Displaying 1 - 20 of 22
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 0131AF CLARITHROMYCIN MK 50MG/ML SUSP (BON/COL) 60ML A 0.24 50MG/ML 60 2022-04-01 2024-03-31 0
40 0131AH CLARITHROMYCIN MK 25MG/ML SUSP (BON/COL) 60ML A 0.16 25MG/ML 100 2022-04-01 2024-03-31 0
40 0131DH KLARICID 50MG/ML SUSP (ABB/PHA) CLARITHROMYCI 60ML C 0.26 50MG/ML 0 2022-04-01 2024-03-31 0
40 0131DJ KLARICID 25MG/ML SUSP (ABB/PHA) CLARITHROMYCI 60ML C 0.19 25MG/ML 0 2022-04-01 2024-03-31 0
41 0131DU KLARICID 50MG/ML SUSP (ABB) CLARITHROMYCIN (C) 60ML C 0.3167 50MG/ML 60 2024-04-01 2026-03-31 0
42 0131DU KLARICID 50MG/ML SUSP (ABB) CLARITHROMYCIN 60ML C 0.27 50MG/ML 60 2026-04-01 No No 0
41 0131DV KLARICID 25MG/ML SUSP (ABB) CLARITHROMYCIN (C) 60ML C 0.2369 25MG/ML 100 2024-04-01 2026-03-31 0
42 0131DV KLARICID 25MG/ML SUSP (ABB) CLARITHROMYCIN 60ML C 0.18 25MG/ML 100 2026-04-01 No No 0
41 0141CL CLAREM 500MG TAB (REM) CLARITHROMYCIN (C) 2X7'S C 0.7844 500MG 14 2024-04-01 2026-03-31 0
40 0141FU KLARICID XL 500MG TAB (ABB/PHA) CLARITHROMYCI 10'S C 1.67 500MG 0 2022-04-01 2024-03-31 0
40 0141FV KLARICID 500MG TAB (ABB/PHA) CLARITHROMYCIN 10'S C 1.67 500MG 0 2022-04-01 2024-03-31 Price Change 0
41 0141HC APO-CLARITHROMYCIN 500MG TAB (APO) 100'S A 0.7783 500MG 14 2024-04-01 2026-03-31 0
41 0141HD APO-CLARITHROMYCIN 250MG TAB (APO) 100'S A 0.3604 250MG 14 2024-04-01 2026-03-31 0
41 0141HG KLARICID 500MG TAB (ABB) CLARITHROMYCIN (C) 10'S C 1.1961 500MG 14 2024-04-01 2026-03-31 0
42 0141HG KLARICID 500MG TAB (ABB) CLARITHROMYCIN 10'S C 1.22 500MG 14 2026-04-01 No No 0
41 0141HH KLARICID XL 500MG ER TAB (ABB) CLARITHROMYCIN (C) 10'S C 1.7343 500MG 0 2024-04-01 2026-03-31 0
42 0141HH KLARICID XL 500MG ER TAB (ABB) CLARITHROMYCIN 10'S C 1.58 500MG 0 2026-04-01 No No 0
40 0141M CLAREM 250MG TAB (REM/SBI) CLARITHROMYCIN 100'S A 0.08 250MG 14 2022-04-01 2024-03-31 0
41 0141T CLAREM 250MG TAB (REM) CLARITHROMYCIN (C) 2X7'S C 0.5301 250MG 14 2024-04-01 2026-03-31 0
40 0141ZK APO-CLARITHROMYCIN 500MG TAB (APO/COL) 100'S A 0.76 500MG 14 2022-04-01 2024-03-31 0