Displaying 1 - 20 of 30
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 11816 CONCOR 2.5MG TAB (MEK/COL) BISOPROLOL 30'S C 0.96 2.5MG 0 2022-04-01 2024-03-31 0
41 11816 CONCOR 2.5MG TAB (MEK) BISOPROLOL (C) 30'S C 0.9605 2.5MG 30 2024-04-01 2026-03-31 6
40 1181EF BISOPROLOL 2.5MG TAB (FSB/ATB) 10X10 A 0.04 2.5MG 30 2022-04-07 2022-09-30 6
40 1181EV CILENOL 2.5MG TAB (CIR/AHI) BISOPROLOL 30'S A 0.09 2.5MG 30 2022-04-01 2022-09-30 6
40 1181FD BISOPROLOL 2.5MG TAB (RYV/ATB) 100'S A 0.04 2.5MG 30 2022-04-01 2022-07-26 6
40 1181FD BISOPROLOL 2.5MG TAB (RYV/ATB) 100'S A 0.05 2.5MG 30 2022-07-27 2024-03-31 Price Change 6
41 1181FD BISOPROLOL 2.5MG TAB (RYV) 100'S A 0.0544 2.5MG 30 2024-04-01 2026-03-31 6
40 1181FK BISOPROLOL 2.5MG TAB (AUR/AHI) 100'S A 0.07 2.5MG 30 2022-04-01 2024-03-31 6
41 1181FK BISOPROLOL 2.5MG TAB (AUR) 100'S A 0.0661 2.5MG 30 2024-04-01 2026-03-31 6
40 11829 CONCOR 5MG TAB (MEK/COL) BISOPROLOL 30'S C 0.96 5MG 0 2022-04-01 2024-03-31 0
41 11829 CONCOR 5MG TAB (MEK) BISOPROLOL (C) 30'S C 0.9605 5MG 30 2024-04-01 2026-03-31 6
41 1182DT APO-BISOPROLOL 5 MG TAB (APO/COL) 100'S A $0.047 5MG 30 6
40 1182DT APO-BISOPROLOL 5MG TAB (APO/COL) BISOPROLOL 100'S A 0.05 5MG 30 2022-04-01 2024-03-31 6
40 1182ED BISOPROLOL 5MG TAB (FSB/ATB) 10X10 A 0.04 5MG 30 2022-04-07 2022-09-30 6
40 1182EQ CILENOL 5MG TAB (CIR/AHI) BISOPROLOL 30'S A 0.14 5MG 30 2022-04-01 2024-03-31 6
40 1182EU BISOPROLOL 5MG TAB (RYV/ATB) 100'S A 0.05 5MG 30 2022-04-01 2022-07-26 6
40 1182EU BISOPROLOL 5MG TAB (RYV/ATB) 100'S A 0.05 5MG 30 2022-07-27 2024-03-31 Price Change 6
41 1182EU BISOPROLOL 5MG TAB (RYV) 100'S A 0.0617 5MG 30 2024-04-01 2026-03-31 6
41 1182EV BISOPROLOL 5MG TAB (MCP) 3X10 A 0.0861 5MG 30 2024-04-01 2026-03-31 6
41 1182FB APO-BISOPROLOL 5MG TAB (APO) BISOPROLOL 100'S A 0.047 5MG 30 2024-04-01 2026-03-31 6