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 0152BF AMOXIL 25MG/ML SUSP (GSK/COL) AMOXICILLIN 100ML C 0.11 25MG/ML 0 2022-04-01 2024-03-31 0
41 0152BF AMOXIL 25MG/ML SUSP (GSK) AMOXICILLIN (C) 100ML C 0.1261 25MG/ML 300 2024-04-01 2026-03-31 0
42 0152BF AMOXIL 25MG/ML SUSP (GSK) AMOXICIL (C) 100ML C 0.13 25MG/ML 300 2026-04-01 No No 0
40 0152BQ AMOXICILLIN 25MG/ML SUSP (MCP/AHI) 100ML A 0.02 25MG/ML 300 2022-04-01 2024-03-31 0
41 0152BQ AMOXICILLIN 25MG/ML SUSP (MCP) 100ML A 0.0179 25MG/ML 300 2024-04-01 2024-12-27 0
41 0152BQ AMOXICILLIN 25MG/ML SUSP (MCP) 100ML A 0.0204 25MG/ML 300 2024-12-28 2026-03-31 0
42 0152C AMOXICILLIN 25MG/ML SUSP (FSB) 100ML A 0.01 25MG/ML 300 2026-04-01 No No Add to Contract as Cat A 0
41 0153BK AMOXAPEN 500MG CAP (REM) AMOXICILLIN 100X10 A 0.1218 500MG 56 2024-04-01 2026-03-31 0
40 0153C AMOXAPEN 500MG CAP (REM/SBI) AMOXICILLIN 100x10 C 0.12 500MG 0 2022-04-01 2024-03-31 0
40 0153CC AMOXIL 500MG CAP (GSK/COL) AMOXICILLIN 100'S C 0.42 500MG 0 2022-04-01 2024-03-31 0
41 0153CC AMOXIL 500MG CAP (GSK) AMOXICILLIN (C) 100'S C 0.4665 500MG 56 2024-04-01 2026-03-31 0
42 0153CC AMOXIL 500MG CAP (GSK) AMOXICILLIN (C) 100'S C 0.49 500MG 56 2026-04-01 No No 0
40 0153CS AMOXICILLIN 500MG CAP (FSB/ATB) 1000'S A 0.07 500MG 28 2022-04-01 2024-03-31 0
40 0153CW AMOXAPEN 500MG CAP (REM/SBI) AMOXICILLIN 10x10 C 0.10 500MG 0 2022-04-01 2024-03-31 0
40 0155AG AMOXICILLIN 50MG/ML SUSP (MCP/AHI) 100ML A 0.02 50MG/ML 200 2022-04-01 2024-03-31 0
41 0155AG AMOXICILLIN 50MG/ML SUSP (MCP) 100ML A 0.0201 50MG/ML 200 2024-04-01 2026-03-31 0
42 0155AR AMOTID 50MG/ML SUSP (BEX) AMOXICILLIN 100ML A 0.03 50MG/ML 200 2026-04-01 No No 0
40 0155T AMOXIL 50MG/ML SUSP (GSK/COL) AMOXICILLIN 100ML C 0.13 50MG/ML 0 2022-04-01 2024-03-31 0
41 0155T AMOXIL 50MG/ML SUSP (GSK) AMOXICILLIN (C) 100ML C 0.146 50MG/ML 200 2024-04-01 2026-03-31 0