Displaying 1 - 11 of 11
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 13028 ASPIRIN DISPERSIBLE 300MG TAB (ACD/AHI) 32'S A 0.25 300MG 30 2022-04-01 2024-03-31 No No Add to Contract as Cat A 6
41 1303D ASPIRIN 325MG TAB (QUC) 300'S A 0.0566 325MG 240 2024-04-01 2026-03-31 6
40 1303E BAYER ASPIRIN MR 325MG CAPLET (BSP/COL) ASPIR 100'S A 0.18 325MG 240 2022-04-01 2024-03-31 6
41 1306AJ ASPIRIN GR 75MG TAB (CPP) 14x4 A 0.0379 75MG 60 2024-04-01 2026-03-31 6
40 1306AS ASPIRIN E.C. 81MG TAB (REL/PHA) 1000'S A 0.03 81MG 60 2022-04-01 2022-07-18 Price Change 6
40 1306AS ASPIRIN E.C. 81MG TAB (REL/PHA) 1000'S A 0.02 81MG 60 2022-07-19 2024-03-31 Price Change 6
41 1306AS ASPIRIN E.C. 81MG TAB (REL) 1000'S A 0.0244 81MG 60 2024-04-01 2026-03-31 6
41 1306BA CARDIOASPIRIN E.C. 81MG TAB (BSP) A (C) 30'S C 0.2446 81MG 60 2024-04-01 2026-03-31 6
40 1306BF CARDIOASPIRIN 81MG TAB (BSP/AHI) 30'S C 0.2717 81MG 2023-02-23 2024-03-31 No No Add to Contract as Cat A 6
41 1306BF CARDIOASPIRIN 81MG TAB (BSP) (C) 30'S C 0.2446 81MG 60 2024-04-01 2026-03-31 6
41 1306BH ASPIRIN 81MG TAB (GPC) 1000'S A 0.0189 81MG 60 2024-04-01 2026-03-31 6