7722AD CURAM 875MG|125MG TAB (BCH) AMOXICILLIN|CLAVULANIC ACID (C) 20'S C 0.8658 875MG|125MG 21 2024-04-01 2026-03-31 0
42 7722AD CURAM 875MG|125MG TAB (BCH) AMOXIC (C) 20'S C 1.36 875MG|125MG 21 2026-04-01 No No 0
41 7722AX CURAM 500MG|125MG TAB (BCH) AMOXICILLIN| (B) 20'S B 0.8943 500MG|125MG 30 2024-04-01 2026-03-31 0
42 7722AX CURAM 500MG|125MG TAB (BCH) AMOXIC (C) 20'S C 0.89 500MG|125MG 30 2026-04-01 No No 0
40 7722AY APO-AMOXICLAV 875MG | 125MG TAB (APO/COL) 100'S B 0.34 875MG|125MG 21 2022-04-01 2024-03-31 6
42 7722AY APO-AMOXICLAV 875MG|125MG TAB (APO) 100'S B 0.35 875MG|125MG 21 2026-04-01 No No 0
40 7722BJ CURAM 500MG | 125MG TAB (BCH/COL) AMOXICILLIN | CLAVULANIC ACID 80'S C 0.34 500MG|125MG 0 2022-04-01 2024-03-31 Price Change 0
40 7722BV AMOXICILLIN | CLAVULANIC ACID 875MG | 125MG TAB (KWA/ATB) 2X10 B 0.39 875MG|125MG 14 2022-04-01 2022-09-30 0
41 7722CK AMOXICILLIN|CLAVULANIC ACID 500MG|125MG TAB (FSB) (B) 20'S B 0.3398 500MG|125MG 30 2024-04-01 2026-03-31 0
40 7722CM ACUCLAV 500MG | 125M TAB (MCP/AHI) AMOXICILLIN | CLAVULANIC ACID 2X10 B 0.177 500MG|125MG 21 2022-04-01 2024-03-31 6
41 7722CM ACUCLAV 500MG|125MG TAB (MCP) AMOXICILLIN|CLAVULANIC ACID (B) 2X10 B 0.2596 500MG|125MG 30 2024-04-01 2026-03-31 0
42 7722CM ACUCLAV 500MG|125MG TAB (MCP) AMOXICILLIN|CLAVULANIC ACID 2X10 B 0.28 500MG|125MG 30 2026-04-01 No No 0
40 7722CP AMOXICILLIN | CLAVULANIC ACID 875MG | 125MG TAB (MCP/AHI) 2X10 B 0.36 875MG|125MG 21 2022-04-01 2024-03-31 6
41 7722CP AMOXICILLIN|CLAVULANIC ACID 875MG|125MG TAB (MCP) (B) 2X10 B 0.3833 875MG|125MG 21 2024-04-01 2024-12-27 0
41 7722CP AMOXICILLIN|CLAVULANIC ACID 875MG|125MG TAB (MCP) (B) 2X10 B 0.4045 875MG|125MG 21 2024-12-28 2026-03-31 0
41 7722CW APO-AMOXYCLAV 875MG|125MG TAB (APO) (B) 100'S B 0.3504 875MG|125MG 21 2024-04-01 2026-03-31 0
40 7722D AUGMENTIN 500MG | 125MG TAB (GSK/COL) AMOXICILLIN | CLAVULANIC ACID 14'S C 1.19 500MG|125MG 0 2022-04-01 2024-03-31 0
41 7722D AUGMENTIN 500MG|125MG TAB (GSK) AMOXICILLIN|CLAVULANIC ACID (B) 14'S B 1.3087 500MG|125MG 30 2024-04-01 2026-03-31 0
42 7722D AUGMENTIN 500MG|125MG TAB (GSK) AM (C) 14'S C 1.44 500MG|125MG 30 2026-04-01 No No 0