Displaying 1 - 20 of 25
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
41 6711BB ZINDOLIN 500MG TAB (REM) CIPROFLOXACIN (C) 10X10 C 0.1696 500MG 14 2024-04-01 2026-03-31 0
42 6711BB ZINDOLIN 500MG TAB (REM) CIPROFLOXACIN 10X10 C 0.25 500MG 14 2026-04-01 No No 0
40 6711CY CIPROFLOXACIN 500MG TAB (HEA/RXP) 10X10 A 0.15 500MG 14 2022-04-01 2024-03-31 0
41 6711DA CIPROXINA 500MG TAB (BSP) CIPROFLOXACIN (C) 30'S C 2.7183 500MG 14 2024-04-01 2026-03-31 0
42 6711DA CIPROXINA 500MG TAB (BSP) CIPROFLOXACIN 30'S C 1.90 500MG 14 2026-04-01 No No 0
41 6711HB CIPROFLOXACIN 500MG TAB (HEA) 10X10 A 0.1487 500MG 14 2024-04-01 2026-03-31 0
42 6711LQ CIPROFLOXACIN 500MG TAB (MCP) 10X10 A 0.08 500MG 14 2026-04-01 No No 0
41 6711LW VANCIP 500MG TAB (TPP) CIPROFLOXACIN 10X10 A 0.1384 500MG 14 2024-04-01 2026-03-31 0
42 6711MS CIPROFLOXACIN 500MG TAB (HEA) 10X10 A 0.16 500MG 14 2026-04-01 No No Price Change 0
42 6711NK CIPROFLOXACIN 500MG TAB (HEA) 10X10 A 0.16 500MG 14 2026-04-01 No No Add to Contract as Cat A 0
42 6711NL CIPROFLOXACIN 500MG TAB (HEA) 10X10 A 0.16 500MG 14 2026-04-01 No No Add to Contract as Cat A 0
41 6711Q CIPROXINA 500MG TAB (BSP) CIPROFLOX (C) 30'S C 2.7183 500MG 14 2024-04-01 2026-03-31 0
42 6711Q CIPROXINA 500MG TAB (BSP) CIPROFLOX 30'S C 1.73 500MG 14 2026-04-01 No No 0
40 67123 CIPROXINA 200MG INJ (BSP/COL) CIPROFLOXACIN 100ML C 55.73 200MG 0 2022-04-01 2024-03-31 0
41 67123 CIPROXINA 200MG INJ (BSP) CIPROFLOXACIN (C) 100ML C 55.7256 200MG 56 2024-04-01 2026-03-31 0
42 67123 CIPROXINA 200MG INJ (BSP) CIPROFLOXACIN 100ML C 35.26 200MG 56 2026-04-01 No No 0
41 67124 CIPROXINA 400MG INJ (BSP) CIPROFLOX (C) 200ML C 70.6764 20MG/ML 0 2024-04-01 2026-03-31 0
42 67124 CIPROXINA 200MG INJ (BSP) CIPROFLOXACIN 200ML C 64.32 200MG 56 2026-04-01 No No 0
40 6712BX CIPLOXIN 200MG INJ (UNI/AHI) CIPROFLOXACIN 100ML BQ 4.49 200MG 0 2022-04-01 2024-03-31 6
41 6712BX CIPLOXIN 200MG INJ (UNI) CIPROFLOXA (BQ) 100ML BQ 4.4852 200MG 56 2024-04-01 2026-03-31 0